Manor Court of Rochelle — nursing home in Rochelle, IL

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 92 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 80.6 CMS, MDS-derived
CMS Certification Number: 146193
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Aug 26, 2020
Ownership type: Non profit - Corporation
Operator (legal business name): Residential Alternatives of Illinois Inc
CMS chain: Residential Alternatives of Illinois 7 facilities
Phone: (815) 562-9800
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

15

latest May 13, 2026

Citations

43

31 health · 12 fire

Harm or worse

3

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G3	H·	I·
Potential harm	D21	E9	F10
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$14,407

Payment denials

0

Latest

Jul 24, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 146193
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 92
First approved: Aug 26, 2020
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Illinois.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
May 13, 2026	Health	Health Standard	3	Potential harm	—	Open →
Apr 21, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Mar 20, 2026	Health	Health Complaint	2	Potential harm	—	Open →
Jul 24, 2025	Health	Health Complaint	2	Actual harm	—	Open →
May 20, 2025	Health	Health Complaint	2	Actual harm	—	Open →
May 14, 2025	Health	Health Complaint	3	Potential harm	—	Open →
Mar 5, 2025	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
Mar 5, 2025	Health	Health Standard	8	Potential harm	—	Open →
Feb 4, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Dec 11, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Sep 30, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Sep 16, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Feb 15, 2024	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Feb 15, 2024	Health	Health Standard	6	Potential harm	—	Open →
Jan 19, 2023	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Jul 24, 2025	Civil money penalty (fine)	$14,407	—	146193\|Fine\|134048

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G3	H·	I·
Potential harm	D21	E9	F10
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
May 13, 2026	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 29, 2026
May 13, 2026	F-0688	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 29, 2026
May 13, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected May 29, 2026
Apr 21, 2026	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 24, 2026	Complaint
Mar 20, 2026	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 27, 2026	Complaint
Mar 20, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Mar 27, 2026	Complaint
Jul 24, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Aug 6, 2025	Complaint
Jul 24, 2025	F-0697	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Aug 6, 2025	Complaint
May 20, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Jun 6, 2025	Complaint
May 20, 2025	F-0790	Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 6, 2025	Complaint
May 14, 2025	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jun 6, 2025	Complaint
May 14, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 6, 2025	Complaint
May 14, 2025	F-0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision	F · Potential harm Widespread	Corrected Jun 6, 2025	Complaint
Mar 5, 2025	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 12, 2025
Mar 5, 2025	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 11, 2025
Mar 5, 2025	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 7, 2025
Mar 5, 2025	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 11, 2025
Mar 5, 2025	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 7, 2025
Mar 5, 2025	K-0926	Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 11, 2025
Mar 5, 2025	F-0636	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Mar 14, 2025
Mar 5, 2025	F-0637	Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Mar 14, 2025
Mar 5, 2025	F-0638	Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Mar 14, 2025
Mar 5, 2025	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 14, 2025
Mar 5, 2025	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Mar 14, 2025
Mar 5, 2025	F-0761	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Mar 14, 2025
Mar 5, 2025	F-0805	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Mar 14, 2025
Mar 5, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Mar 14, 2025
Feb 4, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 13, 2025	Complaint
Dec 11, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 19, 2024	Complaint
Sep 30, 2024	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Oct 8, 2024	Complaint
Sep 16, 2024	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 27, 2024	Complaint
Feb 15, 2024	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 26, 2024
Feb 15, 2024	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 28, 2024
Feb 15, 2024	K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 28, 2024
Feb 15, 2024	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 29, 2024
Feb 15, 2024	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 29, 2024
Feb 15, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 29, 2024
Feb 15, 2024	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 29, 2024
Feb 15, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Feb 23, 2024
Feb 15, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Feb 23, 2024
Jan 19, 2023	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Mar 4, 2023
Jan 19, 2023	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 10, 2023
Jan 19, 2023	K-0915	Have proper power supply for life support equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 10, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.6

Health inspectionsstate 2.7

Staffingstate 2.2

Quality measuresstate 3.1

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing4.08

State avg 3.47US avg 3.90

Registered nurse (RN)0.90

State avg 0.71US avg 0.69

Licensed practical nurse0.40

State avg 0.64US avg 0.86

Nurse aide2.78

State avg 2.12US avg 2.35

Weekend total nurse3.73

State avg 3.08US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.17 (case-mix index 1.37).

Staff turnover

Total nursing staff turnover52.1%

State avg 43.7%US avg 45.3%

Registered nurse turnover64.3%

State avg 41.5%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: May 13, 2026
Cycle 1 health score: 24
Total weighted score: 56

Operating entity

Residential Alternatives of Illinois Inc

CMS legal business name of the certified provider. Operates 7 facilities.

VerifiedLinked by exact legal name

CMS chain

Residential Alternatives of Illinois

7 facilities in 2 states. CMS chain ID 450.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.1

Ownership disclosures

Disclosures

10

Organizations

1

Individuals

9

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Residential Alternatives of Illinois Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Aug 17, 2020

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Residential Alternatives of Illinois Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Aug 17, 2020
William Kempiners	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Aug 17, 2020
John Kniery	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Aug 17, 2020
Benjamin Mcmahan	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Aug 17, 2020
Jeffrey Shaw	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Aug 17, 2020
John Kniery	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 17, 2020
Benjamin Mcmahan	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 17, 2020
Jeffrey Shaw	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 17, 2020
Ronald Wilson	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Sep 18, 2020
Peggy Holt	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Aug 17, 2020

Other facilities operated by Residential Alternatives of Illinois Inc

All 6 →

Facility	Beds	Last inspection	Citations (window)	Fines
Manor Court of Princeton 140 North Sixth Street, Princeton, IL 61356 CCN 146083	125	Jun 13, 2026	38	—
Hawthorne Inn of Danville 3222 Independence Drive, Danville, IL 61832 CCN 146090	80	Aug 13, 2025	311 harm	—
Manor Court of Peru 3230 Becker Drive, Peru, IL 61354 CCN 146091	130	Mar 9, 2026	201 IJ	$14k
Manor Court of Freeport 2170 West Navajo Drive, Freeport, IL 61032 CCN 146102	117	Jul 13, 2026	6910 harm	$107k
Manor Court of Peoria 6900 North Stalworth, Peoria, IL 61615 CCN 146108	50	Aug 4, 2026	431 IJ1 harm	$141k
Windmill Manor 2332 Liberty Drive, Coralville, IA 52241 CCN 165545	120	Apr 9, 2026	332 harm	$11k

Same chain in Illinois

All 6 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Manor Court of Princeton 140 North Sixth Street, Princeton, IL 61356 CCN 146083	125	Jun 13, 2026	38	—
Hawthorne Inn of Danville 3222 Independence Drive, Danville, IL 61832 CCN 146090	80	Aug 13, 2025	311 harm	—
Manor Court of Peru 3230 Becker Drive, Peru, IL 61354 CCN 146091	130	Mar 9, 2026	201 IJ	$14k
Manor Court of Freeport 2170 West Navajo Drive, Freeport, IL 61032 CCN 146102	117	Jul 13, 2026	6910 harm	$107k
Manor Court of Peoria 6900 North Stalworth, Peoria, IL 61615 CCN 146108	50	Aug 4, 2026	431 IJ1 harm	$141k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 2203 Flagg Road, Rochelle, IL 61068
ZIP: 61068
County: Ogle County FIPS 17141
State: Illinois
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
La Bella of Rochelle 1021 Caron Road, Rochelle, IL 61068 CCN 146152Abuse icon	9.9 km	74	Aug 7, 2026	962 IJ11 harm	$525k
Franklin Grove Living and Rehab 502 North State Street, Franklin Grove, IL 61031 CCN 145200	14.4 km	132	Apr 15, 2026	36	—
Oregon Living and Rehabilitation Center 811 South 10th Street, Oregon, IL 61061 CCN 145476	15.9 km	104	Apr 16, 2026	571 harm	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	146193	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	146193	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 146193

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction