Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Apostolic Christian Restmor during CMS and state inspections, most recent first.
A resident with multiple comorbidities and a high risk for falls suffered a significant fall with injuries after a silent bed alarm, intended as a fall prevention intervention, failed to activate. Staff relied on visual checks of the alarm's indicator light rather than physically testing its function, resulting in the alarm not alerting staff when the resident attempted to self-transfer. The resident was found on the floor with a head laceration, hematoma, and multiple skin tears, and required transfer to the emergency room for treatment.
A resident who required significant staff assistance for personal hygiene was observed with long chin whiskers on multiple occasions, even after receiving a shower. The resident expressed discomfort and dissatisfaction, and a CNA reported that a request for a suitable razor had been made but was unsure if any follow-up occurred, resulting in unmet grooming needs.
A resident with a spinal pressure ulcer, whose care plan required a reactive air mattress, was found lying on a nonfunctioning mattress. The assigned LPN was unfamiliar with the device and did not know how long it had been out of order. Maintenance staff confirmed the issue had not been reported, and leadership acknowledged there was no process to ensure these mattresses were operational.
A resident on an anticoagulant with known bruising had multiple deep purple bruises on both forearms that were observed by staff, but there was no ongoing documentation of these skin changes in the clinical record or care plan after an initial entry. Nursing and CNA staff were aware of the bruises and the resident's medication, but failed to record the size, location, or description of the bruises as required by facility policy.
A resident with vascular dementia suffered injuries during a transfer due to improper sling placement. The sling was positioned too low, causing the resident to fall backward out of the mechanical lift. The CNA involved did not ensure the sling was correctly positioned, leading to the resident's fall and subsequent hospitalization.
A resident with severe cognitive impairment experienced multiple falls resulting in nasal bone fractures due to the facility's failure to ensure fall prevention measures, such as a functioning bed alarm and limiting blankets, were consistently followed.
The facility failed to ensure dietary staff wrote the date on newly opened food packages, including various frozen items. The Assistant Director of Dietary Services confirmed that the kitchen policies did not address this requirement, and the opened food items should have been dated.
Failure to Ensure Functioning Bed Alarm Results in Resident Fall and Injury
Penalty
Summary
A deficiency occurred when the facility failed to ensure that a previously implemented fall intervention, specifically a silent bed alarm, was in place and functioning for a resident identified as high risk for falls. The resident, who had diagnoses including moderate dementia, chronic kidney disease, COPD, generalized anxiety disorder, and osteoporosis, was assessed as a high fall risk and had a care plan that included the use of a staff-alerting bed alarm as a fall prevention measure. Despite this, the bed alarm did not activate when the resident attempted to self-transfer and subsequently fell, resulting in significant injuries including a left forehead laceration, a left frontal scalp hematoma, multiple skin tears, and severe pain. The facility's policies required that safety measures be included in the care plan from admission, revised after any fall, and that the cause of any fall be determined with measures taken to prevent recurrence. The silent bed alarm policy specified that alarms should be checked for proper function each shift, including testing the alarm to ensure it activated the call light and CNA phone. However, staff interviews revealed that the bed alarm was only visually checked for a green light, and not physically tested to confirm it would sound or alert staff when activated. On the night of the incident, the alarm remained green but did not alert staff when the resident got out of bed or fell, and only activated later when the resident was moved by paramedics. Documentation showed that the resident was found on the floor with a large amount of blood from a head laceration and multiple skin tears. The incident was unwitnessed, and the malfunctioning alarm was identified as the root cause of the failure to prevent the fall. The resident was transferred to the emergency room for treatment of her injuries, which included a large open wound on the forehead, skin tears on the left shoulder, lower left leg, and right forearm, and was noted to be in severe pain upon arrival at the hospital. The facility's investigation confirmed that the bed alarm was not functioning as intended at the time of the fall.
Failure to Provide Facial Grooming Assistance
Penalty
Summary
A deficiency was identified when a resident, who is cognitively intact and requires substantial to maximal staff assistance for personal hygiene, was observed on two consecutive days with several long white chin whiskers. Despite having just received a shower, the resident's facial grooming needs were not addressed, and the resident expressed discomfort and dissatisfaction with the presence of the chin whiskers. A Certified Nursing Assistant (CNA) confirmed awareness of the issue and reported having previously left a note for the nurse to contact the resident's family to obtain a suitable ladies' razor, as other razors caused discomfort. However, it was unclear if any action was taken by the nurse, and the resident's grooming needs remained unmet.
Failure to Ensure Functioning Pressure-Relieving Device for Resident with Pressure Ulcer
Penalty
Summary
A deficiency occurred when a resident with a history of kyphosis, lordosis, and lumbar vertebra compression fracture developed a pressure ulcer on her spine, reportedly caused by her bra rubbing. The resident's care plan included the use of a reactive air mattress as a pressure-relieving intervention to promote healing and prevent further skin breakdown. However, during observation, it was found that the reactive air mattress was not functioning while the resident was in bed. Further investigation revealed that the LPN assigned to the resident was unaware of how to operate the air mattress and did not know how long it had been nonfunctional. Maintenance staff confirmed the mattress was not working and had not been notified of the issue. The Chief Nursing Officer acknowledged that there was no process in place to ensure the proper functioning of reactive air mattress units, resulting in the resident not receiving the ordered pressure-relieving intervention.
Failure to Document Ongoing Skin Changes for Resident on Anticoagulant
Penalty
Summary
The facility failed to document ongoing skin changes for a resident who was prescribed an anticoagulant and had known bruises. According to the facility's Intensive Skin Care Program, direct care staff are required to perform daily skin inspections and report any new redness, discoloration, or discomfort to the charge nurse for assessment and intervention. The Medical Records policy also requires that records be kept current, with entries detailing the resident's condition and nursing goals. Despite these policies, the clinical record for the resident showed no documentation of bruising on the upper extremities after an initial note on 1/31/25, even though multiple deep purple bruises were observed on both forearms during a later survey. Interviews with nursing staff and certified nursing assistants confirmed awareness of the resident's bruises and the fact that the resident was on a blood thinner, which can cause bruising. However, there was no further documentation in the clinical record or care plan regarding the size, location, or description of the bruises after the initial entry. The Chief Nursing Officer confirmed that the last documentation of the bruising was several months prior, and acknowledged that ongoing documentation should have occurred.
Improper Sling Placement Leads to Resident Injury
Penalty
Summary
The facility failed to provide a safe transfer for a resident, resulting in the resident being sent to the hospital with injuries including bruising, a left elbow hematoma, and a head laceration. The resident, who has a diagnosis of vascular dementia and anxiety disorder, is severely cognitively impaired and dependent on staff for all care, including transfers. The incident occurred when the resident was being transferred from a reclining chair to a bed using a mechanical lift. The deficiency was primarily due to improper sling placement during the transfer. The sling was positioned too low on the resident's back, which contributed to the resident falling backward out of the sling when she extended her upper body. The CNA involved in the transfer acknowledged that the sling was not positioned correctly and that the resident's movement caused her to slip out of the sling. The sling's stays, which provide stability, were not positioned at the mid-back as required, leading to the resident's fall. The facility's policies on fall prevention and lift usage were not adequately followed, as evidenced by the improper sling placement. The CNA did not ensure the sling was correctly positioned before initiating the transfer, which was a critical oversight. The Director of Nursing and Assistant Director of Nursing confirmed that the sling was not positioned appropriately, and the resident's jerking movement during the transfer led to the fall and subsequent injuries.
Failure to Implement Fall Prevention Measures
Penalty
Summary
The facility failed to ensure that fall interventions were in place and functioning for a resident, resulting in multiple falls and nasal bone fractures. The resident, who is severely cognitively impaired with diagnoses including Vascular Dementia and Anxiety disorder, was observed with bruising on her cheeks and nose. The resident's care plan included interventions such as a bed alarm and limiting the number of blankets and pillows in her room. However, these interventions were not consistently followed or maintained, leading to the resident's falls on two separate occasions. On one occasion, the resident fell while ambulating because the bed alarm did not sound, and the resident was found with multiple blankets around her. The bed alarm was supposed to alert staff when the resident got up, but it was not functioning at the time of the fall. Staff were aware that the resident had a tendency to hoard blankets and other items, which contributed to the fall. Despite this knowledge, the resident's room was not kept free of extra blankets, and the bed alarm was not regularly checked to ensure it was working. Interviews with staff revealed that there was a lack of consistent attention to the resident's fall prevention measures. Staff admitted to not always checking the bed alarm and not removing extra blankets from the resident's room. The Director of Nursing confirmed that the bed alarm was not functioning during the falls and that the care plan's intervention to limit blankets and pillows was not followed. This lack of adherence to the care plan and failure to ensure the bed alarm was working directly contributed to the resident's falls and subsequent injuries.
Failure to Date Opened Food Packages
Penalty
Summary
The facility failed to ensure dietary staff wrote the date on food packages that were newly opened. During an initial kitchen tour, several frozen-packaged food items, including chicken wings, chicken strips, pizza topping, vegetable burgers, zucchini slices, carrots, mixed vegetables, and a case of raw biscuits, were found open and undated. This was confirmed by the dietary staff present during the tour. The Assistant Director of Dietary Services provided the kitchen policies, which did not address the dating of food items when opened, and confirmed that the opened food items should have been dated.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Morton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Arcadia Care Morton | 1 mi | ★★★★★ | 15 | 0 |
| Fondulac Rehabilitation And Health Care Center | 7.1 mi | ★★★★★ | 4 | 1 |
| Washington Senior Living | 7.8 mi | ★★★★★ | 4 | 0 |
| Loft Rehab Of East Peoria, The | 8.1 mi | ★★★★★ | 0 | 0 |
| Accolade Hc Of East Peoria | 8.3 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.