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 Gilman Healthcare Center during CMS and state inspections, most recent first.
A cognitively impaired resident in an LTC facility fell and sustained a subdural hematoma and a fracture after accessing the remote of an electric assisted standing recliner. The resident, who required two-person assistance for transfers, was left unsupervised with the recliner's remote within reach, despite known risks. The incident was not witnessed, and the resident was unable to recall the fall, leading to emergency medical intervention.
The facility failed to ensure that the Infection Control Preventionist attended the required quarterly QA meetings, as mandated by the facility's QAPI policy. The Infection Control Preventionist, who has been in the role for one year, stated she was unaware of this requirement. The Administrator acknowledged this oversight, which has the potential to affect all 56 residents in the facility.
The facility failed to provide ADL assistance and maintain the dignity of two residents. One resident was repeatedly observed without pants, exposing her incontinence brief, while another resident was seen eating with her fingers, resulting in food debris on her chest and chin. Staff acknowledged the issues but did not address them promptly, and the residents' care plans lacked appropriate interventions.
A resident with severe cognitive impairment and multiple diagnoses was not routinely provided oral hygiene. Observations showed the resident's teeth filled with food debris and inflamed gums. Staff confirmed the resident often refused care, but did not document refusals or consistently re-approach to attempt alternative methods.
The facility failed to maintain a resident toilet and bed position remote control cable in a safe condition, affecting three residents. The toilet was unstable and poorly fastened, while a resident's bed remote control cable was damaged with missing insulation and unraveling tape. Staff acknowledged the unsafe conditions.
The facility failed to routinely assess and replace mechanical lift slings, resulting in a sling breaking during a resident's transfer and causing head lacerations. The lack of a clear and consistent process for inspecting and replacing slings contributed to the incident.
Inadequate Supervision Leads to Resident Fall from Recliner
Penalty
Summary
The facility failed to adequately assess and supervise a cognitively impaired resident, leading to an accident involving an electric assisted standing recliner. The resident, who had a moderate cognitive impairment and was dependent on staff for transfers, was left unsupervised in the recliner. The recliner had a remote control that could assist in standing the resident up, which was not secured out of the resident's reach. This oversight allowed the resident to access the remote, resulting in the recliner moving to an upright position and causing the resident to fall. The resident, identified as having a high risk for falls due to medical conditions and mobility issues, was found on the floor with a hematoma and a nondisplaced fracture after the fall. Staff interviews revealed that the resident was a two-person assist for transfers and that the recliner was brought from home by the family. Despite the resident's known tendency to fidget with objects, the remote was not consistently secured out of reach, and no education was provided to the resident on using the recliner safely due to their cognitive impairment. The incident was not witnessed, and the resident was unable to provide details about the fall due to their cognitive state. The facility's investigation confirmed that the resident was found on the floor with the recliner in an upright position, indicating that the resident had attempted to use the remote. The fall resulted in significant injuries, including a subdural hematoma and a fracture, necessitating emergency medical evaluation and treatment.
Infection Control Preventionist Absence from QA Meetings
Penalty
Summary
The facility failed to ensure that the Infection Control Preventionist, a designated key member of the Quality Assurance and Performance Improvement (QAPI) committee, attended the required quarterly QA meetings. This deficiency was identified through a review of the facility's QAPI policy, which mandates the inclusion of specific key members, including the Infection Control Preventionist, in the QA committee meetings. The review of the attendance sign-in sheets for QA meetings held since the last annual survey revealed that the Infection Control Preventionist did not attend any of the meetings. The Infection Control Preventionist, who has been in the role for one year and completed the Nursing Home Infection Preventionist Training Course, stated that she was unaware of the requirement to attend these meetings. The facility's Administrator acknowledged that the Infection Control Preventionist had not attended any QA committee meetings in the past year as required. This oversight has the potential to affect all 56 residents residing in the facility. The deficiency was documented based on the facility's records and interviews with the Infection Control Preventionist and the Administrator.
Failure to Maintain Resident Dignity
Penalty
Summary
The facility failed to provide Activities of Daily Living (ADL) assistance and maintain the dignity of two residents. One resident, diagnosed with unspecified dementia and severe cognitive impairment, was observed multiple times without pants, exposing her incontinence brief to anyone passing by her room. Despite the resident's care plan indicating the need for assistance with dressing, staff members acknowledged the lack of available pants and did not address the issue promptly, leaving the resident in an undignified state for an extended period. Another resident, diagnosed with palliative care, depression, Alzheimer's disease, and severe cognitive impairment, was observed eating with her fingers, resulting in food debris on her chest and chin. The resident's care plan did not address her refusal to use utensils or provide appropriate interventions to maintain her dignity while eating. Staff confirmed that the resident routinely eats with her fingers and that her eating preferences and necessary interventions were not documented in her care plan. The facility's policy on Quality of Life - Dignity emphasizes that each resident should be treated with dignity and respect at all times. However, the observations and interviews indicate that the facility failed to uphold this policy, resulting in undignified conditions for the two residents involved.
Failure to Provide Routine Oral Hygiene
Penalty
Summary
The facility failed to routinely provide oral hygiene for a resident diagnosed with Palliative Care, Depression, Alzheimer's Disease, Dementia, Mood Disorder, and Restlessness and Agitation. The resident was severely cognitively impaired and required substantial/maximum assistance for oral hygiene. Observations on multiple occasions revealed the resident's teeth filled with food debris and gums reddened and inflamed. Staff confirmed the resident often refused oral care and was verbally and physically abusive during the task. Despite this, staff did not document refusals or consistently re-approach the resident to attempt alternative methods for providing oral hygiene.
Unsafe Toilet and Damaged Bed Remote Control Cable
Penalty
Summary
The facility failed to maintain a resident toilet and bed position remote control cable in a safe and repaired condition, affecting three residents. One resident reported that the shared toilet between their room and an adjacent room was unstable and moved around when used. Another resident, who is non-verbal, confirmed through nodding that the same toilet was unstable. Observations confirmed that the toilet was poorly fastened to the floor, easily rotating and tipping with light pressure. A Certified Nurse Aide and the Maintenance Director acknowledged the toilet's unsafe condition, with the Maintenance Director noting that the bracket attaching the toilet to the floor was partially rusted out. Additionally, a resident with severe cognitive impairment and epilepsy was found sleeping with a damaged bed remote control cable. The cable had missing outer insulation and unraveling electrical tape, with a sharp plastic cable tie protruding through the tape. The Maintenance Director confirmed that the cable needed repair. These deficiencies were identified through observations, interviews, and record reviews, highlighting the facility's failure to ensure a safe environment for its residents.
Failure to Inspect and Replace Mechanical Lift Slings
Penalty
Summary
The facility failed to ensure all mechanical lift slings were routinely assessed and replaced in accordance with manufacturer's instructions and facility policy. This failure resulted in a mechanical lift sling breaking during a resident's transfer, causing the resident to fall from the mechanical lift and sustain head lacerations that required staple closure. The incident has the potential to affect seven additional residents who use mechanical lift transfers. The facility's policy required that slings be inspected prior to each use and replaced if damaged. However, the investigation revealed that the slings were not consistently labeled, tracked, or inspected. The sling involved in the incident was not inspected before use, and it broke during the transfer, causing the resident to fall and hit their head. The resident was transferred to the emergency department, where a CT scan showed no fracture or intracranial bleed, but lacerations to the scalp were closed with staples. Interviews with staff indicated that there was confusion and inconsistency regarding the responsibility for inspecting the slings. Some staff believed that laundry staff were responsible for inspections, while others thought it was the CNAs' responsibility. The facility did not have a master list of slings or a tracking system in place prior to the incident, making it difficult to ensure all slings were routinely inspected. The lack of a clear and consistent process for inspecting and replacing slings contributed to the incident.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 31 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Gilman
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Prairieview Lutheran Home | 5.4 mi | ★★★★★ | 7 | 1 |
| Piper City Rehab & Living Ctr | 9.8 mi | — | 0 | 0 |
| La Bella At Clifton | 13.2 mi | ★★★★★ | 0 | 0 |
| Iroquois Resident Home, The | 13.8 mi | ★★★★★ | 0 | 0 |
| Arcadia Care Watseka | 14.4 mi | — | 16 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Gilman Healthcare Center.
100% money-back within 48 hours.
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.