Below 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 Nokomis Hc & Senior Living during CMS and state inspections, most recent first.
The facility did not ensure RN coverage for 8 hours daily, 7 days a week, affecting the care of 36 residents. The DON confirmed RN presence only during their shifts, with several days lacking RN coverage due to the DON's absence. This non-compliance contradicts the facility's staffing policy, which requires adequate licensed nursing staff to maintain resident well-being.
An emergency medication kit in the facility was found unsealed, lacking a green lock tag, which is against protocol. The kit contained critical medications for emergencies, and its unsealed state meant the contents could not be verified. An LPN and the DON confirmed the kit should be resealed and the pharmacy notified after use, as per policy.
The facility failed to repair cracked concrete in the outside smoking area, posing a potential tripping hazard for all 36 residents. Despite repeated concerns documented in Resident Council Minutes and acknowledgment by maintenance staff, necessary repairs were not completed. The Illinois Department of Public Health Life Safety Surveyor confirmed the hazard, highlighting a lapse in maintaining a safe environment.
The facility failed to conduct required pre-employment screenings for several staff members, including CNAs, an Activity Director, and a Dietary Aide. This oversight included missing checks against the Health Care Worker Registry, Sex Offender Registries, and fingerprint-based criminal background checks, potentially affecting all 36 residents. The Administrator cited miscommunication as the cause, and the Regional Nurse confirmed the expectation for compliance with regulations.
The facility failed to keep the medication preparation room free of ants, where intramuscular medications are drawn up for two residents. Ants were observed on the counter, in medication cabinets, and in the refrigerator. The facility's pest control policy requires staff to report infestations, but the ant problem was not effectively addressed.
A resident with severe cognitive impairment and multiple physical disabilities fell out of a wheelchair in the courtyard due to inadequate supervision. The resident, dependent on staff for all ADLs and requiring a mechanical lift for transfers, was left unattended outside with another resident. The facility's staff acknowledged the resident should not have been outside without supervision, and the incident was reported by the other resident using a cell phone to call for assistance.
Failure to Provide RN Coverage 8 Hours Daily
Penalty
Summary
The facility failed to provide a Registered Nurse (RN) on duty for 8 hours a day, 7 days a week, which is a requirement for the care of its 36 residents. The Director of Nursing (DON) admitted that RN coverage was only available when they were present, and there were periods when the DON was absent, specifically from October 30th to November 11th. During this time, there were multiple days without RN coverage, including October 4th, 5th, 6th, and 13th, as well as November 1st through 5th, and 8th through 10th. The facility's nurse staffing policy mandates sufficient licensed and unlicensed nursing staff to maintain the highest practical well-being of each resident, with specific requirements for RN coverage. However, the facility's records indicated non-compliance with these staffing requirements.
Emergency Medication Kit Found Unsealed
Penalty
Summary
The facility failed to maintain the integrity of their emergency medication kit, which was found unsealed during an inspection. The kit, labeled DJ, was observed without a green lock tag securing it, which is a breach of the facility's protocol. This kit contained a variety of medications, including Albuterol, Atropine, Epinephrine, and Naloxone, among others, which are critical for emergency situations. The absence of a seal means there is no way to verify the contents of the kit or determine if any medications were used or missing. During interviews, a Licensed Practical Nurse (LPN) acknowledged that the kits are supposed to be resealed with a new lock tag after each use, and the pharmacy should be notified. The Director of Nursing confirmed that the emergency kit could be used for all residents in the facility, highlighting the potential impact of this oversight. The facility's policy mandates that the emergency box be properly sealed and replaced each time the seal is broken, with immediate notification to the pharmacy. However, this procedure was not followed, leading to the deficiency noted in the report.
Failure to Repair Cracked Concrete in Smoking Area
Penalty
Summary
The facility failed to ensure timely repairs to the environment, specifically the concrete in the outside smoking area, which has the potential to affect all 36 residents. Observations and interviews revealed that the concrete in the patio area on the east side of the building was cracked, creating a potential tripping hazard. A resident expressed concern about the condition of the concrete, indicating that it needed fixing to prevent falls. The issue was repeatedly documented in the Facility's Resident Council Minutes from April to November 2024, highlighting ongoing concerns about the deteriorating condition of the concrete. Despite the repeated documentation and acknowledgment of the issue, the maintenance department did not complete the necessary repairs. The maintenance staff indicated that previous patching attempts were unsuccessful and that the issue needed to be addressed by the new ownership. The Illinois Department of Public Health Life Safety Surveyor confirmed that the cracked concrete could pose a tripping hazard. The facility's policy emphasizes the importance of maintaining a safe and hospitable environment, yet the necessary repairs were not completed in a timely manner, as evidenced by the lack of work orders and the ongoing concerns raised by residents.
Failure to Conduct Comprehensive Pre-Employment Screenings
Penalty
Summary
The facility failed to conduct comprehensive pre-employment screenings for several employees, which is a violation of their own policies and procedures aimed at preventing abuse, neglect, and theft. The facility's policies require checks against the Health Care Worker Registry, Illinois and National Sex Offender Registries, Illinois Department of Corrections Inmate Search, and fingerprint-based criminal background checks. However, these checks were not consistently performed for multiple employees, including CNAs, an Activity Director, a Dietary Aide, and a Registered Nurse. The report highlights specific instances where these background checks were either incomplete or not conducted at all. For example, the facility did not perform an Office of Inspector General (OIG) search for several CNAs and failed to initiate any background checks for the Activity Director upon hire. Additionally, the facility did not verify the active RN licenses for two nurses until prompted by the surveyor. In some cases, employees transferred from sister facilities without undergoing new background checks, which the Administrator mistakenly believed was unnecessary. The Administrator acknowledged the oversight, attributing it to miscommunication with the Business Office Manager regarding who was responsible for completing the checks. This lapse in procedure had the potential to affect all 36 residents in the facility, as it left open the possibility of employing individuals with disqualifying criminal histories. The Regional Nurse also confirmed the expectation that background checks should be completed per regulations and policy before employees begin working.
Pest Control Deficiency in Medication Room
Penalty
Summary
The facility failed to maintain a pest-free environment in the medication preparation room, where intramuscular medications are drawn up for residents. During an inspection, ants were observed on the counter, in medication cabinets, and in the refrigerator of the medication room. This room is used for preparing medications, including intramuscular injections for residents. The presence of ants in this area indicates a lapse in the facility's pest control measures. Two residents were directly affected by this deficiency. One resident, admitted with diagnoses of antiphospholipid syndrome and hypogonadism, had a current order for Testosterone Cypionate Intramuscular Solution. Another resident, admitted with chronic fatigue, also had a current order for Testosterone Cypionate for replacement therapy. The facility's policy requires staff to report any insect or rodent infestations, but it appears this was not effectively done, as the ant problem was known but not addressed adequately.
Failure to Supervise Resident Leads to Fall
Penalty
Summary
The facility failed to provide adequate supervision and assistance to prevent accidents for a resident with severe cognitive impairment and multiple physical disabilities. The resident, who is dependent on staff for all activities of daily living and requires a mechanical lift with two assists for transfers, experienced an unwitnessed fall in the courtyard. The resident's care plan did not address falls or fall risk, despite the resident's significant impairments and communication deficits. On the day of the incident, the resident was left unattended outside with another resident, who attempted to assist the resident in a wheelchair, resulting in the resident falling out of the wheelchair due to a dip in the concrete. The facility's staff, including the Activity Director, CNA, and LPN, acknowledged that the resident should not have been outside without staff supervision. The facility's Fall Prevention Policy requires staff to conduct fall assessments and identify residents' risk for falls, but this was not adequately implemented for the resident involved. The incident was reported by the other resident using a cell phone to call the facility for assistance, highlighting the lack of staff presence and supervision at the time of the fall.
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 39 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 Nokomis
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Rose Garden Of Pana | 11.4 mi | ★★★★★ | 11 | 0 |
| Pana Health And Rehab Center | 11.9 mi | ★★★★★ | 1 | 0 |
| Hillsboro Rehab & Hcc | 14.9 mi | ★★★★★ | 7 | 0 |
| Taylorville Care Center | 17 mi | ★★★★★ | 11 | 1 |
| Taylorville Skld Nur & Rehab | 17.7 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.