ELMS, THE
Open-data reference.
ELMS, THE is a government - county facility in MACOMB, IL with 98 certified beds and a 5-star overall CMS rating. The facility has 13 deficiency records on file.
1212 MADELYN AVENUE, MACOMB, IL 61455
Phone: 3098375482
Overall Rating
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 146033
- Ownership
- Government - County
- Provider Type
- Medicare and Medicaid
- Beds
- 98
- Residents
- 70
- In Hospital
- No
- County
- Mc Donough
- Last Inspection
- Mar 27, 2025
Staffing Data
- RN Hours
- 1.13 (nat'l avg: 0.68)
- LPN Hours
- 0.48
- CNA Hours
- 3.14
- Total Nursing Hours
- 4.75 (nat'l avg: 3.89)
- PT Hours
- 0.07
- Nursing Turnover
- 31.3%
- RN Turnover
- 31.6%
What the CMS Record Reveals About ELMS, THE
ELMS, THE operates 98 certified beds in MACOMB, IL with approximately 70 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (5★), staffing levels (5★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
The inspection file contains 13 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 4.75 total nursing hours per resident day (national average 3.89), with RN coverage at 1.13 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "Government - County" ownership and operating as a "Medicare and Medicaid" provider, ELMS, THE falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 31.3%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (13 most recent)
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Apr 14, 2025
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Category: Pharmacy Service Deficiencies
Corrected: Apr 15, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: May 13, 2024
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: May 10, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Category: Pharmacy Service Deficiencies
Corrected: May 10, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: May 10, 2024
Provide enough food/fluids to maintain a resident's health.
Category: Quality of Life and Care Deficiencies
Corrected: May 10, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: May 14, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: May 10, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: May 14, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category: Resident Rights Deficiencies
Corrected: Feb 15, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Category: Pharmacy Service Deficiencies
Corrected: Mar 13, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 13, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.0% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 17.6% | No |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 8.8% | Yes |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.0% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.5% | Yes |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 89.0% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 84.3% | No |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.5% | Yes |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 19.2% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 79.4% | No |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.3% | Yes |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 27.9% | No |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.9% | Yes |
Penalty History
No penalties on record.
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Understanding Nursing Home Data
Related Data from Other Sources
Doctors Nearby
Find physicians and specialists in MACOMB, IL on PlainDoctor
Hospitals Nearby
Hospital quality ratings and safety data for MACOMB, IL on PlainHospital
Medicare Plans
Compare Medicare plans and coverage options near MACOMB, IL on PlainMedicare
County Health Data
Health outcomes, access, and quality metrics for Mc Donough on PlainHealth
Frequently Asked Questions
What is the overall CMS rating for ELMS, THE?
What are the staffing levels at ELMS, THE?
How many beds does ELMS, THE have?
Does ELMS, THE have any deficiencies on record?
Has ELMS, THE received any fines or penalties?
Who owns ELMS, THE?
When was ELMS, THE last inspected?
What quality measures are tracked for ELMS, THE?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology — how this data is sourced, computed, and verified.