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SERENITY ESTATES AT MORRIS

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SERENITY ESTATES AT MORRIS is a for profit - limited liability company facility in MORRIS, IL with 142 certified beds and a 1-star overall CMS rating. The facility has 42 deficiency records on file.

1223 EDGEWATER, MORRIS, IL 60450

Phone: 8154166500

Overall Rating

1/5

Health Inspection

3/5

Staffing

1/5

Quality Measures

1/5

Long-Stay Quality

1/5

Facility Information

Provider Number
146077
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
142
Residents
113
In Hospital
No
County
Grundy
Last Inspection
Oct 11, 2024

Staffing Data

RN Hours
0.65 (nat'l avg: 0.68)
LPN Hours
0.61
CNA Hours
1.79
Total Nursing Hours
3.05 (nat'l avg: 3.89)
PT Hours
0.05
Nursing Turnover
64.3%
RN Turnover
55.0%

What the CMS Record Reveals About SERENITY ESTATES AT MORRIS

SERENITY ESTATES AT MORRIS operates 142 certified beds in MORRIS, IL with approximately 113 residents currently in care, and carries a CMS overall rating of 1 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 (3★), staffing levels (1★), and quality measures (1★). 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 42 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 3.05 total nursing hours per resident day (national average 3.89), with RN coverage at 0.65 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, SERENITY ESTATES AT MORRIS 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 64.3%, above the level where continuity of care typically begins to suffer. 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 (42 most recent)

E — Pattern - Minimal harm Dec 18, 2025 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 31, 2025

D — Isolated - Minimal harm Dec 18, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Dec 31, 2025

D — Isolated - Minimal harm Aug 13, 2025 Tag: 0689

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: Aug 15, 2025

D — Isolated - Minimal harm May 2, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: May 8, 2025

D — Isolated - Minimal harm Jan 17, 2025 Tag: 0689

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: Jan 23, 2025

G — Isolated - Actual harm Oct 26, 2024 Tag: 0689

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: Nov 12, 2024

E — Pattern - Minimal harm Oct 11, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 21, 2024

C — Widespread - No harm Oct 11, 2024 Tag: 0868

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category: Administration Deficiencies

Corrected: Oct 18, 2024

C — Widespread - No harm Oct 11, 2024 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Oct 18, 2024

F — Widespread - Minimal harm Oct 11, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 21, 2024

F — Widespread - Minimal harm Oct 11, 2024 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 21, 2024

F — Widespread - Minimal harm Oct 11, 2024 Tag: 0802

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 21, 2024

E — Pattern - Minimal harm Oct 11, 2024 Tag: 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.

Category: Pharmacy Service Deficiencies

Corrected: Oct 23, 2024

D — Isolated - Minimal harm Oct 11, 2024 Tag: 0758

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: Oct 21, 2024

D — Isolated - Minimal harm Oct 11, 2024 Tag: 0694

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 21, 2024

D — Isolated - Minimal harm Oct 11, 2024 Tag: 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.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 22, 2024

E — Pattern - Minimal harm Oct 11, 2024 Tag: 0689

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: Nov 12, 2024

D — Isolated - Minimal harm Oct 11, 2024 Tag: 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.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 23, 2024

D — Isolated - Minimal harm Oct 11, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 23, 2024

D — Isolated - Minimal harm Oct 11, 2024 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: Oct 23, 2024

D — Isolated - Minimal harm Dec 28, 2023 Tag: 0689

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: Jan 8, 2024

D — Isolated - Minimal harm Sep 28, 2023 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Oct 9, 2023

F — Widespread - Minimal harm Sep 28, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 9, 2023

F — Widespread - Minimal harm Sep 28, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 12, 2023

D — Isolated - Minimal harm Sep 28, 2023 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 12, 2023

E — Pattern - Minimal harm Sep 28, 2023 Tag: 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.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 9, 2023

D — Isolated - Minimal harm Sep 28, 2023 Tag: 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.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 9, 2023

D — Isolated - Minimal harm Sep 28, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 9, 2023

E — Pattern - Minimal harm Sep 28, 2023 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 9, 2023

D — Isolated - Minimal harm Sep 28, 2023 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: Oct 9, 2023

D — Isolated - Minimal harm Aug 5, 2023 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 19, 2023

D — Isolated - Minimal harm Aug 5, 2023 Tag: 0580

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: Aug 19, 2023

D — Isolated - Minimal harm Jul 24, 2023 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 11, 2023

D — Isolated - Minimal harm Jul 24, 2023 Tag: 0580

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: Aug 19, 2023

E — Pattern - Minimal harm Apr 15, 2023 Tag: 0839

Employ staff that are licensed, certified, or registered in accordance with state laws.

Category: Administration Deficiencies

Corrected: Apr 20, 2023

E — Pattern - Minimal harm Jul 8, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 21, 2022

F — Widespread - Minimal harm Jul 8, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 8, 2022

E — Pattern - Minimal harm Jul 8, 2022 Tag: 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.

Category: Pharmacy Service Deficiencies

Corrected: Jul 21, 2022

D — Isolated - Minimal harm Jul 8, 2022 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jul 21, 2022

D — Isolated - Minimal harm Jul 8, 2022 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 21, 2022

D — Isolated - Minimal harm Jul 8, 2022 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 21, 2022

D — Isolated - Minimal harm Jul 8, 2022 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 21, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 36.9% Yes
Percentage of long-stay residents who lose too much weight Long Stay 8.1% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.9% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 6.5% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 11.5% 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 5.8% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 90.2% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 64.2% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.9% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 37.3% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 24.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 95.1% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 70.9% No
Percentage of long-stay residents with pressure ulcers Long Stay 3.1% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 33.8% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 20.4% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for SERENITY ESTATES AT MORRIS?
SERENITY ESTATES AT MORRIS has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (3★), staffing levels (1★), and quality measures (1★).
What are the staffing levels at SERENITY ESTATES AT MORRIS?
SERENITY ESTATES AT MORRIS reports 3.05 total nursing hours per resident day (national average: 3.89). RN hours are 0.65 per resident day (national average: 0.68). Nursing staff turnover is 64.3%.
How many beds does SERENITY ESTATES AT MORRIS have?
SERENITY ESTATES AT MORRIS has 142 certified beds with approximately 113 residents. The facility is located at 1223 EDGEWATER, MORRIS, IL 60450.
Does SERENITY ESTATES AT MORRIS have any deficiencies on record?
Yes, SERENITY ESTATES AT MORRIS has 42 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has SERENITY ESTATES AT MORRIS received any fines or penalties?
No, SERENITY ESTATES AT MORRIS has no fines or penalties on record.
Who owns SERENITY ESTATES AT MORRIS?
SERENITY ESTATES AT MORRIS is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was SERENITY ESTATES AT MORRIS last inspected?
The most recent health inspection for SERENITY ESTATES AT MORRIS was on Oct 11, 2024. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for SERENITY ESTATES AT MORRIS?
SERENITY ESTATES AT MORRIS is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

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.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial