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Shelbyville Manor

1111 West North 12th Street, Shelbyville, IL 62565
2177742111
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Overall CMS Rating

2.0/5

vs State Average: 2.5 stars

2.0/5

Health Inspections

vs State Average: 2.7/5

4.0/5

Staffing Level

vs State Average: 2.1/5

2.0/5

Quality Measures

vs State Average: 2.9/5

1 penalties in last 3 years
Penalties
vs State Average: 2.8 penalties

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Ratings Deep Dive

Score
2.0
State Average
2.7
National Average
2.8
5 Deficiencies found in last inspections
1 Penalties in last 3 years
0 Fines issued
Citation Date Description Severity
Nov 16, 2025 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. E
Nov 16, 2025 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E
Oct 23, 2025 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. G
Jul 22, 2025 Respond appropriately to all alleged violations. E
Jul 22, 2025 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D
Score
4.0
State Average
2.1
National Average
2.9
0.6 RN Hours / Resident / Day
4.2 Total Nurse Hours / Resident / Day
35.7% RN Turnover Rate
Score
2.0
State Average
2.9
National Average
3.6
1.0 Long-Stay QM Rating
4.0 Short-Stay QM Rating
85.5 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
OPERATIONAL/MANAGERIAL CONTROL UDI #3, LLC
CORPORATE DIRECTOR FINKE, AUDREY
CORPORATE DIRECTOR GILMORE, JERRY
CORPORATE DIRECTOR HANEY, DAVID
CORPORATE DIRECTOR WAGNER, ROBERT
CORPORATE OFFICER WAGNER, ROBERT
CORPORATE OFFICER WILSON, RONALD
W-2 MANAGING EMPLOYEE DAILEY, KAREN
Recent Penalties
Date Type Fine
May 2, 2025 Payment Denial $0

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