Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

MT ZION HEALTH & REHAB CENTER

MOUNT ZION, IL · 71 certified beds · Last Life Safety survey January 7, 2026

CMS Certification Number 145546 · first certified September 1985

Ownership

Operated by SUMMIT HEALTHCARE CONSULTING · For profit - Corporation

Ownership changed July 1, 2023 (change of ownership)to MOUNT ZION HEALTH AND REHAB CENTER from HERITAGE MANOR - MT. ZION, LLC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within IL

17 citations — more than 56% of the 666 certified nursing homes in IL. Compared within IL rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 7 citations; the earlier surveys in the window averaged 5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens December 2026 — about 2 months from now. This facility’s last Life Safety survey was January 2026. Facilities in IL are typically surveyed 11–13 months after the last one (median 12), measured over 759 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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5 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

3 of the 17 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

11 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 17 Life Safety citations above. The Physical Environment Index

F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in IL, and nationally. Surveyors differ markedly between states, so the IL figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	17
Median facility in IL	15
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
December 6, 2022	3
February 9, 2024	7
January 7, 2026	7

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0712	Have simulated fire drills held at unexpected times.	2	2026-01-07
K-0324	Provide properly protected cooking facilities.	2	2026-01-07
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2026-01-07
E-0037	Establish staff and initial training requirements.	2	2026-01-07
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	2	2026-01-07
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	2	2026-01-07
K-0930	Ensure proper storage of liquid oxygen.	1	2024-02-09
K-0351	Install an approved automatic sprinkler system.	1	2026-01-07

What the citations cover

Citations by CMS category

Smoke Deficiencies 8
Gas, Vacuum, and Electrical Systems Deficiencies 3
Emergency Preparedness Deficiencies 3
Miscellaneous Deficiencies 3

Citations by CMS category
Category	Citations
Smoke Deficiencies	8
Gas, Vacuum, and Electrical Systems Deficiencies	3
Emergency Preparedness Deficiencies	3
Miscellaneous Deficiencies	3

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

January 7, 2026 — 7 citations

Citations issued on January 7, 2026
Tag	What the surveyor checks	Status
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (March 9, 2026)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (March 30, 2026)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (April 6, 2026)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (March 30, 2026)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 30, 2026)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (March 30, 2026)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (March 30, 2026)

February 9, 2024 — 7 citations

Citations issued on February 9, 2024
Tag	What the surveyor checks	Status
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (February 23, 2024)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (February 21, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (February 23, 2024)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (February 23, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (February 23, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (February 19, 2024)
K-0930	Ensure proper storage of liquid oxygen.	Deficient, Provider has date of correction (February 23, 2024)

December 6, 2022 — 3 citations

Citations issued on December 6, 2022
Tag	What the surveyor checks	Status
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (December 23, 2022)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (December 23, 2022)
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	Deficient, Provider has date of correction (December 30, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.