Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
PANA HEALTH AND REHAB CENTER
PANA, IL · 128 certified beds · Last Life Safety survey April 8, 2024
CMS Certification Number 145267 · first certified March 1974
Ownership
Operated by SUMMIT HEALTHCARE CONSULTING · For profit - Corporation
- Ownership changed July 1, 2023 (change of ownership)from HERITAGE MANOR PANA, L.L.C.
Position within IL
10 citations — more than 34% 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
The latest survey found 5 citations; the earlier surveys in the window averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
Well past the typical window (March 2025 to May 2025), and past the point by which nine in ten IL facilities have been surveyed. This facility’s last Life Safety survey was April 2024. 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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Emergency preparedness
2 of the 10 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)
1 physical-environment citation 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 10 Life Safety citations above. The Physical Environment Index
- F-0880 Provide and implement an infection prevention and control program.
How that compares
Compared with the median facility in IL, and nationally. Surveyors differ markedly between states, so the IL figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 10 |
| Median facility in IL | 15 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| February 9, 2022 | 3 |
| March 23, 2023 | 2 |
| April 8, 2024 | 5 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| E-0039 | Conduct testing and exercise requirements. | 1 | 2024-04-08 |
| K-0271 | Have exits that are accessible at all times. | 1 | 2024-04-08 |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | 1 | 2024-04-08 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2023-03-23 |
| K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | 1 | 2022-02-09 |
| K-0293 | Have properly located and lighted "Exit" signs. | 1 | 2022-02-09 |
| K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | 1 | 2023-03-23 |
| K-0712 | Have simulated fire drills held at unexpected times. | 1 | 2024-04-08 |
What the citations cover
- Egress Deficiencies 3
- Emergency Preparedness Deficiencies 2
- Smoke Deficiencies 2
- Services Deficiencies 1
- Other 2
| Category | Citations |
|---|---|
| Egress Deficiencies | 3 |
| Emergency Preparedness Deficiencies | 2 |
| Smoke Deficiencies | 2 |
| Services Deficiencies | 1 |
| Miscellaneous Deficiencies | 1 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
April 8, 2024 — 5 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (April 25, 2024) |
| K-0271 | Have exits that are accessible at all times. | Deficient, Provider has date of correction (April 25, 2024) |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Deficient, Provider has date of correction (April 25, 2024) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (April 25, 2024) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (April 30, 2024) |
March 23, 2023 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Deficient, Provider has date of correction (April 12, 2023) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (April 12, 2023) |
February 9, 2022 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0033 | Establish methods for sharing information. | Deficient, Provider has date of correction (February 8, 2022) |
| K-0293 | Have properly located and lighted "Exit" signs. | Deficient, Provider has date of correction (February 25, 2022) |
| K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Deficient, Provider has date of correction (March 4, 2022) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.