Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Florence Nursing Home during CMS and state inspections, most recent first.
A CNA transferred a resident with severe cognitive impairment and muscle weakness from a wheelchair to a bed without using a gait belt, despite facility policy requiring its use for all assisted transfers. The CNA and DON both acknowledged that a gait belt should have been used to ensure safety.
Two residents with severe cognitive impairment and multiple health conditions did not receive incontinence care in a manner that prevented cross-contamination. CNAs failed to change gloves between dirty and clean tasks and placed soiled briefs on bed linens, contrary to infection control policies.
The facility failed to implement Enhanced Barrier Precautions (EBP) for all 30 residents. Staff did not wear PPE gowns during care for residents with feeding tubes, indwelling urine catheters, and daily wound dressing changes. Additionally, staff had not received education on EBP procedures prior to the survey date.
A resident with high risk of pressure injuries was found without necessary pressure-relieving devices, leading to the development of new pressure injuries. The air mattress was off, and the heel boot was not in use, contrary to the resident's care plan and facility guidelines.
A resident with multiple diagnoses, including dementia and morbid obesity, fell from an elevated bed while a CNA was performing morning care alone, resulting in injuries. The facility's policy requiring two staff members for bed mobility was not followed.
Failure to Use Gait Belt During Resident Transfer
Penalty
Summary
A deficiency occurred when a certified nursing assistant (CNA) transferred a resident with severe cognitive impairment, Alzheimer's disease, hypertension, and muscle weakness from a wheelchair to a bed without using a gait belt, contrary to facility policy. The resident required maximum staff assistance for transfers, as documented in the facility assessment. During the observed transfer, the CNA lifted the resident by placing her arms under the resident's arms and pivoted her to the bed, while wearing a gait belt around her own waist but not using it on the resident. Both the CNA and the Director of Nursing later confirmed that a gait belt should have been used for the resident's safety, in accordance with the facility's policy requiring gait belt use for all assisted transfers unless contraindicated.
Failure to Prevent Cross-Contamination During Incontinence Care
Penalty
Summary
Certified Nursing Assistants (CNAs) failed to follow proper infection control procedures during incontinence care for two residents. In one instance, a CNA provided incontinence care to a resident with severe cognitive impairment and multiple diagnoses, including Alzheimer's Disease and diarrhea, without changing gloves between dirty and clean tasks. The CNA used the same contaminated gloves to cleanse the resident, handle clean briefs, remove personal items, and apply barrier cream, contrary to facility policy and infection control standards. The resident was dependent on staff for all personal hygiene and was always incontinent of bowel and bladder. In another case, a CNA and a hospice nurse transferred a resident with severe cognitive impairment, diabetes, a history of C. diff, and other conditions. The CNA threw a soiled incontinence brief onto the resident's bed linens and provided care, including applying barrier cream, before changing gloves. The soiled brief remained on the bed linens until after care was completed, creating a risk of cross-contamination. Both incidents were observed and confirmed through interviews and record reviews, and were not in accordance with the facility's policies on incontinence care and glove use.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to implement an Enhanced Barrier Precautions (EBP) Procedure for all 30 residents. On the date of the survey, there were no EBP signs or Personal Protective Equipment (PPE) carts available for residents requiring EBP. Specific residents with feeding tubes, indwelling urine catheters, and daily wound dressing changes were identified, but staff did not wear PPE gowns during care. Additionally, staff had not received education on EBP procedures prior to the survey date. The facility's policy indicated that residents with indwelling medical devices should be on EBP, but this was not followed, and no procedures were in place at the time of the survey.
Failure to Provide Appropriate Pressure Ulcer Care
Penalty
Summary
The facility failed to provide appropriate pressure ulcer care and prevent new ulcers from developing for a resident with a high risk of pressure injuries. The resident, who had diagnoses including acquired absence of the right foot, pressure injury of the left heel, and congestive heart failure, was observed without necessary pressure-relieving devices. The resident's care plan indicated the need for an air mattress and foot protectors, but during multiple observations, the air mattress was found to be off, and the heel boot was not in use. The resident was noted to have a stage II pressure injury on the coccyx and a wound on the left heel, which were not adequately managed due to the lack of proper equipment usage. Certified Nursing Assistants and a Licensed Practical Nurse confirmed that the air mattress was off and the heel boot was not being used as required. The air mattress pump was found unplugged, and the heel boot was observed on the nightstand instead of on the resident's foot. The facility's Pressure Injury Prevention Guidelines mandate the use of evidence-based interventions and prevention devices for residents at risk of pressure injuries, but these protocols were not followed, leading to the development of new pressure injuries for the resident.
Failure to Provide Adequate Assistance During ADL Care
Penalty
Summary
The facility failed to safely perform ADL assistance for a resident who required extensive assistance by two staff members for bed mobility. The resident, who had diagnoses including acute kidney failure, muscle wasting and atrophy, cognitive communication deficit, fall, morbid obesity, and dementia, fell from the bed while a CNA was performing morning care alone. The CNA had rolled the resident onto his side and left to grab washcloths, during which time the resident rolled out of the elevated bed, resulting in skin tears, a head contusion, and other injuries. The incident report and progress notes confirm the fall and subsequent injuries, and the facility's policy mandates that resident handling and transfers should be performed according to the resident's individual plan of care, which was not followed in this case. The Director of Nursing confirmed that the CNA was performing care alone and that the bed was elevated without floor mats in place. Attempts to interview the CNA and the nurse involved were unsuccessful. The facility's Safe Resident Handling/Transfers policy emphasizes the importance of following the resident's care plan to prevent injuries, which was not adhered to, leading to the resident's fall and injuries.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Marengo
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Valley Hi Nursing Home | 9.2 mi | — | 1 | 0 |
| La Bella Of Woodstock | 9.6 mi | — | 12 | 0 |
| Hearthstone Manor | 9.7 mi | — | 0 | 0 |
| Alden Estates Cts Of Huntley | 10.8 mi | — | 1 | 0 |
| Crystal Pines Rehab & Hcc | 12 mi | — | 4 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.