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Memory careAssisted living

SHELBYVILLE MANOR

0.00 reviews · 0 verifiedSHELBYVILLE, ILLic. 145441
Signals
ABUSECMS abuse icon presentSource: CMS Provider Information
DENYCMS payment denial (13 days)Source: CMS Penalties
FINECMS fine: $49,000Source: CMS Penalties
Photos
Provided by facility
About

Shelbyville Manor & Hawthorne Inn is a not-for-profit provider offering a range of retirement lifestyles. The facility includes various levels of care such as Assisted Living at Hawthorne Inn, Skilled Nursing Care at Shelbyville Manor, and Memory Care through Memory Lane. They also provide rehabilitation services with their Bounce Back Rehabilitation program and fitness options at AJ’s Fitness Center. The community encourages potential residents to visit for a tour and learn more about their services.

Amenities
Ambulatory Assistance & AccessibilityWheelchair Accessible Facilities
Safety & SecuritySecured Memory Care Unit
CMS Care CompareView on Medicare.gov →
Medicare overall
2/5Medicare.gov Care Compare stars are shown for context only. They are never part of the Unbeatable composite score.
Staffing (PBJ)
4.13 total HPRDRN 0.52 · weekend 92%Oct 2025 – Dec 2025
Survey history
13 inspections57 deficiencies on record
Federal IDs
CCN 145441

Overall: 2/5 · Health: 2/5 · Staffing: 3/5 · QM: 2/5

Unbeatable ratings come only from verified family, staff, and professional reviews on this site. CMS stars, staffing, and citations are public regulatory signals — useful for context, not blended into our score.

Recent inspections
Health surveyMay 2026 · CMS2 deficiencies
  • F-684SS GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
  • F-689SS GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Health surveyMar 2026 · CMS4 deficiencies
  • F-677SS DProvide care and assistance to perform activities of daily living for any resident who is unable.
  • F-689SS DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-744SS EProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
  • F-808SS DEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Health surveyNov 2025 · CMS2 deficiencies
  • F-689SS EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-921SS EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Health surveyOct 2025 · CMS1 deficiencies
  • F-604SS GEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Health surveyJul 2025 · CMS2 deficiencies
  • F-609SS DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  • F-610SS ERespond appropriately to all alleged violations.
Health surveyMay 2025 · CMS10 deficiencies
  • F-550SS DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  • F-600SS GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  • F-640SS EEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
  • F-644SS ECoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  • F-645SS DPASARR screening for Mental disorders or Intellectual Disabilities
  • F-689SS GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-690SS EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  • F-695SS DProvide safe and appropriate respiratory care for a resident when needed.
  • F-697SS DProvide safe, appropriate pain management for a resident who requires such services.
  • F-740SS DEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
Fire safetyMay 2025 · STATE FIRE MARSHAL9 deficiencies
  • E-39SS FConduct testing and exercise requirements.
  • K-341SS FInstall a fire alarm system that can be heard throughout the facility.
  • K-346SS FFollow proper procedures when the fire alarm was out of service for more than 4 hours.
  • K-353SS FInspect, test, and maintain automatic sprinkler systems.
  • K-354SS FFollow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
  • K-711SS FProvide a written emergency evacuation plan.
  • K-712SS FHave simulated fire drills held at unexpected times.
  • K-761SS ETo conduct inspection, testing and maintenance of fire doors by qualified individuals.
  • K-918SS FHave generator or other power source capable of supplying service within 10 seconds.
Health surveyNov 2024 · CMS1 deficiencies
  • F-550SS DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Health surveySep 2024 · CMS1 deficiencies
  • F-689SS GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Health surveyJun 2024 · CMS11 deficiencies
  • F-550SS EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  • F-609SS DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  • F-658SS DEnsure services provided by the nursing facility meet professional standards of quality.
  • F-690SS DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  • F-695SS EProvide safe and appropriate respiratory care for a resident when needed.
  • F-758SS DImplement 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.
  • F-801SS FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
  • F-804SS DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  • F-805SS DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
  • F-812SS FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  • F-880SS EProvide and implement an infection prevention and control program.
Fire safetyJun 2024 · STATE FIRE MARSHAL5 deficiencies
  • K-353SS FInspect, test, and maintain automatic sprinkler systems.
  • K-363SS EInstall corridor and hallway doors that block smoke.
  • K-712SS FHave simulated fire drills held at unexpected times.
  • K-918SS FHave generator or other power source capable of supplying service within 10 seconds.
  • K-920SS EEnsure proper usage of power strips and extension cords.
Health surveyMar 2024 · CMS1 deficiencies
  • F-600SS DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Showing 12 of 13 inspections.
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Ownership

Operated by UNLIMITED DEVELOPMENT, INC. (nonprofit) since 1982.

Contact

1111 WEST NORTH 12TH STREET
SHELBYVILLE, IL 62565

2177742111shelbyvillemanor.com
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