Nursing homeActive

Shelbyville Manor

1111 West North 12th Street, Shelbyville, IL 625652177742111109 certified beds · 85 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
11
since 2023
Deficiencies
43
1366
Penalties · 3 yrs
$77,985
2 fines · 1 action
Last survey
2026-05-07
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 2
Staffing 2
Quality 1
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Illinois Department of Public Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-05-07Complaint002CMS-2567 (Care Compare)
2026-03-05Complaint040CMS-2567 (Care Compare)
2025-11-16Complaint020CMS-2567 (Care Compare)
2025-10-23Complaint001CMS-2567 (Care Compare)
2025-07-22Complaint020CMS-2567 (Care Compare)
2025-05-02Standard082CMS-2567 (Care Compare)
2024-11-08Complaint010CMS-2567 (Care Compare)
2024-09-27Complaint001CMS-2567 (Care Compare)
2024-06-07Standard0110CMS-2567 (Care Compare)
2024-03-13Complaint010CMS-2567 (Care Compare)
2023-06-28Standard170CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Illinois Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-05-07Complaint survey · 2 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-05-22Record 145441-20260507-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-05-22Record 145441-20260507-F689
2026-03-05Complaint survey · 4 deficienciesOfficial report
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-27Record 145441-20260305-F677
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-27Record 145441-20260305-F689
F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-27Record 145441-20260305-F744
F808Ensure 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.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-27Record 145441-20260305-F808
2025-11-16Complaint survey · 2 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-11-18Record 145441-20251116-F689
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-11-18Record 145441-20251116-F921
2025-10-23Complaint survey · 1 deficiencyOfficial report
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-10-27Record 145441-20251023-F604
2025-07-22Complaint survey · 2 deficienciesOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-11Record 145441-20250722-F609
F610Respond appropriately to all alleged violations.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-11Record 145441-20250722-F610
2025-05-02Standard survey · 10 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-05-20Record 145441-20250502-F600
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-05-12Record 145441-20250502-F689
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-12Record 145441-20250502-F550
F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-13Record 145441-20250502-F640
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-22Record 145441-20250502-F644
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-22Record 145441-20250502-F645
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-12Record 145441-20250502-F690
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 145441-20250502-F695
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 145441-20250502-F697
F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 145441-20250502-F740
2024-11-08Complaint survey · 1 deficiencyOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-15Record 145441-20241108-F550
2024-09-27Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-10-04Record 145441-20240927-F689
2024-06-07Standard survey · 11 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-26Record 145441-20240607-F550
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-27Record 145441-20240607-F609
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-27Record 145441-20240607-F658
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-27Record 145441-20240607-F690
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-27Record 145441-20240607-F695
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-27Record 145441-20240607-F758
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-07-02Record 145441-20240607-F801
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-27Record 145441-20240607-F804
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-27Record 145441-20240607-F805
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-07-02Record 145441-20240607-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-27Record 145441-20240607-F880
2024-03-13Complaint survey · 1 deficiencyOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 145441-20240313-F600
2023-06-28Standard survey · 8 deficienciesOfficial report
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-15Record 145441-20230628-F578
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-15Record 145441-20230628-F689
F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-07-15Record 145441-20230628-F727
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-07-15Record 145441-20230628-F801
F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-15Record 145441-20230628-F847
F908Keep all essential equipment working safely.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-15Record 145441-20230628-F908
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-15Record 145441-20230628-F919
F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Scope/severity CPaperwork
Food & nutrition
Widespread; potential for minimal harm.Corrected 2023-07-15Record 145441-20230628-F803

Penalties & enforcement

DateActionAmountSource
2026-05-07Civil money penalty$28,985CMS · Penalties
2025-10-23Civil money penalty$49,000CMS · Penalties
2025-05-02Denial of payment for new admissions
Payment denial for 13 days, from 2025-05-31
CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.51
Facility
Illinois
National
Illinois 0.72 · National 0.69
Total nurse hours per resident day4.28
Facility
Illinois
National
Illinois 3.45 · National 3.86
Weekend total nurse hours3.94
Facility
Illinois
National
Illinois 3.08 · National 3.42
Total nursing staff turnover60%
Facility
Illinois
National
Illinois 45% · National 46%
Registered nurse turnover43%
Facility
Illinois
National
Illinois 42% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityIllinoisNational
Percentage of long-stay residents with pressure ulcers
lower is better
7.4%4.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
5.6%3.1%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
33.2%21.7%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
2.6%1.5%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
32.4%13.4%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
9.5%6.3%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
17.9%18.3%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Udi #3, LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Dailey, Karen
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Finke, Audrey
Individual
CORPORATE DIRECTORNOT APPLICABLE
Gilmore, Jerry
Individual
CORPORATE DIRECTORNOT APPLICABLE
Haney, David
Individual
CORPORATE DIRECTORNOT APPLICABLE
Wagner, Robert
Individual
CORPORATE DIRECTORNOT APPLICABLE
Wagner, Robert
Individual
CORPORATE OFFICERNOT APPLICABLE
Wilson, Ronald
Individual
CORPORATE OFFICERNOT APPLICABLE
Part of a chain
Unlimited Development, Inc.10 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Illinois.

No county cost figures on file for Shelby.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Shelbyville Healthcare & Senior Living
Shelbyville
0.8 mi2026-05-112222
Sullivan Healthcare & Senior Living
Sullivan
15.3 mi2026-06-190394
Eastview Healthcare & Senior Living
Sullivan
16.7 mi2026-06-180405
Pana Health And Rehab Center
Pana
15.2 mi2026-01-20060
Rose Garden Of Pana
Pana
15.6 mi2026-02-260263
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01