Nursing HomeInspections

Manor Court of Peru

Nursing home in Peru, IL

Medicare & Medicaid certified4★ overall (CMS)

Call (815) 220-1400Send a messageMap ↗

Public-record details

Address
3230 Becker Drive, Peru, IL 61354
Phone
(815) 220-1400
Listed under
Nonprofit, 4–5 star overall rating
Medicare CCN
146091
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
130
Average residents per day
109
Ownership
Nonprofit, corporation
Legal business name
Residential Alternatives of Illinois INC
Chain
Residential Alternatives of Illinois (7 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 19, 2005
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 146091. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 28, 2025. CMS lists 9 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 13, 2024 to Mar 9, 2026): 2 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Mar 9, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
J
Immediate jeopardy, isolated
Aug 28, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights
D
Potential for more than minimal harm, isolated
Aug 28, 2025Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Oct 31, 2024Reasonably accommodate the needs and preferences of each resident.
Resident Rights
D
Potential for more than minimal harm, isolated
Oct 31, 2024Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Oct 31, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Oct 31, 2024Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Oct 31, 2024Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Apr 13, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $21,645 in the last three years.

Mar 9, 2026Fine: $21,645

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.53 hours
Registered nurse (RN) time per resident per day
0.75 hours
Nurse aide time per resident per day
2.37 hours
Total nurse staffing on weekends
3.23 hours
Nursing staff turnover (yearly)
34%
RN turnover (yearly)
22%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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