CLINTON MANOR LIVING CENTER
111 EAST ILLINOIS STREET
NEW BADEN, IL, 62265
6185884924
CCN: 146025
5
Overall5
Health5
Staffing3
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (2)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
HEALTH PLAN SOUTHERN ILLINOIS,
1128a1
Excluded 2011-08-18
SOUTHERN ILLINOIS PHARMACY, IN
1128b4
Excluded 2017-01-19
Ownership
| Name | Role | % |
|---|---|---|
| ANN C REIS REVOCABLE TRUST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 13% |
| DAVID L REIS REVOCABLE TRUST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 13% |
| MICHAEL A. BRAVE REVOCABLE TRUST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% |
| GREER, GAIL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 13% |
| GREER, J | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 13% |
| RICHARD, BLAIN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% |
| D.A. REIS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 13% |
| CENTRAL BANK | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| GREER, J | CORPORATE DIRECTOR | NOT APPLICABLE |
| RICHARD, BLAIN | CORPORATE DIRECTOR | NOT APPLICABLE |
| BRAVE, MICHAEL | CORPORATE DIRECTOR | NOT APPLICABLE |
| BRAVE, MICHAEL | CORPORATE OFFICER | NOT APPLICABLE |
| GREER, J | CORPORATE OFFICER | NOT APPLICABLE |
| RICHARD, BLAIN | CORPORATE OFFICER | NOT APPLICABLE |
| FANCHER GAGEN, ERIN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FOSTER, EMILY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FREY, ALICIA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GERSTNER, SARA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GREER, J | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| JACKSON, MARA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KERNS, ALEXANDRA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| LAPPE, SAMANTHA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| LOOMIS, DARLA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| RICHARD, BLAIN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SCHMIDT, ELMER | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SMITH, BRITTANY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SMITH, CHERYL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SMITH, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| VANDORN, ROBIN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| YOUNG, ARTRAVIA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BRAVE INCORPORATED INC. | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ANN C REIS REVOCABLE TRUST | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| D.A. REIS LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DAVID L REIS REVOCABLE TRUST | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GMS II LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| R.D.R. MANAGEMENT COMPANY, INC. | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BRAVE, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Penalties (1)
| Date | Type | Amount |
|---|---|---|
| 2023-08-11 | Payment Denial | 6 days |
Health Deficiencies (8)
2023-12-05 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-08-11 · Health
E
F881 · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
G
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2022-06-23 · Health
D
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
9.02
RN Hrs/Resident/Day0.54
2.78
LPN Hrs/Resident/Day0.81
1.37
CNA Hrs/Resident/Day2.33
4.87
PT Hrs/Resident/Day0.12
0.01
Data as of 2026-03-01