Nursing Care Index

Nature Trail Health And Rehab

Mount Vernon, Jefferson County, Illinois · CCN 146021 · For-profit (LLC) · part of Crest Healthcare Consulting (11 facilities, chain average 2.2 stars)

CMS rates Nature Trail Health And Rehab 4 of 5 overall as of August 2026. 74 certified beds, 67 residents a day on average. 25 citations on record from the current inspection cycles, 3 involving actual harm; 1 fine totalling $28,620 and 1 payment denial.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★☆ 4 of 5
Health inspections★★★★☆ 4 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★☆☆☆ 2 of 5
Quality: long-stay / short-stay2 / 2 of 5

Staffing

Total nurse staffing3.32547 hours per resident per day
Registered nurses0.5761 hours per resident per day
Weekend total2.77511 hours per resident per day
Nursing staff turnover49.2% (registered nurses 12.5%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2025-12-08 Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · tag F0692
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2025-12-28
2025-12-08 Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · tag F0919
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-12-28
2025-12-08 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · tag F0584
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-12-28
2025-12-08 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · tag F0804
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-12-28
2025-12-08 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-28
2025-12-08 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-28
2025-12-08 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-28
2025-12-08 Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · tag F0883
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-28
2025-05-30
complaint survey
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-13
2025-02-04 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2025-02-21
2025-02-04 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · tag F0688
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-02-21
2025-02-04 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · tag F0912
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2025-02-21
2024-04-18
complaint survey
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-01
2023-11-16 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · tag F0582
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-29
2023-11-16 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-29
2023-11-16 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-29
2023-11-16 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-29
2023-11-16 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-29
2023-11-16 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-29
2023-11-16 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-29
2023-11-16 Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · tag F0883
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-29
2023-11-16 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · tag F0912
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2023-11-29
2023-11-10
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Past Non-Compliance
2023-10-31
2023-08-04
complaint survey
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-08-09
2023-08-04
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-08-09

Fines and payment denials

DatePenaltyAmount
2025-12-08Fine$28,620
2025-02-04Payment denial for 10 days from 2025-02-26

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Crest Illinois Holdco II LLC
Organization
5% or greater direct ownership interest100%2024-02-27
Crest II Tbd Holdco
Organization
5% or greater indirect ownership interest100%2024-02-27
Capital Finance LLC
Organization
5% or greater security interest2022-01-01
Crest Realty Holdco LLC
Organization
adp of the snf2021-05-01
Fejcc Trust
Organization
adp of the snf2024-02-27
Ltc Consulting Services LLC
Organization
adp of the snf2021-05-01
Mdatas Trust
Organization
adp of the snf2024-02-27
Mrs Family Trust
Organization
adp of the snf2024-02-27
Nature Trail Realty
Organization
adp of the snf2021-05-01
Capital Finance LLC
Organization
operational/managerial control2022-01-01
Light Man LLC
Organization
operational/managerial control2021-05-01
Ltc Consulting Services LLC
Organization
operational/managerial control2021-05-01
Flick, John
Individual
adp of the snf2024-12-06
Lichtman, Shalom
Individual
adp of the snf2021-05-01
Robbins, Suzanne
Individual
adp of the snf2025-03-31
Singer, Meir
Individual
indirect ownership interest2024-02-27
Lichtman, Shalom
Individual
managing control - governing body2021-05-01
Flick, John
Individual
operational/managerial control2024-12-06
Lichtman, Shalom
Individual
operational/managerial control2021-05-01
Robbins, Suzanne
Individual
operational/managerial control2025-03-31

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Jefferson County.