Stonebridge Nursing & Rehab: Staffing Shortage Violations - IL
A complaint inspection completed September 2, 2025 found the facility operating below its own staffing targets. The administrator, identified in the report as V1, told the inspector that ideal coverage runs six CNAs on the day shift, five in the afternoon, and four overnight. On August 26, the day the administrator was interviewed, there were four CNAs working — a day shift number that matched the overnight minimum, not the daytime goal.
The facility housed 56 residents as of August 25, according to its own daily census document.
The administrator attributed the shortage to staff out with COVID and said the facility had responded by switching CNAs to 12-hour shifts to help cover the gaps. Management, the administrator said, is present during the day seven days a week but not at night unless needed.
One detail stands out in the administrator's account: all mechanical lift transfers are supposed to require two staff members. With four CNAs covering a 56-resident building, the math on that requirement gets tight fast. The inspection report does not document whether two-person lift protocols were being followed during short shifts.
The violation was cited at a level of minimal harm or potential for actual harm, affecting many residents. Inspectors noted the staffing concern in the context of a complaint, meaning someone inside or connected to the facility had flagged the problem before inspectors arrived.
The facility's own staffing policy, dated October 2017, states it provides sufficient numbers of staff with the skills and competency necessary to provide care for all residents. A resident who wanted a shower on a short-staffed day had a different experience.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Stonebridge Nursing & Rehab from 2025-09-02 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
STONEBRIDGE NURSING & REHAB in BENTON, IL was cited for violations during a health inspection on September 2, 2025.
A complaint inspection completed September 2, 2025 found the facility operating below its own staffing targets.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.