Skip to main content
Complaint Investigation

Serenity Estates At Morris

April 29, 2026 · Morris, IL · 1223 Edgewater
Citations 3
CMS Rating 1/5
Beds 142
Provider ID 146077
Healthcare Facility
Serenity Estates At Morris
Morris, IL  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

SERENITY ESTATES AT MORRIS in MORRIS, IL — inspection on April 29, 2026.

Found 3 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0580
Resident Rights Deficiencies

Notices Policy dated 10/21/25 showed, A Notice of Medicare Non-Coverage (NOMNC), Form

The notice shall be written legibly in a language and/or format that the resident/representative

the beneficiary (resident or resident representative).

For part A items and services, the facility shall use the Skilled Nursing Facility Advance Beneficiary Notice (SNFABN).

For Part B items and services, the facility shall use the Advance Beneficiary Notice of Non-Coverage (ABN).

146077 04/29/2026

Serenity Estates at Morris 1223 Edgewater Morris, IL 60450

revised [DATE], showed Policy: It is the policy of this facility to protect residents, staff, visitors,

social media networks is a violation of the resident's right to privacy and confidentiality.

Staff

and confidentiality at all times.

Policy Explanation and Compliance Guidelines: 1.

Employees are strictly prohibited from transmitting by way of any electronic media any resident-related image or information that may be reasonably anticipated to violate resident rights to confidentiality or privacy.

This includes information that could degrade or embarrass the resident. 2.

Photographs or recordings of a resident and or his or her private space without the resident or designated representative's written consent, is prohibited.

Examples include taking unauthorized photographs/videos of: d. taking unauthorized photographs or recordings of residents in any state of dress or undress using any type of equipment.

146077 04/29/2026

Serenity Estates at Morris 1223 Edgewater Morris, IL 60450

actions that can be measured.

interview and record review, the facility failed to provide a care plan conference for a resident and

include: R6 was admitted to the facility on [DATE] with multiple diagnoses which included hemiplegia and hemiparesis, muscle disorders, difficulty in walking, cognitive communication deficit, diabetes, Alzheimer's Disease, unspecified visual disturbance, depression, hearing loss, and dementia per the Face Sheet. On 04/08/26 at 9:30 AM, R6 stated neither she nor her POA had attended a care plan meeting since being admitted to the facility. On 04/07/26 at 1:00 PM, V11 (Social [NAME] Director) stated care plan conferences have not been done as they should have been.

Stated if a care plan conference had been done for R6, she would have documented the progress notes. V11 stated she was unable to provide documentation of the care plan conference being conducted. On 04/09/26 at 2:55 PM, V1 (Administrator) stated she was not able to find a documented record of a care plan conference being held for R6. V1 stated care plan conferences should be held for residents at a minimal of every 90 days or with significant change. V1 stated if conferences are not conducted, it could result in a communication breakdown between the resident, family, and facility.R6's EMR (Electronic Medical Record) showed no evidence of a care plan conference being conducted.

The facility was unable to provide documentation that a care plan conference with R6 or R6's POA (Power of Attorney) had been conducted.

The facility's Comprehensive Care Plans Policy dated 10/21/25, showed It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs and ALL services that are identified in the resident's comprehensive assessment and meet professional standards of quality.

The comprehensive care plan will be prepared by an interdisciplinary team, that includes but is not limited to the resident and the resident's representative, to the extent practicable.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in MORRIS, IL, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from SERENITY ESTATES AT MORRIS or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.