ASCENSION LIVING CARROLL MANOR
State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2026-03-24 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-09-25 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2021-07-28 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing, from payroll records
Nursing hours / resident / day
5.04
state median 4.38
Weekend staffing gap
−9%
fewer nursing hours on weekends · state median −4%
RN hours / resident / day
1.01
registered nurses only
Contract (agency) staff
5%
share of all nursing hours
Nursing staff turnover
30%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
3 enforcement action(s), totaling $37,201 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-03-24 | Fine | $20,400 |
| 2024-09-25 | Fine | $16,801 |
| 2024-09-25 | Payment Denial | payment denial |
Ownership
Ownership type: Non profit - Corporation. Part of the ASCENSION LIVING chain.
Other facilities under the same ownership, with their CMS overall ratings:
- The Citadel at Saint Joseph Village (FREEPORT, IL) —
- ASCENSION RESURRECTION LIFE (CHICAGO, IL) —
- Arc at Kankakee (KANKAKEE, IL) —
- ASCENSION NAZARETHVILLE PLACE (DES PLAINES, IL) —
- ASCENSION LIVING SACRED HEART VILLAGE (AVILLA, IN) —
- VIA CHRISTI VILLAGE MANHATTAN, INC (MANHATTAN, KS) —
- VIA CHRISTI VILLAGE RIDGE (WICHITA, KS) —
- ASCENSION LIVING VIA CHRISTI VILLAGE MCLEAN (WICHITA, KS) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-03-24 | F0684 | Quality of Life and Care Deficiencies | E | not recorded |
| 2026-03-24 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2026-01-05 | F0803 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2026-01-05 | F0804 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2024-09-25 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2024-09-25 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-09-25 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-09-25 | F0623 | Resident Rights Deficiencies | D | not recorded |
| 2024-09-25 | F0625 | Resident Rights Deficiencies | D | not recorded |
| 2024-09-25 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-09-25 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-09-25 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-09-25 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-09-25 | F0685 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-09-25 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-09-25 | F0697 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-09-25 | F0725 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2024-09-25 | F0726 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-09-25 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-09-25 | F0756 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-09-25 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-09-25 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-09-25 | F0790 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-09-25 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-09-25 | F0836 | Administration Deficiencies | D | not recorded |
| 2024-09-25 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-09-25 | F0887 | Infection Control Deficiencies | D | not recorded |
| 2024-09-25 | F0908 | Environmental Deficiencies | E | not recorded |
| 2023-05-30 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2023-05-30 | F0625 | Resident Rights Deficiencies | D | not recorded |
| 2023-05-30 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-05-30 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-05-30 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-05-30 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-05-30 | F0711 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2023-05-30 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-05-30 | F0812 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2023-05-30 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-05-30 | F0919 | Environmental Deficiencies | D | not recorded |
| 2021-07-28 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2021-07-28 | F0622 | Resident Rights Deficiencies | D | not recorded |
| 2021-07-28 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2021-07-28 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2021-07-28 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2021-07-28 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2021-07-28 | F0676 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-07-28 | F0677 | Quality of Life and Care Deficiencies | E | not recorded |
| 2021-07-28 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-07-28 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-07-28 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2021-07-28 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-07-28 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2021-07-28 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2021-07-28 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2021-07-28 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2021-07-28 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2021-07-28 | F0908 | Environmental Deficiencies | D | not recorded |
| 2021-07-28 | F0919 | Environmental Deficiencies | D | not recorded |