TUTERA SENIOR LIVING & HEALTH CARE
Ownership rollup across 25 nursing homes in 5 states: Alabama, Iowa, Illinois, Kansas, Missouri. The "follow the money" view of an operator’s whole portfolio — the pattern a single facility page can’t show.
The chain’s homes average 2.0 of 5 stars on the CMS overall rating — about 0.6 stars below the ~2.7 average of the 5 states it operates in. A whole portfolio rating below its own states’ norm is a pattern worth researching, not a single-home fluke. It has been broadly flat, moving +0.08 stars across the same 25 homes rated throughout between 2025-02 and 2026-06. We benchmark against its own states because CMS ranks the health-inspection star within each state, so a national comparison (national average ~3.0) partly measures where a chain operates rather than how it operates.
Where the rating comes from
The CMS overall star blends three different things. Split apart across the whole portfolio, they say different things about an operator: thin staffing is a budget decision made above the building, while a weak inspection score is what surveyors actually found inside it.
| Component | Chain average | Basis | |
|---|---|---|---|
| Health inspection | 2.2 of 5 | 25 rated homes | state surveyors’ findings, ranked within each state |
| Staffing | 1.7 of 5 | 25 rated homes | from payroll (PBJ) hours |
| Quality measures | 3.0 of 5 | 25 rated homes | largely self-reported clinical data |
Averaged across this chain’s rated homes. Health-inspection stars are assigned within each state’s own distribution, so for a chain spanning several states this component mixes distributions and is best read alongside each home’s actual citations.
Portfolio red flags
How many of this chain’s homes carry the most serious CMS markers. One flagged home can be local; a pattern across the portfolio is an operator-level signal worth researching.
Follow the money — chain finances
Aggregated from each home’s CMS Medicare cost report (HCRIS). Related-party payments are dollars a home sends to landlords or management companies under common ownership — the main channel through which private-equity and REIT owners can pull money out of a home while its own books still show a thin margin.
Only homes with a cost report on file are included, so the related-party total is a floor. Cost reports are self-filed, unaudited, and a year or two behind.
Weighted by each home’s average daily census, across the 24 of 25 homes that report both a usable payer mix and a census. Homes whose cost report fails the same validity check the facility pages apply are left out of this figure entirely rather than counted as zero.
Every home in this chain
Lowest-rated first, so the homes most worth a closer look sit at the top. Each links to its full inspection, staffing, fines, and ownership record.
| Home | CMS rating | Flags |
|---|---|---|
| Grand Meadows Senior Living & Health CareAsbury, IA | 1 of 5 | 1 immediate-jeopardy $16,448 fined |
| Bethany Rehab & HccDekalb, IL | 1 of 5 | 5 immediate-jeopardy $407,176 fined |
| Carlinville Rehab & HccCarlinville, IL | 1 of 5 | Abuse flag $137,709 fined |
| Coulterville Rehab & HccCoulterville, IL | 1 of 5 | 1 immediate-jeopardy Abuse flag $113,818 fined |
| Crystal Pines Rehab & HccCrystal Lake, IL | 1 of 5 | Abuse flag $130,776 fined |
| Fair Oaks Rehab & HealthcareSouth Beloit, IL | 1 of 5 | 1 immediate-jeopardy Abuse flag $71,124 fined |
| Hillsboro Rehab & HccHillsboro, IL | 1 of 5 | 1 immediate-jeopardy Abuse flag $252,737 fined |
| Mattoon Rehab & HccMattoon, IL | 1 of 5 | Abuse flag $175,366 fined |
| Metropolis Rehab & HccMetropolis, IL | 1 of 5 | 1 immediate-jeopardy Abuse flag $361,369 fined |
| Moweaqua Rehab & HccMoweaqua, IL | 1 of 5 | $146,900 fined |
| St Paul's Senior CommunityBelleville, IL | 1 of 5 | 2 immediate-jeopardy $227,658 fined |
| Windsor Estates Of St CharlesSaint Charles, MO | 1 of 5 | 1 immediate-jeopardy Abuse flag $364,413 fined |
| The Village At MissionPrairie Village, KS | 2 of 5 | $14,901 fined |
| Westview Of Derby Rehabilitation & Health Care CenDerby, KS | 2 of 5 | $100,981 fined |
| Dixon Rehab & HccDixon, IL | 3 of 5 | $34,753 fined |
| Lakeland Rehab & Healthcare CenterEffingham, IL | 3 of 5 | $86,553 fined |
| Meridian Rehabilitation And Health Care CenterWichita, KS | 3 of 5 | $46,483 fined |
| Stratford Commons Rehab & Health Care CenterOverland Park, KS | 3 of 5 | $16,149 fined |
| Carnegie Village Rehabilitation & Health Care CentBelton, MO | 3 of 5 | $15,646 fined |
| Highland Rehabilitation & Health Care CenterKansas City, MO | 3 of 5 | Abuse flag $68,070 fined |
| Monterey Park Rehabilitation & Health Care CenterIndependence, MO | 3 of 5 | — |
| NorterreLiberty, MO | 3 of 5 | — |
| Northland Rehabilitation & Health Care CenterKansas City, MO | 3 of 5 | — |
| Tiffany Springs Rehabilitation & Health Care CenteKansas City, MO | 3 of 5 | 1 immediate-jeopardy $48,152 fined |
| Charlton Place Rehab And Healthcare CenterDeatsville, AL | 5 of 5 | — |
Source: CMS Provider Data Catalog (nursing-home ratings, deficiencies, penalties, and ownership) and the CMS Medicare cost report (HCRIS) for finances. Chain membership is as reported to CMS. CMS extracts retrieved 30 August 2026; CMS refreshes them monthly, so counts here are as of that date. Verify with the facility and your state regulator.