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Lutheran Care Center

702 West Cumberland, Altamont, IL 62411 · Non profit - Corporation · 96 certified beds · (618) 483-6136 Medicare & Medicaid certified

Call the home — (618) 483-6136 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Nov 20241 actual-harm citation1 immediate-jeopardy citation CMS recorded as corrected before the inspection ended (past non-compliance)1 actual-harm citation CMS recorded as corrected before the inspection ended (past non-compliance)$36,553 in federal fines
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • a high payroll-based staffing rating (5/5)
  • lower-than-typical staff turnover (20% vs 45% nationally) — better care continuity
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Nov 2024
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 1 actual-harm citation
  • inspectors recorded 2 serious findings as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
  • the CMS record shows $36,553 in federal fines (most recent 2025-09-30)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

5/5
CMS overall
5 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 5 of 5
Quality measuresSelf-reported by the facility 3 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
3 Do It Dr · (618) 483-6131 · Call to confirm hours
Pharmacy
Grocery
 
Park
Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 3 of 5
Long-stay residentspeople who live here 2 of 5
Short-stay residentsrehab / post-hospital 4 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 5 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating5★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased30.6%13.4%15.4%worse
Long-stay residents who lose too much weight2.9%6.3%5.4%better
Long-stay residents with a catheter left in their bladder8.1%0.9%0.9%worse
Long-stay residents with a urinary tract infection0.7%1.5%2.0%better
Long-stay residents with depressive symptoms1.5%54.2%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury2.1%3.1%3.3%better
Long-stay residents whose ability to walk worsened28.3%14.3%16.1%worse
Long-stay residents on antianxiety or hypnotic medication41.6%18.3%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%91.8%95.3%typical
Long-stay residents with pressure ulcers2.6%4.8%4.7%better
Long-stay residents with worsening bladder/bowel control18.1%20.6%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table12.1%21.7%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%2.2%1.4%better
Short-stay residents given the seasonal flu vaccine97.1%63.1%79.4%better
Short-stay residents rehospitalized after admission29.2%26.1%22.6%worse
Short-stay residents with an outpatient ER visit10.9%13.9%12.0%typical
Long-stay hospitalizations per 1,000 resident days3.232.021.67worse
Long-stay outpatient ER visits per 1,000 resident days1.352.221.80better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

42.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 84 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

42.6%U.S. median 51.5%
Got home and stayed home
12.7%U.S. median 10.7%
Went back to hospital
66.7%U.S. median 56.6%
Met the expected recovery
0.26U.S. median 0.31
Therapy hours / resident / day
0.25hours / resident / day
Physical therapy
0.02hours / resident / day
Occupational therapy
<0.01hours / resident / day
Speech therapy

Met the expected recovery: 66.7% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 45 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.26 therapist hours per resident per day in 2026Q1 — more than 38% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 8% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF42.6%CMS range 34.4–52.151.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF12.7%CMS range 8.3–17.910.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge66.7%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge60.0%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge64.4%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified90.7%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge96.4%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization9.1%CMS range 5.3–14.57.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.841.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.72
RN hours/ resident / day
0.51
LPN hours/ resident / day
2.27
Aide hours/ resident / day
3.51
Total nurse hours/ resident / day
0.58
RN hoursweekends
20.5%
Total nursing turnover
11.1%
RN turnover

How full it usually is: this home is certified for 96 beds and averages 45.6 residents a day — about 48% occupied, or roughly 50 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.51 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.72 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.27 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.16 hrs/resident/day on weekends vs 3.65 on weekdays — 14% thinner on weekends. RN hours go from 0.78 to 0.58 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 20% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

3
deficiencies at the latest standard inspection (2025-09-30)
2
at the previous standard inspection (2024-07-26)

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

11 citations, most serious first — scroll within the box to see all.

  • Immediate jeopardy · Jcited before2025-09-30 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review the facility failed to safely transfer a resident using a mechanical lift for 1 of 3 residents (R53) reviewed for accidents in a sample if 29.The Immediate Jeopardy began on 9/14/2025 at 7:45AM, when the facility failed to provide a safe transfer using a mechanical lift. The failure resulted in (R53) falling from the mechanical lift and sustaining a head injury leading to R53's death. V1(Administrator), V2 (Director of Nursing/DON), and V14 (Licensed Practical Nurse/ Quality Assurance Nurse/QAC) were notified of the Immediate Jeopardy on 9/26/25 at 10:10AM. The surveyor confirmed by observation, interview and record review that the Immediate Jeopardy was removed, and the deficient practice corrected on 9/15/25, prior to the start of the survey and was therefore past noncompliance. Past noncompliance-no plan of correction required.Findings include:R53's document titled Face Sheet includes an admission date of 12/12/2023 with a discharge date of 9/17/2025. R53's diagnoses include chronic combined systolic congestive and diastolic heart failure,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Past Non-Compliance
  • Actual harm · Gcited before2025-03-28 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to follow implemented fall interventions for one of three (R1) residents reviewed for accidents in a sample of three. This failure resulted in R1 sustaining a fracture of the distal left radius. This past non-compliance occurred between 03/13/25 and 03/17/25. Findings include: R1's Resident Face Sheet documents an admission date of 12/06/23 with diagnoses including: fracture of other parts of pelvis, initial encounter for closed fracture, Crohn's disease of small intestine with intestinal obstruction, sequelae of cerebral infarction, generalized abdominal pain, gastrointestinal hemorrhage, partial intestinal obstruction, pyridoxine deficiency, vitamin D deficiency, major depressive disorder, chronic pain, macular degeneration, and weakness. R1's Minimum Data Set (MDS) dated [DATE] documents a Brief Interview for Mental Status (BIMS) score of 13, indicating R1 is cognitively intact. The same MDS documents that R1 requires substantial/ maximal assistance for…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Past Non-Compliance
  • Actual harm · Gcited before2024-07-26 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, observation, and record review, the facility failed to supervise a confused resident during toileting for 1 of 2 residents (R32) reviewed for falls in the sample of 25. This failure resulted in R32 falling and sustaining skin tears to the right hand and a laceration to the forehead which required 13 sutures to close. The findings include: R32's Face Sheet documented an admission Date of 2/9/24 and listed diagnoses including History of Right Femur Fracture with Surgical Repair, Diabetes Type 2, Alzheimer's Disease, Chronic Obstructive Pulmonary Disease (COPD), and Congestive Heart Failure (CHF). R32's Minimum Data Set (MDS) dated [DATE] documented a Brief Interview for Mental Status Score of 8, indicating R32 has moderate deficits in cognition. The same MDS documented that R32 requires partial to moderate assistance for toileting, which is defined as, Helper (staff) does more than half the effort: Helper lifts or holds trunk or limbs and provides more than half the effort. R32's Fall Risk…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-09-30 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide aseptic catheter care for one of one residents (R5) reviewed for catheters in the sample of 29.Findings include:R5's Face Sheet documented an admission Date of 8/18/25 and listed Diagnoses including, Hypothyroidism and Alzheimer's Dementia. R5's Minimum Data Set, dated [DATE] documented that R5 has minimal deficits in cognition.R5's 9/8/25 Urinalysis documented the presence of 4+ leukocytes, red blood cells, and Enterococcus in the urine. R5's current Physicians Orders documented orders for an indwelling urinary catheter number 16 French with 5 cubic centimeter balloon, and Macrobid 100 milligrams one tablet twice daily start 9/10/25 for 10 days. R5's Care Plan dated 9/7/25 did not document a problem area of nor interventions for a catheter.On 9/23/25 at 1:53pm, R5 was alert and oriented to person, place, and time. R5 stated she was recently hospitalized and came to the facility with a catheter due to having a dropped bladder, and…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-11-15 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure a resident was free from staff to resident verbal abuse for one (R1) of five residents reviewed for abuse in the sample of five. Findings include: R1's Face Sheet documented an admission Date of 5/22/23 and listed diagnoses including Major Depressive Disorder, Hypertension, and Cerebral Infarction by history. R1's Minimum Data Set, dated [DATE] documented a Brief Interview for Mental Status Score of 14, indicating R1 has minimal deficits in cognition. R1's Care Plan dated 9/6/24 documented problem areas, (R1) may display short-term and long-term memory problems. R1's Nurses Notes, all authored by V7, Licensed Practical Nurse (LPN), documented the following: 11/8/24, 5:00pm, This nurse was called down to (R1's) room for a complaint of a skin tear. When I arrived I noted a large skin tear (to the) left forearm with large amount of bleeding. Pressure was applied to get bleeding to slow down. (V3, Certified Nursing Assistant/CNA) stated resident was…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-11-15 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to immediately report an allegation of staff to resident verbal and physical abuse to the facility's Abuse Coordinator for one resident (R1) of five residents reviewed for abuse in the sample of five. Findings include: R1's Face Sheet documented an admission Date of 5/22/23 and listed diagnoses including Major Depressive Disorder, Hypertension, and Cerebral Infarction by history. R1's Minimum Data Set, dated [DATE] documented a Brief Interview for Mental Status Score of 14, indicating R1 has minimal deficits in cognition. R1's Care Plan dated 9/6/24 documented problem areas, (R1) may display short-term and long-term memory problems, (R1) has potential for skin breakdown. At present is on aspirin therapy which may increase his potential for bruising and bleeding, and (R1 has) potential for falls related to unsteady gait, weakness and fatigue. (R1 has a) history of falls. (R1 is) alert and oriented with occasional confusion. R1's Nurses Notes, all authored…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-07-26 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the facility failed to follow enhanced barrier precautions for 8 of 12 residents (R5, R6, R8, R12, R18, R25, R35 and R41) reviewed for infection control in the sample of 25. The Findings Include: On the initial tour of the facility on 07/23/2024 beginning at 9:25 AM, there was one resident (R21) observed in the facility with signage indicating enhanced barrier precautions. During the tour of the facility R5, R6, R8, R12, R18, R25, and R35 were all observed to have indwelling catheters. On 07/23/2024 a Matrix for Providers (Form CMS 802) was provided by the facility with no residents marked for transmission-based precautions. On the same form documented under number 5 under pressure ulcers, R12 and R21 are the only two residents listed. On 07/23/2024 at 1:26 P.M., V3 (Minimum Data Set/Infection Preventionist) stated they have one resident on Enhanced Barrier Precautions. V3 stated R21 was on Enhanced Barrier Precautions for having MRSA (Methicillin-Resistant Staphylococcus Aureas) of the wound. On 07/23/2024 at 1:56 P.M., a tour of…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-06-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to add fall prevention interventions for a resident at high risk for falls for 1 of 2 (R8) residents reviewed for falls in the sample of 25. Findings include: R8's Face Sheet documented an admission date of 10/05/20, with diagnoses including old Myocardial Infarction, Gastro-esophageal Reflux Disease, and Unspecified Dementia without Behavior Disturbance. A Minimum Data Set, dated [DATE] documented that R8 requires extensive assistance from at least two staff members for transfers. A 2/20/21 Physicians Order documented an order for,(trade name weighted lap cushion) while up to wheelchair for proper posture and safety. A 1/14/23 Fall Risk Assessment documented a score of 12, indicating R8 is at high risk for falls. A January 2023 Incident Study Form documented that on 1/22/23, on the 7:00am to 3:00pm shift, R8 sustained a fall while in her room. A 1/22/23 Fall Investigation authored by V2, Director of Nurses, documented, Factors contributing…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-06-09 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to administer prescribed medication per physicians orders and manufacturers directions for two residents of ten residents (R9, R8) reviewed for medication errors in the sample of 25. There were thirty medication opportunities observed with a total of three administration errors, making the error rate 10 percent. Findings include: 1. R9's June 2023 Physicians Order Sheet(POS) and June 2023 Medication Administration Record (MAR) documented an order for Fluticasone 50 microgram spray, directions-two sprays in each nostril daily at 8:00am. On 6/7/23 at 7:16am,V3, Registered Nurse (RN) was observed administering medications to R9. V3 read aloud the directions on the MAR as referenced above. V3 did not shake the medication prior to administration. V3 administered one spray per each nostril, washed her hands, returned the medication to the medication cart, documented the administration, and began looking at the MAR for medication orders on the next resident for administration. When the surveyor pointed out the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • No harm found · Bcited before2025-09-30 · tag F0912 — pattern
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the facility failed to provide at least 80 square feet of living space for 2 of 2 residents (R8 and R28) reviewed for room size in a sample of 29.The Findings Include: On 9/26/25 at approximately 9:30 AM, R13 was sitting in her room. R13 was noted to not have a roommate. The room was a smaller sized bedroom with one bed, a recliner, an overbed table, 1 nightstand, two chairs, and an inset closet inside the room.On 9/26/25 at approximately 10:00 AM, R17 was sitting in his room. R17 was noted to not have a roommate. The room was smaller in size with one bed, recliner, overbed table, a chair, two nightstands, and an inset closet inside the room.On 09/26/25 at 10:30AM, V14 (Quality Assurance Nurse) measured R13 and R17's bedroom sizes. The rooms measured 11 feet 13 feet 6 inches, indicating that the rooms were 151.47 square (sq.) feet (ft.), or 75.74 sq. ft. per bed. The measurements did not include the closet or the inset dresser area.On 9/26/25 at 10:30 AM, V14 stated that both of these rooms, occupied by R13 and R17, have a room size…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • No harm found · Bcited before2023-06-09 · tag F0912 — pattern
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, observation, and record review the facility failed to provide at least 80 square feet of living space per resident bed for 2 of 2 residents (R18 and R196) reviewed for room size in a sample of 25. Findings include: On 6/9/23 at 12:20 PM, this surveyor accompanied V6 (Maintenance Supervisor) for the purpose of measuring the 2 resident rooms that V6 stated that are dually certified (Medicare and Medicaid) for 2 beds per room. The 2 rooms measured less than 80 square (sq.) feet (ft.) of living space per bed. The 2 room's measurements are as follows: room [ROOM NUMBER]: 154 sq. ft. (77 sq. ft. per bed) room [ROOM NUMBER]: 154 sq. ft. (77 sq. ft. per bed) A Daily Roster provided by the facility and dated 6/6/23 documents that R18 and R196 reside in the 2 rooms that provide less than the 80 square feet of living space per resident bed. During the survey from 6/6/23 to 6/9/23 rooms [ROOM NUMBERS] were equipped with one bed, one bedside table, one recliner and one chest of drawers. Observations of…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Environmental Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$36,553 in federal fines across 3 penalties.

  • $17,345 — penalty dated 2025-09-30
  • $11,190 — penalty dated 2025-03-28
  • $8,018 — penalty dated 2024-07-26

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

Owner / managerTypeRoleShareSince
FAITH LUTHERAN CHURCHOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST5%since 10/01/1980
GRACE EVANGELICAL LUTHERAN CHURCHOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST5%since 10/01/1980
HOLY CROSS EVANGELICAL LUTHERAN CHURCHOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST5%since 10/01/1980
HOLY CROSS LUTHERAN CHURCHOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST5%since 02/20/2012
IMMANUEL LUTHERAN CHURCHOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST5%since 07/23/2012
ST. JAMES EVANGELICAL LUTHERAN CHURCHOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST5%since 04/28/2003
ST. JOHN LUTHERAN CHURCHOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST5%since 10/01/1980
ST. JOHN'S EVANGELICAL LUTHERAN CHURCHOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST5%since 11/28/2011
ST. JOHN'S LUTHERAN CHURCHOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST5%since 10/01/1980
ST. JOHN'S LUTHERAN CHURCH OF SHELBYVILLEOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST5%since 10/01/1980
ST. PAUL EVANGELICAL LUTHERAN CHURCH ELCAOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST5%since 10/01/1980
ST. PAUL LUTHERAN CHURCHOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST5%since 10/01/1980
ST. PETER'S LUTHERAN CHURCHOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST5%since 10/01/1980
TRINITY EVANGELICAL LUTHERAN CHURCHOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST5%since 10/01/1980
TRINITY LUTHERAN CHURCH NALCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST5%since 10/01/1980
ZION LUTHERAN CHURCHOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST5%since 10/01/1980
AHERIN, DIANEIndividualCORPORATE DIRECTORsince 01/25/2021
BEHRNS, DOROTHYIndividualCORPORATE DIRECTORsince 01/01/2025
BIGGS, CHARLESIndividualCORPORATE DIRECTORsince 01/01/2026
BLIEVERNICHT, DENNISIndividualCORPORATE DIRECTORsince 01/26/2015
BRAASCH, SUSANIndividualCORPORATE DIRECTORsince 01/01/2026
BRAY, FREDERICKIndividualCORPORATE DIRECTORsince 01/01/2025
CORDER, KATHRYNIndividualCORPORATE DIRECTORsince 01/01/2025
GARBE, VERAIndividualCORPORATE DIRECTORsince 01/26/2015
GIVENS, JOANNIndividualCORPORATE DIRECTORsince 01/25/2016
HANFLAND, SUSANIndividualCORPORATE DIRECTORsince 01/26/2023
HANSON, DEBORAHIndividualCORPORATE DIRECTORsince 01/27/2020
HASTINGS, JACKIndividualCORPORATE DIRECTORsince 01/01/2026
HEIDEN, DOUGLASIndividualCORPORATE DIRECTORsince 01/01/2025
HEIDEN, SANDRAIndividualCORPORATE DIRECTORsince 01/01/2024
HOFFMEISTER, CHERYLIndividualCORPORATE DIRECTORsince 01/01/2026
KIRCHHOFF, MIKEIndividualCORPORATE DIRECTORsince 01/01/2026
MAGNUS, TWILAIndividualCORPORATE DIRECTORsince 01/01/2026
MILLER, EMILYIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/02/2021
OPILKA, JOHNIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/25/2025
REYNOLDS, BETHIndividualCORPORATE DIRECTORsince 01/26/2023
SCHROEDER, KIMBERLYIndividualCORPORATE DIRECTORsince 08/25/2025
SOLTWEDEL, BEVERLYIndividualCORPORATE DIRECTORsince 01/01/2026
STREMMING, KURTIndividualCORPORATE DIRECTORsince 01/26/2015
STUCKMEYER, LEAIndividualCORPORATE DIRECTORsince 01/25/2022
TRAUB, DAVIDIndividualCORPORATE DIRECTORsince 01/01/2026
WETHERELL, DIANEIndividualCORPORATE DIRECTORsince 01/01/2025
WILLIAMS, ROBERTIndividualCORPORATE DIRECTORsince 01/26/2015
WOHLTMAN, NORMAIndividualCORPORATE DIRECTORsince 01/01/2026
WYCKOFF, GERALDIndividualCORPORATE DIRECTORsince 01/25/2022
WYCKOFF, KATHYIndividualCORPORATE DIRECTORsince 01/25/2022
STREMMING, JEFFIndividualCORPORATE OFFICERsince 01/01/2025
ASBELL, MARIYAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/14/2023
CLIFTON, JONIIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/01/2024
CORNETT, ALEXISIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/29/2025
FELDHAKE, DAWNIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/30/2021
HARRIS, SAMANTHAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/23/2022
HERRMANN, KRYSTLEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/30/2012
HUNTLEY, KATHRYNIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/11/2016
MILBURN-GEHLE, MARCIAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/19/2012
MULVANEY, RONALDIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/10/2025
REETER, TAMYRAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/23/2022
WORKMAN, CHRISTINEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 04/16/2017
CLIFTONLARSONALLEN LLPOrganizationADP OF THE SNFsince 09/30/2013

CMS files one row per role, so the 74 rows in the source record cover these 59 parties — each is shown once here with every role it holds. Nothing is omitted.

17 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$3.8M
Net patient revenuemost recent cost report
-43.9%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 29%Medicare 7%Other / private 64%

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$332per resident / day
operating cost
$10,090per month
≈ monthly operating cost
$231per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IL

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Illinois Medicaid page.

Typical monthly cost in Illinois
$8,304/mo
Nursing home (semi-private)
$9,216/mo
Nursing home (private)
$6,219/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 145380. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-09-30, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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