Hallmark Hc Of Carlinville

Location & what’s nearby

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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

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.

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.

Therapy staffing: this home’s payroll records show 0.36 therapist hours per resident per day in 2026Q1 — more than 62% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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.

Staffing

How full it usually is: this home is certified for 49 beds and averages 40.0 residents a day — about 82% occupied, or roughly 9 beds typically open. It usually has some room. 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 3.10 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.51 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.16 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 2.73 hrs/resident/day on weekends vs 3.24 on weekdays — 16% thinner on weekends. RN hours go from 0.52 to 0.51 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 45% is about the same as the national median of 45%. 1 administrator has left in the past year.

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

Deficiencies are fewer than at the previous inspection — improving. 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.

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.

24 citations, most serious first. The 13 most serious are shown; the remaining 11 are one tap away and print in full.

• Actual harm · G2025-02-26 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, observation, and record review, the facility failed to provide pain relief for 1 of 1 resident (R34) reviewed for pain in the sample of 43. This failure resulted in R34 not having R34's pain controlled. Findings include: R34's Face Sheet, print date of 2/25/25, documents R34 was admitted in 10/3/23 and has diagnoses of Hyperkalemia and Dementia. R34's Physician Order, dated 2/24/2025 at1:15 PM, documents, Lorazepam Oral Tablet 0.5 MG (Lorazepam) Give 0.5 mg by mouth every 2 hours as needed for restlessness and agitation. R34's Physician Order, dated 2/24/2025 at 1:15 PM, documents, Morphine Sulfate (Concentrate) Solution 20 MG/ML (milliliter) Give 0.25 milliliter by mouth every 2 hours as needed for pain and shortness of breath. R34's Hospice Notes, dated 2/24/2025 11:30 PM, documents, Resident cont (continued) with hospice care. Respirations labored with gurgling noted. Breath sounds wet, not moving secretions out. Skin cool & clammy to the touch. Afebrile. Occasional moan noted. SPO2 (oxygen saturation) 94% 4L (liters) O2 (oxygen) via mask. Residents eyes open…

  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
• Actual harm · G2025-02-26 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, observation, and record review, the facility failed to provide pain medication for 1 of 1 resident (R34) reviewed for pain in the sample of 43. This failure resulted in R34 not having Morphine available for 9 hours, which resulting in undue pain. Findings include: R34's Face Sheet, print date of 2/25/25, documents R34 was admitted in 10/3/23 and has diagnoses of Hyperkalemia and Dementia. R34's Physician Order, dated 2/24/2025 at 1:15 PM, documents, Lorazepam Oral Tablet 0.5 MG (Lorazepam) Give 0.5 mg by mouth every 2 hours as needed for restlessness and agitation. R34's Physician Order, dated 2/24/2025 at 1:15 PM, documents, Morphine Sulfate (Concentrate) Solution 20 MG/ML (milliliter) Give 0.25 milliliter by mouth every 2 hours as needed for pain and shortness of breath. R34's Hospice Notes, dated 2/24/2025 11:30 PM, documents, Resident cont (continued) with hospice care. Respirations labored with gurgling noted. Breath sounds wet, not moving secretions out. Skin cool & clammy to the touch. Afebrile. Occasional moan noted. SPO2 (oxygen saturation) 94% 4L…

  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
• Actual harm · G2024-01-23 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  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 identify, monitor, and treat a wound for 1 of 4 (R9) residents, reviewed for repositioning, in a sample of 45. This failure resulted in R9 obtaining a wound to her coccyx, buttocks, and causing R9 to experience pain. Findings include: R9's admission Profile, print date of 1/22/4, documented R9 was admitted on [DATE], with diagnosis of Unspecified Fracture of Third Lumbar Vertebra, Subsequent Encounter for Fracture with Routine Healing, Displaced Fracture of greater Trochanter of Left Femur, subsequent encounter for closed fracture with routine healing, Chronic Obstructive Pulmonary Disease. R9's Care Plan, dated 1/9/24, documented, (R9) has the potential for impaired skin integrity related to incontinence, limited mobility. It continues Pressure redistribution mattress to bed. Provide diet as ordered. Labs as ordered. Evaluate Skin at least Weekly. Medications as ordered. R9's Minimum Data Set, dated [DATE], documented R9 is severely…

  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 · F2025-04-07 · tag F0925 — failed to control pests — widespread
  Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  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 maintain an effective pest control program. This has the potential to affect all 38 residents living in the facility. Findings include: 1. On 4/7/25 at 11:45 AM, the medication room was observed; mouse droppings were found around the baseboards. 2. On 4/7/25 at 11:50 AM, the laundry room was observed; mouse droppings were found around the baseboards in the dirty room. 3. R2's Face Sheet, print date of 4/7/25, documents R2 was admitted on [DATE] and has a diagnosis of Diabetes. R2's Minimum Data Set (MDS), dated [DATE], documents R2 is cognitively intact. On 4/7/25 at 8:46 AM, R2 stated, I did see mice last week. They caught two in the room and 1 in the bathroom. On 4/7/25 at 8:50 AM, under R2's window, mouse droppings are observed. 4. R3's Face sheet, print date of 4/7/25, documents R3 was admitted on [DATE] and has diagnoses of a History of Heart Attack and Dependence on Renal Dialysis. R3's General Note, dated 4/2/2025, documents,…

  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
• Potential for harm · Fcited before2025-02-26 · tag F0761 — failed to label and store drugs safely — widespread
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  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 to dispose of expired stock medications used by all residents. This failure has the potential to affect all 37 residents in the facility. The Findings Include: On [DATE] at 8:40 AM, the Unit Med Cart was reviewed with V4, Registered Nurse (RN), with the following medications expired: Fiber Laxative 625 MG (milligram) caplets that expired on 12/2024. A resident (R28) had a bottle of Atropine 1% ophthalmic solution that expired on 1/2025. On [DATE] at 8:45 AM, the Main Floor Med Cart was reviewed with the following medications expired: Mucus Relief 400 MG expired on 12/2024, Acidophilus 200 million cells/dose expired on 11/2024, Vitamin C 500 MG expired on 11/2024, and Cetirizine 10 MG that expired on 1/2025. On [DATE] at 8:55 AM, the Medication Room reviewed with the following expirations: Mucus Relief 400 MG bottles with 300 caplets - three bottles total, and all had expired on 12/2024. Benadryl 12.5 MG 8 OZ (ounce) bottle expired on 1/2025.…

  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
• Potential for harm · Fcited before2025-02-26 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, observation, and record review, the facility failed to store food at the needed temperature and discard expired food to prevent food borne illness. This failure has the potential to affect all 37 residents living in the facility. Findings include: On 2/23/25 at 8:21 AM, the stand up freeze had a temperature of 33 degrees. This freezer contained: large bag of carrots, bag of mix vegetables, and a bag of mixed onions and peppers that were thawed and mushy, a box of popsicles that were liquid, 16 precooked chicken patties that were thawed, 21 magic cup ice cream that were liquid, a large box of sausage patties that were completely thawed, a large box of hamburger patties that were partially thawed, 3 loaves of garlic bread that were thawed, and a box of multiple bags of whip cream that is liquid. The stand up refrigerator had a precooked ham that was dated 2/11, a carton of ready care thickened water dated 12/9, a carton of prune juice dated 11/4, and a carton of orange juice dated 2/14. On 2/23/25 at 8:25 AM, V15, Cook, stated the freezer stopped freezing at 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-26 · tag F0623 — isolated
  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
  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 provide residents with a written explanation as to why they are being transferred to the hospital for 3 of 3 residents (R28, R29, R34) reviewed for hospitalization in the sample of 43. Findings include: 1. R28's Face Sheet, print date of 2/25/25, documents that R28 was admitted on [DATE] and has a diagnosis of Dementia. R28's Progress Note, dated 2/22/25, documents, Resident has been transported to (local hospital) d/t (due to) fall per orders from On-call DR. R28's Notice of Transfer of Discharge, dated 2/22/25, fails to document the reason R28 was sent out to the hospital. 2. R29's Face Sheet, print date of 2/24/25, documents R29 was admitted on [DATE] and has diagnoses of Severe Protein - Calorie malnutrition, Type 2 Diabetes Mellitus, and Dementia. R29's General Note, dated 2/22/2025 01:30, documents, Resident has been transported to ER (Emergency Room) d/t (a fall and c/o (complaint of) hip and lower back pain. R29's Notice of Transfer or…

  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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-26 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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 provide the prescribed pressure ulcer treatment for 1 of 2 residents (R29) reviewed for pressure ulcers in the sample of 43. Findings include: R29's Face Sheet, print date of 2/24/25, documents R29 was admitted on [DATE] and has diagnoses of Severe Protein - Calorie malnutrition, Type 2 Diabetes Mellitus, and Dementia. R29's Minimum Data Set, dated [DATE], documents R29 is severely cognitively impaired and has 1 Stage 3 pressure ulcer. R29's Treatment Administration Record, start date of 1/11/25 with a discontinue date of 2/25/25, documents, Silver sulfadiazine External Cream 1 % (Silver Sulfadiazine) Apply to Sacrum topically every night shift for wound care Cleanse area with WC (wound cleanser), pat dry, apply SSD (Silver Sulfadiazine), Hydrogel, collagen, calcium alginate, cover with ABD (abdominal pad) pad, secure with retention tape daily and PRN (as needed). This treatment was signed off on night shift on 2/23/25. R29's Treatment…

  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 before2025-02-26 · 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, record review, and interview, the facility failed to clean soiled surfaces for 2 of 8 residents (R21,R31) reviewed for infection control in the sample of 43. Findings include: 1. On 2/23/2025 at 10:53AM during incontinent care, V5, Certified Nursing Assistant (CNA), and V9, CNA, transferred R21 from wheelchair to bed. R21 had dark blue sweat pants on that had visible wet area on seat of pants. R21was incontinent of a large amount of loose watery stool. After incontinent care provided to R21, V5 and V9 did not sanitize R21's wheelchair. On 2/25/2025 at 2:48PM V13, CNA, stated if during incontinent care a resident is soiled through clothing onto chair, the chair should be cleansed. 2. On 2/23/25 at 12:48 PM, V5 and V19, CNA, transferred R31 from the bed to the wheelchair. The wheelchair seat had a soiled napkin and a large spot of dried food in the seat. Neither CNA cleaned off the seat before sitting R31 down. On 2/25/25 at 2:50 PM, V1, Administrator, stated, The wheelchair should have been…

  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 · Fcited before2024-01-23 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, observation, and record review, the facility failed to employ a Registered Nurse (RN) in the role of full time Director of Nursing (DON), and to provide consecutive 8 hour Registered Nurse (RN) coverage in the facility. This has the potential to affect all 43 residents residing in the facility. Finding includes: There was no consecutive 8-hour RN coverage in 24 hours for the entire Month of October 2023, 11/1, 11/2, 11/4 to 11/30, the entire month of December 2023 and 1/1/2024 to 1/15/2024. On 01/16/24 at 1:38 PM, V9, Certified Nursing Assistant (CNA), stated \V1, Administrator, is also the DON (Director of Nursing). On 1/16/2024 at 11:40 AM, V10, CNA, stated V1 is also the facility DON. On 1/16/2024 at 1:40 PM, V1, Administrator, stated they do not have RN coverage. V1 stated they are actively recruiting for RNs. V1 stated V3, Regional Nurse, comes to the building once or twice a week. On 1/16/2024 at 12:20 PM, V3, Regional Nurse, stated they are actively recruiting for the Director of Nursing position. V3 stated they did have a DON for a short time and she 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-01-23 · tag F0761 — failed to label and store drugs safely — widespread
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  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 properly store medication, and label tuberculin and insulin vials. This has the potential to affect all 43 residents living in the facility. Findings include: On 01/16/2024 at 10:07 AM, the facility's Medication Storage Room was inspected. The refrigerator located in the medication room contained the following: 1. 1- 5 ml open and partially used multi dose vial of Apisol. No open date on the box or the vial. The Apisol package insert, dated 3/2016, documents Vials in use more than 30 days should be discarded due to possible oxidation and degradation which may affect potency. On 1/16/2024 at 10:15 AM, the medication cart was inspected. The cart contained the following: 2. R2's open and partially used multi dose vial of Lantus. No open date. 3. R1's open and partially used multi dose vial of Lantus. No open date. On 1/2/2024 at 9:55 AM, V7, Licensed Practical Nurse (LPN), stated, The Apisol medication is a stock medication and used for all residents in the facility. Unless they have an allergy, all residents…

  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
• Potential for harm · F2024-01-23 · tag F0868 — widespread
  Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review, the Facility failed to ensure the minimum required staff were present at the Monthly Quality Assurance Meetings. The failure has the potential to affect all 43 residents residing in the Facility. Findings include: On 1/16/2024 at 12:20 PM, V3, Regional Nurse, stated they are actively recruiting for the Director of Nursing position. V3 stated they did have a DON for a short time, and she was not willing to perform the required duties of the facility and quit. On 1/22/2024 at 8:14 AM, V1, Administrator, stated the Quality Assurance team meets monthly and should include every department head. V1 added, When I get a DON (Director of Nursing), she'll be there. The Facility's Quality Management Program Meeting Verification Forms, dated 10/18/2023, 11/15/2023, and 12/20/2023, were reviewed, and did not include a signature/title for the DON position. The Resident Census and Conditions of Residents, CMS 671, dated 1/16/24, documents the facility has 43 residents living in the facility.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-01-23 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  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 privacy and dignity for 4 of 9 (R4, R18, R31, R33) residents, reviewed for resident rights, in a sample of 45. Findings include: 1. R31's face sheet, dated 1/18/24, documented R31 was admitted to the facility on [DATE], with diagnosis of dementia, type 2 diabetes, dysphagia, hemiplegia, and hemiparesis following cerebral infarction affecting right dominant side, aphasia, osteoarthritis, hypertension, atherosclerosis, peripheral vascular disease, cardiomyopathy, and atherosclerosis. R31's Minimum Data Set (MDS), dated [DATE], documented R31 is severely cognitively impaired. R31's Care Plan, dated 3/21/23, documented R31 requires extensive assistance with Activities of Daily Living (ADLS) and requires one-person physical assistance with eating. On 1/16/24 at 12:15 PM, R31's lunch was served to her in the dementia unit. At 12:57 PM, R31 had not taken any bites of her lunch, and V9, Certified Nurse Assistant (CNA), fed R31 a few bites…

  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.

  Resident Rights 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.

Fines & penalties

$25,493 in federal fines across 1 penalty. 1 Medicare payment denial on record.

• $25,493 — penalty dated 2025-02-26
• Medicare payment denial — starting 2025-03-19 for 13 days

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.

Part of a chain

This home belongs to CREST HEALTHCARE CONSULTING — 11 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

1 organizational owner 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.

This home reported $371K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

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