Heartland Senior Living

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.

48.6% 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 170 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 51.4% 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 70 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 0.27 therapist hours per resident per day in 2026Q1 — more than 39% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% 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.

Staffing

How full it usually is: this home is certified for 71 beds and averages 67.0 residents a day — about 94% occupied, or roughly 4 beds typically open. It runs fairly full. 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 3.23 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.548 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.96 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 3.43 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.66 to 0.26 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 40% is about the same as 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

Deficiencies are unchanged from the previous inspection. 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.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

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.

27 citations, most serious first. The 18 most serious are shown; the remaining 9 are one tap away and print in full.

• Actual harm · Gcited before2026-03-06 · 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 promptly respond to a call light for a newly admitted resident who was identified as being at high risk for falls. This failure affects one (R1) of three residents reviewed for accidents. This failure resulted in R1 sustaining a fall resulting in R1 being transferred to the hospital where R1 was found to have acute swelling and bleeding on both sides of the brain. Findings include:The facility's policy titled Policy and Procedure: Call Light System, which is undated, documents that it is the policy of the facility to provide a means of communication to meet the needs of each resident. Staff are required to follow established procedures to respond to residents' requests and needs.The policy documents that the call light procedure requires staff to: respond promptly when a call light is activated. respond to the resident's need or request. if the staff member responding is unable to meet the need, they must locate the staff member who can meet 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-04-16 · 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 observation, interview, and record review, the facility failed to safely transfer R1 from the wheelchair to toilet resulting in R1 sustaining a broken arm requiring emergency evaluation and treatment at the hospital. This failure affects one resident (R1) of five reviewed for accidents in the sample of five. This past non-compliance occurred from 4/3/2025 to 4/4/2025. Findings include: R1's medical diagnosis list (4/16/2025) documents R1's diagnoses include: Unsteadiness on Feet, Muscle Weakness, Pain in Right Knee, Pain in Left Knee, Osteoarthritis, and Polyneuropathy. R1's quarterly assessment (2/25/2025) documents R1 does not reject care from staff, utilizes a wheelchair for mobility, and is dependent on staff or requires maximal staff assistance for mobility. The same record documents R1 requires staff assistance to transfer from the bed to wheelchair and onto the toilet. R1's Fall Notes (4/3/2025) document R1 requires maximum assistance of two staff for transfers. R1's Care Plan (printed 4/15/2025) in effect on 4/3/2025 documents R1 has a transfer deficit and requires…

  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 before2024-06-12 · 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

  Based on observation, interview and record review the facility failed to provide ordered interventions to prevent the development of deep tissue injuries and worsening of a pressure injury and failed to provide weekly measurements and assessments for pressure injuries for four of five residents (R10, R47, R39 and R53) reviewed for pressure injuries from a total sample list of 33. These failures resulted in R10 and R47 developing deep tissue injuries and R47's unstageable pressure injury worsening. Findings include: The facility provided Prevention of Pressure Ulcers Policy dated August 2008 documents that the purpose of this procedure is to provide information regarding identification of pressure ulcer risk factors and intervention for specific risk factors. When in bed, every attempt should be made to float heels by placing a pillow from knee to ankle or with other devices as recommended by the physician. Additional factors that increase risk of pressure injuries include a healed ulcer. 1.) R10's care plan dated 4/20/22 documents that R10 is at risk for pressure ulcer development…

  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 · Gcited before2024-06-12 · 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 prevent injuries from multiple mechanical lift transfers (R10) and failed to supervise a dementia resident to prevent an elopement (R56) for two of two of residents reviewed for accidents from a total sample list of 33 residents. Failing to safely transfer R10 using the mechanical lift resulted in R10 suffering skin tears to bilateral legs. Findings include: 1.) On 6/11/24 at 1:15PM, R10's bilateral shins have open areas, with dried, blood soaked dressings approximately the size of a knee cap covering the tears. The facility skin and wound evaluation dated 4/24/24 documents a new skin tear on R10's right front shin. No new interventions were documented in the medical record after this skin tear occurred. The facility risk evaluation dated 5/3/24 documents a new skin tear on R10's left shin caused by the mechanical lift hitting R10's legs. The facility weekly wound report-non pressure dated 5/27/24 documents a left shin skin tear and nothing…

  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 · Gcited before2023-08-25 · 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 observation, interview, and record review, the facility failed to effectively supervise a cognitively and functionally impaired resident during a meal service. This failure resulted in R1 spilling hot coffee onto R1's leg and sustaining a second degree burn to the thigh requiring extended medical treatment. R1 is one of three residents reviewed for supervision in the sample of three. Findings include: R1's Medical Diagnosis sheet (8/25/2023) documents diagnoses including Cerebral Infarction (stroke), Speech and Language Deficit, Epilepsy (seizure disorder), Dysphagia (swallowing difficulty), Slurred Speech, Cognitive Communication Deficit, and Parkinson's Disease (neurodegenerative disorder). R1's Resident Assessment (8/8/2023) documents R1 has severely impaired cognition and is totally dependent on staff, including physical assistance, for eating and drinking. R1's Care Plan (8/2023) documents R1 has impaired cognitive function/dementia or impaired thought processes related to Cerebrovascular Accident (stroke) and Parkinson's Disease (neurodegenerative disorder). The same…

  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 · Gcited before2023-05-17 · 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 observation, interview, and record review, the facility failed to ensure a safe transfer and implement a pressure relieving intervention to prevent pressure wounds for two (R29 and R23) of seven residents reviewed for pressure sores from a total sample list of 39. These failures resulted in R29 developing an unstageable pressure sore and R23 developing a deep tissue injury. Findings include: 1.) R29's undated diagnoses sheet documents diagnoses including pulmonary emboli, muscle contractures, Parkinson's Disease, hypertension, depression, hemiplegia and hemiparesis of the right side and Lewy Body dementia. R29's care plan identifies R29 as at risk for skin integrity due to fragile skin, incontinence, and poor mobility. The interventions listed include using caution during transfer and bed mobility to prevent striking arms, legs, and hands against any sharp or hard surface. R29's Minimum Data Set, dated [DATE] documents R29 as totally dependent for transfers with lower extremity impairment bilaterally…

  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 · Gcited before2023-05-17 · 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 observation, interview, and record review, the facility failed to prevent a fall for one (R18) of five residents reviewed for accidents on the sample list of 39. This failure resulted in R18 sustaining a right hip fracture requiring surgical intervention. Findings include: R18's Fall Risk Care plan with an initiation date of 10/19/21 documents R18 is at risk for falls due to history of falls, confusion, gait, and balance problems, and R18 is unaware of safety needs. On 5/15/23 at 11:20 AM, R18 was sitting in a wheelchair in the doorway. When asked if R18 has fallen, R18 rubbed the top of her right leg and stated she has broken her leg. R18's Nurse's Notes dated 1/10/2023 at 9:09 PM document, Nurse was at desk and heard sounds of something falling. Then heard (R18) yell help. When entered room (R18) was sitting at foot of bed yelling my hip is broke my hip is broke. (R18's) right leg had external rotation. (R18) stated she heard the phone ring and had to get up and answer it. (R18) was holding her portable in her hand. This note also documents R18 was sent to the emergency…

  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 · Gcited before2022-06-17 · 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, record review, and interview, the facility failed to maintain a safe environment free of tripping and pooling water floor hazards in a resident room. This failure affects one of six residents (R162) reviewed falls/accident hazards on the sample list of 30. Findings include: R162's Diagnoses Sheet dated 6/3/22 documents the following diagnoses: Aftercare Following Joint Surgery, Major Joint Replacement, primary diagnosis on Presence of Left Artificial Knee Joint, Insomnia, Primary Osteoarthritis of Knee, and Acute Posthemorrhagic Anemia. R162's Physician Order Sheet dated as Last Order Review: 6/9/2022, documents the following: Monitor surgical incision to left lower extremity, up walking frequently, Clarification: Skilled Occupational Therapy five times a week, for four weeks including self-care, neurological reeducation, manual therapy, group therapy, therapeutic exercises, and therapeutic activities, (and) Clarification: Skilled Physical Therapy five times a week, for four weeks including…

  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 before2025-01-28 · 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 protect the resident's right to be free from physical abuse for one (R1) resident by another resident (R2) of three residents reviewed for abuse in a sample list of three residents. Findings include: The facility's Incident Report Form dated 1/19/25, documents R2 struck R1 on the cheek while in the sunroom. R1's Minimum Date Set (MDS) dated [DATE], documents R1 is cognitively intact. R1's Care Plan dated 1/19/25, documents R1 was an alleged recipient of an alleged abuse by another resident in the facility. This Care Plan also documents R1 is at risk for inappropriate altercations with other residents that are not able to respect boundaries and may encourage negative attention in the community. On 1/28/25 at 12:30 PM, R1 stated R2 backhanded R1 in R1's mouth. R1 stated R1 does not know why. R1 stated R1 might have bumped into R2 with his wheelchair but is not sure. R1 stated R1 does not try to hurt anybody. R1 stated R1 did not have any injuries. R2's…

  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 · D2024-07-01 · 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

  Based on interview and record review the facility failed to follow physician orders for one (R10) of three residents reviewed for medication administration from a total sample list of 11 residents. Findings include: R1's undated diagnosis sheet documents the following diagnoses including Insomnia, Hyperlipidemia, Chronic Kidney Disease, Pulmonary Hypertension, Dysphasia, Urinary Tract Infection, Congestive Heart Failure, Asthma, Depression, Cognitive Communication Deficit, Anxiety, Gastroesophageal Reflux Disease, Myleodysplastic Syndrome, and Type II Diabetes Mellitus. The facility Medication Administration Policy dated March 2014 documents that drugs will be administered in accordance with orders of licensed medical practitioners of the State in which the facility operates. The facility Insulin Administration policy dated April 2007 documents the purpose is the safe administration of insulin to residents with diabetes. Equipment and supplies include a glucose monitoring device and insulin and the blood sugar is to be checked per physician order. R1's physician order dated 6/6/24…

  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 before2024-06-12 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility failed to obtain a consent to administer a psychotropic medication for one (R10) of five residents reviewed for psychotropic medications from a total sample list of 33. Findings include: The facility provided Psychotropic Medication Use- Management Policy dated 10/1/2019 documents that consent will be obtained from the resident or resident's representative to administer the psychotropic medication ordered and that consent must be obtained prior to administration of the medication. Additionally, consent in writing will be obtained on the psychotropic medication consent form. A telephone order may be obtained and recorded and then the consent form will be printed and forwarded for signature. R10's physician order dated 4/26/24 documents an order for Seratraline (Antidepressant) 75 milligrams (mg) to be administered daily. R10's medical record does not contain a signed consent for Seratraline 75mg, nor Seratraline 100mg. On 6/11/24 at 11:05 AM V2 Director of Nursing stated, I don't have a consents for the 75mg or the 100mg doses 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-12 · 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 report an allegation of physical abuse to the Abuse Coordinator for one (R22) resident out of one resident reviewed for abuse in a sample list of 33 residents. Findings include: R22's undated Face Sheet documents R22's medical diagnoses of Non Traumatic Intracerebral Hemorrhage, Diastolic Heart Failure, Paroxysmal Atrial Fibrillation, Hypertension, Unsteady on Feet and Abnormal Posture. R22's Minimum Data Set (MDS) dated [DATE] documents R22 as cognitively intact. This same MDS documents R22 as requiring maximum assistance for transfers using a total body mechanical lift and dependent on staff for dressing, toileting, bed mobility and person hygiene. R22's Care Plan intervention dated 4/12/23 instructs staff to report any signs of abuse to the Abuse Coordinator. On 6/10/24 at 9:46 AM R22 stated (V3) Certified Nurse Aide (CNA) pushed me around this morning. (V3) throws me around like a sack of potatoes. (V3) pushed me so hard one day she left bruises on…

  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 · D2024-06-12 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  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 maintain a urinary catheter in a safe, sanitary, and dignified manner for one resident (R38) of four residents reviewed for catheters in a sample list of 33. Findings include: The facility's policy Catheter Care Urinary revised September 2005 states The purpose of this procedure is to prevent Urinary Tract Infections. This policy also states Be sure the catheter tubing and drainage bags are kept off the floor. The policy also states The urinary drainage bag must be held or positioned lower than the bladder at all times to prevent the urine in the tubing and drainage bag from flowing back into the urinary bladder. The policy also states Ensure the catheter remains secured with a leg strap to reduce friction and movement at the insertion site. (note: catheter tubing should be strapped to the resident's inner thigh.) R38's Care Plan revised 6/12/24 includes the following diagnoses: Chronic Kidney Disease Stage 3B, Benign Prostatic Hypertrophy with Lower Urinary Tract Symptoms. On 6/10/24 at 12:00PM R38 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-12 · tag F0694 — isolated
  Provide for the safe, appropriate administration of IV fluids for a resident when needed.
  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 administer intravenous medication to prevent infection for one (R316) of one residents reviewed for intravenous medication administration from a total sample list of 33 residents. Findings Include: The facility Medication Administration, Intravenous Administration of Fluids and Electrolytes documents that staff will be knowledgeable regarding the safe and aseptic administration of intravenous fluids and electrolytes for hydration. Prime tubing of administration set, disinfect needleless connection device with alcohol wipe, flush catheter using normal saline per facility protocol, connect primed administration set to needleless connection device, and then open roller clamp. R316's diagnosis list includes: Cellulitis of left finger, Diabetes Mellitus Type Two, Rhabdomylosis, Insomnia, Depression, Hypertension and Joint Pain. R316's physician orders dated 6/11/24 document an order for Vancomycin (antibiotic) 1 gram (gm) to be given intravenously, daily for five days. On 6/12/24 at 9:10AM, V23 Licensed…

  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 · D2024-06-12 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  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 ensure a resident had an order for the use of oxygen and failed to ensure oxygen/nebulizer tubing/equipment was changed according to facility policy for two of three residents (R265 and R266) reviewed for respiratory care in a sample list of 33 residents. Findings include: The facility's Oxygen policy with effective date of 1/1/2015 states that tubing must be changed weekly and must be labeled with date and initials of individual who changed the tubing. The facility's undated Nebulizer policy documents nebulizer tubing and mask or t-tube (T shaped tube) device must be changed every 24 hours and rinsed post treatment. 1.) On 6/11/24 at 10:42 AM, R265 was in R265's room and there was an oxygen concentrator in the room. The hydration bottle on the concentrator and the oxygen tubing were not dated to indicate when they were changed. R265's Medication Administration Record and Treatment Administration Record dated 6/11/24 do not document an order for oxygen or an order for tubing changes for the oxygen or for 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2023-11-06 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  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 protect the resident's right to be informed of and participate in their treatment by failing to keep the resident's representative informed of a newly acquired infection and related treatment options for one of three residents (R1) reviewed for Resident Rights in the sample of three. Findings include: R1's Medical Diagnoses sheet dated November 2023 documents diagnoses of Dementia, Covid-10 History, Anxiety, Dysphagia, and Cognitive Communication. R1's Physician Order Sheet dated November 2023 documents an order for urine analysis via straight catheterization with culture and sensitivity and Cipro (antibiotic) 500 milligrams, one tablet by mouth, two times a day for seven days for Urinary Tract Infection starting 9/30/23. R1's Minimum Data Set, dated [DATE] documents R1 is severely cognitively impaired, frequently incontinent and requires extensive assist of two people for toileting. R1's Progress Notes dated 9/29/23 documents V5 Licensed Practical…

  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 · Fcited before2023-09-20 · tag F0880 — failed to prevent and control infections — widespread
  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 test all staff that were in close contact with a COVID-19 positive resident and failed to post isolation signage immediately on an isolation room after the resident testing positive for COVID-19. This failure has the potential to affect all 68 residents residing in the facility. Findings include: The facility's SARS-CoV-2 (COVID-19) Policy and Procedure: Testing Plan and Response policy with a revised date of 5/25/23 documents, It is the policy of this facility to minimize exposure to respiratory pathogens, promptly identify residents or healthcare personnel with signs or symptoms of COVID-19 and implement interventions based upon Federal and State/Local recommendations (to include admissions, visitation, standard and transmission-based precautions, hand hygiene, universal source control, PPE (Personal Protective Equipment) use, resident placement, etc. {etcetera}) to prevent and/or mitigate the spread of COVID-19. PROCEDURE: Asymptomatic residents and HCP (Healthcare Personnel) with a close contact 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2023-05-17 · 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 follow their Controlled Substance Storage policy by failing to maintain possession of the keys to medication/narcotic storage areas. This failure has the potential to affect all 20 residents residing on the 300-hall including: R6, R10, R12, R13, R20, R21, R22, R23, R24, R25, R29, R30, R36, R38, R39, R46, R50, R52, R53, and R259 from a total sample list of 39. Findings include: On 5/16/23 at 8:00AM, V3 (Licensed Practical Nurse/LPN) was ready to begin passing medications to residents when she stated that she did not have her cart/narcotic keys. V3 said that V2 (Director of Nursing/DON) had taken them and that she could not locate him. On 5/16/23 at 8:05AM, V6 (Licensed Practical Nurse/LPN) handed V3 the keys to the 300-hall cart. At this time, V3 (LPN) said that she would not let someone take her keys again because she needed to be able to provide care for her residents. The facility Controlled Substance Storage Policy dated 10/12/22 documents, Schedule II-V medications and other medication subject to abuse 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.

  Pharmacy Service 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

$152,711 in federal fines across 4 penalties. 1 Medicare payment denial on record.

• $95,030 — penalty dated 2026-03-06
• $14,505 — penalty dated 2025-04-16
• $30,137 — penalty dated 2024-06-12
• $13,039 — penalty dated 2023-08-25
• Medicare payment denial — starting 2026-04-04 for 14 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.

Who owns this facility

4 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.

This home reported $542K paid to related parties (affiliated landlords or management companies) in its most recent cost report. 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

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