Springfield Suites Rehab And Nursing

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.

63.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 477 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 62.7% 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 126 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 0.69 therapist hours per resident per day in 2026Q1 — more than 92% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 16% 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 75 beds and averages 69.4 residents a day — about 93% occupied, or roughly 6 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 4.94 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.74 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.33 is at or above 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 4.02 hrs/resident/day on weekends vs 5.31 on weekdays — 24% thinner on weekends — a notable drop. RN hours go from 0.82 to 0.56 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 57% is well above 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 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.

28 citations, most serious first. The 13 most serious are shown; the remaining 15 are one tap away and print in full.

• Actual harm · Gcited before2025-03-25 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the Facility failed to ensure pain medications were readily available for administration in order to prevent increasing pain/discomfort for 2 of 4 (R2, R3) residents reviewed for pain medications in the sample of 4. Findings include: 1.) R3's Face Sheet documents admission date of 12/1/2024. Diagnoses include Noneffective Gastroenteritis and Colitis, Intestinal Bypass and Anastomosis Status, Spinal Stenosis, Diarrhea, and Volvulus. R3's Minimum Data Set, MDS, dated [DATE] documents R3 has no cognitive impairments. MDS documents R3 requires partial assist with transfers and supervision with bed mobility. R3's Care Plan updated 12/21/2024 documents R3 currently has an alteration due to pain related to Arthritis. Scheduled Norco and Tylenol effective. As needed, PRN, pain medication available when needed. Interventions include administer medication & treatments ordered by Medical Doctor (MD) and monitor for side effects and effectiveness to current medication regimens. R3'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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-11-25 · tag F0550 — failed to protect resident dignity and rights — isolated
  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 interview and record review, the Facility failed to ensure residents are treated with dignity and respect by providing timely care which promotes quality of life for 2 of 24 residents (R117, R11) reviewed for dignity, in the sample of 44. This failure resulted in R117 experiencing prolonged pain and feeling undignified, and R11 feeling embarrassed. Findings include: 1. On 11/18/2024 at 9:53 AM, R117 stated he turned on his call light the night prior, to request pain medication. R117 states he has a lot of pain due to a broken left hip as well as chronic pain in both legs. R117 stated it was approximately two hours before he received his pain medication, which did provide some relief after he received it. R117 stated the nurse chewed him out about using my call light too much and that once is enough. R117 stated he had to use it more than once to get help. R117 stated he did not tell anyone about it because he did not feel like it was abusive, but it did make him feel like I don't matter much. 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-11-25 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the Facility failed to ensure residents pain was addressed, assessed and medication provided in a timely fashion for 1 of 24 residents (R117) reviewed for pain management, in the sample of 44. This failure resulted in R117 experiencing prolonged, unrelieved pain. Findings include: R117's Face Sheet, undated, documents R117 was admitted to the facility on [DATE] with diagnoses including left femur fracture and chronic pain syndrome. On 11/18/2024 at 9:53 AM, R117 stated he turned on his call light the night prior, to request pain medication. R117 states he has a lot of pain due to a broken left hip as well as chronic pain in both legs. R117 stated it was approximately two hours before he received his pain medication, which did provide some relief after he received it. On 11/19/2024 at 1:56 PM, V20, Minimum Data Set (MDS) and Care Plan Coordinator, stated R117 was on scheduled Oxycodone for pain, but it was changed to a PRN (as needed) order on 11/13/2024. V20 stated R117 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 · Ecited before2025-12-03 · tag F0761 — failed to label and store drugs safely — pattern
  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 insulin vials for 4 of 6 residents in a sample of 37 residents residing in the facility.Findings include:On 9/29/2025 at 1:07 PM the facility's F Hall medication cart was inspected. The cart contained the following:1. 2 of R21's open and partially used multi dose Lantus Subcutaneous Solution 100 UNIT/ML vials. The vials documented no open or expiration date. 2. An open and partially used Humulin R vial. The vial documented no name, and no open or expiration date.3. R7's open and partially used multi dose Tresiba FlexTouch Subcutaneous Solution Pen-injector 200 UNIT/ML. The pen documented no open or expiration date.On 9/29/2025 at 1:09 PM V8, Licensed Practical Nurse (LPN) stated that the R21's Lantus vials were open and in use. V8 stated that the Humulin R vial was open and in use. V8 stated that the vials are to be labeled with an open date when open. V8 stated that the Humulin R multidose vial is a stock medication that anyone can use if they have an order and no allergy.…

  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 · Ecited before2025-12-03 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, observations, and record reviews the facility failed to complete hand hygiene prior to conducting resident care, prior to and after donning gloves, and failed to apply a gown for enhanced barrier precautions for 5 of 8 residents (R14, R60, R57, R44 and R67); reviewed for infection control in a sample of 37.Findings include:1.R14's Facesheet documented he was admitted to the facility on [DATE] with diagnosis of spinal stenosis, acute pancreatitis, and peripheral vascular disease. 2.R60's Facesheet documented she was admitted to the facility on [DATE] with diagnosis of senile degeneration of brain, nausea, and palliative care. 3.R57's Facesheet documented she was admitted to the facility on [DATE] with diagnosis of spinal stenosis, generalized osteoarthritis, and vitamin deficiency. 4.R44's Facesheet documented she was admitted to the facility on [DATE] with diagnosis of senile degeneration of brain, palliative care, and chronic pain. On 9/29/25 at 12:20 PM, V5 Certified Nursing Assistant…

  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 before2025-12-03 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  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 check residual, for 1 of 1 (R67) resident, reviewed for enteral gastrostomy tube maintenance, in a sample of 37.Findings include:On 09/30/2025 at 9:00 AM, V11, Registered Nurse (RN), prepared medications for R67, she then entered R67's room donned a pair of gloves, and administered Modafinil 100 milligrams (mg), Norco 7.5 mg/325 milliliters (ml), Vitamin B-1 100 mg and an 81 mg chewable aspirin through R67's enteral feeding tube without out checking for residual or placement. R67's Face sheet, dated 12/2/2025, documented diagnoses of Cerebral Infarction, Dysphagia and Dysphagia following Cerebral Infarction. R67's MDS, dated [DATE], documented that her cognition was not intact.R67's Physicians order sheet, dated 9/5/25 documented Specify: Flush with 50 ML's water before and after admin of tube feed. Flush with 30 ML's water before and after each med administration, It continues, Infection precautions - enhanced barrier Staff wear gown/…

  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 · F2025-11-19 · tag F0804 — failed to serve food at safe, palatable temperature — widespread
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  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 check food temperature of all food items prior to serving and provide food at the correct temperature. This has the potential to affect all 65 residents residing at the facility. Findings include:On 11/15/2025 at 9:23AM R1 stated she eats breakfast in her room, but all other meals in the dining room. R1 stated at times food is not correct temp (cold) R1 stated staff will warm up if she asks.On 11/15/2025 at 1:20PM R4 stated the food is not always the correct temp, On 11/17/2024 at 11:42AM V18, cook checked the food temperature of pasta with red sauce, and pasta without sauce on the steam table. V18 did not check the food temperature of California blend vegetables, green beans, mechanical soft pasta or mechanical green beans. On 11/17/2025 at12:00PM prior to first plate food temps taken at steam table by surveyor. Mechancial soft green beans in food processor plastic container sitting on steam table 116 F. On 11/17 2024at 1:24PM test tray removed from cart after staff passed last tray. Pasta with red sauce…

  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 · Dcited before2024-12-06 · 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 provide an appropriate number of staff to assist in a transfer in 1 of 5 residents (R2), reviewed for falls in the sample of 7. Findings include: R2's Face Sheet, undated, documents R2 has the following diagnoses: Fracture of the Thoracic Vertebra, Pulmonary Embolism (PE), Fusion of Spine, Post Laminectomy Syndrome and Spinal Stenosis. R2's Minimum Data Set, dated [DATE], documents R2 has a Brief Interview for Mental Status Score of 13, indicating R2 is cognitively intact, requires partial/moderate assist with transfers and has a history of falls with fractures. R2's Care Plan, dated 8/30/24, documents R2 is at risk for falls with interventions dated 9/23/24 to have therapy evaluate R2's transfer status and educate staff on R2's transfer status. R2's care plan goes on to document that R2 has an activities of daily living deficit with and requires an assistance of two with transfers. R2's Progress Note, dated 9/22/24 at 9:45 AM, documents the following:…

  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 · F2024-11-25 · tag F0732 — widespread
  Post nurse staffing information every day.
  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 post the daily nursing staff hours daily. This failure has the potential to affect all 58 residents residing in the facility. Findings include: On 11/19/24 at 11:30 AM, the survey team observed the posted daily nursing staffing hours by the front entrance to the facility. This document was dated 11/14/24. On 11/20/24 at 1:43 PM, V1, Administrator stated that the nursing department hours are supposed to be posted every day and she does not know why it had not been posted since 11/14/24 when the nursing department staffing post was observed by the survey team on 11/19/24. V1 stated V21 is responsible for posting the daily nursing department staffing hours. On 11/21/24 at 10:08 AM, V21, Scheduler stated that she is the one responsible for posting the daily nursing department hours. V21 stated that she does not know who is responsible for posting the nursing department hours on the weekends. V21 stated that her shift does not start until 10 AM and she does not know why the last daily nursing staff hours posted 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 before2024-11-25 · 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 safely prepare medication, properly store medication, and to date medication bottles when opened, the Tuberculin (TB) vial was opened and undated and is used for all staff and residents. This has the potential to affect all residents living at the facility. Findings include: On 11/19/24 at 8:55 AM, V5, LPN (Licensed Practical Nurse) was observed with 5 unlabeled medication cups containing multiple pills that were placed on top of the F hall medication cart. Surveyor asked V5 how she safely administers the medications to the residents when the cups are unlabeled and already pre-poured into the individual unlabeled medication cups. V5 stated I just go in order by room number, so I don't label the cups. V5 then proceeded down the F hall with the 5 medication cups in her hands and passed the medications to R64, R47, R44, R27, and R17. V5 did not perform hand hygiene at any time during administration of the medications. V5 assisted with repositioning R47 during this observation and at no time did V5 perform hand…

  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 before2024-11-25 · 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 observation, interview, and record review, the facility failed to ensure food was stored in a manner that prevents potential contamination and failed to ensure required kitchen staff wear beard coverings. This has the potential to affect all 58 residents living in the facility. Findings include: On 11/19/24 at 9:26 AM, an initial tour was conducted of the kitchen and the following was noted: On 11/19/24 at 09:26 AM V10, Food and Beverage Manager, had a facial beard and was not wearing beard guard or cover. On 11/19/2024 at 9:40 AM, in the dry storage area, three bags of spaghetti noodles were open, unsealed, and not dated or labeled. A bag of dry corn cereal, dry multi-colored cereal, and dry frosted cereal were found to be open, unsealed, and not dated or labeled. A bag of all-purpose flour was open, unsealed, and not dated or labeled. On 11/19/2024 at 9:43 AM, in the walk-in refrigerator, a bag of shredded white cheese and a bag of shredded orange cheese were rolled up, unsealed and not dated or labeled. Two containers of barbeque sauce were open and undated. Two…

  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 · F2024-11-25 · tag F0867 — failed to act on quality-improvement findings — widespread
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  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 develop a comprehensive policy and procedure for Quality Assurance Improvement Plan and failed to ensure corrective actions/performance improvement is sustained. This has the potential to affect all 58 residents living in the facility. Finding include: 1. On 11/18/24, the facility provided Quality Assessment and Assurance Policy, effective date of 11/28/16. This was a one-page document. The policy documents The committee will: Meet at least quarterly, and as needed to coordinate and evaluate activities under the QAPI program, such as identifying issues with respect to which quality improvement projects required under the QAPI program, are necessary; AND Develop and implement appropriate plans of actions to correct identify quality deficiencies; AND Regularly review and analyze data, including data collected under the QAPI Program and data resulting from drug regimen review, and act on available data to make improvements. This policy did not address procedures regarding how the facility will obtain feedback…

  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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-11-25 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, failed to provide ongoing tracking and trending of residents' and employees' infections, failed to update infection control policies, failed to implement infection control precautions, and failed to provide hand-hygiene during medication administration and resident care to prevent the spread of infections. This has the potential to affect all 58 residents in the facility. Findings include: 1.On 11/18/24, the facility provided the infection control log. There was no infection control log for November 2024. On 11/19/24, at 2:54 PM, V2, Director of Nursing (DON), stated the infection control log was a work in progress. On 11/21/24 at 11:11AM V2, Director of Nursing stated she pulls the antibiotic list from the facility's system. She stated she attempts to pull the antibiotic list weekly and then transfers the information to the log. She said that she has not completed November. She said that she does review the cultures. She said that if a resident is admitted…

  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

“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

No federal fines in the current CMS record. 1 Medicare payment denial on record.

• Medicare payment denial — starting 2024-12-18 for 1 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 STERN CONSULTANTS — 22 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

CMS files one row per role, so the 38 rows in the source record cover these 18 parties — each is shown once here with every role it holds. Nothing is omitted.

8 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.

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