Taylorville Care Center

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.

35.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 62 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 39.5% 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 38 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 0.24 therapist hours per resident per day in 2026Q1 — more than 32% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 2% 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 98 beds and averages 73.1 residents a day — about 75% occupied, or roughly 25 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 2.71 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.27 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.86 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 2.52 hrs/resident/day on weekends vs 2.79 on weekdays — 10% thinner on weekends. RN hours go from 0.28 to 0.24 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 36% 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.

42 citations, most serious first. The 18 most serious are shown; the remaining 24 are one tap away and print in full.

• Immediate jeopardy · Jcited before2026-01-30 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Failures at this level required more than one deficient practice statement. A-Based on observation, interview and record review the facility failed to provide supervision and ensure residents at high risk for elopement were not able to leave the facility without the facility being aware the resident has left for one of five residents (R4) reviewed for elopement in the sample of 13. This failure resulted in R4 eloping from the facility on 7/25/2025. R4 was observed wandering in a ditch and found by a community member not affiliated with the nursing home. This community member contacted the assisted living facility who in turn notified the facility and asked if a resident was missing. The facility was unaware that (R4) had eloped. Due to R4's poor safety awareness, poor judgement, and need for ongoing supervision, this failure could result in serious harm, serious injury, impairment and/or death. This past non-compliance occurred from 7/25/25 through 7/28/2025. B. Based on observation, interview and record review…

  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
• Immediate jeopardy · Lcited before2024-05-23 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — widespread
  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 provide supervision for residents who require supervised leave and have the potential for elopement for 2 of 2 residents (R5 and R8) reviewed for supervision to prevent accidents in the sample of 11. This failure resulted in R8 leaving the facility unsupervised, being found by a citizen walking on the road a block from facility at 10:48 PM. This failure has the potential to affect all 71 residents in the facility. This failure resulted in R5 leaving the facility being found on the ground by local police department at 9:08 PM, .6miles from the facility. The Immediate Jeopardy began on 4/28/2024 when R5 exited the facility without staff supervision and being found by the local police .6 miles from the facility on the ground. V1, Administrator, was notified of Immediate Jeopardy on 5/16/2024 at 10:02 AM. The surveyors confirmed by observation, interview, and record review, that the Immediate Jeopardy was removed on 5/23/24, but noncompliance…

  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
• Immediate jeopardy · J2024-05-23 · tag F0700 — isolated
  Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
  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 use alternatives to bed rails, and assess and monitor for risks including injury and entrapment related to the use of bed rails for 3 of 3 residents (R7, R10 and R6) reviewed for bedrails in the sample of 11. This failure resulted in an Immediate Jeopardy when R7's right arm was caught in the bedrail during care resulting in R7's fractured arm and decline in R7's overall physical condition. In addition, R10 was observed several times with her arm through the right bedrail on her bed. R10's documented history of dementia with behavior disturbances, hallucinations, and psychiatric history put R10's entrapment of her right arm through the bedrail at an increased risk of injury. The Immediate Jeopardy began on 4/21/24 when during care, R7's right arm was caught in the bedrail and R7 sustained a closed distal fracture to R7's right humerus. R7 had a known history of grabbing the siderail with a death grip. R7's Care Plan documents to ensure bed…

  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 before2024-06-10 · 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 prevent, identify, obtain orders and monitor pressure ulcers for 2 of 3 residents (R14 and R71) reviewed for pressure ulcers, in the sample of 44. This failure resulted in R14 going from 4/15/2024 until 4/30/2024 without treatment for or monitoring of a stage 3 facility acquired pressure ulcer. Findings include: 1. R14's Braden Score for predicting Pressure Sore Risk, dated 5/9/2024, documents that R14 is constantly moist, chairfast, and has very limited mobility to makes changes in body positioning. It further documents that R14 is at moderate risk for pressure ulcer development. R14's Progress Notes, dated 4/15/2024, documents, CNA (Certified Nurse Assistant) brought it to my attention during bed check that resident has an open area on her left buttock. The area was cleaned, and ointment was put on the area. It does not document if the physician was notified, the wound was measured, or an order was obtained. R14's Wound Summary Report,…

  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 before2024-05-23 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  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 notify the Physician of a change of condition and delay in diagnostics for 1 of 3 residents (R6) reviewed for physician notification in the sample of 11. This failure resulted in delay of treatment and pain management for R6's right distal femoral fracture. Findings include: R6's Resident Face Sheet, undated, documents that R6 was admitted on [DATE] with diagnoses of Dementia with Anxiety and Weakness of the Left Side. R6's Minimum Data Set, dated [DATE], documents that R6 is severely cognitively impaired, is dependent on staff for all mobility, activities of daily living, and does not ambulate. R6's Progress Note, dated 05/02/2024 at 02:00 PM, which was recorded as Late Entry on 05/03/2024 06:59 PM, documents, CNA (Certified Nurse Aide) reported swelling and tenderness noticed in residents right knee, reported to writer and floor (V18, Registered Nurse /RN) received and inserted order for knee xray. R6's Progress Note, dated 05/03/2024 at 05:30 PM,…

  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 before2024-05-23 · 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 interview and record review, the facility failed to timely treat an injury of unknown origin for 1 of 1 resident (R6) reviewed for quality of care in the sample of 11. This failure resulted in R6's ongoing pain and delay of treatment for a fractured leg. Findings include: R6's Resident Face Sheet, undated, documents that R6 was admitted on [DATE] with diagnoses of Dementia with Anxiety and Weakness of the Left Side. R6's Minimum Data Set, dated [DATE], documents that R6 is severely cognitively impaired, is dependent on staff for all mobility, activities of daily living, and does not ambulate. R6's Progress Note, dated 05/02/2024 at 02:00 PM, which was recorded as Late Entry on 05/03/2024 06:59 PM, documents, CNA (Certified Nurse Aide) reported swelling and tenderness noticed in residents right knee, reported to writer and floor (V18, Registered Nurse /RN) received and inserted order for knee xray. R6's Physician Order Report, dated 2/29/24 - 5/13/24, documents, Start Date 5/2/24. XRAY right knee 2 views AP…

  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 before2024-05-23 · 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 assess, measure, document, obtain orders for, prevent the development and worsening of pressure ulcers, and provide pressure ulcer treatment following nursing standards for 1 of 3 residents (R6) reviewed for pressure ulcers. This failure resulted in R6 sustaining a new pressure ulcer and 2 previous pressure ulcers worsening. Findings include: R6's Resident Face Sheet, undated, documents that R6 was admitted on [DATE] with diagnoses of Dementia with Anxiety and Weakness of the Left Side. R6's Minimum Data Set, dated [DATE], documents that R6 is severely cognitively impaired, is dependent on staff for all mobility, activities of daily living, does not ambulate and does not have a pressure ulcer. R6's Physician Order Report, dated 2/29/24 - 5/13/24, documents, Start date 5/7/24. Left buttocks - cleanse and apply medi honey with calcium alginate and cover with border gauze and PRN (as needed) for soiling / dislodging. Once a day. R6'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 · G2024-05-23 · 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 provide pain management for 1 of 3 residents (R6) in the sample of 11. This failure resulted in R6 being in pain from a sustained leg fracture without pain control for 2 days. Findings include: R6's Resident Face Sheet, undated, documents that R6 was admitted on [DATE] with diagnoses of Dementia with Anxiety and Weakness of the Left Side. R6's Minimum Data Set, dated [DATE], documents that R6 is severely cognitively impaired, is dependent on staff for all mobility, activities of daily living, and does not ambulate. R6's Physician Order Report, dated 2/29/24 - 5/13/24, documents, Start Date 2/29/24. Aleve tablet; 220 mg (milligram): 1 oral. Special Instructions: BID (twice daily) PRN (as needed). R6's Physician Order Report, dated 2/29/24 - 5/13/24, documents, Start Date Motrin IB (ibuprofen); tablet 220 mg; amt (amount): 2; oral. Dx: Pain. Four times a day. R6's May 2024 Medication Administration Record M documents that R6 had a pain scale of 4 (on 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 before2026-04-16 · 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 follow physician's orders for one (R2) of 4 sampled residents reviewed for wound treatment.Findings include:R2's Undated Face Sheet documents he was initially admitted to the facility on [DATE] and has diagnoses including: cellulitis of right lower extremity, edema, disorder of the skin and subcutaneous tissue and heart failure. R2's Quarterly Minimum Data Set (MDS) dated [DATE] documents he is cognitively intact and has one venous/arterial ulcer present. R2's Physician's Order Sheet (POS) dated 4/1/2026 right lower extremity (inner calf) cleanse with wound cleanser, apply gentamycin sulfate 0.1% ointment with calcium alginate with silver to bed of wound then cover with large border gauze daily and PRN (when needed) for soiling/dislodgement. Apply ace wrap during day upon rising. R2's Care Plan addresses skin breakdown on right lower extremity but doesn't address the physician's order to ace wrap it. On 4/14/2026 at 3:07 PM R2 was observed…

  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 before2025-10-09 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure residents were free from sexual abuse for one of three residents (R2) reviewed for abuse in the sample of three. Findings include:1-R1's Face Sheet documents R1 was admitted to the facility on [DATE] with diagnoses including chronic obstructive pulmonary disease (COPD) and nicotine dependence.R1's Minimum Data Set (MDS) dated [DATE] documented R1 was severely cognitively impaired and ambulated via wheelchair and walker.R1's Care Plan initiated 9/25/25 documents, Inappropriate sexual behavior - resident touched another female resident's genital area.2-R2's Face Sheet documents R2 was admitted to the facility on [DATE] with diagnoses including malignant carcinoid tumor of the bronchus and lung.R2's MDS dated [DATE] documented R2 was moderately cognitively impaired and ambulated via wheelchair and walker.R2's Care Plan initiated 8/21/25 documents R2 is at risk for abuse and neglect per assessment.The Facility's Initial Report sent to Illinois…

  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 · F2025-08-15 · tag F0801 — widespread
  Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
  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 employ a Director of Food and Nutrition. This has the potential to affect all 67 residents living in the Facility. Findings include: On 8/12/25 at 9:00 AM, during the initial kitchen inspection, there was no dietary manager in the Facility.On 8/12/25 at 9:08 AM, V7, Cook, stated she was unsure whether the Facility has a dietary manager and suggested checking with V1, Administrator.On 8/12/25 at 9:16 AM, V1 stated the previous dietary manager recently quit without notice, and they do not currently have a dietary manager.On 8/12/25 at 2:20 PM, V6, Dietary Aid, and V7 were working alone in the kitchen. They stated they have not had any supervision by management today.On 8/15/25 at 8:50 AM, V25, Registered Dietitian (RD), stated he visits the Facility three times a month and has not been asked to perform any additional duties since they have been without a dietary manager.From 8/12/25-8/15/25, no certified dietary manager was observed in the Facility.On 8/15/25 at 9:16 AM, V1 stated she expects the facility to…

  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 · F2025-08-15 · tag F0803 — failed to meet residents' dietary needs — widespread
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  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 its facility approved menu. This has the potential to affect all 67 residents living in the Facility.Findings include:The Facility's Weekly Menu documents the following will be served for lunch on 8/14/25: cornflake chicken thigh, hashbrown casserole, whole baby carrots, roll, dessert, and beverages.On 8/14/25 at 12:50 PM, V10, Medical Records, was serving lunch from the steam table in the kitchen. The items being served included fried chicken, baked potato, baked beans and a cookie.On 8/14/25 at 1:08 PM, V10 stated carrots were on the menu for both lunch and supper, so she decided they would just have the carrots tonight. She did not check with the Registered Dietitian (RD) to make sure menu changes were acceptable.On 8/15/25 at 8:50 AM, V25, RD, stated it is important to follow Facility menus, and the carrots should not have been omitted from the meal.On 8/15/25 at 9:16 AM, V1, Administrator, stated she expects dietary staff to follow dietary policies.The Facility's Menus and Food Preparation Policy…

  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 · F2025-08-15 · tag F0809 — failed to serve meals on a reasonable schedule — widespread
  Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
  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 meals at scheduled times and offer snacks, including at bed time. This has the potential to affect all 67 residents living in the Facility.Findings include: On 8/13/25 at 9:00 AM, during the Resident Council group meeting, R4, R24, R45, and R46 all stated the Facility has not been providing snacks.On 8/13/25 at 11:58 AM, V6, Dietary Aid, stated he does not know anything about snacks and has never passed them out before.On 8/13/25 at 12:04 PM, V13, Certified Nursing Assistant (CNA), stated dietary should be bringing a snack cart to the nurse's station, but it has not been done for the past month or so.On 8/13/25 at 12:07 PM, V12, CNA, stated snacks are not being passed in the Facility. She stated they used to take a cart with snacks and drinks to offer to each resident, but they do not do that anymore.The Facility's Meal Times documents breakfast is served at 7:00 AM, lunch is served at 12:00 PM, and dinner is served at 5:00 PM daily.On 8/12/25 at 1:12 PM, the last resident tray was served. V7, Cook,…

  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 · Fcited before2025-08-15 · 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 foods were stored and prepared in a manner that prevents foodborne illness. This has the potential to affect all 67 residents living in the Facility.Findings include:On 8/12/25 at 9:00 AM, V6, Dietary Aid, was unloading clean dishes that had just run through the dish machine and putting them away on shelves. V6 dropped a plastic cup on the floor, picked it up, and put it back in the crate containing clean dishes. V6 continued to unload dishes until all glassware was placed on shelves. V6 stated he did not know what happened to the cup that fell on the floor. V6 stated dietary staff do not have to check sanitizer levels or temperatures on the dish machine. On 8/12/25 at 9:05 AM, in the dry storage room, there was a dented can of beef ravioli on a shelf with several other cans. V7, Cook, stated there is no separate place where dented cans are stored. On 8/12/25 at 9:08 AM, next to the three-compartment sink, there was a clear container with a white powdery substance inside. The container was not covered,…

  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 · E2025-08-15 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  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 interview, observation, and record review, the Facility failed to provide residents with palatable and safe temperature meals for 8 of 8 residents (R4, R20, R24, R27, R28, R43, R45, R46) reviewed for food and nutrition services in the sample of 33.Findings include: On 8/12/25 at 10:20 AM, R20 stated the food lacks flavor and is never at the right temperature.On 8/12/25 at 10:24 AM, R28 stated the Facility's food is just not good. It is always cold, and the toast is hard.On 8/12/25 at 10:40 AM, R43 stated the food quality could be better. On 8/12/25 at 10:50 AM, R27 stated the food is cold and tastes bad.On 8/13/25 at 9:00 AM, during the Resident Council group meeting, R4, R24, R45, and R46 all stated the kitchen and food quality have really gone downhill.On 8/12/25 at 1:12 PM, food temperatures were obtained with a metal calibrated thermometer after the last resident tray was served. The ham salad measured 55 Fahrenheit (F). The pureed ham salad measured 68 F. The pureed deviled eggs measured 71 F.On 8/15/25 at 8:50 AM, V25, Registered Dietitian (RD), stated 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 · E2025-08-15 · tag F0805 — failed to prepare food in a form residents can eat — pattern
  Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
  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 food in a form that meets individual needs for 4 of 4 residents (R9, R40, R44, R51) reviewed for food and nutrition services in the sample of 33.Findings include: On 8/14/25 at 1:08 PM, R40 was sitting in the dining room feeding himself lunch. There was a baked potato with the skin on his plate. He picked up the skin of the potato with his fingers and attempted to take a bite. V10, Medical Records, stated she just finished serving lunch, and the residents on mechanical soft diets received baked potatoes with skin.R40's Diet Order starting 12/13/24 documents regular, mechanical soft diet.R44's Diet Order starting 11/18/24 documents regular, mechanical soft diet.R51's Diet Order starting 7/16/25 documents no added salt, mechanical soft diet.R9's Diet Order starting 11/13/24 documents regular, mechanical soft diet. On 8/15/25 at 8:50 AM, V25, Registered Dietitian (RD), stated mechanical soft diets should not have potato skins. He stated they could have mashed potatoes, diced potatoes, or potatoes with…

  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 · D2025-05-01 · tag F0557 — isolated
  Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
  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 promote dignity and to treat residents in a respectful manner during care for 3 of 10 residents (R1, R2, and R4) reviewed for dignity in a sample of 10. Findings Include: R2's face sheet, print date of 4/30/25, documented R2 has diagnoses including flaccid hemiplegia affecting left dominant side and dysphasia following cerebral infarction, hypertension, hyperlipidemia, epilepsy, and arthritis. R2's MDS (Minimum Data Set), dated 3/22/25, documented R2 is cognitively intact, is dependent on a wheelchair and assistance for mobility, and is dependent on facility staff for hygiene needs including showers. R2's care plan, undated, documented category: psychosocial well-being, I am considered at risk for abuse/neglect per assessment with approaches including address all complaints/concerns promptly with grievance policy and procedure. Category ADLS (activities of daily living), resident needs limited to extensive assistance for activities of daily living…

  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 · Dcited before2025-05-01 · 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

  Based on interview and record review the facility failed to report an allegation of verbal and physical abuse to the State Agency for 1 (R2) of 3 residents reviewed for abuse in the sample of 10. Findings Include: R2's face sheet, print date of 4/30/25, documented R2 has diagnoses including flaccid hemiplegia affecting left dominant side and dysphasia following cerebral infarction, hypertension, hyperlipidemia, epilepsy, and arthritis. R2's MDS (Minimum Data Set), dated 3/22/25, documented R2 is cognitively intact, is dependent on a wheelchair and assistance for mobility, and is dependent on facility staff for hygiene needs including showers. R2's care plan, undated, documented category: psychosocial well-being, I am considered at risk for abuse/neglect per assessment with approaches including address all complaints/concerns promptly with grievance policy and procedure. Category ADLS (activities of daily living), resident needs limited to extensive assistance for activities of daily living related to CVA (cerebral vascular accident), flaccid on left side with approaches 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.

  Freedom from Abuse, Neglect, and Exploitation 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

$247,115 in federal fines across 2 penalties.

• $84,940 — penalty dated 2026-01-30
• $162,175 — penalty dated 2024-05-23

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 PALLADIAN HEALTHCARE — 6 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 4 rows in the source record cover these 2 parties — each is shown once here with every role it holds. Nothing is omitted.

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 $277K 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