Cass County Senior Living & Rehabilitation LLC

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

Therapy staffing: this home’s payroll records show 0.28 therapist hours per resident per day in 2026Q1 — more than 42% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 29% 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 28.1 residents a day — about 40% occupied, or roughly 43 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.33 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.42 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.17 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.21 hrs/resident/day on weekends vs 3.39 on weekdays — 5% thinner on weekends. RN hours go from 0.51 to 0.21 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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

Inspection deficiencies

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

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.

21 citations, most serious first. The 11 most serious are shown; the remaining 10 are one tap away and print in full.

• Actual harm · G2026-03-03 · 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 secure a treatment orders promptly, and delayed the implementation of new interventions once skin breakdown was discovered to prevent worsening of a pressure wound for one of two residents (R23) reviewed for pressure ulcers in the sample of 24. These failures resulted in R23's facility acquired pressure wound worsening to a stage three.Findings include:The Prevention of Pressure Ulcers/Injuries policy dated 07/2017 documents The purpose of this procedure is to provide information regarding the identification of pressure ulcer/injury risk factors and interventions for specific risk factors. Risk Assessment 4. Inspect the skin on a daily basis when performing or assisting with personal care or ADL's (Activities of Daily Living). a. Identify any signs of developing pressure injuries (i.e. (example), non-blanchable erythema). b. Inspect pressure points (sacrum, heels, buttocks, coccyx, elbows, ischium, trochanter, etc. (etcetera). Prevention…

  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 · D2026-05-08 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  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 without significant medication errors for one (R1) of three reviewed for medication administration.Findings include:The Facility's undated Telephone Orders Policy documents Verbal telephone orders may only be received by licensed personnel. Orders must be recorded in the resident's medical record.R1 was admitted to the facility on [DATE] with diagnoses to include Hypertension, Osteoarthritis, Dementia, Parkinsonism, Benign Prostatic Hyperplasia, and Cerebrovascular Disease.R1's laboratory results dated [DATE] document a Prothrombin Time result of 47.8 (high) and an INR (International Normalized Ratio) result of 5.1 (Critically High). The purpose of a Prothrombin Time and INR is to measure how quickly blood forms a clot.R1's Nurses Note dated 2/12/26 at 5:48 PM documents Facility received a faxed request from V5 (Medical Director) for results of PT/INR for R1 that was to be drawn on 2/9/26. Upon review of R1's records, no lab 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-03-03 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record review and interviews the facility failed to ensure a Registered Nurse (RN) worked at least eight hours daily. This failure has the potential to affect all 26 residents residing within the facility.Findings include: The facility's Nurse Schedule, January 1st through February 28th, 2026, documents the facility did not have the services of a registered nurse at least eight hours a day on 01/31/26, 2/14/26, 2/15/26, and 2/28/26.On 3/1/26 at 11:24 AM V2/RN/Prior Director of Nursing verified the provided nurse schedules were accurate and on 1/31/26, 2/14/26, 2/15/26, and 2/28/26 no RN worked those days. V2/DON stated, I am responsible for scheduling the nurses. We have a hard time finding any RNs to work. That's why we cannot provide RN coverage eight hours per day. It's been like that since I started in August 2025.The facility's CMS (Centers for Medicare and Medicaid Services) Form 671 dated 3/1/26 and signed by V1/Administrator documents 26 residents reside within the facility.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-03-03 · 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 that the food items opened in the kitchen's dry storage, refrigerator and freezer were dated and labeled. These failures have the potential to affect all 26 residents residing in the facility.Findings include: The facility's Food Storage (Dry, Refrigerated, and Frozen) Policy, dated 3/31/25, documents Guidelines: Food shall be stored on shelves in a clean, dry area, free from contaminants. Food shall be stored at appropriate temperatures and using appropriate methods to ensure the highest level of food safety. Procedure: 1. a. All food items will be labeled. The label must include the name of the food and the date by which it should be sold, consumed, or discarded.On 3/1/26 at 8:43 AM, a tour was conducted with V7/Cook. The facility's stand-up freezer in the kitchen contained a one-gallon clear baggy with two egg rolls (undated/labeled and not stored in original packaging) and a half-opened bag of frozen dinner rolls (undated/labeled). The stand-up refrigerator/freezer located in the kitchen had an…

  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 · D2026-03-03 · 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 resident's physician in a timely manner following a significant change in condition (fall with head injury) while receiving an anticoagulant medication Eliquis, for one (R27) of one resident reviewed for physician notification out of a sample list of 24. Findings include:The facility's Change in a Resident's Condition or Status policy, revised 5/2017, documented the facility shall promptly notify the resident, the resident's attending physician, and the resident's representative of changes in the resident's medical or mental condition and/or status. The policy further documented the nurse will notify the resident's attending physician or on-call physician when there has been an accident or incident involving the resident and document the notification in the resident's medical record.R27's Risk Management Assessment documented R27 experienced a fall on 2/27/26 in his room while with Certified Nursing Assistants (CNAs). R27's Nurse Progress…

  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 · D2026-03-03 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  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 document an appropriate diagnosis and target behaviors to warrant the use of anti-psychotic medications for two of six residents (R1 and R29) reviewed for anti-psychotic medication use with the diagnosis of Dementia in the sample of 24. Findings include: The facilities Psychotropic Medication Use Policy, dated 2/2025, documents Policy Statement: Residents do not receive psychotropic medication that are not clinically indicated and necessary to treat a specific condition documented in the medical record. Policy Interpretation and Implementation: 2. Medications in the following categories are considered psychotropic medications and are subject to prescribing, monitoring, and review requirements specific to psychotropic medications: Antipsychotics. 3. Psychotropic medication management is an interdisciplinary process that involves the resident, family, and/or the representative and includes: A. determining adequate indications for use.…

  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 · D2026-03-03 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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 the comprehensive care plan was revised to reflect current interventions implemented for mobility and fall prevention for one (R26) of one resident reviewed for care plan revision in a sample of 24 residents.Findings include: The facility's Care Plans, Comprehensive Person-Centered policy revised 12/2016 documents Assessments of residents are ongoing, and care plans are revised as information about the residents and the residents condition changes. On 3/03/2026 at 9:30 AM, R26 was observed lying in bed with the bed pushed against the wall and a fall mat positioned next to the bed. A high-back wheelchair with a foot board and stability cushion was observed in R26's room.On 3/03/2026 at 9:32 AM, R26's Comprehensive Care Plan did not include the fall mat next to the bed as a fall intervention and did not contain documentation of a scoop mattress. Further review revealed the care plan documented a non-slip mat was to be used in R26's wheelchair to prevent R26 from slipping out of the chair; however, no…

  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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-03 · 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 interview and record review the facility failed to provide ordered medication for one of one resident (R17) reviewed for quality of care in the sample of 24.Findings include:The Ombudsman Residents' Rights Booklet documents Your facility must treat you with dignity and respect and must care for you in a manner that promotes your quality of life. Your facility must provide services to keep your physical and mental health at their highest practical levels.R17's Face Sheet documents that R17 is a [AGE] year-old that was admitted to the facility on [DATE] with diagnoses which included Age Related Osteoporosis, Chronic Fatigue, Muscle Weakness, and Genetic Related Intellectual Disability.R17's Hospital Discharge Medication List dated 2/6/26 at 11:43 AM, documents Testosterone Transdermal Gel 20.25 mg (milligram)/1.25 gm (gram) Apply two pumps transdermal one time a day to R17's shoulders. R17's Nursing Note written by V20/Registered Nurse/RN dated 2/6/26 at 3:44 PM, documents V20 called V21/Hospital Doctors…

  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 before2026-03-03 · 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 ensure residents were free from accident hazards and received adequate supervision and assistive devices to prevent accidents for one (R27) of one resident reviewed for accidents in the sample list of 24. This failure resulted in (R27), a resident prescribed a blood thinner (Eliquis), falling from a wheelchair and striking his head on the floor, sustaining a large, painful discolored area to the back of the head. Findings include: The facility's Change in a Residents' Condition or Status policy revised 5/2017 documents our facility shall promptly notify the resident, his or her attending Physician, and representative of changes in the resident's medical/mental condition and/or status (changes in level of care, resident rights, etcetera) The Nurse will notify the residents attending physician on call when there has been an accident or incident involving the resident. The nurse will record in the resident's medical record information…

  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 · D2026-03-03 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to replace oxygen tubing and humidifier bottle for one two residents (R1) reviewed for oxygen in the sample of 24.Findings include:The facility Oxygen Administration policy dated 10/2010 documents The purpose of this procedure is to provide guidelines for safe oxygen administration.The Administering Medication through a Small Volume (Handheld) Nebulizer dated 10/2010 documents The purpose of this procedure is to safely and aseptically administer aerosolized particles of medication into the resident's airway. Steps in the Procedure 30. Change equipment and tubing every seven days, or according to facility protocol.R1's Face Sheet documents that R1 is a [AGE] year-old that was admitted to the facility on [DATE] with diagnoses which included Acute Respiratory Failure, Chronic Obstructive Pulmonary Disease, and Vascular Dementia, Mild, with Other Behavioral Disturbances.R1's Care Plan documents that R1 is at risk for Respiratory complications 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 · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-03 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, observation, and record review, the facility failed to apply a gown prior to providing high-contact care for a resident with a wound for one of one resident (R6) reviewed for EBP (Enhanced Barrier Precautions) in the sample of 24. Findings include: The Enhanced Barrier Precautions Sign, undated, documents Everyone Must: Clean their hands, including before entering and when leaving the room. Providers and Staff Must Also: Wear gloves and a gown for the following High-Contact Resident Care Activities- Dressing, Bathing/Showering, Transferring, Changing Lines, Providing Hygiene, Changing Briefs or Assisting with Toileting, Device Care or Use: Central Line, Urinary Catheter, Feeding Tube, Tracheostomy, Wound Care (any skin opening requiring a dressing).The facility's Enhanced Barrier Precautions Policy, dated 3/28/24, documents Definition: EBP (Enhanced Barrier Precautions) expand the use of PPE (Personal Protective Equipment) and refer to an infection control intervention designed to reduce…

  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.

Part of a chain

This home belongs to WLC MANAGEMENT FIRM — 18 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 16 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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

Follow the money — this home’s finances

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

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