{"schema_version":"1.0.0","facility":{"id":"cms-145508","ccn":"145508","name":"Highland Health Care Center","source_name":"HIGHLAND HEALTH CARE CENTER","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"IL","address":{"line1":"1450 26th Street","city":"Highland","state":"IL","zip":"62249","county_name":"Madison County","county_fips":"17119","county_method":"name_match","ssa_county_code":"680","urban":true},"location":{"lat":38.7263,"lon":-89.673,"method":"cms_published_coordinates"},"phone":"6186542368","certification":{"authority":"CMS","ccn":"145508","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1984-06-20","certified_beds":128,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/145508"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":128,"avg_residents_per_day":84.3},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name":"HIGHLAND CARE AND REHABILITATION CENTER LLC","flags":{"ccrc":false,"abuse_icon":true,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":1},"health_inspection":{"value":2},"quality_measures":{"value":4},"long_stay_qm":{"value":5},"short_stay_qm":{"value":3},"staffing":{"value":1},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.1476,"lpn_hprd":0.4889,"rn_hprd":0.62895,"licensed_hprd":1.11785,"total_nurse_hprd":3.26545,"weekend_total_nurse_hprd":2.80576,"weekend_rn_hprd":0.5302,"pt_hprd":0.05412,"nursing_turnover_pct":64.7,"rn_turnover_pct":28.6,"administrators_left":2,"case_mix_index":1.82474,"case_mix_index_ratio":1.29391,"case_mix_total_nurse_hprd":5.04735,"adjusted_total_nurse_hprd":2.5039,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-02-20","cycle1_deficiencies":6,"cycle1_score":36,"cycle2_date":"2024-09-27","cycle23_deficiencies":15,"cycle23_score":267,"total_weighted_score":93.75,"infection_control_citations":0},"cms_penalty_counts":{"fines":1,"fine_total":23319,"payment_denials":0,"total":1},"chain":{"id":"cms-chain-170","cms_chain_id":"170","name":"CREST HEALTHCARE CONSULTING"},"operator_id":"op-highland-care-and-rehabilitation-center-llc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/145508","provenance":[{"source_id":"cms_provider_info","source_record_id":"145508","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=145508&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"145508","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=145508&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":16,"health_count":12,"fire_count":4,"complaint_count":10,"latest_date":"2026-02-20","latest_standard_health":"2026-02-20","earliest_date":"2023-10-13","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":45,"health_count":27,"fire_count":18,"open_count":0,"actual_harm_count":3,"immediate_jeopardy_count":1,"serious_count":4,"complaint_count":15,"by_severity":{"potential":38,"minimal":3,"actual_harm":3,"immediate_jeopardy":1},"by_scope_severity":{"F":12,"E":11,"D":15,"B":3,"G":3,"L":1},"by_concept":{"environment_life_safety":21,"resident_rights":6,"clinical_care":13,"medication":1,"infection_prevention":2,"food_nutrition":2},"type_ids":["cms-k0353","cms-k0354","cms-k0711","cms-k0321","cms-k0761","cms-k0923","cms-f0600","cms-f0610","cms-f0698","cms-f0912","cms-f0677","cms-f0689","cms-k0372","cms-f0697","cms-k0712","cms-k0914","cms-k0918","cms-f0761","cms-f0881","cms-f0684","cms-f0693","cms-f0584","cms-f0609","cms-k0345","cms-k0363","cms-f0812","cms-f0804","cms-f0686","cms-f0690"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":1,"fines":1,"fine_total":23319,"payment_denials":0,"latest_date":"2025-12-05"},"ownership_summary":{"disclosures":10,"organizations":2,"individuals":7,"not_available":false}},"row":{"id":"cms-145508","ccn":"145508","name":"Highland Health Care Center","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"IL","city":"Highland","zip":"62249","county_fips":"17119","county_name":"Madison County","address":"1450 26th Street","beds":128,"residents":84.3,"ownership":"for_profit","operator_id":"op-highland-care-and-rehabilitation-center-llc","operator_name":"Highland Care and Rehabilitation Center LLC","chain_id":"cms-chain-170","chain_name":"Crest Healthcare Consulting","lat":38.7263,"lon":-89.673,"overall":1,"health_rating":2,"staffing_rating":1,"qm_rating":4,"nurse_hprd":3.27,"turnover":64.7,"abuse":true,"inspections":16,"last_inspection":"2026-02-20","deficiencies":45,"serious":4,"ij":1,"open":0,"penalties":1,"fines_total":23319,"deficiency_type_ids":["cms-k0353","cms-k0354","cms-k0711","cms-k0321","cms-k0761","cms-k0923","cms-f0600","cms-f0610","cms-f0698","cms-f0912","cms-f0677","cms-f0689","cms-k0372","cms-f0697","cms-k0712","cms-k0914","cms-k0918","cms-f0761","cms-f0881","cms-f0684","cms-f0693","cms-f0584","cms-f0609","cms-k0345","cms-k0363","cms-f0812","cms-f0804","cms-f0686","cms-f0690"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-highland-care-and-rehabilitation-center-llc","name":"Highland Care and Rehabilitation Center LLC","legal_name":"HIGHLAND CARE AND REHABILITATION CENTER LLC","facility_count":1,"states":["IL"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-170","name":"Crest Healthcare Consulting","cms_chain_id":"170","facility_count":10,"states":["IL"],"cms_reported":{"facility_count":10,"avg_overall_rating":2.4,"avg_health_inspection_rating":3,"avg_staffing_rating":1.3,"avg_qm_rating":3.3}},"ownership":[{"owner_type":"individual","owner_name":"Shalom Lichtman","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2021-10-08","owner_name_raw":"LICHTMAN, SHALOM"},{"owner_id":"org-capital-finance-llc","owner_type":"organization","owner_name":"Capital Finance LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2022-01-01"},{"owner_id":"org-light-man-llc","owner_type":"organization","owner_name":"Light Man LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2021-10-08"},{"owner_type":"individual","owner_name":"Shalom Lichtman","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2019-09-01","owner_name_raw":"LICHTMAN, SHALOM"},{"owner_type":"individual","owner_name":"Debra Reed","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2021-02-14","owner_name_raw":"REED, DEBRA"},{"owner_type":"individual","owner_name":"Robert Schaefer","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2019-09-01","owner_name_raw":"SCHAEFER, ROBERT"},{"owner_id":"org-capital-finance-llc","owner_type":"organization","owner_name":"Capital Finance LLC","role":"lender_interest","role_raw":"5% OR GREATER SECURITY INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2019-09-01"},{"owner_type":"individual","owner_name":"Shalom Lichtman","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2019-09-01","owner_name_raw":"LICHTMAN, SHALOM"},{"owner_type":"individual","owner_name":"Debra Reed","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2021-02-14","owner_name_raw":"REED, DEBRA"},{"owner_type":"individual","owner_name":"Robert Schaefer","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2019-09-01","owner_name_raw":"SCHAEFER, ROBERT"}],"inspections":[{"id":"cms-145508-20260220-fire","ccn":"145508","date":"2026-02-20","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":6,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2026-05-18","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2026-05-11","std":1,"tv":"New"},{"t":"cms-k0354","ss":"F","sl":2,"cs":"corrected","cd":"2026-05-18","std":1,"tv":"New"},{"t":"cms-k0711","ss":"F","sl":2,"cs":"corrected","cd":"2026-05-18","std":1,"tv":"New"},{"t":"cms-k0761","ss":"E","sl":2,"cs":"corrected","cd":"2026-05-18","std":1,"tv":"New"},{"t":"cms-k0923","ss":"E","sl":2,"cs":"corrected","cd":"2026-05-18","std":1,"tv":"New"}]},{"id":"cms-145508-20260220-health","ccn":"145508","date":"2026-02-20","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0600","ss":"D","sl":2,"cs":"past_noncompliance","std":1},{"t":"cms-f0610","ss":"D","sl":2,"cs":"past_noncompliance","std":1},{"t":"cms-f0698","ss":"D","sl":2,"cs":"corrected","cd":"2026-02-25","std":1},{"t":"cms-f0912","ss":"B","sl":1,"cs":"corrected","cd":"2026-02-25","std":1}]},{"id":"cms-145508-20251205-health","ccn":"145508","date":"2025-12-05","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0600","ss":"G","sl":3,"cs":"corrected","cd":"2025-12-15","cmp":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2025-12-15","cmp":1}]},{"id":"cms-145508-20250904-health","ccn":"145508","date":"2025-09-04","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"L","sl":4,"cs":"corrected","cd":"2025-09-05","cmp":1}]},{"id":"cms-145508-20250521-fire","ccn":"145508","date":"2025-05-21","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0372","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-30","cmp":1,"tv":"New"}]},{"id":"cms-145508-20250417-health","ccn":"145508","date":"2025-04-17","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0600","ss":"G","sl":3,"cs":"past_noncompliance","cd":"2025-04-15","cmp":1}]},{"id":"cms-145508-20241205-health","ccn":"145508","date":"2024-12-05","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0697","ss":"D","sl":2,"cs":"past_noncompliance","cd":"2024-11-18","cmp":1}]},{"id":"cms-145508-20240927-fire","ccn":"145508","date":"2024-09-27","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":5,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-04","std":1,"tv":"New"},{"t":"cms-k0711","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-04","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-07","std":1,"tv":"New"},{"t":"cms-k0914","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-06","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-04","std":1,"tv":"New"}]},{"id":"cms-145508-20240927-health","ccn":"145508","date":"2024-09-27","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0761","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-10","std":1},{"t":"cms-f0881","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-10","std":1},{"t":"cms-f0912","ss":"B","sl":1,"cs":"corrected","cd":"2024-10-10","std":1}]},{"id":"cms-145508-20240627-health","ccn":"145508","date":"2024-06-27","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":3,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0677","ss":"G","sl":3,"cs":"corrected","cd":"2024-07-09","cmp":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-09","cmp":1},{"t":"cms-f0693","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-09","cmp":1}]},{"id":"cms-145508-20240607-health","ccn":"145508","date":"2024-06-07","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0584","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-19","cmp":1}]},{"id":"cms-145508-20240315-health","ccn":"145508","date":"2024-03-15","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2024-03-22","cmp":1}]},{"id":"cms-145508-20231103-health","ccn":"145508","date":"2023-11-03","domain":"health","authority":"CMS / state survey agency","survey_types":["Infection Control"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"infection_control","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]},{"id":"cms-145508-20231025-health","ccn":"145508","date":"2023-10-25","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-26","cmp":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-26","cmp":1}]},{"id":"cms-145508-20231013-fire","ccn":"145508","date":"2023-10-13","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":6,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2023-12-19","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"waiver_granted","cd":"2023-12-14","std":1,"tv":"New"},{"t":"cms-k0363","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-26","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-28","std":1,"tv":"New"},{"t":"cms-k0761","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-19","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-23","std":1,"tv":"New"}]},{"id":"cms-145508-20231013-health","ccn":"145508","date":"2023-10-13","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":8,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-25","cmp":1,"std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-26","cmp":1},{"t":"cms-f0690","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-25","std":1},{"t":"cms-f0693","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-25","std":1},{"t":"cms-f0804","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-25","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-25","std":1},{"t":"cms-f0881","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-25","std":1},{"t":"cms-f0912","ss":"B","sl":1,"cs":"corrected","cd":"2023-10-25","std":1}]}],"deficiency_types":{"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0354":{"code":"K-0354","title":"Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0711":{"code":"K-0711","title":"Provide a written emergency evacuation plan.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0321":{"code":"K-0321","title":"Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0761":{"code":"K-0761","title":"To conduct inspection, testing and maintenance of fire doors by qualified individuals.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0923":{"code":"K-0923","title":"Have proper medical gas storage and administration areas.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0600":{"code":"F-0600","title":"Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0610":{"code":"F-0610","title":"Respond appropriately to all alleged violations.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0698":{"code":"F-0698","title":"Provide safe, appropriate dialysis care/services for a resident who requires such services.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0912":{"code":"F-0912","title":"Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0677":{"code":"F-0677","title":"Provide care and assistance to perform activities of daily living for any resident who is unable.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0689":{"code":"F-0689","title":"Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0372":{"code":"K-0372","title":"Ensure smoke barriers are constructed to a 1 hour fire resistance rating.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0697":{"code":"F-0697","title":"Provide safe, appropriate pain management for a resident who requires such services.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0712":{"code":"K-0712","title":"Have simulated fire drills held at unexpected times.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0914":{"code":"K-0914","title":"Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0918":{"code":"K-0918","title":"Have generator or other power source capable of supplying service within 10 seconds.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0761":{"code":"F-0761","title":"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.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0881":{"code":"F-0881","title":"Implement a program that monitors antibiotic use.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0684":{"code":"F-0684","title":"Provide appropriate treatment and care according to orders, resident’s preferences and goals.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0693":{"code":"F-0693","title":"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.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0584":{"code":"F-0584","title":"Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0609":{"code":"F-0609","title":"Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-k0345":{"code":"K-0345","title":"Have approved installation, maintenance and testing program for fire alarm systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0363":{"code":"K-0363","title":"Install corridor and hallway doors that block smoke.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0804":{"code":"F-0804","title":"Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0686":{"code":"F-0686","title":"Provide appropriate pressure ulcer care and prevent new ulcers from developing.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0690":{"code":"F-0690","title":"Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care,  and appropriate care  to prevent urinary tract infections.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"}},"penalties":[{"id":"cms-145508-pen-f137890","type":"fine","type_label":"Civil money penalty (fine)","date":"2025-12-05","amount":23319,"fine_id":"137890","evidence_class":"VERIFIED","source_record_id":"145508|Fine|137890"}],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=145508&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=145508&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=145508&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=145508&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=145508&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=145508&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"IL","overall_rating":2.6,"health_inspection_rating":2.7,"qm_rating":3.1,"staffing_rating":2.2,"avg_residents_per_day":95.4,"cycle1_health_deficiencies":12.7,"cycle1_fire_deficiencies":5.3,"nurse_aide_hprd":2.12,"lpn_hprd":0.64,"rn_hprd":0.71394,"licensed_hprd":1.36,"total_nurse_hprd":3.47099,"weekend_total_nurse_hprd":3.07542,"weekend_rn_hprd":0.55,"pt_hprd":0.05,"nursing_turnover_pct":43.7,"rn_turnover_pct":41.5,"administrators_left":0.5,"case_mix_index":1.65671,"fines":2.2,"fine_amount":109278,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"IL","name":"Illinois"},"county":{"fips":"17119","name":"Madison County"},"zip":"62249","city":"Highland"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-145273","ccn":"145273","name":"Jacksonville Skld Nur & Rehab","address":"1517 West Walnut Street","city":"Jacksonville","state":"IL","zip":"62650","beds":88,"overall":3,"inspections":14,"last_inspection":"2026-03-12","deficiencies":28,"serious":3,"ij":0,"open":0,"fines_total":23027,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-145571","ccn":"145571","name":"Cedar Ridge Health & Rehab Ctr","address":"One Perryman Street","city":"Lebanon","state":"IL","zip":"62254","beds":116,"overall":3,"inspections":7,"last_inspection":"2026-03-12","deficiencies":30,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-145649","ccn":"145649","name":"Odin Health and Rehab Center","address":"300 Green Street","city":"Odin","state":"IL","zip":"62870","beds":99,"overall":1,"inspections":16,"last_inspection":"2025-11-14","deficiencies":93,"serious":11,"ij":5,"open":0,"fines_total":344578,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-145691","ccn":"145691","name":"Hallmark Healthcare of Pekin","address":"2501 Allentown Road","city":"Pekin","state":"IL","zip":"61554","beds":71,"overall":1,"inspections":13,"last_inspection":"2026-07-25","deficiencies":47,"serious":5,"ij":1,"open":0,"fines_total":49745,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-145769","ccn":"145769","name":"Hallmark Hc of Carlinville","address":"826 North High","city":"Carlinville","state":"IL","zip":"62626","beds":49,"overall":2,"inspections":7,"last_inspection":"2025-04-07","deficiencies":33,"serious":3,"ij":0,"open":1,"fines_total":25493,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-145783","ccn":"145783","name":"Sunrise Skilled Nur & Rehab","address":"333 South Wrightsman Street","city":"Virden","state":"IL","zip":"62690","beds":99,"overall":2,"inspections":12,"last_inspection":"2025-12-17","deficiencies":24,"serious":3,"ij":1,"open":0,"fines_total":256825,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-145862","ccn":"145862","name":"Hilltop Skilled Nsg & Rehab","address":"910 West Polk Street","city":"Charleston","state":"IL","zip":"61920","beds":108,"overall":3,"inspections":15,"last_inspection":"2026-04-08","deficiencies":62,"serious":4,"ij":0,"open":0,"fines_total":140465,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-146021","ccn":"146021","name":"Nature Trail Health and Rehab","address":"1001 South 34th Street","city":"Mount Vernon","state":"IL","zip":"62864","beds":74,"overall":4,"inspections":9,"last_inspection":"2025-12-08","deficiencies":32,"serious":3,"ij":0,"open":0,"fines_total":18603,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":9,"same_site_review":[],"nearby":[{"id":"cms-145601","ccn":"145601","name":"Aviston Countryside Manor","address":"450 West 1st Street","city":"Aviston","state":"IL","zip":"62216","beds":97,"overall":2,"inspections":9,"last_inspection":"2026-02-11","deficiencies":37,"serious":1,"ij":0,"open":0,"fines_total":0,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":14.7},{"id":"cms-145897","ccn":"145897","name":"Evercare of Lebanon","address":"1201 North Alton","city":"Lebanon","state":"IL","zip":"62254","beds":90,"overall":1,"inspections":14,"last_inspection":"2026-04-30","deficiencies":43,"serious":7,"ij":3,"open":1,"fines_total":295948,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":17.4},{"id":"cms-145571","ccn":"145571","name":"Cedar Ridge Health & Rehab Ctr","address":"One Perryman Street","city":"Lebanon","state":"IL","zip":"62254","beds":116,"overall":3,"inspections":7,"last_inspection":"2026-03-12","deficiencies":30,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":18},{"id":"cms-145921","ccn":"145921","name":"Hitz Memorial Home","address":"201 Belle Street","city":"Alhambra","state":"IL","zip":"62001","beds":59,"overall":3,"inspections":8,"last_inspection":"2026-07-24","deficiencies":16,"serious":2,"ij":1,"open":0,"fines_total":41971,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":18.6},{"id":"cms-146052","ccn":"146052","name":"Alhambra Rehab & Healthcare","address":"417 East Main Street, Box 310","city":"Alhambra","state":"IL","zip":"62001","beds":57,"overall":5,"inspections":10,"last_inspection":"2026-06-12","deficiencies":19,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":18.9}]}}