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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G6 | H· | I· |
| Potential harm | D27 | E20 | F27 |
| Minimal | A· | B· | C· |
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.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jun 11, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 6, 2026 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Apr 20, 2026 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Dec 3, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 21, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 14, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Aug 20, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 29, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 15, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Feb 24, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 8, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 11, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 27, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 14, 2024 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Jul 18, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 5, 2024 | Fire safety | Fire Safety Standard | 15 | Potential harm | — | Open → |
| Jun 5, 2024 | Health | Health Standard | 11 | Actual harm | — | Open → |
| Mar 26, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 19, 2023 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Jul 19, 2023 | Health | Health Standard | 9 | Actual harm | — | Open → |
| Aug 24, 2022 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Aug 24, 2022 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| May 6, 2026 | Civil money penalty (fine) | $83,990 | — | 145257|Fine|139631 |
| Apr 20, 2026 | Civil money penalty (fine) | $15,935 | — | 145257|Fine|139321 |
| Nov 14, 2024 | Civil money penalty (fine) | $16,801 | — | 145257|Fine|70197 |
| Jun 5, 2024 | Denial of payment for new admissions | — | Jul 5, 2024 · 31 days | 145257|Payment Denial|2024-07-05 |
| Jun 5, 2024 | Civil money penalty (fine) | $14,050 | — | 145257|Fine|70169 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G6 | H· | I· |
| Potential harm | D27 | E20 | F27 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 11, 2026 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Past non-compliance Jun 10, 2026 | Complaint |
| May 6, 2026 | F-0693 | 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. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected May 29, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
24 facilities in 5 states. CMS chain ID 531.
Chain average overall rating (CMS): 2.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Jct Investments, LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 28, 2021 |
| Tutera Investments, LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 28, 2021 |
| Joseph Charles Tutera 2013 Family Irrevociable Trust Agreement | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2023 |
| Marian Olander Tutera 2020 Mrtl Tr | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2023 |
| Joseph Tutera | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2023 |
| Marian Tutera | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2023 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Jct Investments, LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 28, 2021 |
| Tutera Investments, LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 28, 2021 |
| Joseph Charles Tutera 2013 Family Irrevociable Trust Agreement | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2023 |
| Marian Olander Tutera 2020 Mrtl Tr | Organization | Indirect owner |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Lakeland Rehab & Healthcare Center 800 West Temple Street, Effingham, IL 62401 CCN 145256 | 154 | Jun 26, 2026 | 605 harm | $87k | |
| Carlinville Rehab & Hcc 751 North Oak Street, Carlinville, IL 62626 CCN 145454Abuse icon |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Fair Oaks Health Care Center 471 Terra Cotta Avenue, Crystal Lake, IL 60014 CCN 145917 | 2.9 km | 51 | Feb 2, 2026 | 602 harm | $20k | |
| The Pearl of Crystal Lake 1000 East Brighton Lane, Crystal Lake, IL 60012 CCN 145612 | 8 km | 97 | Jun 4, 2026 | 56 | — | |
| Alden Estates Cts of Huntley 12140 Regency Parkway, Huntley, IL 60142 CCN 146186 | 11 km | 170 | Jul 7, 2026 | 413 IJ3 harm | $178k | |
| La Bella of Woodstock 309 Mchenry Avenue, Woodstock, IL 60098 CCN 145222Abuse icon | 11.3 km | 115 | Aug 11, 2026 | 1453 IJ13 harm | $630k | |
| Ignite Medical Mchenry 550 Ridgeview Drive, Mchenry, IL 60050 CCN 146195 | 11.8 km | 84 | Jul 16, 2026 | 722 IJ | $62k | |
| Alden Terrace of Mchenry Rehab 803 Royal Drive, Mchenry, IL 60050 CCN 145453Abuse icon | 13.4 km | 316 | Aug 4, 2026 | 591 IJ1 harm | — | |
| Valley Hi Nursing Home 2406 Hartland Road, Woodstock, IL 60098 CCN 145652 | 18.4 km | 128 | Mar 4, 2026 | 441 IJ1 harm | $124k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 145257 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 145257 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 145257 | county_fips County assigned by locating CMS coordinates in Census county boundaries (the CMS county name did not match the Census code list). | Inferred | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Apr 20, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Past non-compliance | Complaint |
| Dec 3, 2025 | F-0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 31, 2025 | Complaint |
| Nov 21, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 15, 2025 | Complaint |
| Oct 14, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Nov 3, 2025 | Complaint |
| Aug 20, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 29, 2025 | Complaint |
| Apr 29, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 16, 2025 | Complaint |
| Apr 15, 2025 | F-0801 | 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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected May 2, 2025 | Complaint |
| Apr 15, 2025 | F-0803 | 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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected May 2, 2025 | Complaint |
| Apr 15, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jun 7, 2025 | Complaint |
| Feb 24, 2025 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 10, 2025 | Complaint |
| Jan 8, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 16, 2025 | Complaint |
| Jan 8, 2025 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 16, 2025 | Complaint |
| Dec 11, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 28, 2025 | Complaint |
| Nov 27, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 16, 2024 | Complaint |
| Nov 14, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Past non-compliance Nov 11, 2024 | Complaint |
| Nov 14, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 16, 2024 | Complaint |
| Jul 18, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 5, 2024 | Complaint |
| Jun 5, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jun 25, 2024 |
| Jun 5, 2024 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 3, 2024 |
| Jun 5, 2024 | E-0022 | Establish policies and procedures for sheltering. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 3, 2024 |
| Jun 5, 2024 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 3, 2024 |
| Jun 5, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 3, 2024 |
| Jun 5, 2024 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 3, 2024 |
| Jun 5, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 3, 2024 |
| Jun 5, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 3, 2024 |
| Jun 5, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 3, 2024 |
| Jun 5, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 3, 2024 |
| Jun 5, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 3, 2024 |
| Jun 5, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 3, 2024 |
| Jun 5, 2024 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 3, 2024 |
| Jun 5, 2024 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 3, 2024 |
| Jun 5, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 3, 2024 |
| Jun 5, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 3, 2024 |
| Jun 5, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 25, 2024 |
| Jun 5, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 25, 2024 |
| Jun 5, 2024 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 25, 2024 |
| Jun 5, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 25, 2024 |
| Jun 5, 2024 | F-0693 | 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 25, 2024 |
| Jun 5, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 25, 2024 |
| Jun 5, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jun 5, 2024 |
| Jun 5, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 5, 2024 |
| Jun 5, 2024 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 25, 2024 |
| Jun 5, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 25, 2024 |
| Mar 26, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Past non-compliance Mar 9, 2024 | Complaint |
| Jul 19, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Aug 2, 2023 |
| Jul 19, 2023 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Aug 2, 2023 |
| Jul 19, 2023 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 19, 2023 |
| Jul 19, 2023 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 19, 2023 |
| Jul 19, 2023 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 19, 2023 |
| Jul 19, 2023 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 19, 2023 |
| Jul 19, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 19, 2023 |
| Jul 19, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 19, 2023 |
| Jul 19, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 19, 2023 |
| Jul 19, 2023 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 19, 2023 |
| Jul 19, 2023 | K-0791 | Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 19, 2023 |
| Jul 19, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 19, 2023 |
| Jul 19, 2023 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 19, 2023 |
| Jul 19, 2023 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 2, 2023 |
| Jul 19, 2023 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 2, 2023 |
| Jul 19, 2023 | F-0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Aug 2, 2023 |
| Jul 19, 2023 | F-0801 | 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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Aug 2, 2023 |
| Jul 19, 2023 | F-0803 | 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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Aug 2, 2023 |
| Jul 19, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Aug 2, 2023 |
| Jul 19, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Aug 2, 2023 |
| Aug 24, 2022 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Sep 20, 2022 |
| Aug 24, 2022 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 20, 2022 |
| Aug 24, 2022 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 20, 2022 |
| Aug 24, 2022 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 20, 2022 |
| Aug 24, 2022 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 20, 2022 |
| Aug 24, 2022 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 20, 2022 |
| Aug 24, 2022 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 20, 2022 |
| Aug 24, 2022 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 8, 2022 |
| Aug 24, 2022 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 8, 2022 |
| Aug 24, 2022 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 8, 2022 |
| Aug 24, 2022 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 8, 2022 |
| Aug 24, 2022 | F-0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Sep 8, 2022 |
| Aug 24, 2022 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Sep 8, 2022 |
| Aug 24, 2022 | F-0809 | 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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Sep 8, 2022 |
| Aug 24, 2022 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Sep 8, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.44 (case-mix index 1.86).
| INDIRECT OWNERSHIP INTEREST |
| not provided |
| Dec 31, 2023 |
| Joseph Tutera | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2023 |
| Marian Tutera | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2023 |
| Michael Flanagan | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | May 21, 2025 |
| Walnut Creek Management Company LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2017 |
| Randall Bloom | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 28, 2021 |
| Kiley Brooks | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 28, 2021 |
| Asim Elmahboub | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2025 |
| Scott Morton | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2025 |
| Joseph Tutera | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 28, 2021 |
| Randall Bloom | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 28, 2021 |
| Kiley Brooks | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 28, 2021 |
| Ti-Crystal Lake, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 28, 2021 |
| Walnut Creek Management Company LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 28, 2021 |
| Randall Bloom | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 28, 2021 |
| Kiley Brooks | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 28, 2021 |
| Asim Elmahboub | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2025 |
| Jennifer Fraase | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2025 |
| Scott Morton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2025 |
| Joseph Tutera | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 28, 2021 |
| 98 |
| Apr 17, 2026 |
556 harm |
| $138k |
| Mattoon Rehab & Hcc 2121 South Ninth, Mattoon, IL 61938 CCN 145480Abuse icon | 148 | Aug 21, 2026 | 849 harm | $337k |
| Hillsboro Rehab & Hcc 1300 East Tremont Street, Hillsboro, IL 62049 CCN 145500Abuse icon | 121 | Jul 27, 2026 | 751 IJ12 harm | $253k |
| Fair Oaks Rehab & Healthcare 1515 Blackhawk Boulevard, South Beloit, IL 61080 CCN 145702Abuse icon | 78 | Aug 19, 2026 | 552 IJ2 harm | $71k |
| Metropolis Rehab & Hcc 2299 Metropolis Street, Metropolis, IL 62960 CCN 145813SFF CandidateAbuse icon | 101 | Aug 10, 2026 | 1253 IJ19 harm | $211k |
| Dixon Rehab & Hcc 800 Division Street, Dixon, IL 61021 CCN 145906 | 97 | Jan 15, 2025 | 276 harm | $35k |
| Bethany Rehab & Hcc 3298 Resource Parkway, Dekalb, IL 60115 CCN 145958 | 90 | Aug 4, 2026 | 924 IJ9 harm | $384k |