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Arcadia Care on the Hill

555 West Carpenter, Springfield, IL 62702 · Sangamon County · (217) 525-1880

251 certified beds, about 121 residents a day · For profit - Corporation · Medicare and Medicaid since 1969

Special Focus Facility candidate Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 145160 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 17, 2025, inspectors cited 8 health deficiencies (the Illinois average is 12.6, the national average 9.2).

Of 41 health citations since September 2023, 8 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists 3 fines totaling $219,628 in the last three years; the largest was $98,313, and the latest is dated April 22, 2026.

Nurses and nurse aides worked 2.80 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.17 of those hours.

29.1% of nursing staff left within the year CMS measured (Illinois average 44.5%).

CMS links it to Arcadia Care, an affiliated group of 25 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 41 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
1L
Actual harm
6G
0H
0I
Potential for more than minimal harm
18D
6E
9F
Potential for minimal harm
0A
0B
0C
July 27, 2026Complaint inspection · 9 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · deficient, provider has August 11, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to identify and treat a stage three pressure ulcer for one (R28) of three residents reviewed for wound care in a sample list of 121Findings include:R28's Face Sheet documents R28 has the diagnoses of Metabolic Encephalopathy, Major Depressive Disorder, Acute Kidney Failure, Severe Morbid Obesity, and Diabetes Mellitus Type two. R28's Braden Scale dated 4/30/26 documents a risk score of 13, indicating R28 is at moderate risk of skin breakdown. R28's Minimum Data Set (MDS) dated [DATE] documents R28 is alert and oriented and is dependent on staff for Activities of Daily Living, including turning and positioning. This MDS documents R28 had no pressure ulcers but was at risk for developing pressure ulcers. [...]
  2. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · deficient, provider has August 11, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to safely transfer a resident, investigate a fall to determine root cause, and failed to initiate progressive interventions to prevent further falls for 3 of 3 residents (R2, R5 and R6) reviewed for falls in the sample list of 121. This failure resulted in R2 suffering significant pain during multiple transfers.
  3. F
    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.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · deficient, provider has August 11, 2026
    Inspectors wroteBased on interview and record review, the facility failed to provide the services of a Registered Nurse eight consecutive hours per day/seven days per week. This failure has the potential to affect all 121 residents in the sample list of 121 in the facility.
  4. F
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · deficient, provider has August 11, 2026
    Inspectors wroteBased on observation, interview and record review the facility failed to provide a clean, sanitary, and homelike environment for the residents. This failure has the potential to affect all 121 residents in a sample of 121 residing in the facility.
  5. F
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · deficient, provider has August 11, 2026
    Inspectors wroteBased on observation, interview and record review the facility failed to implement pest control precautions to prevent pest infestation in the facility. This failure has the potential to affect all 121 residents residing in the facility.
  6. E
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · deficient, provider has August 11, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure residents were free from abuse for 3 (R19, R38 and R46) of 4 residents reviewed for abuse in a sample list of 53.
  7. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · deficient, provider has August 11, 2026
    Inspectors wroteBased on interview and record review, the facility failed to report an allegation of misappropriation of resident property/theft and allegation of physical abuse to the state agency (Illinois Department of Public Health (IDPH) and local police department for two (R1, R8) of seven residents reviewed for abuse in the sample list of 121.
  8. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · deficient, provider has August 11, 2026
    Inspectors wroteBased on interview and record review, the facility failed to thoroughly investigate an allegation of misappropriation of resident property/theft and allegation of physical abuse for three (R1, R8, R46) of seven residents reviewed for abuse in the sample list of 121.
  9. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · deficient, provider has August 11, 2026
    Inspectors wroteBased on interview and record review, the facility failed to follow physician orders for 2 of 2 residents (R2 and R5) reviewed in the sample list of 121 for physician-order implementation. The facility failed to administer R5's intravenous antibiotic at the ordered frequency and failed to follow R2's orders for Midodrine administration and management of a 1,500-milliliter daily fluid restriction. These failures placed R5 at risk for ineffective treatment of an acute infection and placed R2 at risk for medication-related adverse effects and complications associated with improperly managed fluid intake. 1. R2 Review of R2's clinical record showed diagnoses that included end-stage renal disease requiring dialysis, heart failure, essential hypertension, and hypotension. Review of R2's physician orders showed an order for Midodrine HCl 2.5 milligrams by mouth in the morning for hypotension. [...]
April 22, 2026Complaint inspection · 1 citation
  1. G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 1, 2026
    Inspectors wroteBased on observation, interview and record review the Facility failed to coordinate treatment care of a foot wound for 1 of 3 residents (R4) reviewed for wounds in the sample of 7. This failure resulted in a delay of treatment for R4, causing him to need more of his foot amputated due to the infection and lack of timely scheduling of the surgery.
November 26, 2025Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 9, 2025
    Inspectors wroteBased on interviews, observations, and record review, the facility failed to maintain resident safety, to document resident fall risk assessments before and after falls occur, and to follow interventions in place to prevent falls for 3 of 4 residents (R1, R3, R12) reviewed for resident safety in the sample of 13.
October 17, 2025Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 28, 2025
    Inspectors wroteBased on interview and record review, the facility failed to implement, and document fall interventions for 1 (R7) of 3 residents who was newly admitted to the facility with hospital documentation of multiple vertebral fractures from a previous fall prior to being admitted to the facility of 3 residents reviewed for falls. This failure resulted in an alert resident (R7) falling twice at the facility and being transferred to the emergency room where she received IV fluids and narcotic pain medication. She sustained 2 skin tears from falls and was transferred to the emergency room due to post fall lethargy.
September 17, 2025Standard inspection, Complaint inspection · 8 citations
  1. L
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · Immediate jeopardy to resident health or safety, widespread · found on a complaint visit · Corrected (the home has a date of correction) September 18, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure competency of the Professional Nursing staff for 1 of 6 (R5) reviewed for Professional Standards in the sample of 50. This failure has the potential to affect all 128 Residents residing in the facility. The immediate jeopardy began on 9/10/25, when V6, Registered Nurse (RN), failed to appropriately respond to an emergent medical event, when R5 displayed symptoms of medical distress and presented with a blood glucose level of 33. V6 failed to follow physician's order of administering Baqsimi (Glucagon) for low blood sugar, and instead disassembled prefilled Epinephrine and Narcan cartridges, combining pieces of both medication cartridges, and administered Epinephrine injection nasally. On 9/16/25 at 2:15 PM, V1, Administrator, and V2, Director of Nursing (DON), were notified of the Immediate Jeopardy. [...]
  2. J
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 15, 2025
    Inspectors wroteBased on interview, observation, and record review, the facility failed to provide a resident in a crisis condition the correct medication for 1 of 6 residents (R5) reviewed for medication errors in the sample of 50. This failure resulted in the R5 not receiving his Glucagon when needed resulting in his blood sugar dropping to a critical low and being transferred to the hospital and subsequently admitted to the Intensive Care Unit (ICU). The Immediate Jeopardy began on 9/10/25, when V6, Registered Nurse (RN), failed to appropriately respond to an emergent medical event, when R5 displayed symptoms of medical distress and presented with a blood glucose level of 33. [...]
  3. F
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 25, 2025
    Inspectors wroteBased on interview, observation, and record review, the facility failed to dispose of an expired Tuberculin vial and to safely secure medications in a medication cart while sitting in the hallway and available for all residents and visitors to get into. Reviewed for medication labeling and storage in the sample of 50. This failure has the potential to affect all residents living in the facility. The Findings Include: 1. On [DATE] at 10:18 AM, the Medication Cart on the end of the 200-hall was observed sitting in the hallway unlocked with no staff member around it. V7, Certified Nursing Assistant (CNA), stated, The Nurse had to go to central supply to get something and should be back soon. On [DATE] at 10:25 AM, V6, Registered Nurse (RN), came back to the cart and stated, The cart is broken, and we are waiting for the pharmacy to come fix it. [...]
  4. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 25, 2025
    Inspectors wroteThe facility failed to use hair nets while in the kitchen, to provide paper towels for hand hygiene, to label food items stored in the refrigerator, and to dispose of expired food items. This has the potential to affect all residents in the facility. The Findings Include:1. On 9/7/25 at 8:50 AM, while doing the initial kitchen tour, V18, Dietary Aide, and V19, Dietary Prep, were seen with no hair net on and upon surveyor entrance, both were seen going and getting a hairnet and putting one on.2. There were no paper towels available for handwashing at the handwashing sink.3. A large piece of ham was seen in the refrigerator wrapped in plastic wrap and undated.4. A large pan of sliced tomatoes was seen in the refrigerator covered in plastic wrap and undated.5. A pan of mixed vegetables was seen in the refrigerator covered in plastic wrap and undated.6. [...]
  5. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 25, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to implement enhance barrier precautions and change gloves when soiled for 5 of 32 residents (R1, R4, R12, R40 and R121) reviewed for infection control in the sample of 50.
  6. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 25, 2025
    Inspectors wroteBased on Interview, Observation, and Record Review, the facility failed to identify and treat a resident's wounds for 1 of 6 residents (R12) reviewed for wound care in the sample of 50. The Findings Include:R12's admission Record, dated 9/11/25, documents R12 was admitted to the facility on [DATE] with diagnosis of Furuncle of groin, Abscess of groin, Infection following a procedure/surgical site, Open wound to right lower leg, Type 2 Diabetes Mellitus (DM), Chronic Kidney Disease (CKD), Atherosclerotic Heart Disease (ASHD), Congestive Heart Failure (CHF), and Hypertension (HTN). R12's Care Plan, dated 7/29/25, documents R12 has a potential for impairment to skin integrity related to decreased mobility. Interventions: [...]
  7. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 25, 2025
    Inspectors wroteBased on interview, observation, and record review, the facility failed to prevent and assess a pressure ulcer for 1 of 7 residents (R10) reviewed for pressure ulcers in the sample of 50.
  8. D
    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.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 25, 2025
    Inspectors wroteBased on interview, observation, and record review, the facility failed to check for placement or residual of a Gastrostomy tube (G-tube) for 1 of 2 residents (R4) reviewed for G-tubes in the sample of 50.
June 24, 2025Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 1, 2025
    Inspectors wroteBased on interview and record review, the facility failed to provide adequate supervision to prevent falls in 1 of 3 residents (R2) reviewed for falls in the sample of 6.
May 5, 2025Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 9, 2025
    Inspectors wroteBased on interview and record review the facility failed to provide supervision for 1 of 1 residents (R3) reviewed for supervision in the sample of 7. This failure resulted in R3 leaving the facility going to liquor store obtaining alcohol and being sent by ambulance to the hospital for evaluation.
October 29, 2024Complaint inspection · 1 citation
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 4, 2024
    Inspectors wroteBased on interview and record review the facility failed to notify Power of Attorney (POA) of change in condition for 1 of 3 residents (R2) reviewed for change of condition in the sample of 4.
July 24, 2024Standard inspection · 6 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 8, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to properly store, label and date raw poultry and food, and failed to properly sanitize dishware, cups and silverware. This failure has the potential to affect all 109 residents residing in the facility.
  2. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 8, 2024
    Inspectors wroteBased on interview and record review, the facility failed to A. follow its policy in order to prevent the potential water borne illness. B. don Personal Protective Equipment when providing direct patient care for (R58) residents reviewed for Enhanced Barrier precautions. This failure has the potential to affect all 109 residents residing in the facility.
  3. E
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 8, 2024
    Inspectors wroteBased on interview, observation, and record review the facility failed to accommodate smoking needs for 4 of 4 (R14, R47, R61, and R97) residents reviewed for accommodation of needs in the sample of 57.
  4. E
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 8, 2024
    Inspectors wroteBased on interview, observation, and record review, the facility failed to provide timely and complete incontinent care, including hand hygiene, and glove changes, for 4 of 5 residents (R4, R25, R58, R97) reviewed for incontinent care in the sample of 57. 1. R25's Face Sheet, undated, documents R25 was admitted to the facility on [DATE], with diagnosis of Multiple Sclerosis (MS), irritable bowel syndrome with Diarrhea, and Major Depressive Disorder. R25's Care Plan, dated 6/11/24, documents R25 has a bowel/ bladder incontinence related to disease process MS, Impaired Mobility, Physical limitations. Interventions: [...]
  5. D
    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.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 8, 2024
    Inspectors wroteBased on interview, observation, and record review, the facility failed to provide tube feedings according to the facility policy, including the proper labeling of the tube feeding, and the correct positioning of the resident during care for 1 of 2 residents (R58) reviewed for proper tube feeding in the sample of 57.
  6. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 8, 2024
    Inspectors wroteBased on record review and interview the facility failed to administer medications according to physicians' orders for one of 3 (R263) residents reviewed for medications in the sample of 57.
May 16, 2024Complaint inspection · 1 citation
  1. G
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 3, 2024
    Inspectors wroteBased on interview and record review the facility failed to timely treat a urinary tract infection (UTI) for 1 of 3 residents (R3) reviewed for catheter care in the sample of 7. This failure resulted in R3 having a delay in treatment for a urinary tract infection and being admitted to the intensive care unit for septic shock.
April 1, 2024Complaint inspection · 1 citation
  1. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 10, 2024
    Inspectors wroteBased on interview, observation, and record review, the facility failed to provide the physician ordered pain medication for 1 of 3 residents (R3) reviewed for pharmacy services in the sample of 3.
January 17, 2024Complaint inspection · 3 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 9, 2024
    Inspectors wroteBased on interview, observation and record review, the facility failed to identify, treat, monitor and provide pressure reducing interventions for 3 of 3 residents (R1, R2, R3) reviewed for pressure ulcers in the sample of 11. This failure resulted in R2 and R3 sustaining unstageable necrotic pressure ulcers while in the facility.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 9, 2024
    Inspectors wroteBased on interview, observation and record review, the facility failed to provide care for a wound requiring a wound vac for 1 of 2 residents (R2) reviewed for wounds, in the sample of 11.
  3. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 9, 2024
    Inspectors wroteBased on interview, observation and record review, the facility failed to provide complete incontinent care for 2 of 3 residents (R1 and R3) reviewed for incontinence, in the sample of 11.
November 16, 2023Complaint inspection · 1 citation
  1. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 21, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to provide incontinent care per professional standards or practice for 1 of 3 residents (R2) reviewed for urinary tract infections in the sample of 6.
September 13, 2023Standard inspection · 5 citations
  1. F
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide palatable food. This has the potential to affect all the 98 residents living in the facility.
  2. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to cover, label and date opened food items. Staff failed to perform hand hygiene prior to donning gloves. This has the potential to affect all the 98 residents living in the facility.
  3. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on interview, observation and record review, the facility failed to provide showers, shave male residents, and provide nail care for 5 of 21 residents (R6, R35, R69, R78, R89) reviewed for Activities of Daily Living in the sample of 49.
  4. E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on interview and record review, the facility failed to obtain a signed Pneumococcal Vaccine Attestation Letter of Refusal for 4 of 5 residents (R5, R40, R57, R78) in the sample of 49. Findings Include: On 9/12/23 at 2:10 PM, V2, Director of Nurses, (DON), stated, she was unable to find the Pneumococcal Vaccine Attestation Letter of Refusal, for R5, R40, R57 and R78. V2 stated, she knows they were done, but she cannot find them. V2 stated, if a resident needs the vaccine, it should be offered every year even if they refuse. 1. R5's admission Record, print date of 9/13/23, documents, R5 was admitted on [DATE], is [AGE] years old and has a diagnosis of a history of a stroke and Dementia. On 9/12/23 at 9:00 AM, R5's Electronic Medical Record, (EMR), was reviewed and it failed to document R5's Pneumococcal Vaccine Attestation Letter of Refusal. 2. [...]
  5. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteOn 09/10/2023 at 11:31 AM all 4 walls in R17's and R61's room had peeling paint. On the ceiling there was a hole through the drywall and paint was also peeling. 3. R17's admission record, dated 09/13/2023, documented she was admitted to that room on 04/12/2023. 4. R61's admission record, dated 09/13/2023, documented she was admitted to that room on 06/16/2023. Based on interview, observation and record review, the facility failed to maintain clean and comfortable rooms for 4 of 21 residents (R17, R61, R66, R85) reviewed for environment in the sample of 49.
September 5, 2023Complaint inspection · 1 citation
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 13, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to follow through with ordered testing for a resident who had fallen and was complaining of hip pain for one (R1) of three residents reviewed for falls in a sample of three.

Fire safety inspections

2 fire safety citations on file: 2 on September 17, 2025.

Every fire safety citation2 citations
  1. F
    Establish staff and initial training requirements.
    E 37 · September 17, 2025 · Corrected (the home has a date of correction)
  2. F
    Conduct testing and exercise requirements.
    E 39 · September 17, 2025 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
April 22, 2026Fine $73,800
September 17, 2025Fine $98,313
September 17, 2025Payment Denial 62 days from October 8, 2025
April 1, 2024Fine $47,515

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeIllinoisUnited States
All nursing staff (RN, LPN and aides)2.803.453.86
Registered nurses0.170.720.69
All nursing staff on weekends2.613.073.42
Nurse aides1.70
Licensed practical nurses0.92
Nursing staff turnover (share who left in a year)29.1%44.5%45.8%
Registered nurse turnover60.0%41.8%42.9%
Administrators who left0

CMS expects 5.21 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 2.88 on weekdays and 2.61 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 10.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.69 in April to June 2025 to 2.80 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20262.800.172.882.61 10.3%0 of 90121
Oct to Dec 20252.610.152.682.44 5.4%0 of 92128
Jul to Sep 20252.710.242.782.52 4.2%0 of 92127
Apr to Jun 20252.690.192.772.49 5.3%1 of 91129
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Illinois, Jan to Mar 20263.260.653.402.925.4%0.6% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Illinois

JobMedianMiddle halfEmployed
Illinois, all employers
CNAs (nursing assistants)$22.10$18.95 to $23.2668,640
LPNs and LVNs$36.06$30.57 to $38.2517,440
Registered nurses$46.15$38.47 to $50.94138,910
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Arcadia Care on the Hill. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
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Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeIllinoisUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
4.613.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.70.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.91.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.23.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.02.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
6.914.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.34.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
7.821.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.126.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
18.113.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.52.01.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.72.21.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Arcadia Care on the Hill's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (37.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

37.4% this home

No different from the national rate

US median of homes 51.5% · Illinois: 106 better, 85 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 54 eligible stays.

Potentially preventable readmissions

10.0% this home

No different from the national rate

US median of homes 10.7% · Illinois: 2 better, 14 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 81 eligible stays.

Infections that led to a hospital stay

6.5% this home

No different from the national rate

US median of homes 7.1% · Illinois: 3 better, 10 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 50 eligible stays.

Self-care and mobility at discharge

14.3% this home

Median of homes: Illinois50.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 42 residents counted.

Falls with major injury

0.0% this home

Median of homes: Illinois0.3% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 67 residents counted.

New or worsened pressure ulcers

2.9% this home

Median of homes: Illinois1.5% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 67 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Illinois100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 14 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: ARCADIA CARE ON THE HILL LLC. CMS links this home to Arcadia Care, a group of 25 nursing homes averaging 1.4 stars overall.

NameRoleTypeShareSince
David a Berkowitz Delta TrustDirect ownership interestOrganization08/01/2024
Yosef Meystel Delta TrustDirect ownership interestOrganization08/01/2024
Seitler, DovidDirect ownership interestIndividual08/01/2024
Cooper, BrandyManaging control - governing bodyIndividual08/01/2024
Simmons, TracyManaging control - governing bodyIndividual08/01/2024
McClure, MichelleCorporate officerIndividual08/01/2024
Seitler, DovidCorporate officerIndividual08/01/2024
Spector, JenniferCorporate officerIndividual08/01/2024
Wilhelm, NaftaliCorporate officerIndividual08/01/2024
Arcadia Care Management LLCOperational/managerial controlOrganization08/01/2024
Ahearn, MichaelOperational/managerial controlIndividual08/01/2024
Liddell, JackieOperational/managerial controlIndividual08/01/2024
McClure, MichelleOperational/managerial controlIndividual08/01/2024
Seitler, DovidOperational/managerial controlIndividual08/01/2024
Simmons, TracyOperational/managerial controlIndividual08/01/2024
Spector, JenniferOperational/managerial controlIndividual08/01/2024
Turofsky, StevenOperational/managerial controlIndividual08/01/2024
Wilhelm, NaftaliOperational/managerial controlIndividual08/01/2024
Frankel, FrederickIndividual is an owner, partner or trustee of any ADP of the SNFIndividual12/08/2025
Goldfarb, BrianIndividual is an owner, partner or trustee of any ADP of the SNFIndividual02/16/2026
555 W Carpenter Rd LLCAdp of the SNFOrganization05/28/2025
Aci Equities, LLCAdp of the SNFOrganization08/01/2024
Arcadia Care Management LLCAdp of the SNFOrganization05/28/2025
Hti Investor Group, LLCAdp of the SNFOrganization08/01/2024
Ahearn, MichaelAdp of the SNFIndividual08/01/2024
Cooper, BrandyAdp of the SNFIndividual08/01/2024
Liddell, JackieAdp of the SNFIndividual08/01/2024
McClure, MichelleAdp of the SNFIndividual08/01/2024
Seitler, DovidAdp of the SNFIndividual08/01/2024
Simmons, TracyAdp of the SNFIndividual08/01/2024
Spector, JenniferAdp of the SNFIndividual08/01/2024
Turofsky, StevenAdp of the SNFIndividual08/01/2024
Wilhelm, NaftaliAdp of the SNFIndividual08/01/2024

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 19 problems in this area, most recently on July 27, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on July 27, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on September 17, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on July 27, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.61 hours per resident per day, below the Illinois average of 3.07.

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Common questions

What is Arcadia Care on the Hill's Medicare star rating?
CMS rates Arcadia Care on the Hill 1 out of 5 stars overall, with 1 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Arcadia Care on the Hill get at its last inspection?
8 health deficiencies at the standard inspection on September 17, 2025. The Illinois average is 12.6.
Has Arcadia Care on the Hill been fined?
Yes. CMS lists 3 fines totaling $219,628 in the last three years.
Does Arcadia Care on the Hill accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Arcadia Care on the Hill?
CMS lists 33 owners and managers, and links the home to Arcadia Care. Legal business name: ARCADIA CARE ON THE HILL LLC.

Sources

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