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Bethany Rehab & HCC

3298 Resource Parkway, Dekalb, IL 60115 · De Kalb County · (815) 756-5526

90 certified beds, about 69 residents a day · For profit - Corporation · Medicare and Medicaid since 1998

Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 145958 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 24, 2024, inspectors cited 10 health deficiencies (the Illinois average is 12.6, the national average 9.2).

Of 71 health citations since May 2022, 14 were rated as actual harm or immediate jeopardy to residents (5 immediate jeopardy).

CMS lists 9 fines totaling $470,064 in the last three years; the largest was $125,694, and the latest is dated May 1, 2026.

Nurses and nurse aides worked 3.64 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 1.21 of those hours.

72.2% of nursing staff left within the year CMS measured (Illinois average 44.5%).

CMS links it to Tutera Senior Living & Health 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 71 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
4J
1K
0L
Actual harm
9G
0H
0I
Potential for more than minimal harm
42D
7E
8F
Potential for minimal harm
0A
0B
0C
July 14, 2026Complaint inspection · 2 citations
  1. 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 · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview and record review, the facility failed to report allegations of abuse immediately for one of seven residents (R1) reviewed for abuse in the sample of seven. This failure has the potential to affect all 58 residents that reside in the facility. This past noncompliance occurred from 6/29/26 to 6/30/26.
  2. 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 · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview and record review, the facility failed to ensure staff were removed from resident care after an allegation of abuse was received for one of seven residents (R1) reviewed for abuse in the sample of seven. This failure has the potential to affect all 58 residents that reside in the facility. This past noncompliance occurred from 6/29/26 to 6/30/26.
June 22, 2026Complaint inspection · 3 citations
  1. J
    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 · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 23, 2026
    Inspectors wroteBased on interview and record review the facility failed to notify the physician of R2's critical low blood glucose for a resident with history of critical glucose levels and recent diabetic medication changes for 1 of 13 residents (R2) reviewed for physician notification in the sample of 13. This failure resulted in R2 being found with a critical low blood glucose then R2's heart stopping. The Immediate Jeopardy began on (05/09/2026) when R2's critical low blood sugar was not reported to the physician. V1 Administrator was notified of the Immediate Jeopardy on 06/17/2026 at 3:38PM. The surveyor confirmed by interview and record review that the Immediate Jeopardy was removed on 06/17/2026 but non-compliance remains at Level Two because additional time is needed to evaluate the implementation and effectiveness of the in-service training.
  2. J
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 23, 2026
    Inspectors wroteBased on interview and record review the facility failed to monitor a resident's blood glucose levels for a resident with history of critical blood glucose levels and recent diabetic medication changes for 1 of 13 residents (R2) reviewed for Quality of Care in the sample of 13. This failure resulted in R2's blood sugar becoming critically low then R2's heart stopped. The Immediate Jeopardy began on ([DATE]) when R2's critical low blood sugar was not reported to the physician; the facility failed to develop a treatment plan with R2's physician for the critical low blood sugar. V1 Administrator was notified of the Immediate Jeopardy on [DATE] at 3:38PM. The surveyor confirmed by interview and record review that the Immediate Jeopardy was removed on [DATE]. [...]
  3. 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 · Corrected (the home has a date of correction) June 30, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to report an allegation of abuse for 1 of 18 residents (R1) reviewed for abuse in the sample of 18.
May 22, 2026Complaint inspection · 1 citation
  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) May 25, 2026
    Inspectors wroteBased on interview and record review the facility failed to identify pressure ulcers prior to an advanced stage, failed to accurately assess the pressure ulcers and failed to put interventions in place to prevent further skin breakdown for two residents R1 and R3. These failures resulted in R1 developing an unstageable pressure injury to her sacrum on 3/19/26 and R3 developing a pressure injury containing slough (devitalized tissue) to his sacrum on 5/9/26.
May 1, 2026Complaint inspection · 2 citations
  1. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · 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) May 18, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to honor resident's preference to be up for breakfast for 1 of 3 residents (R2) reviewed for resident's rights in the sample of 6.
  2. 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 20, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure resident's safety during a wheelchair transport for 1 of 3 residents (R1) reviewed for safety in the sample of 6.
April 1, 2026Complaint inspection · 2 citations
  1. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 16, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents received a shower/bath at least twice a week for 1 of 3 (R1) residents reviewed for activities of daily living (ADLs) in the sample of 5.
  2. D
    Provide routine and 24-hour emergency dental care for each resident.
    F790 · 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) April 16, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure routine dental care was provided and failed to provide transportation to an oral surgery procedure for 2 of 3 residents (R1 and R2) reviewed for dental care in the sample of 5.
March 10, 2026Complaint 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) March 24, 2026
    Inspectors wroteBased on interview and record review the facility failed to ensure a gait belt was used for a resident during a transfer for 1 of 7 residents (R1) reviewed for quality of care/safety in the sample of 7.
February 24, 2026Complaint inspection · 4 citations
  1. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 23, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide medications as ordered for five of ten residents (R1, R2, R4, R5, R9) reviewed for medications in the sample of ten.
  2. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 16, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure Activities of Daily Living (ADL) assistance was provided to residents that required assistance for three of ten residents (R9, R1, R2) reviewed for ADLs in the sample of ten.
  3. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · 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) March 4, 2026
    Inspectors wroteBased on observation, interview, and record review the facility to ensure medications were administered and administered at the prescribed time for two of two residents (R5, R4) observed during the medication pass. There were 25 opportunities with 7 errors, resulting in a 28% error rate.
  4. D
    Ensure that residents are free from significant medication errors.
    F760 · 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) March 15, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure significant medication errors did not occur for two of ten residents (R1, R5) reviewed for medications in the sample of ten.
January 13, 2026Complaint inspection · 2 citations
  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) February 6, 2026
    Inspectors wroteBased on interview and record review, the facility failed to notify the physician following a fall incident that subsequently resulted in a significant injury and failed to notify physician of a hospital transfer for one of three residents (R1) reviewed for falls in the sample of three.
  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 6, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure the necessary care and services were given to a resident by not immediately obtaining a diagnostic test (x-ray) following a fall, and failed to ensure there was no delay in evaluation and treatment for a resident following a fall for one of three residents (R1) reviewed for falls in the sample of three.
September 5, 2025Complaint inspection · 5 citations
  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) September 29, 2025
    Inspectors wroteBased on observations, interview, and record review the facility failed to obtain daily weights for a congestive heart failure resident (R52). This failure resulted in R52 gaining 60 pounds in one month and requiring hospitalization. The facility also failed to ensure follow-up care was completed after a resident fell (R60). This applies to 2 of 5 residents (R52, R60) reviewed for quality of care in the sample of 48. Findings Include: 1. On 9/2/25 at 10:22 AM, R52 was seated in a bariatric wheelchair with oxygen in place at 4 liters per nasal canula. R52 was able to speak, but did get short of breath during the interview. R52 stated, “I'm sick of this fluid. I've gained over 43 pounds, and it just seems to keep going up.” R52 said the facility does weigh her, but she doesn't think it's every day. R52 said she has been seen in the past by Cardiology for issues with fluid retention. [...]
  2. F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) September 29, 2025
    Inspectors wroteBased on observations, interviews and record reviews, the facility failed to consistently provide sufficient staffing to meet the care needs of its residents. This failure has the potential to affect all 68 residents residing at the facility. Findings Include:On 09/02/2025, V1 (Administrator) provided facility assessment dated [DATE] that documented on page 29 of 52, sufficient nursing staffing: the facility will provide help and care needed without the resident waiting a long time (as perceived). The staff will respond to call lights timely. Resident roster provided by facility and CMS form 802 both dated 09/02/2025, showed an in-house census of 68 residents. Review of nursing schedules and daily work log from 08/2025 through 09/04/2025 provided by facility showed several nursing and/or aide staffing shortages as follows: [...]
  3. 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 · found on a complaint visit · Corrected (the home has a date of correction) September 29, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to provide the residents with food that is palatable in flavor. This applies to all residents in the facility. Findings Include:The CMS (Centers for Medicare and Medicaid) 671 form dated 9/2/2025 shows there are 68 residents in the facility. The menu for lunch on 9/2/2025 shows a pork and rice casserole was to be served. At 11:40 AM on 9/2/2025, V4 [NAME] was observed adding rice to the pork and rice casserole that was on the steam table. V4 said he needed to use another pan to make enough rice for the casserole. V4 stirred the casserole to combine the new rice added. The temperature was checked the casserole was served to the residents. At 1:00 PM, the rice casserole was tasted by the surveyor, and no flavor could be tasted, the meat was tough to chew, and the rice was clumped and stuck together. [...]
  4. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) September 29, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to have a system in place to track and trend infections in the facility, failed to have a resident on contact isolation as ordered (R13) and failed to change a residents (R7) wound dressing in a sanitary manner. This applies to all 68 residents in the facility. Findings Include: The CMS (Centers for Medicare and Medicaid) 671 form dated 9/2/2025 shows there are 68 residents in the facility. 1. The facility infection surveillance report for the last 3 months shows a space for the resident name, room number, infection onset, infection, signs & symptoms, status, pharmacy order and comments. The report is not fully complete, missing infection, signs & symptoms, pharmacy orders and comments. [...]
  5. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 29, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure dependent residents received scheduled showers for 3 of 5 residents (R41, R3, R28) reviewed for activities of daily living in the sample of 48. Findings Include: 1. R41's face sheet showed she was admitted to the facility 1/27/21 with diagnoses to include weakness, unsteadiness on feet, anxiety disorder, dysphagia, hypomagnesemia, hypotension, and generalized osteoarthritis. R41's September 2025 Physician Order Sheet showed, “Shower days: Wednesday and Friday, day shift.” On 9/2/25 at 4:00 PM, V33 (R41's Power of Attorney) said R41 has been having a really hard time getting her showers. V33 said it will be weeks and weeks between R41 receiving showers. V33 said they have made several complaints to the facility regarding the lack of showers and the facility is well aware that it is an ongoing issue for R41. [...]
August 26, 2025Complaint inspection · 2 citations
  1. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 19, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to revise and update the comprehensive care plan after an elopement attempt for one resident (R1) at risk for elopement of three residents reviewed for elopement in the sample of three
  2. 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) September 19, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure one resident at risk for elopement (R1) had sufficient supervision to prevent elopement, failed to address an elopement attempt and failed to implement interventions after an elopement attempt for once of three reviewed for elopement in the sample of three.
May 7, 2025Complaint inspection · 2 citations
  1. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 16, 2025
    Inspectors wroteBased on interview and record review the facility failed to provide incontinence care to a resident who requires assistance with ADLs/Activities of Daily Living. This applies to 1 of 3 residents (R1) in the sample of 5.
  2. D
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · 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 sufficient staff to meet residents care needs for residents requiring assistance with care. This applies to 3 of 3 (R1, R2, R3) residents reviewed for staffing in the sample of 5.
March 28, 2025Complaint inspection · 4 citations
  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) April 21, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure dressing changes and wound assessments were completed as ordered, failed to ensure a dressing was in place, and failed to identify a wound prior to it becoming an advanced stage for 2 of 3 residents (R1, R5) reviewed for wounds in the sample of 8. This failure resulted in R1 being sent to a local hospital and admitted to the hospital with a diagnosis of wound infections to his bilateral lower extremities.
  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 · found on a complaint visit · Corrected (the home has a date of correction) May 1, 2025
    Inspectors wroteBased on observation, interview, record review the facility failed to label foods after they were prepared for residents. This has the potential to affect all 77 residents residing in the facility reviewed for food safety requirements.
  3. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 21, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure a resident was free from abuse for 1 of 8 residents (R1) reviewed for abuse in the sample of 8.
  4. 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 · found on a complaint visit · Corrected (the home has a date of correction) April 21, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure pressure ulcer assessments were performed, failed to ensure wound treatments were performed, and failed to implement pressure relieving interventions for 1 of 3 residents (R2) reviewed for wounds in the sample of 8.
March 17, 2025Complaint inspection · 1 citation
  1. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 20, 2025
    Inspectors wroteBased on interview and record review the facility failed to ensure a resident was provided ADL (Activity of Daily Living) care prior to transfer to hospital for (R1) 1 of 3 residents reviewed for ADL care in the sample of 3.
February 7, 2025Complaint inspection · 2 citations
  1. J
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
    F678 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 7, 2025
    Inspectors wroteBased on interview and record review, the facility staff failed to provide Cardiopulmonary Resuscitation (CPR) to a resident that was a full code. Failed to recognize the resident's code status, and failed to immediately perform life-saving interventions once the resident's code status was identified, for 1 of 3 residents (R1) reviewed for advanced directives in the sample of 3. No CPR was provided to R1 until after emergency medical services arrived at R1's bedside. This failure resulted in R1 experiencing a delay in life-saving medical care and subsequent death. The Immediate Jeopardy began on 1/26/25 at 5:35 PM when V4 (Licensed Practical Nurse-Agency staff) was informed by V10 (R1's visitor) that R1 was not breathing. V1 (Administrator) was notified of the Immediate Jeopardy on 2/6/25 at 1:17 PM. [...]
  2. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 7, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure staff provided feeding assistance and supervision for 1 of 3 residents (R1) reviewed for safety and supervision in the sample of 3. This failure resulted in R1 aspirating, becoming unresponsive, and expiring in the facility on 1/26/25. The Immediate Jeopardy began on 1/26/25 at 5:00 PM when V7 took R1's dinner tray into her room and left it on the bedside table for R1's family to feed her. V1 (Administrator) was notified of the Immediate Jeopardy on 2/6/25 at 1:17 PM. The surveyor confirmed by observation, interview, and record review that the Immediate Jeopardy was removed on 2/7/25, but noncompliance remains at Level Two because additional time is needed to evaluate the implementation and effectiveness of the in-service training.
January 10, 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) January 17, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a resident was transferred safely with a gait belt for 1 of 3 residents (R1) reviewed for safety in the sample of 3. This failure resulted in R1 sustaining a distal femur fracture.
December 31, 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) January 17, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure all doses of a narcotic pain medication was documented on the Individual Resident Controlled Substance Record and the medication administration record as administered for one of three residents (R1) reviewed for narcotic medication administration.
December 27, 2024Complaint inspection · 2 citations
  1. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) January 17, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure equipment was maintained for an emergency supply cart for 52 residents residing on the north hallway. The facility failed to ensure physician ordered daily weights were obtained for 1 of 5 residents (R3) reviewed for quality of care in the sample of 12.
  2. D
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    F557 · 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) January 17, 2025
    Inspectors wroteBased on interview and record review the facility failed to ensure a resident was treated with dignity for 1 of 1 resident (R2) reviewed for dignity in the sample of 12.
November 7, 2024Complaint inspection · 2 citations
  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 26, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to empty a catheter bag before it was full. This applies to 1 of 3 (R2) residents reviewed for catheters in the sample of 6.
  2. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · 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 26, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a resident with a recent history of pelvic and arm fracture received pain medication as ordered. This applies to 1 of 3 (R1) residents reviewed for pain management in the sample of 6.
October 2, 2024Complaint inspection · 2 citations
  1. D
    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
    F622 · 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) October 12, 2024
    Inspectors wroteBased on interview and record review the facility failed to ensure a physician documented, in a resident's medical record, the basis or need for a facility-initiated transfer of a resident. The facility failed to communicate with, verbally or in writing, a local hospital prior to transferring a resident to ensure an effective and safe transition in care. These failures apply to 1 of 3 residents (R1) reviewed for resident transfer/discharge in the sample of 7.
  2. D
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · 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) October 12, 2024
    Inspectors wroteBased on interview and record review the facility failed to provide a resident or their representative with a bed hold notice prior to transferring a resident to the hospital for 1 of 3 residents (R1) reviewed for bed hold notifications/transfers in the sample of 7.
September 24, 2024Complaint inspection · 1 citation
  1. G
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 9, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the theft of a resident's charge card and debit card did not occur for 1 of 3 residents (R1) reviewed for theft in the sample of 9. This failure resulted in R1 being very distraught, crying, and needing to be consoled by facility staff.
July 24, 2024Standard inspection · 10 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) August 15, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to identify, assess, and treat a resident's pressure injuries before becoming unstageable and Stage 3, failed to ensure pressure prevention interventions were in place, and failed to do weekly skin assessments for 4 of 6 residents (R51, R224, R3, R62) reviewed for pressure injuries in the sample of 17. This failure resulted in R51 developing an unstageable pressure injury to his left heel, a stage 2 pressure injury to his right heel and a Stage 3 pressure injury to his right scapula and R224 developing a Stage 3 pressure injury to her coccyx.
  2. G
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) August 15, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents pain medications were administered for 2 of 17 residents (R223, R67) reviewed for pain in the sample of 17. This failure resulted in R223 suffering with pain due to metastatic breast cancer with lesions to the bone and liver.
  3. E
    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, pattern · Corrected (the home has a date of correction) August 15, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure food was handled in a manner to prevent cross contamination for 4 of 17 residents (R61, R62, R67, R71) reviewed for dietary services in the sample of 17.
  4. 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) August 15, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to follow their Covid-19 policies and procedures for Cohorting Covid-19 positive and Covid-19 negative residents and failed to ensure the required Personal Protective Equipment (PPE) was worn when in rooms of residents on Contact/Droplet isolation for Covid-19. This applies to 6 of 17 residents (R41, R44, R18, R29, R11, R49) reviewed for infection control in the sample of 17.
  5. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 15, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a resident was treated with dignity following a room transfer. This applies to 1 of 17 residents (R11) reviewed for dignity in the sample of 17.
  6. D
    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, isolated · Corrected (the home has a date of correction) August 15, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to provide activities of daily living (ADL) including incontinence care and showers for 1 of 17 residents (R3) reviewed for ADLs in the sample of 17.
  7. 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) August 15, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a prescribed scalp treatment was provided to a resident with a diagnosis of psoriasis. This applies to 1 of 17 residents (R1) reviewed for quality of care in the sample of 17.
  8. 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 · Corrected (the home has a date of correction) August 15, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure fall interventions were in place for a resident who is a high risk for falls. This applies to 1 of 17 residents (R4) reviewed for safety in the sample of 17.
  9. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 15, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure fortified potatoes were provided during the noon meal for a resident with significant weight loss. This applies to 1 of 6 residents (R6) reviewed for weight loss in the sample of 17.
  10. D
    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, isolated · Corrected (the home has a date of correction) August 15, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure insulin was labeled with an opened date for 3 of 17 residents (R44, R65, R225) reviewed for medications in the sample of 17.
May 28, 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 observation, interview, and record review the facility failed to thoroughly assess a resident's malfunctioning catheter. This failure resulted in the resident (R3) experiencing bleeding, catheter pain and needing to be admitted to the local hospital. The facility also failed to prevent a suprapubic catheter from being displaced during care. This applies to 2 of 3 residents (R3 and R1) reviewed for catheters in the sample of 4.
February 22, 2024Complaint inspection · 2 citations
  1. F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) March 14, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to provide sufficient nursing staff to meet the care needs of the residents. This failure has the potential to affect all 78 residents residing in the facility.
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) March 14, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure residents dependent on staff for activities of daily living/ADL's received showers as scheduled, and failed to ensure incontinence care and turning and repositioning was completed every 2 hours for 5 of 6 residents (R1, R2, R3, R4, R5) reviewed for ADL care in the sample of 11.
October 30, 2023Complaint inspection · 1 citation
  1. D
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 31, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents were free from misappropriation of money. This applies to 1 of 8 residents (R1) reviewed for misappropriation in the sample of 8.
October 2, 2023Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) October 3, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure Activity of Daily Living (ADL) cares including showers were provided for 4 of 4 staff dependent residents (R1, R2, R3, and R4) reviewed for ADLs in the sample of 4.
September 20, 2023Complaint inspection · 1 citation
  1. K
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
    F678 · Quality of Life and Care · Immediate jeopardy to resident health or safety, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 21, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to have staff on duty trained in the use of emergency medical equipment. The facility failed to ensure their policy was followed to use the AED (Automated External Defibrillator) during CPR (Cardiopulmonary Resuscitation). This failure resulted in R1 expiring at the facility. This applies to 24 of 24 (R1, R3-R24) residents in the sample of 24 reviewed for emergency care/CPR. The immediate jeopardy began on [DATE] at 2:22 AM when R1 was pronounced expired after having a sudden cardiac arrest, the staff in facility were unsure of the policy of what to do, how to provide CPR, and did not use the available AED (Automated External Defibrillator). The immediate jeopardy was identified on [DATE]. V1 Administrator was notified of the immediate jeopardy on [DATE]. [...]
June 29, 2023Standard inspection · 8 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) July 18, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to identify pressure injuries prior to becoming unstageable, as a result of this failure R8 developed multiple pressure injuries to her heels. The facility also failed to ensure current wound treatments were completed, failed to ensure pressure ulcer prevention measures were in place and failed to clean a pressure wound in a manner to prevent cross contamination for 2 of 3 residents (R34, R51) reviewed for pressure injuries in the sample of 17.
  2. F
    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.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 18, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow the recipe for pureed big mac for 2 of 2 residents (R6, R32) reviewed for puree diets in the sample of 17.
  3. 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) July 18, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the three-compartment sink and dishwasher had the proper concentration of sanitizing solution prior to use, failed to ensure pureeing equipment was sanitized between uses, and failed to ensure cooler temperatures were at a safe temperature to prevent food borne illness. This has the potential to affect all 68 facility residents.
  4. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure resident dignity was maintained during personal care for 1 of 1 resident (R6) reviewed for dignity in the sample of 17.
  5. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure physicians orders were followed for 1 of 1 resident (R46) reviewed for physician's orders in the sample of 17, and 1 resident outside of the sample (R15).
  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) July 18, 2023
    Inspectors wroteBased on interview and record review the facility failed to document a change of condition for 2 of 2 residents (R38, R49) reviewed for hospitalization in the sample of 17.
  7. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure incontinence care was provided in a manner to prevent cross contamination for 2 of 2 residents (R31, R6) reviewed for infection control in the sample of 17.
  8. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2023
    Inspectors wroteBased on interview, and record review, the facility failed to offer and provide education regarding the Pneumonia vaccination for 3 of 5 residents (R8, R14, R26) reviewed for immunizations in the sample of 17.
May 5, 2022Standard inspection · 5 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) May 20, 2022
    Inspectors wroteBased on the observation, interview and record review the facility failed to ensure dishes were properly sanitized prior to use. This has the potential to affect all residents in the facility.
  2. E
    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, pattern · Corrected (the home has a date of correction) May 20, 2022
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure food was served in an appealing and appetizing manner for four of four residents (R2, R38, R47, R62) reviewed for meal service in the sample and six residents (R3, R8, R17, R21, R57, R277) outside the sample.
  3. D
    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, isolated · Corrected (the home has a date of correction) May 20, 2022
    Inspectors wroteBased on observation, interview, and record review the facility failed to provide showers for dependent residents for 2 of 2 residents (R6, R23) reviewed for Activities of Daily Living in the sample of 21.
  4. 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 · Corrected (the home has a date of correction) May 20, 2022
    Inspectors wroteBased on observation, interview and record review the facility failed to document a resident fall for 1 of 3 residents (R267) reviewed for falls in the sample of 21.
  5. 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 · Corrected (the home has a date of correction) May 20, 2022
    Inspectors wroteBased on observation, interview and record review the facility failed to have a diagnosis and order for an Indwelling Catheter and failed to ensure a daily dressing change was completed as ordered for a Suprapubic Catheter for 2 of 2 residents (R29, R6) reviewed for catheters in the sample of 21.

Fire safety inspections

21 fire safety citations on file: 10 on July 24, 2024, 8 on June 29, 2023, 3 on May 5, 2022.

Every fire safety citation21 citations
  1. F
    Address subsistence needs for staff and patients.
    E 15 · July 24, 2024 · Corrected (the home has a date of correction)
  2. F
    Follow proper procedures when the fire alarm was out of service for more than 4 hours.
    K 346 · July 24, 2024 · Corrected (the home has a date of correction)
  3. F
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · July 24, 2024 · Corrected (the home has a date of correction)
  4. F
    Have simulated fire drills held at unexpected times.
    K 712 · July 24, 2024 · Corrected (the home has a date of correction)
  5. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · July 24, 2024 · Corrected (the home has a date of correction)
  6. E
    Have exits that are accessible at all times.
    K 271 · July 24, 2024 · Corrected (the home has a date of correction)
  7. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · July 24, 2024 · Corrected (the home has a date of correction)
  8. E
    Install corridor and hallway doors that block smoke.
    K 363 · July 24, 2024 · Corrected (the home has a date of correction)
  9. E
    Ensure proper usage of power strips and extension cords.
    K 920 · July 24, 2024 · Corrected (the home has a date of correction)
  10. E
    Have proper medical gas storage and administration areas.
    K 923 · July 24, 2024 · Corrected (the home has a date of correction)
  11. F
    Conduct testing and exercise requirements.
    E 39 · June 29, 2023 · Corrected (the home has a date of correction)
  12. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 29, 2023 · Corrected (the home has a date of correction)
  13. F
    Have a battery powered remote alarm panel in a location accessible by operating personnel.
    K 916 · June 29, 2023 · Corrected (the home has a date of correction)
  14. E
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · June 29, 2023 · Corrected (the home has a date of correction)
  15. E
    Install corridor and hallway doors that block smoke.
    K 363 · June 29, 2023 · Corrected (the home has a date of correction)
  16. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · June 29, 2023 · Corrected (the home has a date of correction)
  17. E
    Ensure proper usage of power strips and extension cords.
    K 920 · June 29, 2023 · Corrected (the home has a date of correction)
  18. E
    Have proper medical gas storage and administration areas.
    K 923 · June 29, 2023 · Corrected (the home has a date of correction)
  19. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · May 5, 2022 · Corrected (the home has a date of correction)
  20. E
    Ensure proper usage of power strips and extension cords.
    K 920 · May 5, 2022 · Corrected (the home has a date of correction)
  21. E
    Have proper medical gas storage and administration areas.
    K 923 · May 5, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
May 1, 2026Fine $27,378
May 1, 2026Fine $35,510
May 1, 2026Payment Denial 24 days from June 20, 2026
August 26, 2025Fine $41,243
February 7, 2025Fine $102,105
December 27, 2024Fine $14,050
September 24, 2024Fine $22,970
July 24, 2024Fine $125,694
May 28, 2024Fine $14,050
September 20, 2023Fine $87,064
September 20, 2023Payment Denial 12 days from October 19, 2023

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)3.643.453.86
Registered nurses1.210.720.69
All nursing staff on weekends3.213.073.42
Nurse aides2.13
Licensed practical nurses0.31
Nursing staff turnover (share who left in a year)72.2%44.5%45.8%
Registered nurse turnover66.7%41.8%42.9%
Administrators who left1

CMS expects 4.42 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 3.82 on weekdays and 3.21 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 26.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.67 in April to June 2025 to 3.64 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.641.213.823.21 26.6%0 of 9069
Oct to Dec 20253.480.873.682.98 33.9%0 of 9270
Jul to Sep 20253.540.783.782.93 36.4%0 of 9270
Apr to Jun 20253.670.453.923.04 28.8%0 of 9168
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.

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.

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
24.613.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.30.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.11.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.63.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
3.82.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
32.714.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.44.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
5.021.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
23.526.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
12.413.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.52.01.9
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 Bethany Rehab & HCC's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (50.7% 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

50.7% 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. 180 eligible stays.

Potentially preventable readmissions

10.7% 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. 194 eligible stays.

Infections that led to a hospital stay

8.7% 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. 107 eligible stays.

Self-care and mobility at discharge

60.6% 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. 71 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. 100 residents counted.

New or worsened pressure ulcers

0.0% 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. 100 residents counted.

Medication list given at discharge

86.2% this home

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. 29 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: BETHANY HEALTH LLC. CMS links this home to Tutera Senior Living & Health Care, a group of 25 nursing homes averaging 2.1 stars overall.

NameRoleTypeShareSince
Constace Marie Mendolia 2009 Irrv TrDirect ownership interestOrganization12/31/2009
Joseph C Tutera 2009 Irrevocable TrustDirect ownership interestOrganization12/31/2009
Mary Margaret Cunningham 2009 Irrv TrDirect ownership interestOrganization12/31/2009
Tutera, JosephDirect ownership interestIndividual12/14/1994
Walnut Creek Management Company LLCOperational/managerial controlOrganization12/14/1994
Bloom, RandallOperational/managerial controlIndividual05/01/1997
Brooks, KileyOperational/managerial controlIndividual08/15/2018
Ritter, DanielOperational/managerial controlIndividual05/01/2025
Tutera, JosephOperational/managerial controlIndividual12/14/1994
Zaman, AsadOperational/managerial controlIndividual05/01/2025
Dekalb Health Enterprises IncAdp of the SNFOrganization12/31/2009
Walnut Creek Management Company LLCAdp of the SNFOrganization04/08/2025
Bloom, RandallAdp of the SNFIndividual05/01/1997
Brooks, KileyAdp of the SNFIndividual08/15/2018
Groves, RegenaAdp of the SNFIndividual05/01/2025
Ritter, DanielAdp of the SNFIndividual05/01/2025
Tutera, JosephAdp of the SNFIndividual12/14/1994
Zaman, AsadAdp of the SNFIndividual05/01/2025

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 36 problems in this area, most recently on June 22, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 8 problems in this area, most recently on June 22, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 7 problems in this area, most recently on September 5, 2025: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 6 problems in this area, most recently on July 14, 2026: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Illinois contacts for a concern about a nursing home

These are the official offices in Illinois. NursingHomeClear cannot take or act on complaints.

Common questions

What is Bethany Rehab & HCC's Medicare star rating?
CMS rates Bethany Rehab & HCC 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Bethany Rehab & HCC get at its last inspection?
10 health deficiencies at the standard inspection on July 24, 2024. The Illinois average is 12.6.
Has Bethany Rehab & HCC been fined?
Yes. CMS lists 9 fines totaling $470,064 in the last three years.
Does Bethany Rehab & HCC 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 Bethany Rehab & HCC?
CMS lists 18 owners and managers, and links the home to Tutera Senior Living & Health Care. Legal business name: BETHANY HEALTH LLC.

Sources

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