Big Meadows
1000 Longmoor, Savanna, IL 61074 · Carroll County · (815) 273-2238
83 certified beds, about 60 residents a day · For profit - Corporation · Medicaid since 1976
Certified for Medicaid
Overall
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 14E701 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 14, 2026, inspectors cited 7 health deficiencies (the Illinois average is 12.6, the national average 9.2).
Of 30 health citations since November 2023, 5 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 1 fine totaling $4,500 in the last three years; the largest was $4,500, and the latest is dated February 25, 2025.
Nurses and nurse aides worked 3.31 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.53 of those hours.
37.9% of nursing staff left within the year CMS measured (Illinois average 44.5%).
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.
211/23
101/24
401/24
302/24
402/24
702/25
110/25
112/25
705/26
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 30 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
22D
3E
0F
Potential for minimal harm
0A
0B
0C
May 14, 2026Standard inspection, Complaint inspection · 7 citations
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that food was served at palatable temperatures. This applied to residents reviewed for dining/palatable food which included R33, R37, R66 and the resident council in the sample of 31.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on interview and record review the facility failed to provide shower assistance for a resident dependent upon staff for assistance. This applies to 1 of 3 residents (R25) reviewed for activities of daily living in the sample of 31.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review the facility failed to assess a resident experiencing a change in condition. This applies to 1 of 3 residents (R3) reviewed for changes in condition in the sample of 31.
- D Provide appropriate foot care.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure footcare including monitoring and treatment was provided after a residents toe was cut during a podiatry visit for 1 of 3 residents (R37) reviewed for foot care in the sample of 31.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a gait belt was applied and used correctly during a transfer and failed to ensure a bed alarm was turned on for 2 of 2 residents (R37 & R4) reviewed for safety in the sample of 31.
- 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.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure an indwelling urinary catheter was maintained in a manner to prevent cross contamination for 1 of 2 residents (R8) reviewed for catheters in the sample of 31.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, and record review the facility failed to administer insulin in accordance with manufacturer's instructions. This applies to 3 of 3 residents (R6, R38, and R43) reviewed for insulin in the sample of 31.
December 6, 2025Complaint inspection · 1 citation
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview and record review the facility failed to ensure a resident was treated with respect and dignity and not subjected to verbal abuse from a facility employee for 1 of 3 residents (R3) reviewed for Resident Rights and abuse in the sample of 3.
October 30, 2025Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview and record review the facility failed to conduct and document an assessment for a resident following an unwitnessed fall for 1 of 3 residents (R1) reviewed for quality of care in the sample of 3.
February 25, 2025Standard inspection, Complaint inspection · 7 citations
- G Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on observation, interview, and record review the facility failed to implement care planned interventions to reduce a dementia resident's anxiety and aggressive behaviors. This failure resulted in R49 fracturing a finger on his left hand after punching a wall. This failure applies to 1 of 9 residents (R49) reviewed for dementia care in the sample of 16.
- E Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide meaningful activities to dementia residents for 4 of 10 residents (R39, R30, R45, R36) reviewed for activities in the sample of 16.
- E 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.
Inspectors wroteBased on observation, interview, and record review the facility failed to follow the pureed menu for 8 of 8 residents (R1, R2, R7, R11, R13, R18, R33, and R46) reviewed for pureed menu in the sample of 16.
- 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.
Inspectors wroteBased on interview and record review the facility failed to ensure a facility bed hold policy was in the resident packet of information for a resident who was transferred to the hospital for 1 of 1 resident (R33) reviewed for hospitalizations in the sample of 16.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review the facility to ensure speech therapy recommendations were implemented for a resident with moderate oral/pharyngeal dysphagia. This applies to 1 of 3 residents (R161) reviewed for safety in the sample of 16.
- D Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a resident's adaptive equipment was functioning for 1 of 9 residents (R10) reviewed for restorative in the sample of 16.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure staff implemented enhanced barrier precautions to prevent the spread of infection for 2 of 16 residents (R2, R45) reviewed for infection control in the sample of 16.
February 29, 2024Complaint inspection · 4 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review the facility failed to transport a resident in a wheelchair with her feet on the foot pedals. This failure resulted in R1 sustaining a fracture to her right femur. This applies to 1 of 3 residents (R1) reviewed for safety in the sample of 3.
- G Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on observation, interview, and record review the facility failed to manage a resident's (R1) pain when she was known to have a fractured leg and she was transferred without her immobilizer. The facility also failed to provide pain medication for resident (R1) with fractured leg prior to transferring her out of bed. This failure resulted in R1 experiencing excruciating pain. This applies to 1 of 3 residents reviewed for pain in the sample of 3.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interview and record review the facility failed to notify a resident's (R1) Power of Attorney (V3) of an incident with a wheelchair and the subsequent X-ray order. This applies to 1 of 3 residents (R1) reviewed for notification in the sample of 3.
- D Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Inspectors wroteBased on interview and record review the facility failed to enter an order with the facility's imaging service for several hours after an incident involving a wheelchair transportation. This applies to 1 of 3 residents (R1) reviewed for imaging in the sample of 3.
February 20, 2024Complaint inspection · 3 citations
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on interview and record review, the facility failed to implement their abuse policy by not reporting and not investigating an allegation of abuse for one of seven residents (R1) reviewed for abuse in the sample of seven.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review, the facility failed to report an allegation of abuse to the abuse coordinator for one of seven residents (R1) reviewed for abuse in the sample of seven.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on interview and record review, the facility failed to ensure a thorough investigation was completed in regard to an allegation of abuse for one of seven residents (R1) reviewed for abuse in the sample of seven.
January 18, 2024Standard inspection · 4 citations
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a resident did not fall off the bed when being turned. The facility failed to assess and care plan a resident for the use of a nicotine vaping device for 2 of 2 residents (R19 & R17) reviewed for safety and supervision in the sample of 17.
- 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.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a controlled medication was behind 2 locks in the medication room. This applies to 1 of 1 resident (R35) reviewed for controlled medication storage in the sample of 17.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review the facility failed to prevent cross contamination of resident contact surfaces by not removing gloves after providing incontinence care before touching clean areas on the resident and resident contact surfaces for 1 of 1 resident (R9) reviewed for infection control in the sample of 17.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and record review, the facility failed to offer and administer pneumonia vaccinations for 3 (R26, R35, R51) of 5 residents reviewed for immunizations in the sample of 17.
January 4, 2024Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review the facility failed to provide the necessary care and services by not providing treatment for a resident with loose stools, failing to follow up on stool sample requests, and failing to update the physician for a resident with loose stools. This applies to 1 of 3 residents reviewed for nursing care in the sample of 4.
November 14, 2023Complaint inspection · 2 citations
- J Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interview and record review, the facility failed to notify a resident's physician of a change in condition for greater than 24 hours. This failure resulted in a decline in R1's condition leading to hospitalization for acute hypoxic respiratory failure, sepsis, and suspected hypoxic brain injury. This applies to 1 (R1) of 3 residents reviewed for change in condition in the sample of 6.
- J Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on interview and record review, the facility failed to identify, assess, and monitor a resident (R1) with significant respiratory changes. This failure resulted in R1 being hospitalized with acute respiratory failure, septic shock related to urinary tract infection and pneumonia, and suspected hypoxic brain injury. R1 expired in the hospital as a result of his illnesses. This failure applies to 1 of 3 residents reviewed for oxygen therapy in the sample of 6.
Fire safety inspections
14 fire safety citations on file: 6 on May 14, 2026, 2 on February 25, 2025, 6 on January 18, 2024.
Every fire safety citation14 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Provide properly protected cooking facilities.
- E Have elevators that firefighters can control in the event of a fire.
- E Ensure proper usage of power strips and extension cords.
- F Have simulated fire drills held at unexpected times.
- E Provide properly protected cooking facilities.
- F Conduct testing and exercise requirements.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- E Have exits that are accessible at all times.
- E Install corridor and hallway doors that block smoke.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 25, 2025 | Fine | $4,500 |
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.
| Measure | This home | Illinois | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.31 | 3.45 | 3.86 |
| Registered nurses | 0.53 | 0.72 | 0.69 |
| All nursing staff on weekends | 3.22 | 3.07 | 3.42 |
| Nurse aides | 2.28 | ||
| Licensed practical nurses | 0.49 | ||
| Nursing staff turnover (share who left in a year) | 37.9% | 44.5% | 45.8% |
| Registered nurse turnover | 33.3% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.20 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 3.34 on weekdays and 3.22 on weekends, 4% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 7.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.48 in April to June 2025 to 3.31 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.31 | 0.53 | 3.34 | 3.22 | 7.5% | 0 of 90 | 60 |
| Oct to Dec 2025 | 3.52 | 0.54 | 3.61 | 3.30 | 13.3% | 0 of 92 | 60 |
| Jul to Sep 2025 | 3.57 | 0.50 | 3.70 | 3.25 | 10.2% | 0 of 92 | 59 |
| Apr to Jun 2025 | 3.48 | 0.50 | 3.57 | 3.25 | 1.5% | 0 of 91 | 58 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Illinois, Jan to Mar 2026 | 3.26 | 0.65 | 3.40 | 2.92 | 5.4% | 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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Illinois | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 23.4 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.9 | 3.1 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 26.0 | 14.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 10.3 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 20.4 | 21.7 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 2.2 | 1.8 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 15 problems in this area, most recently on May 14, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on December 6, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on February 25, 2025: "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."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on February 25, 2025: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Allure of Mt Carroll Mount Carroll, 7.9 mi · 4 of 5 stars · 17 citations
- Eagle Point Nursing and Rehabilitation Clinton, 15.3 mi · 4 of 5 stars · 9 citations
- The Alverno Health Care Facility Clinton, 16.7 mi · 3 of 5 stars · 21 citations
- Allure of Stockton Stockton, 18.7 mi · 4 of 5 stars · 19 citations
- Mill Valley Care Center Bellevue, 18.9 mi · 5 of 5 stars · 9 citations
- La Bella of Morrison Morrison, 21.8 mi · 1 of 5 stars · 46 citations
- Resthave Home-Whiteside County Morrison, 22.3 mi · 2 of 5 stars · 36 citations
- Serenity Estates of Lena Lena, 24.8 mi · 2 of 5 stars · 38 citations
Illinois contacts for a concern about a nursing home
These are the official offices in Illinois. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Illinois Department of Public Health, Nursing Homes, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Illinois Long-Term Care Ombudsman Program, Illinois Department on Aging, 1-800-252-8966. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: IDPH Quarterly Reports of Nursing Home Violators, where Illinois publishes its own records on licensed homes.
Common questions
- What is Big Meadows's Medicare star rating?
- CMS rates Big Meadows 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Big Meadows get at its last inspection?
- 7 health deficiencies at the standard inspection on May 14, 2026. The Illinois average is 12.6.
- Has Big Meadows been fined?
- Yes. CMS lists 1 fine totaling $4,500 in the last three years.
- Does Big Meadows accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Big Meadows?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.