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Home / Illinois / Carlinville

Carlinville Rehab & HCC

751 North Oak Street, Carlinville, IL 62626 · Macoupin County · (217) 854-2511

98 certified beds, about 75 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1982

CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 145454 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 26, 2025, inspectors cited 11 health deficiencies (the Illinois average is 12.6, the national average 9.2).

Of 38 health citations since July 2023, 6 were rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $137,709 in the last three years; the largest was $137,709, and the latest is dated May 29, 2024.

Nurses and nurse aides worked 3.14 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.44 of those hours.

62.9% 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 38 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
6G
0H
0I
Potential for more than minimal harm
20D
10E
2F
Potential for minimal harm
0A
0B
0C
April 17, 2026Complaint inspection · 1 citation
  1. 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) May 1, 2026
    Inspectors wroteBased on interview and record review, the facility failed to prevent resident to resident abuse in 2 of 4 residents (R5, R6) reviewed for abuse in the sample of 17. Findings Include:1. On 4/15/26 at 1:50 PM, R5 was unable to recall any details of the alleged incident with R16. R5's Face Sheet, undated, documents R5 has the following diagnoses: Hemiplegia/Hemiparesis following CVA (Cerebral Vascular Accident), Bipolar Disorder, Weakness, and Cognitive Communication Deficit. R5's MDS (Minimum Data Set), dated 3/23/26, documents R5 has a BIMS (Brief Interview of Mental Status) score of 15, indicating R5 is cognitively intact. R5's Progress Note, dated 1/19/26 at 4:51 PM, documents the following: SSD (Social Service Director) visited resident today. Resident stated that she has no trauma from the resident to resident. Resident stated that she just ignores the other resident now. [...]
December 18, 2025Complaint 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) January 15, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to administer an ordered intravenous, IV, antibiotic, timely transport, and contact prescribing Physician for 1(R2) of 3 residents in the sample of 23. This failure resulted in R2's course of treatment being interrupted, R2 needing to have six additional days of IV antibiotics, and the potential of septic infection.
June 26, 2025Standard inspection · 11 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) July 11, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to provide a palatable meal to residents at the facility. This failure has the potential to affect all 79 residents residing at 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) July 11, 2025
    Inspectors wroteBased on observation, record review and interview the facility failed to store food in a manner to prevent food borne illness. This has the potential to affect all 79 residents at the facility.
  3. E
    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, pattern · Corrected (the home has a date of correction) July 11, 2025
    Inspectors wrote6. During resident council meeting on 6/24/2025 at 10:30 AM R26, R29 and R49 all stated call lights are not answered timely. R26, R29 and R49 all stated it is worse on the night shift due to agency staff, and they are always on their phones. R26's MDS, dated [DATE], documents R26 is cognitively intact. R29's MDS, dated [DATE], documents R29 is cognitively intact. R49's MDS, dated [DATE], documents R49 is cognitively intact. The Facility Resident Council Minutes, dated April 1, 2025, documents issues/concerns: hall daily, lights. The Facility Resident Council Minutes, dated May 8, 2025, documents follow-up concern from last meeting; call light times. Based on interview and record review, the facility failed to answer call lights in a timely manner for 8 of 18 residents (R3, R26, R29, R48, R49, R53, R60, R174) reviewed for dignity in the sample of 43.
  4. 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) July 11, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide bathing, personal hygiene and documentation for 5 of 7 (R4, R8, R21, R36 and R224) residents, reviewed for activities of daily living, in a sample of 43.
  5. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 11, 2025
    Inspectors wrote3. On 06/23/2025 at 09:30 AM, R4 was lying in bed, asleep, and her oxygen was on per nasal cannula. R4's oxygen tubing was not dated and there was not humidity bottle. R4's Physicians order sheet, dated 6/25/2025, documented diagnoses of Chronic obstructive pulmonary disease and Legal blindness. It also documented, Oxygen Tubing - Change Weekly every night shift, every Sun for maintenance. Oxygen - clean O2 concentrator filter with water and allow to air dry weekly. Every night shifts every Sun for maintenance. It also documented an order, 2L o2 via Nasal Cannula continuously R4's MDS, dated [DATE], documented that her cognition was intact. R4's Care Plan, undated, documented, (R4) has Oxygen Therapy r/t COPD 4. On 06/23/2025 at 08:36 AM, R22 was asleep in bed, and her oxygen was running, and the tubing was coiled up on the end of her bed, but it was not on her. [...]
  6. 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) July 11, 2025
    Inspectors wrote3. On 06/23/2025 at 01:17 PM, V8, Activity Director, without benefit of hand hygiene, passed a lunch tray to R226. V8 set up R226's meal tray. She then exited R226's room into the hallway to the meal cart. 4. On 06/23/2025 at 01:19 PM, V8, Activity Director, without benefit of hand hygiene, then retrieved the meal tray for R224 and took it to his room. She set up his tray and explained what was on his tray. On 06/25/2025 at 10:50 AM, V28, LPN, stated that hand sanitizer should be used in between residents when passing meal trays. On 06/25/2025 at 10:52AM, V27, CNA, stated that hand sanitizer should be used in between residents when passing meal trays. On 06/25/2025 at 10:53 AM, V26, CNA, stated that hand sanitizer should be used in between residents when passing meal trays. [...]
  7. 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) July 11, 2025
    Inspectors wroteBased on interview and record review, the facility failed to offer pneumonia vaccines for 5 of 5 residents (R3, R7, R10, R53, R62) reviewed for vaccines in the sample of 43.
  8. 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 · Corrected (the home has a date of correction) July 11, 2025
    Inspectors wroteBased on interview and record review, the facility failed to prevent physical abuse for 1 of 1 resident (R67). This failure affects two residents (R43 and R67) reviewed for abuse in the sample of 43.
  9. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 11, 2025
    Inspectors wroteBased on record review and interview, the facility failed to provide the physician with the pharmacy recommendation and to provide limitations or rationale for a physician ordered as needed anti-anxiety medication, for 1 of 3 (R56) residents reviewed for psychotropic medication review, in a sample of 43.
  10. 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) July 11, 2025
    Inspectors wrote2. On 06/23/2025 at 08:28 AM R225 enteral feeding was not properly labeled and dated. An unknown enteral feeding was infusing at 45ml/hr. R225's Physicians order sheet, dated 6/18/2025, documented, an order for Every shift Nova Source Renal 45ML/Hr. continuous it also documented, NPO diet, NPO texture, NPO consistency R225's Physicians order sheet, dated 06/2025, documented diagnoses of encephalopathy and esophageal varices without bleeding. R225's MDS, dated [DATE], documented that R225 was rarely to never understood and that she required a feeding tube (e.g., nasogastric or abdominal (PEG) for nutrition. R225's Care plan, dated 5/29/2025, documented, My dietary preferences will be honored. Foods I dislike are: NPO. My favorite beverages are: NPO. My favorite foods are: NPO no documentation of tube feeding or flushing. [...]
  11. 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) July 11, 2025
    Inspectors wroteBased on Interview, Observation, and Record Review, the facility failed to properly store medications for 1 of 1 resident's (R9) reviewed for safe medication storage in the sample of 43. The Findings Include: On 6/23/25 at 9:55 AM, R9 was seen lying in bed with a cup of medications with 12 pills/capsules in the cup. R9 stated the nurse brings them to her every morning and will leave them with her and she will take them later after she eats her breakfast. On 6/25/25 at 1:15 PM, V1, Administrator, stated I would expect the nurses, while administering medications to residents, to watch the resident take the medications and not to leave them for resident to take on their own. The Facility's Storage and Return of Drugs Policy, dated 4/2021, documents in part B. [...]
April 30, 2025Complaint inspection · 1 citation
  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) May 16, 2025
    Inspectors wroteBased on interview and record review the facility failed to administer physician ordered medication for 4 (R3, R5, R8, R10) of 4 reviewed for medication administration in the sample of 10. 1. R3's Face sheet documents an admission date of 1/27/2025. Diagnosis include Respiratory Syncytial Virus Pneumonia, End Stage Renal Disease, Chronic Obstructive Pulmonary Disease, Type 2 Diabetes. R3's MDS dated [DATE] documents R3 has no cognitive deficits. R3's Care Plan dated 2/9/2025 documents R3 has pain Diabetic neuropathy. Interventions include monitor/record/report to Nurse R3's complaints of pain or requests for pain treatment. Anticipate the R3's need for pain relief and respond immediately to any complaint of pain. R3's order sheets documents on 4/10/2025 Pregabalin Oral Capsule 75 MG (Pregabalin) *Controlled Drug. Give 1 capsule by mouth two times a day for pain/discomfort. [...]
September 3, 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 · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview and record review, the facility failed to keep a resident free from misappropriation of property related to a staff member's use of a resident's money, for 1 of 3 residents (R3) reviewed for misappropriation in a sample of 8. This failure resulted in R3 having money stolen from bank account and feeling unsafe, like a fool, stupid and like a target. This past non-compliance occurred on 7/9/24 to 7/17/2024.
July 1, 2024Standard inspection, Complaint inspection · 16 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) August 29, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide the Physician prescribed skin/wound treatments for 1 of 6 residents (R5) reviewed for wounds and quality of care in the sample of 44.
  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) July 2, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to identify, assess, and implement interventions for pain for 1 of 6 residents (R129) reviewed for pain in the sample of 44. This failure resulted in R129 moaning in pain due to not being assessed and treated with pain medication for 44 minutes.
  3. E
    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, pattern · Corrected (the home has a date of correction) July 2, 2024
    Inspectors wroteBased on interview and record review, the facility failed to answer call lights in a timely manner for 4 of 24 residents (R5, R22, R38, R50) reviewed for dignity in the sample of 44.
  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) July 2, 2024
    Inspectors wroteBased on interview, observation, and record review, the facility failed to provide complete incontinent care for 4 of 5 residents (R57, R59, R62, R128) reviewed for incontinence care in the sample of 44.
  5. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 2, 2024
    Inspectors wroteBased on interview and record review, the facility failed to provide enough staff to care for residents in a timely manner for (R38, R22, R50, R5) reviewed for sufficient nursing staff in the sample of 44.
  6. 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) July 2, 2024
    Inspectors wroteBased on observation, interview and record review, the Facility failed to perform hand hygiene, and utilize appropriate Personal Protective Equipment (PPE) to prevent the spread of infection for 4 of 24 residents (R62, R20, R59, R175) reviewed for infection control in the sample of 44.
  7. 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) July 2, 2024
    Inspectors wroteBased on interview and record, the facility failed to prevent employee to resident verbal abuse for one of six residents (R41) reviewed for abuse in the sample of 44.
  8. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · 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) July 2, 2024
    Inspectors wroteBased on interview and record review, the facility failed to operationalize their abuse policies and procedures for conducting thorough investigation of allegations of abuse, protect residents during abuse nvestigations, and report allegations of abuse to the administrator immediately for two of 6 residents (R5, R41) reviewed for abuse policy and procedures in the sample of 44.
  9. 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) July 2, 2024
    Inspectors wroteBased on interview and record review, the facility failed to immediately report an allegation of abuse to administrator and the State Survey Agency for 2 of 24 residents (R5, R41) reviewed for reporting of abuse in the sample of 44.
  10. 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 · Corrected (the home has a date of correction) July 2, 2024
    Inspectors wroteBased on interview and record review, the facility failed to protect residents and prevent further potential abuse during abuse investigations and conduct thorough abuse investigations for 2 of 6 residents (R5, R41), reviewed for investigation/prevention/corrections of alleged violation of abuse in the sample of 44.
  11. 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 · Corrected (the home has a date of correction) July 2, 2024
    Inspectors wroteBased on interview and record review, the facility failed to provide notice of bed hold policy to the resident and/or resident representative upon transfer to hospital for 1 of 1 resident (R7) reviewed for notice of bed-hold in a sample of 44.
  12. 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) July 2, 2024
    Inspectors wroteBased on observation, record review and interview the facility failed to identify, assess, and treat pressure ulcers for 2 of 7 residents (R38 and R125) reviewed for pressure ulcers in the sample of 44.
  13. D
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 2, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an occlusive dressing for a Peripherally Inserted Central Catheter (PICC) for 2 of 2 residents (R33, R175) reviewed for Intravenous Therapy in the sample of 44.
  14. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · 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 2, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to change nebulizer therapy tubing on a weekly basis for 1 of 8 residents (R65) reviewed for respiratory therapy in the sample of 44.
  15. 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 · Corrected (the home has a date of correction) July 2, 2024
    Inspectors wroteBased on interview and record review, the Facility failed to ensure physician ordered medication was readily available for administration for 1 of 5 residents (R62) reviewed for pharmacy services and procedures in the sample of 44.
  16. 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) July 2, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to remove outdated medication from the medication refrigerator, date an insulin pen after opening, and ensure medications are labeled for 3 of 18 residents (R1, R68, R125) reviewed for labeling and storage of medication in the sample of 44.
May 29, 2024Complaint inspection · 2 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) August 29, 2024
    Inspectors wroteBased on interview and record review, the facility failed to monitor and treat a resident with the diagnoses of Diabetes Type 2 for one of 3 residents (R10) reviewed for quality of care, in the sample of 12. This failure resulted in R10 being hospitalized with Uncontrolled Diabetes Mellitus with an initial blood glucose of 614 in the emergency room (ER).
  2. 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 · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview and record review, the facility failed to ensure a resident was free from misappropriation of their property for 1 of 3 residents (R2) reviewed for medications in the sample of 12. This past non-compliance occurred between 1/3/2024 and 1/5/2024.
September 26, 2023Complaint inspection · 1 citation
  1. 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 · Corrected (the home has a date of correction) October 6, 2023
    Inspectors wroteBased on interview and record review, the facility failed to thoroughly investigate an allegation of misappropriation of property for one (R3) of three residents reviewed for abuse.
July 27, 2023Standard inspection · 4 citations
  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 · Corrected (the home has a date of correction) August 23, 2023
    Inspectors wroteDeficiency requires two deficient practice statements. A. Based on interviews and record review the facility failed to timely treat a urinary tract infection (UTI) for 1 of 6 residents (R17) review for urinary incontinent/(UTIs) in the sample of 42. This failure resulted in R17 having symptoms of UTI on 6/2/23, delay of physician notification and treatment, and subsequently being admitted to the critical care unit at the local hospital with diagnosis of UTI with septic shock.
  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 · Corrected (the home has a date of correction) August 23, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide assessment to ensure that pain medications are effective and are controlling pain when needed for 1 of 6 residents (R24) reviewed for pain in the sample of 42.
  3. 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 23, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications are store at required temperatures and multi-dose medication vials are labeled as to when first accessed/opened for 2 of 4 residents (R217, R218) reviewed for medication storage in the sample of 42.
  4. 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) August 23, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to perform hand hygiene when performing medications administration, contact with potentially infectious material, and upon contacting residents for 3 of 6 residents (R5, R7, R27) reviewed for infection control in the sample of 42.

Fire safety inspections

18 fire safety citations on file: 1 on June 26, 2025, 13 on July 1, 2024, 4 on July 27, 2023.

Every fire safety citation18 citations
  1. E
    Have proper medical gas storage and administration areas.
    K 923 · June 26, 2025 · Corrected (the home has a date of correction)
  2. F
    Establish staff and initial training requirements.
    E 37 · July 1, 2024 · Corrected (the home has a date of correction)
  3. F
    Conduct testing and exercise requirements.
    E 39 · July 1, 2024 · Corrected (the home has a date of correction)
  4. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · July 1, 2024 · Corrected (the home has a date of correction)
  5. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · July 1, 2024 · Corrected (the home has a date of correction)
  6. F
    Follow proper procedures when the fire alarm was out of service for more than 4 hours.
    K 346 · July 1, 2024 · Corrected (the home has a date of correction)
  7. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 1, 2024 · Corrected (the home has a date of correction)
  8. F
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · July 1, 2024 · Corrected (the home has a date of correction)
  9. F
    Have simulated fire drills held at unexpected times.
    K 712 · July 1, 2024 · Corrected (the home has a date of correction)
  10. F
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · July 1, 2024 · Corrected (the home has a date of correction)
  11. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · July 1, 2024 · Corrected (the home has a date of correction)
  12. E
    Install proper backup exit lighting.
    K 281 · July 1, 2024 · Waiver
  13. 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 1, 2024 · Corrected (the home has a date of correction)
  14. E
    Ensure proper usage of power strips and extension cords.
    K 920 · July 1, 2024 · Corrected (the home has a date of correction)
  15. F
    Create arrangements with other facilities to receive patients.
    E 25 · July 27, 2023 · Corrected (the home has a date of correction)
  16. F
    Provide a written emergency evacuation plan.
    K 711 · July 27, 2023 · Corrected (the home has a date of correction)
  17. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · July 27, 2023 · Corrected (the home has a date of correction)
  18. E
    Install corridor and hallway doors that block smoke.
    K 363 · July 27, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
May 29, 2024Fine $137,709
May 29, 2024Payment Denial 69 days from June 21, 2024

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)3.143.453.86
Registered nurses0.440.720.69
All nursing staff on weekends2.663.073.42
Nurse aides1.94
Licensed practical nurses0.76
Nursing staff turnover (share who left in a year)62.9%44.5%45.8%
Registered nurse turnover60.0%41.8%42.9%
Administrators who left1

CMS expects 5.12 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 3.33 on weekdays and 2.66 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.14 in April to June 2025 to 3.14 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.140.443.332.66 5.0%0 of 9075
Oct to Dec 20253.060.363.252.59 15.2%0 of 9279
Jul to Sep 20253.050.293.212.67 16.2%0 of 9280
Apr to Jun 20253.140.223.312.71 11.2%0 of 9177
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 Carlinville Rehab & HCC. 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
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Do you get a shift differential?
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
9.813.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.30.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.41.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.73.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
3.92.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
25.114.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.64.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
18.621.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.826.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
16.313.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.92.01.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.82.21.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Carlinville Rehab & HCC's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (38.7% 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

38.7% this home

Worse than 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. 63 eligible stays.

Potentially preventable readmissions

9.7% 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. 73 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. 49 eligible stays.

Self-care and mobility 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: 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. 10 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. 20 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. 20 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. 6 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: CARLINVILLE REHABILITATION AND HEALTH CARE CENTER, LLC. CMS links this home to Tutera Senior Living & Health Care, a group of 25 nursing homes averaging 2.1 stars overall.

NameRoleTypeShareSince
Jct Family Limited PartnershipDirect ownership interestOrganization09/25/2017
Tutera Investments, LLCDirect ownership interestOrganization04/25/2017
Tutera, JosephCorporate directorIndividual02/01/2008
Bloom, RandallCorporate officerIndividual04/25/2017
Brooks, KileyCorporate officerIndividual06/01/2013
Walnut Creek Management Company LLCOperational/managerial controlOrganization01/01/2017
Bloom, RandallOperational/managerial controlIndividual04/25/2017
Brooks, KileyOperational/managerial controlIndividual04/25/2017
Buchanan, PamelaOperational/managerial controlIndividual05/01/2025
Marshal, ErickaOperational/managerial controlIndividual05/01/2025
Tutera, JosephOperational/managerial controlIndividual04/25/2017
Dominic Frank Tutera 2016 Irrv TrLimited partnership interestOrganization04/25/2017
Hannah Marie Tutera 2013 Irrevocable TrustLimited partnership interestOrganization04/25/2017
Joseph Charles Tutera Jr 2019 Irrv TrLimited partnership interestOrganization06/27/2019
Laura Cirese Tutera 2011 Irrevocable TrustLimited partnership interestOrganization04/25/2017
Flanagan, MichaelTrustee of the SNFIndividual10/11/2011
Ti-Carlinville, LLCAdp of the SNFOrganization07/05/2019
Walnut Creek Management Company LLCAdp of the SNFOrganization04/08/2025
Bloom, RandallAdp of the SNFIndividual04/25/2017
Brooks, KileyAdp of the SNFIndividual04/25/2017
Buchanan, PamelaAdp of the SNFIndividual05/01/2025
Johnson, NicoleAdp of the SNFIndividual05/01/2025
Marshal, ErickaAdp of the SNFIndividual05/01/2025
Tutera, JosephAdp of the SNFIndividual04/25/2017

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 13 problems in this area, most recently on December 18, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 10 problems in this area, most recently on April 17, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on June 26, 2025: "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."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on June 26, 2025: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.66 hours per resident per day, below the Illinois average of 3.07.
  6. 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 Carlinville Rehab & HCC's Medicare star rating?
CMS rates Carlinville Rehab & HCC 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Carlinville Rehab & HCC get at its last inspection?
11 health deficiencies at the standard inspection on June 26, 2025. The Illinois average is 12.6.
Has Carlinville Rehab & HCC been fined?
Yes. CMS lists 1 fine totaling $137,709 in the last three years.
Does Carlinville 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 Carlinville Rehab & HCC?
CMS lists 24 owners and managers, and links the home to Tutera Senior Living & Health Care. Legal business name: CARLINVILLE REHABILITATION AND HEALTH CARE CENTER, LLC.

Sources

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