Concordia Village Care Center
4101 West Iles Avenue, Springfield, IL 62711 · Sangamon County · (217) 793-9429
62 certified beds, about 50 residents a day · Non profit - Church related · Medicare and Medicaid since 2012
CMS high performing icon Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 146154 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 8, 2026, inspectors cited 7 health deficiencies (the Illinois average is 12.6, the national average 9.2).
Of 15 health citations since September 2023, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $8,678 in the last three years; the largest was $8,678, and the latest is dated June 26, 2024.
Nurses and nurse aides worked 4.90 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 1.28 of those hours.
44.7% 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.
409/23
106/24
308/24
701/26
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 15 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
8D
3E
2F
Potential for minimal harm
0A
0B
0C
January 8, 2026Standard inspection, Complaint inspection · 7 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to perform hand hygiene prior to donning gloves and in between glove changes, failed to wear gloves while touching resident food, and failed to change gloves and perform hand hygiene when providing incontinent care for 6 of 8 (R1, R2, R17, R33, R37, R41) residents, reviewed for infection control in a sample of 34.
- 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 residents were free from verbal abuse from staff for 1 of 3 residents (R31) reviewed for abuse in the sample of 34. Findings Include:R31's Face Sheet, print date of 1/5/26, documented R31 has diagnoses including Parkinson's disease, dementia, visual hallucinations, aphasia, and dysphagia. R31's MDS (Minimum Data Set) documented R31 is severely cognitively impaired and is dependent on staff for mobility. R31's care plan, print date of 1/5/26, documented R31 has a diagnosis of anxiety disorder with physical manifestations of hallucinations with interventions including touch hands/shoulder to show caring or provide comfort. Provide 1-1 interaction. The Facility's IDPH (Illinois Department of Public Health) Notification form, dated 11/21/25, documented date of alleged incident: 11/8/25 and 11/11/25, General Category: [...]
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview, observation, and record review, the facility failed to implement fall interventions for 2 out of 6 residents (R4, R46) in a sample of 34 reviewed for Quality of Care.
- 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 provide complete incontinent care for 1 of 2 (R2) residents reviewed for incontinent care in a sample of 34. Findings Include:R2's Face Sheet, print date of 1/7/26, documented R2 has diagnoses including urinary tract infection, Parkinson's disease, aphasia following cerebral infarction, and hypertensive heart disease with heart failure. R2's MDS (Minimum Data Set), dated 11/17/25, documented R2 is severely cognitively impaired. R2's Care Plan Report, print date of 1/8/26, documented R2 has ADL (activities of daily living) selfcare deficit related to decreased mobility and muscle weakness. R2's Care Plan also documented R2 is occasionally incontinent. On 1/6/26 at 11:35 AM, V15, CNA (Certified Nurse Assistant), donned gloves without completing hand hygiene prior to donning the gloves. [...]
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on interview and record review, the facility failed to transcribe and follow the physician's orders for 1 of 5 (R1) reviewed for physician orders in the sample of 34.
- D Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on interview, observation, and record review, the facility failed to serve food at a safe and appetizing temperature for 1 out of 1 resident (R37) reviewed for Food and Nutrition Services in a sample size of 34.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on interview, observation, and record review, the facility failed to prepare and serve food in accordance with professional standards for food service safety by not performing hand hygiene and glove changes while serving food to 2 of 10 residents (R1, R17) reviewed for serving food sanitarily in the sample of 34.
August 22, 2024Standard inspection · 3 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on interview, observation, and record review, the facility failed to label and date food products, restrain hair, and ensure resident use refrigerators are only used for residents to prevent foodborne illness. This failure has the potential to affect all 51 residents residing at the facility.
- 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 interview, observation, and record review, the facility failed to dispose of medications for 2 of 51 residents (R42, R115) reviewed for medication storage in the sample of 29.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on interview, observation, and record review, the facility failed to perform hand hygiene, post a needed isolation sign, and use Personal Protective Equipment (PPE) for 2 of 24 residents (R40, R255) reviewed for infection control in sample of 29.
June 26, 2024Complaint inspection · 1 citation
- G 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 timely assessment and treatment of humeral fracture in 1 of 3 residents (R2) reviewed for abuse in the sample of 3. This failure resulted in a delay of care for R2's humeral fracture from, at a minimum, 5:30 PM on 6/12/24 to 12:34 PM on 6/13/24.
September 21, 2023Standard inspection · 4 citations
- G Ensure that residents are free from significant medication errors.
Inspectors wroteBased on interview and record review, the facility failed to ensure medications were given as prescribed, as well as at the time frame as ordered, for 2 of 5 residents, (R32, R104) reviewed for medications, in the sample of 28. This failure caused R32's medication to be omitted for 5 doses/nights, causing R32 to experience wandering behaviors requiring intervention.
- F Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to secure medications appropriately, and failed to label and date open bottles of medications. The facility also failed to ensure medications requiring refrigeration were monitored and documented per the Facility policy. This has the potential to affect all 49 residents living in the facility.
- 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide complete incontinence care for 4 of 4 (R6, R19, R36, R41) residents reviewed for incontinent care in a sample of 13.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to perform appropriate hand hygiene and donning gloves during medication administration and incontinent care and, and failed to perform appropriate cleaning of soiled surfaces for 4 of 6 (R31, R101, R102 R104) residents reviewed infection prevention, in a sample of 28.
Fire safety inspections
3 fire safety citations on file: 1 on January 8, 2026, 2 on August 22, 2024.
Every fire safety citation3 citations
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Have simulated fire drills held at unexpected times.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| June 26, 2024 | Fine | $8,678 |
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) | 4.90 | 3.45 | 3.86 |
| Registered nurses | 1.28 | 0.72 | 0.69 |
| All nursing staff on weekends | 4.61 | 3.07 | 3.42 |
| Nurse aides | 2.99 | ||
| Licensed practical nurses | 0.63 | ||
| Nursing staff turnover (share who left in a year) | 44.7% | 44.5% | 45.8% |
| Registered nurse turnover | 17.6% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.79 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 5.02 on weekdays and 4.61 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.77 in April to June 2025 to 4.90 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 | 4.90 | 1.28 | 5.02 | 4.61 | 0.0% | 0 of 90 | 50 |
| Oct to Dec 2025 | 4.91 | 1.26 | 5.04 | 4.57 | 0.0% | 0 of 92 | 49 |
| Jul to Sep 2025 | 4.82 | 1.22 | 4.95 | 4.49 | 0.0% | 0 of 92 | 50 |
| Apr to Jun 2025 | 4.77 | 1.16 | 4.94 | 4.34 | 0.0% | 0 of 91 | 50 |
| 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 | 9.9 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 7.2 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.7 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.4 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.5 | 14.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.5 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.1 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.5 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 19.8 | 13.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.7 | 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 4 problems in this area, most recently on January 8, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on January 8, 2026: "Ensure that residents are free from significant medication errors."
- 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 January 8, 2026: "Provide and implement an infection prevention and control program."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on January 8, 2026: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
Other nursing homes nearby
- Springfield Suites Rehab and Nursing Springfield, 1.5 mi · 3 of 5 stars · 28 citations
- Arc at Sangamon Valley Springfield, 2.2 mi · 1 of 5 stars · 77 citations
- Regency Care Springfield, 3.1 mi · 1 of 5 stars · 38 citations
- Arcadia Care on the Hill Springfield, 4.5 mi · 1 of 5 stars · 41 citations
- Avenues at Springfield Springfield, 5.3 mi · 2 of 5 stars · 25 citations
- Villa Health Care East Sherman, 11 mi · 1 of 5 stars · 20 citations
- Arcadia Care Auburn Auburn, 12.2 mi · 1 of 5 stars · 32 citations
- Sunny Acres Nursing Home Petersburg, 15.9 mi · 1 of 5 stars · 51 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 Concordia Village Care Center's Medicare star rating?
- CMS rates Concordia Village Care Center 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Concordia Village Care Center get at its last inspection?
- 7 health deficiencies at the standard inspection on January 8, 2026. The Illinois average is 12.6.
- Has Concordia Village Care Center been fined?
- Yes. CMS lists 1 fine totaling $8,678 in the last three years.
- Does Concordia Village Care Center 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 Concordia Village Care Center?
- 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.