Home / Illinois / Coulterville
Coulterville Rehab & HCC
13138 State Route 13, Coulterville, IL 62237 · Randolph County · (618) 758-2256
75 certified beds, about 69 residents a day · For profit - Corporation · Medicare and Medicaid since 2000
CMS abuse icon: cited for abuse in a recent inspection Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 145993 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 30, 2024, inspectors cited 2 health deficiencies (the Illinois average is 12.6, the national average 9.2).
Of 13 health citations since June 2022, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $113,818 in the last three years; the largest was $113,818, and the latest is dated April 7, 2026.
Nurses and nurse aides worked 3.11 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.41 of those hours.
47.1% 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.
006/22
707/23
208/24
112/25
204/26
107/26
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 13 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
3D
4E
4F
Potential for minimal harm
0A
0B
0C
July 16, 2026Complaint inspection · 1 citation
- 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 transfer with safety devices for 1 out of 10 residents (R5); reviewed for accident hazards/supervision/devices in a sample of 10.
April 7, 2026Complaint inspection · 2 citations
- J 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 provide supervision to prevent elopement. This failure resulted in R1 leaving the facility without staff knowledge and a family member (V6) observing (R1) in her wheelchair in the parking lot, with active cars coming and going. The family member (V6) brought (R1) back inside the facility. No staff knew how long (R1) was outside, or how far (R1) had gotten or where (R1) had gone. This failure resulted in an Immediate Jeopardy (IJ) which began on 3/21/2026 when R1 was able to get out of the facility unnoticed by staff and found by a family member in the parking lot in her wheelchair. Staff were unaware when R1 got out and or how long she had been outside. On 4/2/2026 at 2:28 PM, V1, Administrator, was notified of the Immediate Jeopardy. [...]
- E 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 sexual abuse did not occur for 5 of 5 residents (R4, R5, R6, R7, R9) reviewed for abuse in the sample of 18. Utilizing the reasonable person concept, R4, R6 and R7, who are all cognitively impaired, would not expect to be sexually abused, causing them to feel fear, anxiety, embarrassment and anger.
December 15, 2025Complaint inspection · 1 citation
- E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure rooms were kept clean for 4 of 4 (R1-R4) residents reviewed for a safe homelike environment in the sample of 10. Findings Include:1. R1's admission Record with a print date of 12/12/25 documents R1 was admitted to the facility on [DATE] with diagnoses that include anxiety, irritable bowel syndrome, morbid obesity, and fracture of humerus. R1's Minimum Data Set (MDS) dated [DATE] documents a Brief Interview for Mental Status (BIMS) of 15, indicating R1 is cognitively intact. On 12/12/25 at 10:48 AM, R1 stated the floors in her room were dirty and there were brown and red stains on the pull cord in her bathroom. On 12/12/25 at 10:30 AM, R1's bathroom was observed with brown/black substance where the floor and the wall trim meet and on the wall trim. [...]
August 30, 2024Standard inspection · 2 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 observation, interview, and record review, the Facility failed to ensure the dish machine had the chemical level required for effective sanitation and failed to store food in accordance with professional standards for food service safety. This has the potential to affect all 70 residents residing in the Facility.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on interview and record review the facility failed to follow the Renal Therapeutic Diet for 1 of 2 residents (R32) reviewed for therapeutic diets in the sample of 35. Findings Include: R32's Minimum Data Set (MDS) dated [DATE] documents R32 is cognitively intact. R32's Physician Order Sheet dated 7/1/24 documents diet order Renal, CCD (Consistent Carbohydrate) regular texture, Regular liquid, and no added salt. R32'S Face Sheet dated 4/9/23 documents R32's has the diagnoses End Stage Renal Disease, Dependence on Renal Dialysis, Type 2 Diabetes Mellitus without complications. R32's End Stage Renal Failure Care Plan dated 11/5/23 documents compliance with treatment plan, fluid restrictions, and dietary restrictions. R32's Meal Card does not reflect a Renal, CCD (Consistent Carbohydrate) no salt added diet. [...]
July 21, 2023Standard inspection · 7 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and record review the facility failed to provide adequate supervision to prevent falls for 1 of 3 residents (R13) reviewed for supervision to prevent falls in a sample of 44. This failure resulted in R13 falling twice in one day and sustaining a right inferior orbital blowout fracture and minimally displaced left nasal bone fracture.
- F Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on interview and record review the facility failed to have a Registered Nurse (RN) in the facility for 8 hours daily. This has the potential to affect all 70 residents living in the facility.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the Facility failed to store, prepare, and distribute food in a manner that prevents foodborne illness. This has the potential to affect all 70 residents living in the Facility.
- F Provide and implement an infection prevention and control program.
Inspectors wroteA. Based on interview and record review, the facility failed to identify causative organisms to assist with identification of patterns to prevent infections. This has the potential to affect all 70 residents living in the facility.
- E Implement a program that monitors antibiotic use.
Inspectors wroteBased on interview, and record review the facility failed to ensure that residents who require antibiotics are prescribed the appropriate antibiotics to treat infections for 4 of 4 residents (R11, R41, R47, R58) reviewed for antibiotic stewardship in a sample of 44.
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and record review, the facility failed to provide residents and/or resident's representatives education on the risks and benefits of influenza and pneumococcal immunizations, and document education and refusals in the residents' medical records for 4 of 5 residents (R31, R35, R61 and R70) reviewed for influenza and pneumococcal immunization in the sample of 44.
- 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 for 1 of 3 residents (R45) reviewed for abuse in the sample of 44.
June 16, 2022Standard inspection · 0 citations
Fire safety inspections
2 fire safety citations on file: 1 on August 30, 2024, 1 on July 21, 2023.
Every fire safety citation2 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| April 7, 2026 | Fine | $113,818 |
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) | 3.11 | 3.45 | 3.86 |
| Registered nurses | 0.41 | 0.72 | 0.69 |
| All nursing staff on weekends | 2.80 | 3.07 | 3.42 |
| Nurse aides | 1.90 | ||
| Licensed practical nurses | 0.79 | ||
| Nursing staff turnover (share who left in a year) | 47.1% | 44.5% | 45.8% |
| Registered nurse turnover | 33.3% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.52 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 3.24 on weekdays and 2.80 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.05 in April to June 2025 to 3.11 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 | 3.11 | 0.41 | 3.24 | 2.80 | 1.6% | 0 of 90 | 69 |
| Oct to Dec 2025 | 3.10 | 0.42 | 3.24 | 2.74 | 6.8% | 0 of 92 | 70 |
| Jul to Sep 2025 | 3.04 | 0.44 | 3.16 | 2.75 | 11.7% | 0 of 92 | 69 |
| Apr to Jun 2025 | 3.05 | 0.49 | 3.18 | 2.72 | 17.8% | 0 of 91 | 69 |
| 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.
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
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Illinois, all employers | |||
| CNAs (nursing assistants) | $22.10 | $18.95 to $23.26 | 68,640 |
| LPNs and LVNs | $36.06 | $30.57 to $38.25 | 17,440 |
| Registered nurses | $46.15 | $38.47 to $50.94 | 138,910 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
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 | 4.0 | 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 | 2.1 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.3 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.4 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 2.3 | 14.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.3 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.8 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.8 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.6 | 13.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.0 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.5 | 2.2 | 1.8 |
Owners and operators
Legal business name: COULTERVILLE REHABILITATION & 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.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Jct Family Limited Partnership | Direct ownership interest | Organization | 11/20/2013 | |
| Jct Investments, LLC | Direct ownership interest | Organization | 11/20/2013 | |
| Dominic Frank Tutera 2016 Irrv Tr | Indirect ownership interest | Organization | 07/18/2015 | |
| Hannah Marie Tutera 2013 Irrevocable Trust | Indirect ownership interest | Organization | 11/20/2013 | |
| Joseph Charles Tutera Jr 2019 Irrv Tr | Indirect ownership interest | Organization | 06/27/2019 | |
| Laura Cirese Tutera 2011 Irrevocable Trust | Indirect ownership interest | Organization | 11/20/2013 | |
| Tutera Investments, LLC | Indirect ownership interest | Organization | 12/31/2023 | |
| Walnut Creek Management Company LLC | Operational/managerial control | Organization | 01/01/2014 | |
| Bloom, Randall | Operational/managerial control | Individual | 11/04/2004 | |
| Brooks, Kiley | Operational/managerial control | Individual | 07/01/2019 | |
| Hipskind, Timothy | Operational/managerial control | Individual | 05/01/2025 | |
| Thorson, Angela | Operational/managerial control | Individual | 05/01/2025 | |
| Tutera, Joseph | Operational/managerial control | Individual | 04/25/2017 | |
| Wagner, Alisa | Operational/managerial control | Individual | 05/01/2025 | |
| Ti-Coulterville, LLC | Adp of the SNF | Organization | 01/31/2017 | |
| Walnut Creek Management Company LLC | Adp of the SNF | Organization | 04/07/2025 | |
| Bloom, Randall | Adp of the SNF | Individual | 04/25/2017 | |
| Brooks, Kiley | Adp of the SNF | Individual | 07/01/2019 | |
| Hipskind, Timothy | Adp of the SNF | Individual | 05/01/2025 | |
| Thorson, Angela | Adp of the SNF | Individual | 05/01/2025 | |
| Tutera, Joseph | Adp of the SNF | Individual | 04/25/2017 | |
| Wagner, Alisa | Adp of the SNF | Individual | 05/01/2025 |
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.
- 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 July 16, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- 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 July 21, 2023: "Provide and implement an infection prevention and control program."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on April 7, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on August 30, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.80 hours per resident per day, below the Illinois average of 3.07.
Other nursing homes nearby
- Randolph County Care Center Sparta, 6.6 mi · 1 of 5 stars · 21 citations
- Pinckneyville Nursing & Rehab Pinckneyville, 15.3 mi · 3 of 5 stars · 20 citations
- Axiom Gardens of Nashville Nashville, 16.4 mi · 1 of 5 stars · 59 citations
- La Bella of Freeburg Freeburg, 20.7 mi · 1 of 5 stars · 23 citations
- Three Springs Sr Living & Rhab Chester, 20.9 mi · 2 of 5 stars · 24 citations
- La Bella of Mascoutah Mascoutah, 22.9 mi · 1 of 5 stars · 36 citations
- Nexus at Mascoutah Mascoutah, 23.4 mi · 1 of 5 stars · 39 citations
- Clinton Manor Living Center New Baden, 24 mi · 5 of 5 stars · 7 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 Coulterville Rehab & HCC's Medicare star rating?
- CMS rates Coulterville Rehab & HCC 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Coulterville Rehab & HCC get at its last inspection?
- 2 health deficiencies at the standard inspection on August 30, 2024. The Illinois average is 12.6.
- Has Coulterville Rehab & HCC been fined?
- Yes. CMS lists 1 fine totaling $113,818 in the last three years.
- Does Coulterville 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 Coulterville Rehab & HCC?
- CMS lists 22 owners and managers, and links the home to Tutera Senior Living & Health Care. Legal business name: COULTERVILLE REHABILITATION & HEALTH CARE CENTER, LLC.
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.