Heritage Square
620 North Ottawa Avenue, Dixon, IL 61021 · Lee County · (815) 288-2251
27 certified beds, about 23 residents a day · Non profit - Other · Medicaid since 1984
CMS Care Compare ratings, data as of September 1, 2026 · CCN 14A357 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 24, 2025, inspectors cited 1 health deficiency (the Illinois average is 12.6, the national average 9.2).
None of its 11 health citations since September 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 6.85 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 1.00 of those hours.
32.6% 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.
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 11 health citations on file.
September 24, 2025Standard inspection · 1 citation
- 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 kitchen staff wore hair restraints and failed to ensure the freezer was in working order. This applies to all 24 residents residing in the facility.
July 10, 2024Standard inspection · 6 citations
- E 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 handle mechanically altered food in a manner to prevent cross-contamination. This applies to 2 of 2 residents (R4 and R12) reviewed for dietary services in the sample of 11 and 4 residents (R7, R9, R11, and R16) outside the sample.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on interview and record review, the facility failed to obtain orders and implement treatments for wounds to a residents feet upon admission to the facility for 1 of 1 residents (R13) reviewed for pressure ulcers in the sample of 11.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on interview and record review, the facility failed to implement weight loss interventions for a resident with weight loss. This applies to 1 of 2 residents (R12) reviewed for weight loss in the sample of 11.
- D Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident was provided his prescribed mechanically altered diet and thickened liquids for 1 of 1 residents (R4) reviewed for mechanically altered diets in the sample of 11.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to doff (remove) personal protective equipment (PPE) for enhanced barrier precautions inside of the residents room for 1 of 2 residents (R4) reviewed for infection control in the sample of 11.
- C Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on observation, interview, and record review, the facility failed to accurately submit payroll-based journal hours. This has the potential to affect all 16 residents.
September 14, 2023Standard inspection · 4 citations
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure weekly measurements were completed for a resident with a pressure ulcer for 1 of 1 resident (R1) reviewed for pressure ulcers in the sample of 11.
- 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 implement fall interventions for residents at risk for falls, failed to review fall investigations, and failed to update resident care plans with new interventions after falls for 2 of 3 resident (R13, R15) reviewed for falls.
- 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 interview and record review, the facility failed to ensure intake and output monitoring was documented for a resident with an indwelling urinary catheter for 1 of 1 resident (R16) reviewed for intake and output and urinary catheters in the sample of 11.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure an air filter was on an oxygen concentrator and the the air filter holder on an oxygen concentrator was clean. The facility failed to ensure a nasal cannula and a humidification container on an oxygen concentrator was dated. This applies to 2 of 2 residents (R6 & R7) reviewed for oxygen therapy in the sample of 11.
Fire safety inspections
15 fire safety citations on file: 4 on September 24, 2025, 4 on July 10, 2024, 7 on September 14, 2023.
Every fire safety citation15 citations
- F Conduct testing and exercise requirements.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Install a two-hour-resistant firewall separation.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Install a fire alarm system that can be heard throughout the facility.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E Have an enclosure around a vertical opening shaft.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Install a two-hour-resistant firewall separation.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Inspect, test, and maintain automatic sprinkler systems.
- C Have simulated fire drills held at unexpected times.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 6.85 | 3.45 | 3.86 |
| Registered nurses | 1.00 | 0.72 | 0.69 |
| All nursing staff on weekends | 5.89 | 3.07 | 3.42 |
| Nurse aides | 4.53 | ||
| Licensed practical nurses | 1.33 | ||
| Nursing staff turnover (share who left in a year) | 32.6% | 44.5% | 45.8% |
| Registered nurse turnover | 44.4% | 41.8% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.39 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 7.24 on weekdays and 5.89 on weekends, 19% 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 6.25 in April to June 2025 to 6.85 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 | 6.85 | 1.00 | 7.24 | 5.89 | 0.0% | 0 of 90 | 23 |
| Oct to Dec 2025 | 7.29 | 1.14 | 7.65 | 6.37 | 0.0% | 0 of 92 | 22 |
| Jul to Sep 2025 | 6.82 | 1.04 | 7.24 | 5.78 | 0.0% | 0 of 92 | 23 |
| Apr to Jun 2025 | 6.25 | 0.96 | 6.59 | 5.39 | 0.0% | 0 of 91 | 22 |
| 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 | 25.8 | 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 | 4.8 | 3.1 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 23.7 | 14.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 10.6 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 26.7 | 21.7 | 15.4 |
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 6 problems in this area, most recently on July 10, 2024: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- 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 September 24, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on July 10, 2024: "Provide and implement an infection prevention and control program."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on July 10, 2024: "Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Dixon Rehab & HCC Dixon, 1.5 mi · 3 of 5 stars · 21 citations
- Franklin Grove Living and Rehab Franklin Grove, 9.4 mi · 5 of 5 stars · 20 citations
- Polo Rehabilitation & HCC Polo, 10.1 mi · 3 of 5 stars · 29 citations
- La Bella of Sterling Sterling, 10.2 mi · 2 of 5 stars · 20 citations
- Citadel of Sterling,the Sterling, 11.3 mi · 3 of 5 stars · 22 citations
- Allure of Sterling Sterling, 11.7 mi · 1 of 5 stars · 38 citations
- Oregon Living and Rehabilitation Center Oregon, 13 mi · 2 of 5 stars · 39 citations
- Allure of Pinecrest Mount Morris, 13.6 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 Heritage Square's Medicare star rating?
- CMS rates Heritage Square 4 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Heritage Square get at its last inspection?
- 1 health deficiency at the standard inspection on September 24, 2025. The Illinois average is 12.6.
- Has Heritage Square been fined?
- CMS lists no fines in the last three years.
- Does Heritage Square 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 Heritage Square?
- 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.