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Scott County Nursing Center

Rural Route 2, Winchester, IL 62694 · Scott County · (217) 742-3101

49 certified beds, about 46 residents a day · Government - County · Medicare and Medicaid since 2006

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 146106 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 23, 2026, inspectors cited 4 health deficiencies (the Illinois average is 12.6, the national average 9.2).

Of 9 health citations since January 2024, 4 were rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $29,295 in the last three years; the largest was $29,295, and the latest is dated April 23, 2026.

Nurses and nurse aides worked 3.76 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.46 of those hours.

40.0% 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.

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 9 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
4G
0H
0I
Potential for more than minimal harm
4D
1E
0F
Potential for minimal harm
0A
0B
0C
April 23, 2026Standard inspection · 4 citations
  1. G
    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 · Actual harm, isolated · Corrected (the home has a date of correction) May 22, 2026
    Inspectors wroteBased on interview and record review, the facility failed to protect the resident's right to be free from verbal abuse by another resident for 1 of 2 residents (R41) reviewed for abuse in the sample of 24. This failure resulted in R41 feeling scared and threatened. Findings Include:On 4/22/26 at 9:20 AM, R41 stated she was in the dining room talking with some of the other ladies, when R22 propelled himself in his wheelchair over to her and ran into her with his foot pedals, backed up, and did it two more times. R41 stated R22 then said to her get out, she wasn't needed, and he was going to go out and get a corn stalk out of the field and wrap it around her neck. R41 stated she was scared, felt threated, and reported it to the nurse and V1 (Administrator). R41 stated she was so scared that she had the nurse watch her to make sure she made it to her room and R22 wasn't following her. [...]
  2. G
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) May 22, 2026
    Inspectors wroteBased on observation, interview and record review the facility failed to follow physician's orders for weight loss supplements to prevent weight loss for 1 (R5) of 2 residents reviewed for weight loss in the sample of 24. This failure resulted in R5 losing 12 pounds which is 10.34% of weight in less than 30 days.
  3. 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 · Corrected (the home has a date of correction) May 22, 2026
    Inspectors wroteBased on interview and record review, the facility failed to follow their abuse policy by not reporting an allegation of abuse and for not preventing abuse for 2 of 2 residents (R22, R41) reviewed for abuse in the sample of 24. Findings Include:On 4/22/26 at 9:20 AM, R41 stated there was an incident that happened last year with R22. R41 stated she was in the dining room talking with some of the other ladies, when R22 propelled himself in his wheelchair over to her and ran into her with his foot pedals, backed up, and did it two more times. R41 stated R22 then said to her get out, she wasn't needed, and he was going to go out and get a corn stalk out of the field and wrap it around her neck. R41 stated she was scared, felt threatened, and reported it to the nurse and V1 (Administrator). [...]
  4. 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 · Corrected (the home has a date of correction) May 22, 2026
    Inspectors wroteBased on interview and record review, the facility failed to report an allegation of a verbal resident to resident altercation in 2 of 2 residents (R22, R41) reviewed for reporting of alleged abuse violations in the sample of 24. Findings Include:R41's Face Sheet, undated, documents R14 has a primary diagnosis of Disorders of the Muscle. R41's MDS (Minimum Data Set), dated 2/2/26, documents R41 has a BIMS (Brief Interview of Mental Status) score of 14, indicating R41 is cognitively intact. R41's Progress Note, dated 7/04/25 at 8:48 PM, documents the following: Reported to this nurse from another resident (R41) that during supper time, R41 told R22 that he does not know how to be a husband and doesn't do anything right. R41 reported to other nurse, R22 told her to shut up with big mean eyes. Did not give a reasoning as to why he had told her to shut up. [...]
September 29, 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) October 31, 2025
    Inspectors wroteBased on record review and interview the facility failed to assess and notify the physician after R2 experienced choking incident on 9/13/2025 for 1 of 3 residents reviewed for choking (R2) in the sample of 4. This failure resulted in R2 developing pneumonia which required antibiotic treatment and experiencing an additional choking episode on 9/18/2025 with R2 requiring Heimlich maneuver both times. Findings Include: R2's video swallow study dated 9/5/2025 at 13:23 documents multiple consistencies of food and liquids mixed with barium were fed to R2 by the speech pathologist and the swallowing mechanism was observed under fluoroscopy. The study documents penetration with spontaneous clearing of thin and mildly thick liquids. R2's Progress notes dated 9/13/2025 at 12:55PM documents B/P 144/62, P-54, R-18, SP02 90% room air. [...]
December 12, 2024Standard inspection · 1 citation
  1. 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) January 15, 2025
    Inspectors wroteBased on interview, observation, and record review the facility failed to perform hand hygiene, change gloves when needed, and have signage indicating the need for Enhanced Barrier Precaution, for 5 of 16 residents (R12, R13, R21,R25, R27) to prevent cross contamination reviewed for infection control in the sample of 29.
October 10, 2024Complaint inspection · 1 citation
  1. 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 · Corrected (the home has a date of correction) October 31, 2024
    Inspectors wroteBased on interview and record review, the facility failed to prevent misappropriation of a residents medication in 1 of 4 residents (R2), reviewed for Misappropriation in the sample of 4.
January 25, 2024Standard 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 · Corrected (the home has a date of correction) February 28, 2024
    Inspectors wroteBased on interview and record review, the facility failed to provide assessment or timely treatment for 1 of 3 residents (R9) reviewed for change of condition in the sample of 34. This failure resulted in R9 being in pain for 3 days without physician notification. R9 sustained a right fractured clavicle.
  2. 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) February 28, 2024
    Inspectors wroteBased on interview, observation and record review, the facility failed to disinfect a multiple resident use blood glucose monitor to prevent contamination for 2 of 3 residents (R2, R16) reviewed infection control in the sample of 34.

Fire safety inspections

6 fire safety citations on file: 2 on April 23, 2026, 1 on December 12, 2024, 3 on January 25, 2024.

Every fire safety citation6 citations
  1. F
    Establish roles under a Waiver declared by secretary.
    E 26 · April 23, 2026 · Corrected (the home has a date of correction)
  2. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 23, 2026 · Corrected (the home has a date of correction)
  3. E
    Install corridor and hallway doors that block smoke.
    K 363 · December 12, 2024 · Corrected (the home has a date of correction)
  4. F
    Establish roles under a Waiver declared by secretary.
    E 26 · January 25, 2024 · Corrected (the home has a date of correction)
  5. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 25, 2024 · Corrected (the home has a date of correction)
  6. F
    Have simulated fire drills held at unexpected times.
    K 712 · January 25, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
April 23, 2026Fine $29,295
April 23, 2026Payment Denial 6 days from May 16, 2026
September 29, 2025Payment Denial 16 days from October 15, 2025
January 25, 2024Payment Denial 5 days from February 23, 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)3.763.453.86
Registered nurses0.460.720.69
All nursing staff on weekends3.303.073.42
Nurse aides2.37
Licensed practical nurses0.93
Nursing staff turnover (share who left in a year)40.0%44.5%45.8%
Registered nurse turnover16.7%41.8%42.9%
Administrators who left0

CMS expects 2.84 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 3.95 on weekdays and 3.30 on weekends, 16% 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 3.83 in April to June 2025 to 3.76 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.760.463.953.30 0.0%0 of 9046
Oct to Dec 20253.630.513.823.15 0.0%1 of 9246
Jul to Sep 20253.560.603.783.00 0.0%0 of 9245
Apr to Jun 20253.830.493.993.45 0.0%0 of 9139
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.

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
1.90.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
10.31.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.53.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
8.32.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
12.214.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
12.24.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
13.721.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
22.326.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
22.713.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.42.01.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.72.21.8

Owners and operators

Legal business name: SCOTT COUNTY NURSING CENTER.

NameRoleTypeShareSince
Hays, LindeyManaging control - governing bodyIndividual06/01/2024
Ford, MarkCorporate officerIndividual01/29/2019
Hays, LindeyOperational/managerial controlIndividual06/01/2024
Mahdy, AhmedOperational/managerial controlIndividual08/15/2024
Scott County Nursing CenterAdp of the SNFOrganization04/19/1971
Hays, LindeyAdp of the SNFIndividual06/01/2024
Mahdy, AhmedAdp of the SNFIndividual01/28/2025

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.

  1. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on April 23, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on April 23, 2026: "Provide enough food/fluids to maintain a resident's health."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on December 12, 2024: "Provide and implement an infection prevention and control program."

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 Scott County Nursing Center's Medicare star rating?
CMS rates Scott County Nursing Center 2 out of 5 stars overall, with 2 for health inspections, 5 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Scott County Nursing Center get at its last inspection?
4 health deficiencies at the standard inspection on April 23, 2026. The Illinois average is 12.6.
Has Scott County Nursing Center been fined?
Yes. CMS lists 1 fine totaling $29,295 in the last three years.
Does Scott County Nursing 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 Scott County Nursing Center?
CMS lists 7 owners and managers. Legal business name: SCOTT COUNTY NURSING CENTER.

Sources

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