Carlinville, IL

Carlinville Rehab & Hcc

1-star overall rating with 2-star inspections with abuse icon flag with $171,737 in total fines with 13 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

751 North Oak Street, Carlinville, IL

(217) 854-2511

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Tutera Senior Living & Health Care

Operator or chain grouping

Approved since

1982-08-31

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

25 facilities

Chain averages 2 overall / 2 health / 2 staffing / 3 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.29

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.81

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

1.96

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

3.05

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.10

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

2.67

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.27

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.24

CMS adjusted RN staffing hours

Adjusted total hours

2.51

CMS adjusted total nurse staffing hours

Case-mix index

1.66

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

13,714

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

0.82

Composite VBP score used to determine payment impact.

Payment multiplier

0.9803

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 18.93% · Performance 22.45% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 6.18% · Performance 8.74% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Adjusted total nurse staffing

0.25

Baseline 2.64 hours · Performance 2.87 hours · Measure score 0.25 · Achievement 0 · Improvement 0.25

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.66%	10.72% 1.1 pts better	No Different than the National Rate · Eligible stays 73 · Observed rate 8.22% · Lower 95% interval 7.01%
Discharge to community	38.69%	50.57% 11.9 pts worse	Worse than the National Rate · Eligible stays 63 · Observed rate 26.98% · Lower 95% interval 28.16%
Medicare spending per beneficiary	1.29	1.02 0.3 pts worse
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 15 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	8.74%	7.12% 1.6 pts worse	No Different than the National Rate · Eligible stays 49 · Observed rate 14.29% · Lower 95% interval 5.36%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 46
Staff flu vaccination coverage	44.12%	42% 2.1 pts better	Numerator 30 · Denominator 68
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.6	2.0 0.4 pts better	1.9 0.3 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 2.2 · Expected 2.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.4	2.3 1.1 pts worse	1.8 1.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.4 · Observed 4.4 · Expected 2.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	65.3%	89.6% 24.3 pts worse	93.4% 28.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 98.5% · Q2 42.3% · Q3 26.5% · Q4 94.3% · 4Q avg 65.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	85.2%	91.6% 6.4 pts worse	95.5% 10.3 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 85.2%
Percentage of long-stay residents experiencing one or more falls with major injury	3.6%	3.3% 0.3 pts worse	3.3% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 1.4% · Q3 5.9% · Q4 4.3% · 4Q avg 3.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	29.0%	50.3% 21.3 pts better	11.4% 17.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 38.1% · Q3 33.3% · Q4 37.5% · 4Q avg 29.0%
Percentage of long-stay residents who lose too much weight	1.2%	6.5% 5.3 pts better	5.4% 4.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 3.1% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	14.1%	18.5% 4.4 pts better	19.6% 5.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 9.4% · Q3 14.8% · Q4 15.9% · 4Q avg 14.1%
Percentage of long-stay residents who received an antipsychotic medication	17.4%	22.8% 5.4 pts better	16.7% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 17.3% · Q3 14.6% · Q4 17.0% · 4Q avg 17.4% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	28.6%	17.2% 11.4 pts worse	16.3% 12.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 43.4% · Q4 28.4% · 4Q avg 28.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	15.3%	15.0% 0.3 pts worse	14.9% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 24.6% · Q3 5.1% · Q4 15.0% · 4Q avg 15.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.8%	1.1% 0.3 pts better	1.0% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 0.0% · Q4 1.4% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.4%	1.7% 1.3 pts better	1.7% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	29.9%	21.3% 8.6 pts worse	19.8% 10.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.0% · Q2 34.7% · Q3 26.3% · Q4 32.2% · 4Q avg 29.9%
Percentage of long-stay residents with pressure ulcers	4.3%	5.2% 0.9 pts better	5.1% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 5.0% · Q3 3.6% · Q4 3.4% · 4Q avg 4.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	30.3%	68.8% 38.5 pts worse	81.7% 51.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 69.0% · Q2 21.3% · Q3 10.0% · Q4 30.8% · 4Q avg 30.3%
Percentage of short-stay residents who had an outpatient emergency department visit	12.6%	14.0% 1.4 pts better	12.0% 0.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 12.6% · Observed 16.1% · Expected 14.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	3.4%	2.3% 1.1 pts worse	1.6% 1.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.3% · Q3 4.5% · Q4 4.5% · 4Q avg 3.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	27.5%	63.0% 35.5 pts worse	79.7% 52.2 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 27.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	19.8%	26.2% 6.4 pts better	23.9% 4.1 pts better	Short Stay · 20240701-20250630 · Adjusted 19.8% · Observed 25.8% · Expected 31.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-26 · Fire 2025-06-26

13 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-07-01 · Fire 2024-07-01

19 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

13 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 3 Health 2023-07-27 · Fire 2023-07-27

11 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

4 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-06-26

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-08-29

F · Potential for more than minimal harm 2024-07-01

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2024-07-02

F · Potential for more than minimal harm 2024-07-01

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-07-02

F · Potential for more than minimal harm 2024-07-01

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-07-01

F · Potential for more than minimal harm 2024-07-01

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-06-26

F · Potential for more than minimal harm 2024-07-01

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2024-06-26

F · Potential for more than minimal harm 2024-07-01

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-07-12

F · Potential for more than minimal harm 2024-07-01

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2024-06-26

F · Potential for more than minimal harm 2024-07-01

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-07-01

F · Potential for more than minimal harm 2024-07-01

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-06-26

F · Potential for more than minimal harm 2024-07-01

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-07-01

E · Potential for more than minimal harm 2024-07-01

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2024-10-04

E · Potential for more than minimal harm 2024-07-01

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-07-01

E · Potential for more than minimal harm 2024-07-01

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-07-01

F · Potential for more than minimal harm 2023-07-27

E25 · Emergency Preparedness Deficiencies

Fire Safety

Create arrangements with other facilities to receive patients.

Corrected 2023-08-23

F · Potential for more than minimal harm 2023-07-27

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2023-08-24

F · Potential for more than minimal harm 2023-07-27

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-08-16

E · Potential for more than minimal harm 2023-07-27

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-08-15

Inspection history

Recent health citations

G · Actual harm 2025-12-18

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-01-15

F · Potential for more than minimal harm 2025-06-26

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-07-11

F · Potential for more than minimal harm 2025-06-26

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-07-11

E · Potential for more than minimal harm 2025-06-26

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-07-11

E · Potential for more than minimal harm 2025-06-26

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-07-11

E · Potential for more than minimal harm 2025-06-26

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-07-11

E · Potential for more than minimal harm 2025-06-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-11

E · Potential for more than minimal harm 2025-06-26

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-07-11

D · Potential for more than minimal harm 2025-06-26

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-07-11

D · Potential for more than minimal harm 2025-06-26

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-07-11

D · Potential for more than minimal harm 2025-06-26

F693 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2025-07-11

D · Potential for more than minimal harm 2025-06-26

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-07-11

E · Potential for more than minimal harm 2025-04-30

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-05-16

G · Actual harm 2024-09-03

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2024-07-17

G · Actual harm 2024-07-01

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-08-29

G · Actual harm 2024-07-01

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-07-02

E · Potential for more than minimal harm 2024-07-01

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-07-02

E · Potential for more than minimal harm 2024-07-01

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-07-02

E · Potential for more than minimal harm 2024-07-01

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-07-02

E · Potential for more than minimal harm 2024-07-01