1 health deficiencies
Top issue: Infection Control (1 deficiency)
9 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Carrier Mills, IL
3-star overall rating with 5-star inspections with 1 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
6789 Us Rt 45, Carrier Mills, IL
(618) 994-2323
Overall
3 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
99
Certified beds
Average residents
79
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Wlc Management Firm
Operator or chain grouping
Approved since
1976-05-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
17 facilities
Chain averages 3 overall / 4 health / 1 staffing / 1 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.38
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.45
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
1.98
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
2.81
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
0.83
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
2.43
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
0.01
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.41
CMS adjusted RN staffing hours
Adjusted total hours
3.02
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Program rank
9,338
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
23.94
Composite VBP score used to determine payment impact.
Payment multiplier
0.9833
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.39% · Performance 22.01% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.28% · Performance 11.28% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
8.66
Performance 28.30% · Measure score 8.66 · Achievement 8.66 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0.92
Baseline 2.42 hours · Performance 2.90 hours · Measure score 0.92 · Achievement 0 · Improvement 0.92
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.86% |
10.72%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 68 · Observed rate 16.18% · Lower 95% interval 8.63% |
| Discharge to community | 36.61% |
50.57%
14 pts worse
|
Worse than the National Rate · Eligible stays 49 · Observed rate 28.57% · Lower 95% interval 27.53% |
| Medicare spending per beneficiary | 0.95 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 50 · Denominator 50 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 50 |
| Discharge self-care score | 32.43% |
53.69%
21.3 pts worse
|
Numerator 12 · Denominator 37 |
| Discharge mobility score | 29.73% |
50.94%
21.2 pts worse
|
Numerator 11 · Denominator 37 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 50 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 11.27% |
7.12%
4.1 pts worse
|
Worse than the National Rate · Eligible stays 53 · Observed rate 20.75% · Lower 95% interval 7.18% |
| Staff COVID-19 vaccination coverage | 1.18% |
8.2%
7 pts worse
|
Numerator 1 · Denominator 85 |
| Staff flu vaccination coverage | 92.86% |
42%
50.9 pts better
|
Numerator 78 · Denominator 84 |
| Discharge function score | 32.43% |
56.45%
24 pts worse
|
Numerator 12 · Denominator 37 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 20 · Denominator 20 |
| Resident COVID-19 vaccinations up to date | 25.93% |
25.2%
0.7 pts better
|
Numerator 7 · Denominator 27 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 5.0 |
2.0
3 pts worse
|
1.9
3.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 5.0 · Observed 4.4 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 4.8 |
2.3
2.5 pts worse
|
1.8
3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.8 · Observed 4.3 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
89.6%
9.7 pts better
|
93.4%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.3% · Q3 100.0% · Q4 100.0% · 4Q avg 99.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
91.6%
8.4 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 8.8% |
3.3%
5.5 pts worse
|
3.3%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 8.2% · Q3 10.1% · Q4 6.7% · 4Q avg 8.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.4% |
50.3%
49.9 pts better
|
11.4%
11 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% |
| Percentage of long-stay residents who lose too much weight | 4.6% |
6.5%
1.9 pts better
|
5.4%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 4.5% · Q3 8.2% · Q4 4.5% · 4Q avg 4.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 34.7% |
18.5%
16.2 pts worse
|
19.6%
15.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.4% · Q2 30.0% · Q3 42.2% · Q4 38.8% · 4Q avg 34.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.4% |
22.8%
6.4 pts better
|
16.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 14.9% · Q3 17.0% · Q4 20.5% · 4Q avg 16.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.4% |
0.1%
0.3 pts worse
|
0.1%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% |
| Percentage of long-stay residents whose ability to walk independently worsened | 18.6% |
17.2%
1.4 pts worse
|
16.3%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.5% · Q2 31.7% · Q3 21.8% · Q4 3.0% · 4Q avg 18.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.8% |
15.0%
3.8 pts worse
|
14.9%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 22.7% · Q3 21.0% · Q4 15.2% · 4Q avg 18.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.2% |
1.1%
1.1 pts worse
|
1.0%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 4.3% · Q3 1.3% · Q4 1.2% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.2% |
1.7%
1.5 pts worse
|
1.7%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 5.7% · Q3 1.5% · Q4 2.7% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.5% |
21.3%
6.2 pts worse
|
19.8%
7.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.4% · Q2 37.2% · Q3 24.1% · Q4 25.9% · 4Q avg 27.5% |
| Percentage of long-stay residents with pressure ulcers | 3.2% |
5.2%
2 pts better
|
5.1%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 8.2% · Q3 1.6% · Q4 1.3% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.3% |
68.8%
27.5 pts better
|
81.7%
14.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 91.5% · Q2 98.0% · Q3 97.8% · Q4 100.0% · 4Q avg 96.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.5% |
14.0%
0.5 pts worse
|
12.0%
2.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.5% · Observed 16.0% · Expected 12.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.3%
2.3 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 64.8% |
63.0%
1.8 pts better
|
79.7%
14.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 64.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 32.1% |
26.2%
5.9 pts worse
|
23.9%
8.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.1% · Observed 32.0% · Expected 23.8% · Used in QM five-star |
Survey summary
Top issue: Infection Control (1 deficiency)
9 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
7 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-12-24
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-12-24
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-12-24
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-12-24
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-12-24
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-12-24
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-12-24
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-12-24
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-12-24
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 2024-12-06
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-12-06
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-12-06
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-06
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-12-06
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-12-06
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-12-06
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-12-06
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2024-12-06
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-12-06
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2023-10-16
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-10-16
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-10-16
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2023-10-16
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-10-16
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-10-16
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-10-16
Inspection history
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-03
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-11-18
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-11-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-18
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2024-11-18
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-02-06
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-04-24
Penalties and ownership
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
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