Virginia, IL

Cass County Senior Living & Rehabilitation LLC

2-star overall rating with 3-star inspections with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

530 East Beardstown Street, Virginia, IL

(217) 452-3218

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

71

Certified beds

Average residents

27

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2006-01-20

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

Hours and turnover

RN hours / resident day

0.58

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.80

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.09

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

3.47

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.38

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

2.95

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.20

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.68

CMS adjusted RN staffing hours

Adjusted total hours

4.06

CMS adjusted total nurse staffing hours

Case-mix index

1.17

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

1,866

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

Performance score

53.43

Composite VBP score used to determine payment impact.

Payment multiplier

1.0081

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

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

Healthcare-associated infections

Not reported

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

Total nurse turnover

5.32

Baseline 57.69% · Performance 41.94% · Measure score 5.32 · Achievement 5.32 · Improvement 4.30

Adjusted total nurse staffing

5.37

Baseline 3.48 hours · Performance 4.60 hours · Measure score 5.37 · Achievement 5.37 · Improvement 4.39

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 6 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 29
Staff flu vaccination coverage	47.22%	42% 5.2 pts better	Numerator 17 · Denominator 36
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.9%	89.6% 9.3 pts better	93.4% 5.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 95.8% · 4Q avg 98.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	91.7%	91.6% 0.1 pts better	95.5% 3.8 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 91.7%
Percentage of long-stay residents experiencing one or more falls with major injury	0.0%	3.3% 3.3 pts better	3.3% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	17.2%	50.3% 33.1 pts better	11.4% 5.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 25.0% · Q3 19.0% · Q4 16.7% · 4Q avg 17.2%
Percentage of long-stay residents who lose too much weight	2.3%	6.5% 4.2 pts better	5.4% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 0.0% · Q3 4.8% · Q4 0.0% · 4Q avg 2.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	25.0%	18.5% 6.5 pts worse	19.6% 5.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 23.8% · Q3 23.8% · Q4 25.0% · 4Q avg 25.0%
Percentage of long-stay residents who received an antipsychotic medication	5.2%	22.8% 17.6 pts better	16.7% 11.5 pts better	Long Stay · 2024Q4-2025Q3 · Q2 5.0% · Q3 5.0% · 4Q avg 5.2% · 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	21.3%	17.2% 4.1 pts worse	16.3% 5 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 21.3% · 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 20.0% · Q4 18.2% · 4Q avg 18.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.1% 1.1 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.3%	1.7% 0.6 pts worse	1.7% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 8.7% · 4Q avg 2.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.3%	21.3% 6 pts worse	19.8% 7.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.7% · Q2 23.2% · Q3 17.8% · Q4 34.2% · 4Q avg 27.3%
Percentage of long-stay residents with pressure ulcers	7.0%	5.2% 1.8 pts worse	5.1% 1.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 10.0% · Q3 10.9% · Q4 7.5% · 4Q avg 7.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	93.3%	68.8% 24.5 pts better	81.7% 11.6 pts better	Short Stay · 2024Q4-2025Q3 · Q4 84.6% · 4Q avg 93.3%
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 · 4Q avg 0.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-12 · Fire 2024-12-12

9 health deficiencies

Top issue: Infection Control (3 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2024-01-04 · Fire 2024-01-04

1 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2023-03-16 · Fire 2023-03-16

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-12-12

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2025-01-22

F · Potential for more than minimal harm 2024-01-04

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2024-02-12

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-26

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2025-12-11

D · Potential for more than minimal harm 2025-11-26

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-12-11

F · Potential for more than minimal harm 2025-09-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-29

F · Potential for more than minimal harm 2025-09-21

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2025-09-29

D · Potential for more than minimal harm 2025-09-21

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 2025-09-29

F · Potential for more than minimal harm 2025-07-28

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2025-08-22

F · Potential for more than minimal harm 2025-07-28

F727 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2025-08-22

D · Potential for more than minimal harm 2024-12-12

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-12-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-18

F · Potential for more than minimal harm 2024-01-04

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 2024-02-01

Penalties and ownership