Coulterville Rehab & Hcc ratings, inspections, staffing, and fines

1

How this home got 2 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

Health inspections

starting point

Everything starts from what state inspectors found on site. This is a ranking against other homes in Illinois.
Staffing

no change

Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
Quality measures

no change

Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
Overall

2 of 5

Matches the rating CMS publishes on Care Compare.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among Illinois homes

Coulterville Rehab & Hcc carries 108.25 inspection points. That is fewer than 48% of Illinois's 659 rated homes.

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Illinois: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

5★ 0–31 pts
4★ 31–73 pts
3★ 73–120.25 pts
2★ 120.25–219 pts
1★ over 219 pts

Bars show every rated home in Illinois by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

13 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts

K 0 100 pts

L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts

H 0 35 pts

I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 3 4 pts

E 4 8 pts

F 4 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts

B 0 0 pts

C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (2)

J

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

April 7, 2026 · Complaint inspection · Quality of Life and Care · F689 · Corrected April 9, 2026
G

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

July 21, 2023 · Standard inspection · Quality of Life and Care · F689 · Corrected August 15, 2023

Everything else, by area of care

Infection Control3F

F
Provide and implement an infection prevention and control program.
July 21, 2023 · Standard · F880 · Corrected August 15, 2023
E
Implement a program that monitors antibiotic use.
July 21, 2023 · Standard · F881 · Corrected August 15, 2023
E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
July 21, 2023 · Standard · F883 · Corrected August 15, 2023

Quality of Life and Care2D

D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
July 16, 2026 · Complaint · F689 · Corrected July 28, 2026
D
Provide enough food/fluids to maintain a resident's health.
August 30, 2024 · Standard · F692 · Corrected September 20, 2024

Freedom from Abuse, Neglect, and Exploitation2E

E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
April 7, 2026 · Complaint · F600 · Corrected April 9, 2026
D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
July 21, 2023 · Standard · F600 · Corrected August 15, 2023

Nutrition and Dietary2F

F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
August 30, 2024 · Standard · F812 · Corrected September 20, 2024
F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
July 21, 2023 · Standard · F812 · Corrected August 15, 2023

Resident Rights1E

E
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.
December 15, 2025 · Complaint · F584 · Corrected December 31, 2025

Nursing and Physician Services1F

F
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.
July 21, 2023 · Standard · F727 · Corrected August 15, 2023

Inspection history

2024-08-30
6 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-07-21
7 health deficiencies · 1 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
2022-06-16
0 health deficiencies · 0 fire-safety deficiencies
No concentrated health issue counts in this cycle.

4

Nursing time per resident, per day

Each resident here gets about 3 h 11 min of nursing staff time a day, 27 min of it from a registered nurse.

This home

3 h 11 min

Illinois average

3 h 28 min

U.S. average

3 h 54 min

Registered nurse
Licensed practical nurse
Nurse aide

Turnover: 36% of nursing staff and 33% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$113,818 in federal fines on record over the past three years.

Date	Penalty	Amount
2026-04-07	Fine	$113,818

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

Measure	This home	State	U.S.
Number of hospitalizations per 1000 long-stay resident days0.2 pts better	1.8	2.0	1.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts worse	2.7	2.1	1.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine9.5 pts better	100.0%	90.5%	93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine8.3 pts better	100.0%	91.7%	95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts better	1.6%	3.0%	3.2%
Percentage of long-stay residents who have depressive symptoms28.7 pts better	27.2%	55.9%	13.5%
Percentage of long-stay residents who lose too much weight8.1 pts worse	14.2%	6.1%	5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication2.7 pts worse	21.1%	18.4%	19.5%
Percentage of long-stay residents who received an antipsychotic medication12.9 pts better	8.8%	21.7%	15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better	0.0%	0.1%	0.1%
Percentage of long-stay residents whose ability to walk independently worsened9.7 pts better	3.1%	12.8%	12.7%
Percentage of long-stay residents whose need for help with daily activities has increased9 pts better	4.0%	13.0%	13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better	0.0%	0.8%	0.7%
Percentage of long-stay residents with a urinary tract infection0.6 pts worse	2.1%	1.5%	1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1 pts worse	20.8%	19.8%	18.3%
Percentage of long-stay residents with pressure ulcers0.4 pts worse	5.2%	4.8%	4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15 pts better	85.0%	70.0%	82.3%
Percentage of short-stay residents who had an outpatient emergency department visit9.4 pts better	4.1%	13.5%	11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts worse	2.7%	2.2%	1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine23.6 pts better	86.8%	63.2%	80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2.7 pts worse	28.3%	25.6%	23.4%

·

Who owns and runs it

22 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list

Name	Role	Share	Homes
Bloom, Randall	Operational/Managerial Control · Individual	0%	15 facilities
Bloom, Randall	Adp Of The SNF · Individual	0%	15 facilities
Brooks, Kiley	Operational/Managerial Control · Individual	0%	27 facilities
Brooks, Kiley	Adp Of The SNF · Individual	0%	27 facilities
Dominic Frank Tutera 2016 Irrv Tr	Indirect Ownership Interest · Organization	0%	4 facilities
Hannah Marie Tutera 2013 Irrevocable Trust	Indirect Ownership Interest · Organization	0%	3 facilities
Hipskind, Timothy	Operational/Managerial Control · Individual	0%	1 facilities
Hipskind, Timothy	Adp Of The SNF · Individual	0%	1 facilities
Jct Family Limited Partnership	Direct Ownership Interest · Organization	0%	6 facilities
Jct Investments, LLC	Direct Ownership Interest · Organization	0%	4 facilities
Joseph Charles Tutera Jr 2019 Irrv Tr	Indirect Ownership Interest · Organization	0%	3 facilities
Laura Cirese Tutera 2011 Irrevocable Trust	Indirect Ownership Interest · Organization	0%	3 facilities
Thorson, Angela	Operational/Managerial Control · Individual	0%	1 facilities
Thorson, Angela	Adp Of The SNF · Individual	0%	1 facilities
Ti-Coulterville, LLC	Adp Of The SNF · Organization	0%	1 facilities
Tutera Investments, LLC	Indirect Ownership Interest · Organization	0%	10 facilities
Tutera, Joseph	Operational/Managerial Control · Individual	0%	21 facilities
Tutera, Joseph	Adp Of The SNF · Individual	0%	21 facilities
Wagner, Alisa	Operational/Managerial Control · Individual	0%	1 facilities
Wagner, Alisa	Adp Of The SNF · Individual	0%	1 facilities
Walnut Creek Management Company LLC	Operational/Managerial Control · Organization	0%	21 facilities
Walnut Creek Management Company LLC	Adp Of The SNF · Organization	0%	21 facilities

·

Fire safety

2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke1F

F
Inspect, test, and maintain automatic sprinkler systems.
August 30, 2024 · K353 · Corrected October 1, 2024

Egress1E

E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
July 21, 2023 · K222 · Corrected August 15, 2023

·

Other homes nearby

Randolph County Care Center
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L

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Fines
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Axiom Gardens of Nashville
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Nursing / resident / day
3 h 37 min

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