South Beloit, IL

Fair Oaks Rehab & Healthcare

4-star overall rating with 4-star inspections with $22,139 in total fines with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

1515 Blackhawk Boulevard, South Beloit, IL

(815) 389-3911

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 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

1991-10-01

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

0.70

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.68

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

1.93

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

3.31

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

2.84

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.41

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.66

CMS adjusted RN staffing hours

Adjusted total hours

3.10

CMS adjusted total nurse staffing hours

Case-mix index

1.46

Higher values indicate more complex resident acuity

RN turnover

67%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

64%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,184

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

Performance score

24.55

Composite VBP score used to determine payment impact.

Payment multiplier

0.9835

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 19.48% · Performance 22.61% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

7.36

Baseline 7.90% · Performance 5.63% · Measure score 7.36 · Achievement 7.36 · Improvement 7.30

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

Baseline 3.20 hours · Performance 3.16 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.08%	10.72% 0.4 pts worse	No Different than the National Rate · Eligible stays 96 · Observed rate 12.5% · Lower 95% interval 7.28%
Discharge to community	50.35%	50.57% 0.2 pts worse	No Different than the National Rate · Eligible stays 85 · Observed rate 44.71% · Lower 95% interval 38.71%
Medicare spending per beneficiary	1.17	1.02 0.1 pts worse
Drug regimen review with follow-up	96.49%	95.27% 1.2 pts better	Numerator 55 · Denominator 57
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 57
Discharge self-care score	40.48%	53.69% 13.2 pts worse	Numerator 17 · Denominator 42
Discharge mobility score	40.48%	50.94% 10.5 pts worse	Numerator 17 · Denominator 42
Pressure ulcers or injuries, new or worsened	7.02%	2.29% 4.7 pts worse	Numerator 4 · Denominator 57 · Adjusted rate 6.55%
Healthcare-associated infections requiring hospitalization	5.63%	7.12% 1.5 pts better	No Different than the National Rate · Eligible stays 61 · Observed rate 1.64% · Lower 95% interval 3.08%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 84
Staff flu vaccination coverage	45.45%	42% 3.5 pts better	Numerator 40 · Denominator 88
Discharge function score	45.24%	56.45% 11.2 pts worse	Numerator 19 · Denominator 42
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Transfer of health information to patient	70%	96.28% 26.3 pts worse	Numerator 14 · Denominator 20
Resident COVID-19 vaccinations up to date	0%	25.2% 25.2 pts worse	Numerator 0 · Denominator 32

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.7	2.0 0.7 pts worse	1.9 0.8 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 3.1 · Expected 2.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	4.2	2.3 1.9 pts worse	1.8 2.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 4.2 · Observed 4.3 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	96.5%	89.6% 6.9 pts better	93.4% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 96.0% · Q4 90.4% · 4Q avg 96.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	96.2%	91.6% 4.6 pts better	95.5% 0.7 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 96.2%
Percentage of long-stay residents experiencing one or more falls with major injury	2.0%	3.3% 1.3 pts better	3.3% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 2.2% · Q3 0.0% · Q4 0.0% · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	10.5%	50.3% 39.8 pts better	11.4% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 13.5% · Q3 7.0% · Q4 17.0% · 4Q avg 10.5%
Percentage of long-stay residents who lose too much weight	9.3%	6.5% 2.8 pts worse	5.4% 3.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 14.6% · Q3 11.4% · Q4 6.8% · 4Q avg 9.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	21.1%	18.5% 2.6 pts worse	19.6% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.7% · Q2 19.5% · Q3 21.7% · Q4 21.3% · 4Q avg 21.1%
Percentage of long-stay residents who received an antipsychotic medication	11.5%	22.8% 11.3 pts better	16.7% 5.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 6.9% · Q3 13.9% · Q4 14.3% · 4Q avg 11.5% · 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	19.8%	17.2% 2.6 pts worse	16.3% 3.5 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 19.8% · 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 22.2% · Q2 16.2% · Q3 21.4% · 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	0.0%	1.1% 1.1 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.0%	1.7% 0.7 pts better	1.7% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	28.2%	21.3% 6.9 pts worse	19.8% 8.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.1% · Q2 28.4% · Q3 32.8% · Q4 18.0% · 4Q avg 28.2%
Percentage of long-stay residents with pressure ulcers	11.3%	5.2% 6.1 pts worse	5.1% 6.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 22.3% · Q3 5.1% · Q4 2.4% · 4Q avg 11.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	76.6%	68.8% 7.8 pts better	81.7% 5.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 72.7% · Q2 73.6% · Q3 73.9% · Q4 87.0% · 4Q avg 76.6%
Percentage of short-stay residents who had an outpatient emergency department visit	33.3%	14.0% 19.3 pts worse	12.0% 21.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 33.3% · Observed 30.8% · Expected 10.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.7%	2.3% 0.4 pts worse	1.6% 1.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 0.0% · Q3 1.9% · Q4 4.3% · 4Q avg 2.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	63.8%	63.0% 0.8 pts better	79.7% 15.9 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 63.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	26.1%	26.2% 0.1 pts better	23.9% 2.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 26.1% · Observed 24.6% · Expected 22.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-07-17 · Fire 2024-07-17

7 health deficiencies

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

3 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2023-08-31 · Fire 2023-08-31

15 health deficiencies

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

8 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (5 deficiencies)

Cycle 3 Health 2022-07-13 · Fire 2022-07-13

23 health deficiencies

Top issue: Quality of Life and Care (11 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-07-17

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2024-08-23

E · Potential for more than minimal harm 2024-07-17

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-08-23

D · Potential for more than minimal harm 2024-07-17

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-08-23

F · Potential for more than minimal harm 2023-08-31

E24 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for volunteers.

Corrected 2023-10-06

F · Potential for more than minimal harm 2023-08-31

E25 · Emergency Preparedness Deficiencies

Fire Safety

Create arrangements with other facilities to receive patients.

Corrected 2023-10-06

F · Potential for more than minimal harm 2023-08-31

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-10-06

F · Potential for more than minimal harm 2023-08-31

K915 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper power supply for life support equipment.

Corrected 2023-10-06

F · Potential for more than minimal harm 2023-08-31

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2023-10-06

E · Potential for more than minimal harm 2023-08-31

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-10-06

E · Potential for more than minimal harm 2023-08-31

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-10-06

E · Potential for more than minimal harm 2023-08-31

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-10-06

F · Potential for more than minimal harm 2022-07-13

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2022-08-23

F · Potential for more than minimal harm 2022-07-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-08-23

F · Potential for more than minimal harm 2022-07-13

K354 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-08-23

F · Potential for more than minimal harm 2022-07-13

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-08-23

E · Potential for more than minimal harm 2022-07-13

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2022-08-23

E · Potential for more than minimal harm 2022-07-13

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2022-08-23

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-12

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 2025-12-24

D · Potential for more than minimal harm 2025-06-09

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-06-19

J · Immediate jeopardy 2025-02-11

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2025-02-03

G · Actual harm 2025-02-11

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-27

E · Potential for more than minimal harm 2024-11-12

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 2024-11-05

D · Potential for more than minimal harm 2024-10-28

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 2024-11-08

D · Potential for more than minimal harm 2024-10-28

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-11-08

D · Potential for more than minimal harm 2024-09-24

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-09-30

E · Potential for more than minimal harm 2024-07-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-08-02

D · Potential for more than minimal harm 2024-07-17

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-08-02

D · Potential for more than minimal harm 2024-07-17

F688 · Quality of Life and Care Deficiencies

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 2024-08-02

D · Potential for more than minimal harm 2024-07-17

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-08-02

D · Potential for more than minimal harm 2024-07-17

F883 · Infection Control Deficiencies

Health

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

Corrected 2024-08-02

D · Potential for more than minimal harm 2024-03-20

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-04-05

D · Potential for more than minimal harm 2023-11-09

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 2023-11-21

F · Potential for more than minimal harm 2023-08-31

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-09-15

D · Potential for more than minimal harm 2023-08-31

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 2023-09-15

D · Potential for more than minimal harm 2023-08-31

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-09-15

D · Potential for more than minimal harm 2023-08-31

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-09-15

D · Potential for more than minimal harm 2023-08-31

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 2023-09-15

D · Potential for more than minimal harm 2023-08-31

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-09-15

D · Potential for more than minimal harm 2023-08-31

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 2023-09-15

D · Potential for more than minimal harm 2023-08-31

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 2023-09-15

E · Potential for more than minimal harm 2023-03-24

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-04-07

D · Potential for more than minimal harm 2023-03-24

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 2023-04-07

E · Potential for more than minimal harm 2023-03-13

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-04-07

E · Potential for more than minimal harm 2023-03-13

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 2023-03-24

D · Potential for more than minimal harm 2023-03-13

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-03-24

D · Potential for more than minimal harm 2023-03-13

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-03-24

D · Potential for more than minimal harm 2023-03-13

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 2023-03-24

D · Potential for more than minimal harm 2023-03-13

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-03-24

D · Potential for more than minimal harm 2023-03-13

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2023-03-24

G · Actual harm 2022-07-13

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-08-03

G · Actual harm 2022-07-13

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2022-08-04

E · Potential for more than minimal harm 2022-07-13