Cycle 1
Health 2024-08-15 · Fire 2024-08-15
6 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Quincy, IL
Good Samaritan Home
5-star overall rating with 4-star inspections with $26,640 in total fines with 6 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
2130 Harrison Street, Quincy, IL
(217) 223-8717
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
203
Certified beds
Average residents
104
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1994-03-01
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
0.96
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.74
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
2.84
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
4.54
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.70
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
4.10
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.59
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
1.07
CMS adjusted RN staffing hours
Adjusted total hours
5.09
CMS adjusted total nurse staffing hours
Case-mix index
1.22
Higher values indicate more complex resident acuity
RN turnover
19%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
38%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,999
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
41.82
Composite VBP score used to determine payment impact.
Payment multiplier
0.9947
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 22.18% · Performance 23.61% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
2.56
Baseline 6.36% · Performance 7.07% · Measure score 2.56 · Achievement 2.56 · Improvement 0
Total nurse turnover
7.05
Baseline 31.71% · Performance 34.85% · Measure score 7.05 · Achievement 7.05 · Improvement 0
Adjusted total nurse staffing
7.12
Baseline 4.24 hours · Performance 5.10 hours · Measure score 7.12 · Achievement 7.12 · Improvement 5.09
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.05% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 140 · Observed rate 10.71% · Lower 95% interval 7.38% |
| Discharge to community | 48.9% |
50.57%
1.7 pts worse
|
No Different than the National Rate · Eligible stays 122 · Observed rate 44.26% · Lower 95% interval 42.16% |
| Medicare spending per beneficiary | 0.78 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 96.43% |
95.27%
1.2 pts better
|
Numerator 108 · Denominator 112 |
| Falls with major injury | 0.89% |
0.77%
0.1 pts worse
|
Numerator 1 · Denominator 112 |
| Discharge self-care score | 40.45% |
53.69%
13.2 pts worse
|
Numerator 36 · Denominator 89 |
| Discharge mobility score | 20.22% |
50.94%
30.7 pts worse
|
Numerator 18 · Denominator 89 |
| Pressure ulcers or injuries, new or worsened | 2.68% |
2.29%
0.4 pts worse
|
Numerator 3 · Denominator 112 · Adjusted rate 2.94% |
| Healthcare-associated infections requiring hospitalization | 7.07% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 90 · Observed rate 6.67% · Lower 95% interval 3.67% |
| Staff COVID-19 vaccination coverage | 2.01% |
8.2%
6.2 pts worse
|
Numerator 6 · Denominator 299 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 40.45% |
56.45%
16 pts worse
|
Numerator 36 · Denominator 89 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 21 · Denominator 21 |
| Transfer of health information to patient | 95.83% |
96.28%
0.5 pts worse
|
Numerator 46 · Denominator 48 |
| Resident COVID-19 vaccinations up to date | 16.67% |
25.2%
8.5 pts worse
|
Numerator 9 · Denominator 54 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
2.0
About the same
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.8 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
2.3
1.6 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.7 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
89.6%
10.1 pts better
|
93.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.9% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7% |
| 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 | 3.4% |
3.3%
0.1 pts worse
|
3.3%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 3.3% · Q3 3.6% · Q4 3.3% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.0% |
50.3%
48.3 pts better
|
11.4%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 2.3% · Q3 0.0% · Q4 1.1% · 4Q avg 2.0% |
| Percentage of long-stay residents who lose too much weight | 5.4% |
6.5%
1.1 pts better
|
5.4%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 4.7% · Q3 6.3% · Q4 4.7% · 4Q avg 5.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.0% |
18.5%
2.5 pts better
|
19.6%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 17.4% · Q3 17.5% · Q4 12.8% · 4Q avg 16.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.3% |
22.8%
10.5 pts better
|
16.7%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 15.3% · Q3 11.6% · Q4 9.1% · 4Q avg 12.3% · 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 | 14.1% |
17.2%
3.1 pts better
|
16.3%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.3% · Q2 15.9% · Q3 8.3% · Q4 13.3% · 4Q avg 14.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.8% |
15.0%
5.8 pts worse
|
14.9%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 23.5% · Q3 21.6% · Q4 18.2% · 4Q avg 20.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.5% |
1.1%
0.4 pts worse
|
1.0%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.4% · Q3 2.9% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 9.2% |
1.7%
7.5 pts worse
|
1.7%
7.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 10.1% · Q3 8.4% · Q4 5.5% · 4Q avg 9.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.3% |
21.3%
4 pts worse
|
19.8%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 27.6% · Q3 26.8% · Q4 24.6% · 4Q avg 25.3% |
| Percentage of long-stay residents with pressure ulcers | 3.0% |
5.2%
2.2 pts better
|
5.1%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 3.7% · Q3 4.0% · Q4 2.5% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.7% |
68.8%
29.9 pts better
|
81.7%
17 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.0% · Q3 98.5% · Q4 98.2% · 4Q avg 98.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.2% |
14.0%
4.8 pts better
|
12.0%
2.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.2% · Observed 8.3% · Expected 10.1% · 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% · Q3 0.0% · Q4 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 | 98.2% |
63.0%
35.2 pts better
|
79.7%
18.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.6% |
26.2%
1.6 pts better
|
23.9%
0.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.6% · Observed 21.4% · Expected 20.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-08-19 · Fire 2023-08-19
5 health deficiencies
Top issue: Resident Rights (3 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2022-09-08 · Fire 2022-09-08
6 health deficiencies
Top issue: Infection Control (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-08-15
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-09-06
F · Potential for more than minimal harm
2024-08-15
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-09-06
E · Potential for more than minimal harm
2024-08-15
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-09-06
E · Potential for more than minimal harm
2024-08-15
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-09-06
E · Potential for more than minimal harm
2024-08-15
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-09-06
E · Potential for more than minimal harm
2024-08-15
K913 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure operating rooms are properly protected and written records are maintained and available for inspection.
Corrected 2024-09-06
E · Potential for more than minimal harm
2024-08-15
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-09-06
F · Potential for more than minimal harm
2023-08-19
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-30
F · Potential for more than minimal harm
2023-08-19
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-08-30
E · Potential for more than minimal harm
2023-08-19
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-08-30
F · Potential for more than minimal harm
2022-09-08
E31 · Emergency Preparedness Deficiencies
Fire Safety
Provide emergency officials' contact information.
Corrected 2022-09-20
F · Potential for more than minimal harm
2022-09-08
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-09-22
F · Potential for more than minimal harm
2022-09-08
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2022-09-20
E · Potential for more than minimal harm
2022-09-08
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-09-20
E · Potential for more than minimal harm
2022-09-08
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2022-09-22
E · Potential for more than minimal harm
2022-09-08
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-09-20
Inspection history
Recent health citations
G · Actual harm
2025-09-19
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-10-09
D · Potential for more than minimal harm
2025-07-17
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-07
D · Potential for more than minimal harm
2024-10-27
F622 · Resident Rights Deficiencies
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2024-11-21
D · Potential for more than minimal harm
2024-10-27
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-11-21
D · Potential for more than minimal harm
2024-10-27
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2024-11-21
F · Potential for more than minimal harm
2024-08-15
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 2024-09-06
D · Potential for more than minimal harm
2024-08-15
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 2024-09-06
D · Potential for more than minimal harm
2024-08-15
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-09-06
D · Potential for more than minimal harm
2024-08-15
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 2024-09-06
D · Potential for more than minimal harm
2023-11-14
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 2023-11-30
J · Immediate jeopardy
2023-08-19
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 2023-08-20
D · Potential for more than minimal harm
2023-08-19
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-09-01
D · Potential for more than minimal harm
2023-04-04
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 2023-04-30
K · Immediate jeopardy
2022-09-08
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-10-03
F · Potential for more than minimal harm
2022-09-08
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2022-10-03
E · Potential for more than minimal harm
2022-09-08
F887 · Infection Control Deficiencies
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2022-10-03
D · Potential for more than minimal harm
2022-09-08
F805 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2022-10-03
Penalties and ownership
What sits behind the stars
$26,640
2023-08-19
Fine
Fine · fine $26,640
Fine
Ownership
Anderson, Halley
Operational/Managerial Control · Individual
Barnes, Eric
Corporate Officer · Individual
Bigelow, Sharon
Corporate Officer · Individual
Blickhan, Gary
Corporate Director · Individual
Canfield, Brian
Corporate Director · Individual
Daniels, Chris
Corporate Officer · Individual
Dorian, Matthew
Corporate Officer · Individual
Durante, Brian
Corporate Director · Individual
Gabriel, Martin
Corporate Director · Individual
Gibbs, Patricia
Corporate Director · Individual
Higgins, Sharon
Corporate Director · Individual
Kern, Kelly
Corporate Director · Individual
Mcleod, Emma
Operational/Managerial Control · Individual
Ott, Joseph
Corporate Director · Individual
Riley, Randy
Corporate Director · Individual
Wavering, Steve
Corporate Director · Individual
White, Tim
Corporate Director · Individual
Nearby options
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#2
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1-star overall rating with 1-star inspections with abuse icon flag with $200,637 in total fines with 20 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#3
Quincy Healthcare & Sr Living
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1-star overall rating with 2-star inspections with $35,848 in total fines with 13 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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