Danville, IL

Hawthorne Inn Of Danville

3-star overall rating with 3-star inspections with 10 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

3222 Independence Drive, Danville, IL

(217) 431-1600

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 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

Residential Alternatives Of Illinois

Operator or chain grouping

Approved since

2005-06-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

7 facilities

Chain averages 3 overall / 3 health / 3 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

0.99

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.22

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.87

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

4.08

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.22

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

3.59

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.69

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.89

CMS adjusted RN staffing hours

Adjusted total hours

3.66

CMS adjusted total nurse staffing hours

Case-mix index

1.52

Higher values indicate more complex resident acuity

RN turnover

33%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

41%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,802

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

Performance score

22.48

Composite VBP score used to determine payment impact.

Payment multiplier

0.9829

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 22.30% · Performance 23.59% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

1.76

Baseline 6.54% · Performance 7.31% · Measure score 1.76 · Achievement 1.76 · Improvement 0

Total nurse turnover

4.67

Baseline 60.21% · Performance 44.58% · Measure score 4.67 · Achievement 4.67 · Improvement 3.92

Adjusted total nurse staffing

2.56

Baseline 4.05 hours · Performance 3.81 hours · Measure score 2.56 · Achievement 2.56 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	13.24%	10.72% 2.5 pts worse	No Different than the National Rate · Eligible stays 194 · Observed rate 14.95% · Lower 95% interval 10.28%
Discharge to community	59.77%	50.57% 9.2 pts better	Better than the National Rate · Eligible stays 187 · Observed rate 56.15% · Lower 95% interval 52.51%
Medicare spending per beneficiary	0.97	1.02 0.1 pts better
Drug regimen review with follow-up	96.77%	95.27% 1.5 pts better	Numerator 120 · Denominator 124
Falls with major injury	1.61%	0.77% 0.8 pts worse	Numerator 2 · Denominator 124
Discharge self-care score	51.14%	53.69% 2.5 pts worse	Numerator 45 · Denominator 88
Discharge mobility score	52.27%	50.94% 1.3 pts better	Numerator 46 · Denominator 88
Pressure ulcers or injuries, new or worsened	1.61%	2.29% 0.7 pts better	Numerator 2 · Denominator 124 · Adjusted rate 1.67%
Healthcare-associated infections requiring hospitalization	7.31%	7.12% 0.2 pts worse	No Different than the National Rate · Eligible stays 124 · Observed rate 6.45% · Lower 95% interval 4.28%
Staff COVID-19 vaccination coverage	3.57%	8.2% 4.6 pts worse	Numerator 6 · Denominator 168
Staff flu vaccination coverage	38.73%	42% 3.3 pts worse	Numerator 67 · Denominator 173
Discharge function score	56.82%	56.45% 0.4 pts better	Numerator 50 · Denominator 88
Transfer of health information to provider	68.57%	95.95% 27.4 pts worse	Numerator 24 · Denominator 35
Transfer of health information to patient	69.86%	96.28% 26.4 pts worse	Numerator 51 · Denominator 73
Resident COVID-19 vaccinations up to date	17.91%	25.2% 7.3 pts worse	Numerator 12 · Denominator 67

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.1	2.0 0.9 pts better	1.9 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.0 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.7	2.3 0.6 pts better	1.8 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.5 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.1%	89.6% 9.5 pts better	93.4% 5.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.3% · Q2 98.2% · Q3 100.0% · Q4 100.0% · 4Q avg 99.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.3%	91.6% 6.7 pts better	95.5% 2.8 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.3%
Percentage of long-stay residents experiencing one or more falls with major injury	7.6%	3.3% 4.3 pts worse	3.3% 4.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 8.8% · Q3 11.5% · Q4 9.3% · 4Q avg 7.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	9.1%	50.3% 41.2 pts better	11.4% 2.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 11.8% · Q3 11.8% · Q4 2.0% · 4Q avg 9.1%
Percentage of long-stay residents who lose too much weight	3.5%	6.5% 3 pts better	5.4% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.2% · Q3 2.7% · Q4 7.3% · 4Q avg 3.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	17.8%	18.5% 0.7 pts better	19.6% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 17.4% · Q3 18.9% · Q4 19.5% · 4Q avg 17.8%
Percentage of long-stay residents who received an antipsychotic medication	16.1%	22.8% 6.7 pts better	16.7% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.5% · Q2 13.8% · Q3 14.7% · Q4 14.3% · 4Q avg 16.1% · 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	31.9%	17.2% 14.7 pts worse	16.3% 15.6 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 31.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	27.2%	15.0% 12.2 pts worse	14.9% 12.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.6% · Q2 33.3% · Q3 34.4% · Q4 16.2% · 4Q avg 27.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	1.1% 0.7 pts better	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	4.1%	1.7% 2.4 pts worse	1.7% 2.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 3.5% · Q3 3.8% · Q4 5.6% · 4Q avg 4.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	23.3%	21.3% 2 pts worse	19.8% 3.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 23.2% · Q3 28.1% · Q4 27.7% · 4Q avg 23.3%
Percentage of long-stay residents with pressure ulcers	1.8%	5.2% 3.4 pts better	5.1% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.3% · Q3 1.2% · Q4 1.2% · 4Q avg 1.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	95.1%	68.8% 26.3 pts better	81.7% 13.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 92.9% · Q2 96.7% · Q3 98.5% · Q4 92.0% · 4Q avg 95.1%
Percentage of short-stay residents who had an outpatient emergency department visit	17.9%	14.0% 3.9 pts worse	12.0% 5.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 17.9% · Observed 14.7% · Expected 9.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.2%	2.3% 1.1 pts better	1.6% 0.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 2.6% · Q4 1.2% · 4Q avg 1.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	92.0%	63.0% 29 pts better	79.7% 12.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 92.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	30.5%	26.2% 4.3 pts worse	23.9% 6.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 30.5% · Observed 25.9% · Expected 20.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-01 · Fire 2025-05-01

10 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

6 fire-safety deficiencies

Top issue: Emergency Preparedness (6 deficiencies)

Cycle 2 Health 2024-04-17 · Fire 2024-04-17

10 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2023-03-23 · Fire 2023-03-23

7 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-01

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2025-05-27

F · Potential for more than minimal harm 2025-05-01

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2025-05-27

F · Potential for more than minimal harm 2025-05-01

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2025-05-27

F · Potential for more than minimal harm 2025-05-01

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2025-05-27

F · Potential for more than minimal harm 2025-05-01

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-05-27

F · Potential for more than minimal harm 2025-05-01

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-05-27

F · Potential for more than minimal harm 2024-04-17

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2024-05-03

F · Potential for more than minimal harm 2023-03-23

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2023-04-26

F · Potential for more than minimal harm 2023-03-23

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-04-11

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-13

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-08-22

D · Potential for more than minimal harm 2025-08-13

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-08-22

D · Potential for more than minimal harm 2025-06-17

F635 · Resident Assessment and Care Planning Deficiencies

Health

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Corrected 2025-06-18

D · Potential for more than minimal harm 2025-06-17

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 2025-06-18

D · Potential for more than minimal harm 2025-06-17

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-06-18

D · Potential for more than minimal harm 2025-06-17

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-06-18

G · Actual harm 2025-05-01

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-05-02

E · Potential for more than minimal harm 2025-05-01

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 2025-05-02

E · Potential for more than minimal harm 2025-05-01

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-05-02

D · Potential for more than minimal harm 2025-05-01

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 2025-05-02

F · Potential for more than minimal harm 2024-04-17

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2024-05-08

F · Potential for more than minimal harm 2024-04-17

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 2024-05-08

E · Potential for more than minimal harm 2024-04-17