Hoopeston, IL

Heritage Health-Hoopeston

3-star overall rating with 3-star inspections with 14 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

423 North Dixie Highway, Hoopeston, IL

(217) 283-8247

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 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

Non-Profit

Publicly displayed owner type

Chain

Heritage Operations Group

Operator or chain grouping

Approved since

1983-01-25

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

8 facilities

Chain averages 2 overall / 3 health / 2 staffing / 2 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

0.69

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.24

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.03

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

2.96

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

0.94

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

2.59

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.38

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.75

CMS adjusted RN staffing hours

Adjusted total hours

3.20

CMS adjusted total nurse staffing hours

Case-mix index

1.27

Higher values indicate more complex resident acuity

RN turnover

14%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

26%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,131

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

Performance score

41.16

Composite VBP score used to determine payment impact.

Payment multiplier

0.9941

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

3.64

Baseline 6.00% · Performance 6.75% · Measure score 3.64 · Achievement 3.64 · Improvement 0

Total nurse turnover

7.21

Baseline 32.90% · Performance 34.21% · Measure score 7.21 · Achievement 7.21 · Improvement 0

Adjusted total nurse staffing

1.50

Baseline 3.78 hours · Performance 3.50 hours · Measure score 1.50 · Achievement 1.50 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.78%	10.72% 0.9 pts better	No Different than the National Rate · Eligible stays 61 · Observed rate 6.56% · Lower 95% interval 5.79%
Discharge to community	45.9%	50.57% 4.7 pts worse	No Different than the National Rate · Eligible stays 52 · Observed rate 40.38% · Lower 95% interval 34.34%
Medicare spending per beneficiary	0.63	1.02 0.4 pts better
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 19 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	6.75%	7.12% 0.4 pts better	No Different than the National Rate · Eligible stays 26 · Observed rate 3.85% · Lower 95% interval 3.2%
Staff COVID-19 vaccination coverage	1.96%	8.2% 6.2 pts worse	Numerator 2 · Denominator 102
Staff flu vaccination coverage	19.26%	42% 22.7 pts worse	Numerator 26 · Denominator 135
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.2	2.0 0.8 pts better	1.9 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 0.9 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.8	2.3 0.5 pts worse	1.8 1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.3 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	95.6%	89.6% 6 pts better	93.4% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 89.7% · Q2 97.1% · Q3 95.7% · Q4 100.0% · 4Q avg 95.6%
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	5.1%	3.3% 1.8 pts worse	3.3% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 4.4% · Q3 4.3% · Q4 7.2% · 4Q avg 5.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	5.0%	50.3% 45.3 pts better	11.4% 6.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 3.2% · Q3 6.0% · Q4 7.9% · 4Q avg 5.0%
Percentage of long-stay residents who lose too much weight	6.7%	6.5% 0.2 pts worse	5.4% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 12.7% · Q3 7.9% · Q4 1.5% · 4Q avg 6.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	11.2%	18.5% 7.3 pts better	19.6% 8.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 9.1% · Q3 7.9% · Q4 19.7% · 4Q avg 11.2%
Percentage of long-stay residents who received an antipsychotic medication	10.8%	22.8% 12 pts better	16.7% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 11.1% · Q3 10.7% · Q4 10.9% · 4Q avg 10.8% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	5.8%	0.1% 5.7 pts worse	0.1% 5.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 7.4% · Q3 4.3% · Q4 5.8% · 4Q avg 5.8%
Percentage of long-stay residents whose ability to walk independently worsened	26.1%	17.2% 8.9 pts worse	16.3% 9.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 21.3% · Q3 33.6% · Q4 32.8% · 4Q avg 26.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	27.0%	15.0% 12 pts worse	14.9% 12.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.7% · Q2 38.1% · Q3 23.0% · Q4 27.0% · 4Q avg 27.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.0%	1.1% 0.9 pts worse	1.0% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.9% · Q3 1.2% · Q4 3.1% · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.2%	1.7% 0.5 pts worse	1.7% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 3.1% · Q3 1.4% · Q4 1.4% · 4Q avg 2.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	26.9%	21.3% 5.6 pts worse	19.8% 7.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.3% · Q2 42.8% · Q3 16.4% · Q4 14.1% · 4Q avg 26.9%
Percentage of long-stay residents with pressure ulcers	1.4%	5.2% 3.8 pts better	5.1% 3.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 2.6% · Q4 1.4% · 4Q avg 1.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	81.6%	68.8% 12.8 pts better	81.7% 0.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 76.0% · Q4 100.0% · 4Q avg 81.6%
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 2024-06-05 · Fire 2024-06-05

14 health deficiencies

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

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2023-05-12 · Fire 2023-05-12

2 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-04-27 · Fire 2022-04-27

16 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

5 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-06-05

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2024-07-08

F · Potential for more than minimal harm 2024-06-05

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-06-26

E · Potential for more than minimal harm 2024-06-05

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-07-02

F · Potential for more than minimal harm 2023-05-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-05-24

E · Potential for more than minimal harm 2023-05-12

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-05-11

F · Potential for more than minimal harm 2022-04-27

E34 · Emergency Preparedness Deficiencies

Fire Safety

Provide a means of sharing information on occupancy/needs.

Corrected 2022-05-25

F · Potential for more than minimal harm 2022-04-27

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2022-05-25

F · Potential for more than minimal harm 2022-04-27

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2022-05-24

F · Potential for more than minimal harm 2022-04-27

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-05-24

E · Potential for more than minimal harm 2022-04-27

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2022-05-25

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-07-30

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 2025-08-18

D · Potential for more than minimal harm 2025-03-19

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 2025-04-02

D · Potential for more than minimal harm 2025-03-19

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 2025-04-02

D · Potential for more than minimal harm 2025-03-19

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-04-02

D · Potential for more than minimal harm 2025-03-19

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 2025-04-02

F · Potential for more than minimal harm 2024-06-05

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 2024-06-27

E · Potential for more than minimal harm 2024-06-05

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2024-06-27

E · Potential for more than minimal harm 2024-06-05

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-06-27

E · Potential for more than minimal harm 2024-06-05

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2024-06-27

D · Potential for more than minimal harm 2024-06-05

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-06-27

D · Potential for more than minimal harm 2024-06-05

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 2024-06-27

D · Potential for more than minimal harm 2024-06-05

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 2024-06-27

D · Potential for more than minimal harm 2024-06-05

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2024-06-27

D · Potential for more than minimal harm 2024-06-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-27

D · Potential for more than minimal harm 2023-05-12

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 2023-05-25

D · Potential for more than minimal harm 2023-05-12

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-05-25

F · Potential for more than minimal harm 2023-03-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-03-29

F · Potential for more than minimal harm 2023-03-08

F885 · Infection Control Deficiencies

Health

Report COVID19 data to residents and families.

Corrected 2023-03-29

D · Potential for more than minimal harm 2023-03-08

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 2023-03-29

G · Actual harm 2022-04-27

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 2022-06-10

G · Actual harm 2022-04-27

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2022-06-01

E · Potential for more than minimal harm 2022-04-27

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-06-01

D · Potential for more than minimal harm 2022-04-27

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2022-06-01

D · Potential for more than minimal harm 2022-04-27

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2022-06-01

D · Potential for more than minimal harm 2022-04-27

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2022-06-01

D · Potential for more than minimal harm 2022-04-27

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 2022-06-01

D · Potential for more than minimal harm 2022-04-27

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-06-10

D · Potential for more than minimal harm 2022-04-27

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-06-10

D · Potential for more than minimal harm 2022-04-27

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2022-06-01

D · Potential for more than minimal harm 2022-04-27

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2022-06-01

D · Potential for more than minimal harm 2022-04-27

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 2022-06-01

D · Potential for more than minimal harm 2022-04-27

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-06-01

Penalties and ownership

What sits behind the stars

Ownership

Brown, Paige

Operational/Managerial Control · Individual

0% 1 facilities 2022-03-08

Brown, Paige