Federal inspection record · CMS data as of October 1, 2026

Highland Health Care Center

1450 26th Street, Highland, IL · (618) 654-2368

  • Cited for abuse (CMS abuse icon)

CMS overall rating

1 of 5

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Certified beds
128
Residents per day
84
Ownership
For-Profit
Chain
Crest Healthcare Consulting
Medicare / Medicaid
Medicare + Medicaid
Certified since
June 20, 1984

1

How this home got 1 star

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.

  1. Health inspections

    starting point

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

  2. Staffing

    −1 star

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

  3. Quality measures

    no change

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

  4. Overall

    1 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

Highland Health Care Center carries 93.75 inspection points. That is fewer than 55% of Illinois's 659 rated homes.

5★4★3★2★1★+20 homes above 459.7505102550100200400inspection points → fewer is better on the leftThis home · 93.75 pts · 2★

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

27 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 0 50 pts
K 0 100 pts
L 1 150 pts

Actual harmA resident was hurt

G 3 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 15 4 pts
E 4 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 3 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 (4)

  1. G

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    December 5, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected December 15, 2025

  2. L

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

    September 4, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected September 5, 2025

  3. G

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    April 17, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected April 15, 2025

  4. G

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    June 27, 2024 · Complaint inspection · Quality of Life and Care · F677 · Corrected July 9, 2024

Everything else, by area of care

Quality of Life and Care11D
  1. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    February 20, 2026 · Standard · F698 · Corrected February 25, 2026

  2. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    December 5, 2025 · Complaint · F677 · Corrected December 15, 2025

  3. D

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

    December 5, 2024 · Complaint · F697 · Corrected November 18, 2024

  4. D

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

    June 27, 2024 · Complaint · F684 · Corrected July 9, 2024

  5. D

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    June 27, 2024 · Complaint · F693 · Corrected July 9, 2024

  6. D

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

    March 15, 2024 · Complaint · F689 · Corrected March 22, 2024

  7. D

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

    October 25, 2023 · Complaint · F689 · Corrected October 26, 2023

  8. D

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

    October 13, 2023 · Complaint · F686 · Corrected October 25, 2023

  9. D

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

    October 13, 2023 · Complaint · F689 · Corrected October 26, 2023

  10. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    October 13, 2023 · Standard · F690 · Corrected October 25, 2023

  11. D

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    October 13, 2023 · Standard · F693 · Corrected October 25, 2023

Freedom from Abuse, Neglect, and Exploitation3D
  1. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    February 20, 2026 · Standard · F600 · Not yet marked corrected

  2. D

    Respond appropriately to all alleged violations.

    February 20, 2026 · Standard · F610 · Not yet marked corrected

  3. D

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

    October 25, 2023 · Complaint · F609 · Corrected October 26, 2023

Environmental3B
  1. B

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    February 20, 2026 · Standard · F912 · Corrected February 25, 2026

  2. B

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    September 27, 2024 · Standard · F912 · Corrected October 10, 2024

  3. B

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    October 13, 2023 · Standard · F912 · Corrected October 25, 2023

Infection Control2E
  1. E

    Implement a program that monitors antibiotic use.

    September 27, 2024 · Standard · F881 · Corrected October 10, 2024

  2. E

    Implement a program that monitors antibiotic use.

    October 13, 2023 · Standard · F881 · Corrected October 25, 2023

Nutrition and Dietary2F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    October 13, 2023 · Standard · F812 · Corrected October 25, 2023

  2. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    October 13, 2023 · Standard · F804 · Corrected October 25, 2023

Pharmacy Service1E
  1. E

    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.

    September 27, 2024 · Standard · F761 · Corrected October 10, 2024

Resident Rights1D
  1. D

    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.

    June 7, 2024 · Complaint · F584 · Corrected June 19, 2024

Inspection history

  1. 2026-02-20

    6 health deficiencies · 6 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

  2. 2024-09-27

    6 health deficiencies · 6 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  3. 2023-10-13

    15 health deficiencies · 6 fire-safety deficiencies

    Top issue: Quality of Life and Care (9 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 16 min of nursing staff time a day, 38 min of it from a registered nurse.

This home

3 h 16 min

Illinois average

3 h 28 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 65% of nursing staff and 29% of registered nurses left in the past year, along with 2 administrators.

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

$23,319 in federal fines on record over the past three years.

DatePenaltyAmount
2025-12-05Fine$23,319

6

Resident outcomes

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

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.7 pts better1.32.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.4 pts worse3.52.11.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.6 pts better97.1%90.5%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.7 pts better97.4%91.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts worse4.4%3.0%3.2%
Percentage of long-stay residents who have depressive symptoms5.9 pts worse61.8%55.9%13.5%
Percentage of long-stay residents who lose too much weight3.2 pts better2.9%6.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication2.5 pts worse20.9%18.4%19.5%
Percentage of long-stay residents who received an antipsychotic medication14.3 pts better7.4%21.7%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened8.8 pts better4.0%12.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased7.7 pts better5.3%13.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better0.0%0.8%0.7%
Percentage of long-stay residents with a urinary tract infection1.1 pts better0.4%1.5%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.3 pts worse28.1%19.8%18.3%
Percentage of long-stay residents with pressure ulcers1.7 pts better3.1%4.8%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine23 pts better93.0%70.0%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit8.3 pts worse21.8%13.5%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts worse2.3%2.2%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine26 pts better89.2%63.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission4.7 pts better20.9%25.6%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Capital Finance LLC5% Or Greater Security Interest · Organization0%35 facilities
Capital Finance LLCOperational/Managerial Control · Organization0%35 facilities
Lichtman, ShalomManaging Control - Governing Body · Individual0%19 facilities
Lichtman, ShalomOperational/Managerial Control · Individual0%19 facilities
Lichtman, ShalomAdp Of The SNF · Individual0%19 facilities
Light Man LLCOperational/Managerial Control · Organization0%18 facilities
Reed, DebraOperational/Managerial Control · Individual0%1 facilities
Reed, DebraAdp Of The SNF · Individual0%1 facilities
Schaefer, RobertOperational/Managerial Control · Individual0%1 facilities
Schaefer, RobertAdp Of The SNF · Individual0%1 facilities

·

Fire safety

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

Smoke8F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    February 20, 2026 · K353 · Corrected May 11, 2026

  2. F

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

    February 20, 2026 · K354 · Corrected May 18, 2026

  3. E

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

    February 20, 2026 · K321 · Corrected May 18, 2026

  4. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    May 21, 2025 · K372 · Corrected May 30, 2025

  5. E

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

    September 27, 2024 · K321 · Corrected November 4, 2024

  6. F

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

    October 13, 2023 · K345 · Corrected December 19, 2023

  7. F

    Inspect, test, and maintain automatic sprinkler systems.

    October 13, 2023 · K353 · Corrected December 14, 2023

  8. E

    Install corridor and hallway doors that block smoke.

    October 13, 2023 · K363 · Corrected October 26, 2023

Miscellaneous6F
  1. F

    Provide a written emergency evacuation plan.

    February 20, 2026 · K711 · Corrected May 18, 2026

  2. E

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    February 20, 2026 · K761 · Corrected May 18, 2026

  3. F

    Provide a written emergency evacuation plan.

    September 27, 2024 · K711 · Corrected November 4, 2024

  4. F

    Have simulated fire drills held at unexpected times.

    September 27, 2024 · K712 · Corrected November 7, 2024

  5. F

    Have simulated fire drills held at unexpected times.

    October 13, 2023 · K712 · Corrected October 28, 2023

  6. E

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    October 13, 2023 · K761 · Corrected October 19, 2023

Gas, Vacuum, and Electrical Systems4F
  1. E

    Have proper medical gas storage and administration areas.

    February 20, 2026 · K923 · Corrected May 18, 2026

  2. F

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

    September 27, 2024 · K914 · Corrected November 6, 2024

  3. F

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

    September 27, 2024 · K918 · Corrected November 4, 2024

  4. F

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

    October 13, 2023 · K918 · Corrected October 23, 2023

·

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