Highland, IL

Highland Health Care Center

1-star overall rating with 2-star inspections with abuse icon flag with 7 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

1450 26th Street, Highland, IL

(618) 654-2368

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

128

Certified beds

Average residents

78

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Crest Healthcare Consulting

Operator or chain grouping

Approved since

1984-06-20

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

13 facilities

Chain averages 2 overall / 2 health / 1 staffing / 3 quality stars

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

0.54

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.64

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

3.10

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.18

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

2.69

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.45

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

0.43

CMS adjusted RN staffing hours

Adjusted total hours

2.49

CMS adjusted total nurse staffing hours

Case-mix index

1.71

Higher values indicate more complex resident acuity

RN turnover

27%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

53%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,076

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

Performance score

18.11

Composite VBP score used to determine payment impact.

Payment multiplier

0.9819

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 20.97% · Performance 21.74% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

5.30

Baseline 5.26% · Performance 6.25% · Measure score 5.30 · Achievement 5.30 · Improvement 0

Total nurse turnover

1.38

Baseline 64.10% · Performance 58.03% · Measure score 1.38 · Achievement 1.38 · Improvement 1.05

Adjusted total nurse staffing

0.57

Baseline 2.56 hours · Performance 2.9 hours · Measure score 0.57 · Achievement 0 · Improvement 0.57

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 12.3%
10.72%
1.6 pts worse
No Different than the National Rate · Eligible stays 142 · Observed rate 16.2% · Lower 95% interval 9.39%
Discharge to community 41.87%
50.57%
8.7 pts worse
No Different than the National Rate · Eligible stays 92 · Observed rate 32.61% · Lower 95% interval 29.19%
Medicare spending per beneficiary 1.12
1.02
0.1 pts worse
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 78 · Denominator 78
Falls with major injury 1.28%
0.77%
0.5 pts worse
Numerator 1 · Denominator 78
Discharge self-care score 37.74%
53.69%
15.9 pts worse
Numerator 20 · Denominator 53
Discharge mobility score 39.62%
50.94%
11.3 pts worse
Numerator 21 · Denominator 53
Pressure ulcers or injuries, new or worsened 2.56%
2.29%
0.3 pts worse
Numerator 2 · Denominator 78 · Adjusted rate 1.6%
Healthcare-associated infections requiring hospitalization 6.25%
7.12%
0.9 pts better
No Different than the National Rate · Eligible stays 74 · Observed rate 5.41% · Lower 95% interval 3.51%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 89
Staff flu vaccination coverage 4.55%
42%
37.5 pts worse
Numerator 4 · Denominator 88
Discharge function score 41.51%
56.45%
14.9 pts worse
Numerator 22 · Denominator 53
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 27 · Denominator 27
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 0%
25.2%
25.2 pts worse
Numerator 0 · Denominator 42

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.1
2.0
0.1 pts worse
1.9
0.2 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.1 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 4.3
2.3
2 pts worse
1.8
2.5 pts worse
Long Stay · 20240701-20250630 · Adjusted 4.3 · Observed 4.0 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 95.9%
89.6%
6.3 pts better
93.4%
2.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 90.9% · Q3 97.3% · Q4 95.8% · 4Q avg 95.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.6%
91.6%
6 pts better
95.5%
2.1 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.6%
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 2.8% · Q2 2.6% · Q3 4.1% · Q4 4.2% · 4Q avg 3.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 55.8%
50.3%
5.5 pts worse
11.4%
44.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 54.7% · Q2 47.9% · Q3 59.7% · Q4 61.5% · 4Q avg 55.8%
Percentage of long-stay residents who lose too much weight 4.8%
6.5%
1.7 pts better
5.4%
0.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 4.7% · Q3 6.2% · Q4 4.8% · 4Q avg 4.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.8%
18.5%
4.3 pts worse
19.6%
3.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 20.6% · Q3 25.4% · Q4 23.1% · 4Q avg 22.8%
Percentage of long-stay residents who received an antipsychotic medication 7.7%
22.8%
15.1 pts better
16.7%
9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 6.7% · Q3 8.2% · Q4 4.3% · 4Q avg 7.7% · 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 4.1%
17.2%
13.1 pts better
16.3%
12.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.6% · Q3 2.8% · Q4 8.3% · 4Q avg 4.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 3.1%
15.0%
11.9 pts better
14.9%
11.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 0.0% · Q3 3.0% · Q4 6.3% · 4Q avg 3.1% · 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 0.0%
1.7%
1.7 pts better
1.7%
1.7 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 new or worsened bowel or bladder incontinence 26.5%
21.3%
5.2 pts worse
19.8%
6.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 20.1% · Q2 30.2% · Q3 34.4% · Q4 21.0% · 4Q avg 26.5%
Percentage of long-stay residents with pressure ulcers 3.1%
5.2%
2.1 pts better
5.1%
2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 5.4% · Q3 1.2% · Q4 2.2% · 4Q avg 3.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 91.7%
68.8%
22.9 pts better
81.7%
10 pts better
Short Stay · 2024Q4-2025Q3 · Q1 97.6% · Q2 89.3% · Q3 88.5% · Q4 91.6% · 4Q avg 91.7%
Percentage of short-stay residents who had an outpatient emergency department visit 17.6%
14.0%
3.6 pts worse
12.0%
5.6 pts worse
Short Stay · 20240701-20250630 · Adjusted 17.6% · Observed 17.9% · Expected 11.4% · 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 94.2%
63.0%
31.2 pts better
79.7%
14.5 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 13.2%
26.2%
13 pts better
23.9%
10.7 pts better
Short Stay · 20240701-20250630 · Adjusted 13.2% · Observed 13.4% · Expected 24.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-09-27 · Fire 2024-09-27

7 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2023-10-13 · Fire 2023-10-13

13 health deficiencies

Top issue: Quality of Life and Care (8 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2022-12-09 · Fire 2022-12-09

8 health deficiencies

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

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-05-21

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-05-30

F · Potential for more than minimal harm 2024-09-27

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2024-11-04

F · Potential for more than minimal harm 2024-09-27

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-11-07

F · Potential for more than minimal harm 2024-09-27

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 2024-11-06

F · Potential for more than minimal harm 2024-09-27

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-11-04

E · Potential for more than minimal harm 2024-09-27

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 2024-11-04

F · Potential for more than minimal harm 2023-10-13

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-12-19

F · Potential for more than minimal harm 2023-10-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-12-14

F · Potential for more than minimal harm 2023-10-13

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-10-28

F · Potential for more than minimal harm 2023-10-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-10-23

E · Potential for more than minimal harm 2023-10-13

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-10-26

E · Potential for more than minimal harm 2023-10-13

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2023-10-19

F · Potential for more than minimal harm 2022-12-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-01-10

F · Potential for more than minimal harm 2022-12-09

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-01-08

F · Potential for more than minimal harm 2022-12-09

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 2023-01-08

F · Potential for more than minimal harm 2022-12-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-01-08

E · Potential for more than minimal harm 2022-12-09

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2023-01-08

D · Potential for more than minimal harm 2022-12-09

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 2023-01-08

Inspection history

Recent health citations

G · Actual harm 2025-12-05

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 2025-12-15

D · Potential for more than minimal harm 2025-12-05

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 2025-12-15

L · Immediate jeopardy 2025-09-04

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 2025-09-05

G · Actual harm 2025-04-17

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 2025-04-15

D · Potential for more than minimal harm 2024-12-05

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-18

E · Potential for more than minimal harm 2024-09-27

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 2024-10-10

E · Potential for more than minimal harm 2024-09-27

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-10-10

B · Minimal harm 2024-09-27

F912 · Environmental Deficiencies

Health

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

Corrected 2024-10-10

G · Actual harm 2024-06-27

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 2024-07-09

D · Potential for more than minimal harm 2024-06-27

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-07-09

D · Potential for more than minimal harm 2024-06-27

F693 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2024-07-09

D · Potential for more than minimal harm 2024-06-07

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 2024-06-19

D · Potential for more than minimal harm 2024-03-15

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 2024-03-22

D · Potential for more than minimal harm 2023-10-25

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 2023-10-26

D · Potential for more than minimal harm 2023-10-25

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 2023-10-26

F · Potential for more than minimal harm 2023-10-13

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 2023-10-25

E · Potential for more than minimal harm 2023-10-13

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-10-25

E · Potential for more than minimal harm 2023-10-13

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2023-10-25

D · Potential for more than minimal harm 2023-10-13

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-10-25

D · Potential for more than minimal harm 2023-10-13

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 2023-10-26

D · Potential for more than minimal harm 2023-10-13

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 2023-10-25

D · Potential for more than minimal harm 2023-10-13

F693 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2023-10-25

B · Minimal harm 2023-10-13

F912 · Environmental Deficiencies

Health

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

Corrected 2023-10-25

D · Potential for more than minimal harm 2023-08-10

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-08-15

D · Potential for more than minimal harm 2023-05-08

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 2023-05-17

G · Actual harm 2023-03-02

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 2023-03-13

E · Potential for more than minimal harm 2022-12-09

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2022-12-19

B · Minimal harm 2022-12-09

F912 · Environmental Deficiencies

Health

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

Corrected 2022-12-19

Penalties and ownership

What sits behind the stars

Ownership

Crest Illinois Holdco LLC

5% Or Greater Direct Ownership Interest · Organization

100% 5 facilities 2019-09-01
Lichtman, Shalom

5% Or Greater Indirect Ownership Interest · Individual

20% 20 facilities 2019-09-01
Fejcc Trust

5% Or Greater Indirect Ownership Interest · Organization

19% 17 facilities 2019-09-01
Mdatas Trust

5% Or Greater Indirect Ownership Interest · Organization

19% 17 facilities 2019-09-01
Mrs Family Trust

5% Or Greater Indirect Ownership Interest · Organization

19% 17 facilities 2019-09-01
Clark, Eric

5% Or Greater Indirect Ownership Interest · Individual

10% 7 facilities 2019-09-01
Weintraub, Moshe

5% Or Greater Indirect Ownership Interest · Individual

7% 19 facilities 2019-09-01
Capital Finance LLC

5% Or Greater Security Interest · Organization

0% 32 facilities 2019-09-01
Friedman, Yisrael

5% Or Greater Indirect Ownership Interest · Individual

0% 17 facilities 2019-09-01
Friedman, Yisrael

Corporate Officer · Individual

0% 17 facilities 2019-09-01
Lichtman, Shalom

Corporate Officer · Individual

0% 20 facilities 2019-09-01
Reed, Debra

W-2 Managing Employee · Individual

0% 1 facilities 2019-09-01
Singer, Meir

5% Or Greater Indirect Ownership Interest · Individual

0% 22 facilities 2019-09-01
Singer, Meir

Corporate Officer · Individual

0% 22 facilities 2019-09-01

Nearby options

Other facilities in reach

#1

Aviston Countryside Manor

Aviston, IL

1-star overall rating with 2-star inspections with abuse icon flag with $31,151 in total fines with 5 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
2 / 5
Staffing
1 / 5
Fines
$31,151
#2

Evercare Of Lebanon

Lebanon, IL

1-star overall rating with 2-star inspections with abuse icon flag with $163,007 in total fines with 14 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
2 / 5
Staffing
1 / 5
Fines
$163,007
#3

Cedar Ridge Health & Rehab Ctr

Lebanon, IL

3-star overall rating with 3-star inspections with $70,964 in total fines with 11 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
3 / 5
Staffing
2 / 5
Fines
$70,964

Jump out

Supporting pages