Charleston, IL

Hilltop Skilled Nsg & Rehab

1-star overall rating with 2-star inspections with abuse icon flag with $177,262 in total fines with 12 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

910 West Polk Street, Charleston, IL

(217) 345-7066

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

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

108

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Crest Healthcare Consulting

Operator or chain grouping

Approved since

1996-01-01

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

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

0.41

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.87

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.12

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

3.40

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.29

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

3.00

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.27

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

0.34

CMS adjusted RN staffing hours

Adjusted total hours

2.79

CMS adjusted total nurse staffing hours

Case-mix index

1.67

Higher values indicate more complex resident acuity

RN turnover

56%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

55%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,726

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

Performance score

Composite VBP score used to determine payment impact.

Payment multiplier

0.9803

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 20.61% · Performance 21.22% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 6.98% · Performance 8.78% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

Baseline 62.69% · Performance 65.48% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

Baseline 2.82 hours · Performance 2.93 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.09%	10.72% 1.4 pts worse	No Different than the National Rate · Eligible stays 106 · Observed rate 16.98% · Lower 95% interval 8.8%
Discharge to community	34.35%	50.57% 16.2 pts worse	Worse than the National Rate · Eligible stays 68 · Observed rate 27.94% · Lower 95% interval 26.18%
Medicare spending per beneficiary	1.23	1.02 0.2 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 75 · Denominator 75
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 75
Discharge self-care score	42.11%	53.69% 11.6 pts worse	Numerator 16 · Denominator 38
Discharge mobility score	31.58%	50.94% 19.4 pts worse	Numerator 12 · Denominator 38
Pressure ulcers or injuries, new or worsened	6.67%	2.29% 4.4 pts worse	Numerator 5 · Denominator 75 · Adjusted rate 5.45%
Healthcare-associated infections requiring hospitalization	8.78%	7.12% 1.7 pts worse	No Different than the National Rate · Eligible stays 44 · Observed rate 13.64% · Lower 95% interval 4.63%
Staff COVID-19 vaccination coverage	40.63%	8.2% 32.4 pts better	Numerator 26 · Denominator 64
Staff flu vaccination coverage	4.17%	42% 37.8 pts worse	Numerator 4 · Denominator 96
Discharge function score	39.47%	56.45% 17 pts worse	Numerator 15 · Denominator 38
Transfer of health information to provider	90.32%	95.95% 5.6 pts worse	Numerator 28 · Denominator 31
Transfer of health information to patient	95.45%	96.28% 0.8 pts worse	Numerator 21 · Denominator 22
Resident COVID-19 vaccinations up to date	12.5%	25.2% 12.7 pts worse	Numerator 4 · Denominator 32

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.8	2.0 1.8 pts worse	1.9 1.9 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.8 · Observed 3.7 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.9	2.3 0.6 pts worse	1.8 1.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.9 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	89.7%	89.6% 0.1 pts better	93.4% 3.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 84.4% · Q2 89.8% · Q3 89.8% · Q4 94.1% · 4Q avg 89.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	80.8%	91.6% 10.8 pts worse	95.5% 14.7 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 80.8%
Percentage of long-stay residents experiencing one or more falls with major injury	6.2%	3.3% 2.9 pts worse	3.3% 2.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 6.1% · Q3 6.1% · Q4 7.8% · 4Q avg 6.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	64.1%	50.3% 13.8 pts worse	11.4% 52.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.3% · Q2 44.4% · Q3 90.0% · Q4 78.3% · 4Q avg 64.1%
Percentage of long-stay residents who lose too much weight	9.4%	6.5% 2.9 pts worse	5.4% 4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 5.1% · Q3 4.7% · Q4 16.7% · 4Q avg 9.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	10.8%	18.5% 7.7 pts better	19.6% 8.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 11.6% · Q3 9.1% · Q4 12.5% · 4Q avg 10.8%
Percentage of long-stay residents who received an antipsychotic medication	13.2%	22.8% 9.6 pts better	16.7% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 17.2% · Q3 11.1% · Q4 5.6% · 4Q avg 13.2% · 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	26.8%	17.2% 9.6 pts worse	16.3% 10.5 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 26.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	12.1%	15.0% 2.9 pts better	14.9% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.6% · Q2 9.3% · Q3 4.7% · Q4 19.6% · 4Q avg 12.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.5%	1.1% 0.6 pts better	1.0% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · 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	19.1%	21.3% 2.2 pts better	19.8% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.4% · Q2 39.8% · Q3 8.5% · Q4 15.9% · 4Q avg 19.1%
Percentage of long-stay residents with pressure ulcers	8.5%	5.2% 3.3 pts worse	5.1% 3.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 7.6% · Q3 7.3% · Q4 9.1% · 4Q avg 8.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	67.3%	68.8% 1.5 pts worse	81.7% 14.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 58.5% · Q2 63.8% · Q3 75.0% · Q4 74.6% · 4Q avg 67.3%
Percentage of short-stay residents who had an outpatient emergency department visit	16.9%	14.0% 2.9 pts worse	12.0% 4.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 16.9% · Observed 17.2% · Expected 11.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.0%	2.3% 0.3 pts better	1.6% 0.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 3.9% · Q3 0.0% · Q4 0.0% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	62.0%	63.0% 1 pts worse	79.7% 17.7 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 62.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	29.0%	26.2% 2.8 pts worse	23.9% 5.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 29.0% · Observed 29.7% · Expected 24.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-18 · Fire 2024-10-18

12 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

3 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Cycle 2 Health 2023-11-01 · Fire 2023-11-01

27 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

7 fire-safety deficiencies

Top issue: Emergency Preparedness (7 deficiencies)

Cycle 3 Health 2022-12-27 · Fire 2022-12-27

21 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-10-18

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2024-11-13

F · Potential for more than minimal harm 2024-10-18

E25 · Emergency Preparedness Deficiencies

Fire Safety

Create arrangements with other facilities to receive patients.

Corrected 2024-11-13

F · Potential for more than minimal harm 2024-10-18

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-11-13

F · Potential for more than minimal harm 2023-11-01

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2023-11-24

F · Potential for more than minimal harm 2023-11-01

E24 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for volunteers.

Corrected 2023-11-24

F · Potential for more than minimal harm 2023-11-01

E25 · Emergency Preparedness Deficiencies

Fire Safety

Create arrangements with other facilities to receive patients.

Corrected 2023-11-24

F · Potential for more than minimal harm 2023-11-01

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2023-11-24

F · Potential for more than minimal harm 2023-11-01

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-11-24

F · Potential for more than minimal harm 2023-11-01

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-11-24

F · Potential for more than minimal harm 2023-11-01

E7 · Emergency Preparedness Deficiencies

Fire Safety

Address patient/client population and determine types of services needed.

Corrected 2023-11-24

F · Potential for more than minimal harm 2022-12-27

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-01-19

Inspection history

Recent health citations

G · Actual harm 2025-05-20

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 2025-05-09

D · Potential for more than minimal harm 2025-05-20

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-04-24

E · Potential for more than minimal harm 2024-10-18

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-10-24

D · Potential for more than minimal harm 2024-10-18

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 2024-10-24

D · Potential for more than minimal harm 2024-10-18

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2024-10-24

D · Potential for more than minimal harm 2024-10-18

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 2024-10-24

D · Potential for more than minimal harm 2024-10-18

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2024-10-24

D · Potential for more than minimal harm 2024-10-18

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 2024-10-24

D · Potential for more than minimal harm 2024-10-18

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 2024-10-24

D · Potential for more than minimal harm 2024-10-18

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-10-24

D · Potential for more than minimal harm 2024-10-18

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-10-24

D · Potential for more than minimal harm 2024-10-18

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-10-24

E · Potential for more than minimal harm 2024-10-01

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-10-24

D · Potential for more than minimal harm 2024-10-01

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 2024-10-24

D · Potential for more than minimal harm 2024-10-01

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 2024-10-24

G · Actual harm 2024-07-19

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 2024-08-12

G · Actual harm 2024-07-19

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-08-12

D · Potential for more than minimal harm 2024-07-19

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 2024-08-12

D · Potential for more than minimal harm 2024-02-26

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 2024-02-27

F · Potential for more than minimal harm 2024-01-27

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-02-06

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

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 2023-12-21

G · Actual harm 2023-11-01

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 2023-12-21

F · Potential for more than minimal harm 2023-11-01

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 2023-12-20

F · Potential for more than minimal harm 2023-11-01

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2023-12-20

F · Potential for more than minimal harm 2023-11-01

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2023-12-20

F · Potential for more than minimal harm 2023-11-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-12-20

E · Potential for more than minimal harm 2023-11-01

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 2023-12-20

E · Potential for more than minimal harm 2023-11-01

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-12-20

E · Potential for more than minimal harm 2023-11-01

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 2023-12-20