11 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Edwardsville, IL
1-star overall rating with 2-star inspections with abuse icon flag with $87,924 in total fines with 11 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
6277 Center Grove Road, Edwardsville, IL
(618) 659-0605
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
105
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1995-07-20
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
RN hours / resident day
0.22
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.98
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
1.57
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
2.77
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.20
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
2.39
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.11
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
0.16
CMS adjusted RN staffing hours
Adjusted total hours
1.99
CMS adjusted total nurse staffing hours
Case-mix index
1.90
Higher values indicate more complex resident acuity
RN turnover
83%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
72%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
12,849
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
10.06
Composite VBP score used to determine payment impact.
Payment multiplier
0.9809
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 19.00% · Performance 21.67% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
2.96
Baseline 8.42% · Performance 7.23% · Measure score 2.96 · Achievement 2.01 · Improvement 2.96
Total nurse turnover
1.06
Baseline 82.93% · Performance 73.87% · Measure score 1.06 · Achievement 0 · Improvement 1.06
Adjusted total nurse staffing
0
Baseline 3.33 hours · Performance 2.43 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 15.41% |
10.72%
4.7 pts worse
|
Worse than the National Rate · Eligible stays 104 · Observed rate 27.88% · Lower 95% interval 11.01% |
| Discharge to community | 47.26% |
50.57%
3.3 pts worse
|
No Different than the National Rate · Eligible stays 65 · Observed rate 36.92% · Lower 95% interval 33.51% |
| Medicare spending per beneficiary | 1.01 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 121 · Denominator 121 |
| Falls with major injury | 0.83% |
0.77%
0.1 pts worse
|
Numerator 1 · Denominator 121 |
| Discharge self-care score | 49.3% |
53.69%
4.4 pts worse
|
Numerator 35 · Denominator 71 |
| Discharge mobility score | 43.66% |
50.94%
7.3 pts worse
|
Numerator 31 · Denominator 71 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 121 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.23% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 52 · Observed rate 9.62% · Lower 95% interval 3.67% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 126 |
| Staff flu vaccination coverage | 2.02% |
42%
40 pts worse
|
Numerator 2 · Denominator 99 |
| Discharge function score | 43.66% |
56.45%
12.8 pts worse
|
Numerator 31 · Denominator 71 |
| Transfer of health information to provider | 97.87% |
95.95%
1.9 pts better
|
Numerator 46 · Denominator 47 |
| Transfer of health information to patient | 96.88% |
96.28%
0.6 pts better
|
Numerator 31 · Denominator 32 |
| Resident COVID-19 vaccinations up to date | 2.7% |
25.2%
22.5 pts worse
|
Numerator 2 · Denominator 74 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
2.0
1 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.3 · Expected 2.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
2.3
0.9 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.5 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 70.7% |
89.6%
18.9 pts worse
|
93.4%
22.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 87.4% · Q2 74.5% · Q3 64.9% · Q4 57.7% · 4Q avg 70.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 74.7% |
91.6%
16.9 pts worse
|
95.5%
20.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 74.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.8% |
3.3%
0.5 pts worse
|
3.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 5.3% · Q3 4.3% · Q4 2.1% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 99.4% |
50.3%
49.1 pts worse
|
11.4%
88 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.8% · Q3 98.8% · Q4 100.0% · 4Q avg 99.4% |
| Percentage of long-stay residents who lose too much weight | 4.2% |
6.5%
2.3 pts better
|
5.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 3.8% · Q3 6.3% · Q4 5.2% · 4Q avg 4.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.3% |
18.5%
7.8 pts worse
|
19.6%
6.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.0% · Q2 27.4% · Q3 26.2% · Q4 30.2% · 4Q avg 26.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.9% |
22.8%
13.9 pts better
|
16.7%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 15.2% · Q3 1.6% · Q4 4.8% · 4Q avg 8.9% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.8% |
0.1%
0.7 pts worse
|
0.1%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 1.1% · Q4 1.0% · 4Q avg 0.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | 19.8% |
17.2%
2.6 pts worse
|
16.3%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.9% · Q2 11.6% · Q3 16.3% · Q4 19.0% · 4Q avg 19.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.3% |
15.0%
3.3 pts worse
|
14.9%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.4% · Q2 22.8% · Q3 12.7% · Q4 13.4% · 4Q avg 18.3% · 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 | 19.2% |
21.3%
2.1 pts better
|
19.8%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.2% · Q2 23.5% · Q3 18.3% · Q4 14.9% · 4Q avg 19.2% |
| Percentage of long-stay residents with pressure ulcers | 2.0% |
5.2%
3.2 pts better
|
5.1%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 1.7% · Q4 4.3% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 10.8% |
68.8%
58 pts worse
|
81.7%
70.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 18.3% · Q2 8.8% · Q3 2.7% · Q4 11.3% · 4Q avg 10.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.0% |
14.0%
1 pts worse
|
12.0%
3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.0% · Observed 17.1% · Expected 12.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.6% |
2.3%
0.7 pts better
|
1.6%
About the same
|
Short Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 2.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 4.0% |
63.0%
59 pts worse
|
79.7%
75.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 4.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 33.6% |
26.2%
7.4 pts worse
|
23.9%
9.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 33.6% · Observed 37.8% · Expected 26.8% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (9 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-06-14
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-06-19
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-14
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-06-14
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-06-14
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-03-29
Fire Safety
Have proper power supply for life support equipment.
Corrected 2023-03-29
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-03-29
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-04-29
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-04-29
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-04-29
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-01-25
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-11-25
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 2025-11-17
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-04-30
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 2025-04-30
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-04-24
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-11-19
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 2024-07-22
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-07-22
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-07-22
Health
Respond appropriately to all alleged violations.
Corrected 2024-07-22
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2024-06-10
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-06-10
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-10
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-06-10
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-06-10
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-04-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-15
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-01-31
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-01-04
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-01-04
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-04
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 2023-11-27
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-05-17
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-03-14
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 2023-03-14
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-03-14
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-03-14
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 2023-03-14
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 2023-03-14
Health
Implement a program that monitors antibiotic use.
Corrected 2023-03-14
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-05-14
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 2022-04-19
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-04-19
Health
Provide and implement an infection prevention and control program.
Corrected 2022-04-19
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2022-04-19
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-04-19
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-04-19
Health
Ensure that residents are free from significant medication errors.
Corrected 2022-04-19
Penalties and ownership
Fine · fine $12,035
Fine
Fine · fine $14,316
Fine
Fine · fine $26,198
Fine
Fine · fine $13,039
Fine
Fine · fine $22,336
Fine
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Security Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Security Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
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