East Peoria, IL

Loft Rehab Of East Peoria, The

5-star overall rating with 5-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

900 Centennial Drive, East Peoria, IL

(309) 699-5400

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

113

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Loft Rehabilitation And Nursing

Operator or chain grouping

Approved since

1989-05-15

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

7 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

0.36

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.95

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.25

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

3.56

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.31

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

3.03

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.32

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

0.27

CMS adjusted RN staffing hours

Adjusted total hours

2.61

CMS adjusted total nurse staffing hours

Case-mix index

1.86

Higher values indicate more complex resident acuity

RN turnover

13%

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

13,188

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

Performance score

7.66

Composite VBP score used to determine payment impact.

Payment multiplier

0.9807

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 20.52% · Performance 21.62% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

2.30

Baseline 5.83% · Performance 7.15% · Measure score 2.30 · Achievement 2.30 · Improvement 0

Total nurse turnover

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Adjusted total nurse staffing

0

Baseline 2.77 hours · Performance 2.79 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.06%	10.72% 1.3 pts worse	No Different than the National Rate · Eligible stays 256 · Observed rate 13.28% · Lower 95% interval 9.25%
Discharge to community	47.83%	50.57% 2.7 pts worse	No Different than the National Rate · Eligible stays 236 · Observed rate 41.53% · Lower 95% interval 41.84%
Medicare spending per beneficiary	1.06	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 147 · Denominator 147
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 147
Discharge self-care score	74.26%	53.69% 20.6 pts better	Numerator 75 · Denominator 101
Discharge mobility score	57.43%	50.94% 6.5 pts better	Numerator 58 · Denominator 101
Pressure ulcers or injuries, new or worsened	0.68%	2.29% 1.6 pts better	Numerator 1 · Denominator 147 · Adjusted rate 0.52%
Healthcare-associated infections requiring hospitalization	7.15%	7.12% About the same	No Different than the National Rate · Eligible stays 157 · Observed rate 7.01% · Lower 95% interval 4.71%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 135
Staff flu vaccination coverage	30.3%	42% 11.7 pts worse	Numerator 40 · Denominator 132
Discharge function score	69.31%	56.45% 12.9 pts better	Numerator 70 · Denominator 101
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 34 · Denominator 34
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 77 · Denominator 77
Resident COVID-19 vaccinations up to date	25.33%	25.2% 0.1 pts better	Numerator 19 · Denominator 75

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.8	2.0 0.2 pts better	1.9 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.6 · Expected 2.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.7	2.3 1.6 pts better	1.8 1.1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.9 · Expected 2.1 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	91.1%	89.6% 1.5 pts better	93.4% 2.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 91.6% · Q2 89.4% · Q3 93.2% · Q4 90.4% · 4Q avg 91.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	93.4%	91.6% 1.8 pts better	95.5% 2.1 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 93.4%
Percentage of long-stay residents experiencing one or more falls with major injury	2.2%	3.3% 1.1 pts better	3.3% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 2.1% · Q3 3.4% · Q4 2.1% · 4Q avg 2.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	36.1%	50.3% 14.2 pts better	11.4% 24.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 30.1% · Q3 56.2% · Q4 56.1% · 4Q avg 36.1%
Percentage of long-stay residents who lose too much weight	1.1%	6.5% 5.4 pts better	5.4% 4.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 1.7% · Q4 1.7% · 4Q avg 1.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	14.2%	18.5% 4.3 pts better	19.6% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 9.5% · Q3 19.4% · Q4 12.9% · 4Q avg 14.2%
Percentage of long-stay residents who received an antipsychotic medication	1.4%	22.8% 21.4 pts better	16.7% 15.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.9% · Q3 0.0% · Q4 2.0% · 4Q avg 1.4% · 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	18.0%	17.2% 0.8 pts worse	16.3% 1.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 26.9% · 4Q avg 18.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	10.7%	15.0% 4.3 pts better	14.9% 4.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.0% · Q2 9.9% · Q3 10.2% · Q4 12.1% · 4Q avg 10.7% · 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	0.5%	1.7% 1.2 pts better	1.7% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	18.4%	21.3% 2.9 pts better	19.8% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 16.5% · Q3 26.8% · Q4 17.1% · 4Q avg 18.4%
Percentage of long-stay residents with pressure ulcers	2.1%	5.2% 3.1 pts better	5.1% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.8% · Q3 2.3% · Q4 3.1% · 4Q avg 2.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	74.7%	68.8% 5.9 pts better	81.7% 7 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 68.6% · Q2 78.6% · Q3 77.1% · Q4 74.7% · 4Q avg 74.7%
Percentage of short-stay residents who had an outpatient emergency department visit	15.8%	14.0% 1.8 pts worse	12.0% 3.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 15.8% · Observed 14.8% · Expected 10.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.9%	2.3% 1.4 pts better	1.6% 0.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	59.4%	63.0% 3.6 pts worse	79.7% 20.3 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 59.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	30.0%	26.2% 3.8 pts worse	23.9% 6.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 30.0% · Observed 30.3% · Expected 24.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-25 · Fire 2024-10-25

5 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-01-11 · Fire 2024-01-11

5 health deficiencies

Top issue: Resident Rights (2 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2022-12-22 · Fire 2022-12-22

9 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-10-25

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-11-08

E · Potential for more than minimal harm 2024-10-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-08

E · Potential for more than minimal harm 2024-01-11

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2024-02-06

E · Potential for more than minimal harm 2024-01-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-02-16

E · Potential for more than minimal harm 2022-12-22

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-01-05

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-10-25

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-11-08

D · Potential for more than minimal harm 2024-10-25

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 2024-11-08

D · Potential for more than minimal harm 2024-10-25

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-11-08

D · Potential for more than minimal harm 2024-10-25

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-08

D · Potential for more than minimal harm 2024-10-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-08

D · Potential for more than minimal harm 2024-04-30

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 2024-05-13

D · Potential for more than minimal harm 2024-02-01

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-02-15

D · Potential for more than minimal harm 2024-02-01

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 2024-02-15

D · Potential for more than minimal harm 2024-01-11

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-01-19

D · Potential for more than minimal harm 2024-01-11

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-01-19

D · Potential for more than minimal harm 2024-01-11

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 2024-01-19

D · Potential for more than minimal harm 2024-01-11

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2024-01-19

E · Potential for more than minimal harm 2022-12-22