Cycle 1
Health 2024-04-11 · Fire 2024-04-11
7 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
7 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Jacksonville, IL
Prairie Village Healthcare Ctr
4-star overall rating with 4-star inspections with 7 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
1024 West Walnut, Jacksonville, IL
(217) 245-5175
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
126
Certified beds
Average residents
49
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Atied Associates
Operator or chain grouping
Approved since
1975-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
13 facilities
Chain averages 3 overall / 3 health / 2 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
0.50
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
1.09
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
3.06
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
4.65
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.59
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
3.99
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.25
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.39
CMS adjusted RN staffing hours
Adjusted total hours
3.58
CMS adjusted total nurse staffing hours
Case-mix index
1.77
Higher values indicate more complex resident acuity
RN turnover
67%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
69%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,844
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
28.63
Composite VBP score used to determine payment impact.
Payment multiplier
0.9851
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.91
Performance 19.62% · Measure score 3.91 · Achievement 3.91 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
1.54
Performance 7.38% · Measure score 1.54 · Achievement 1.54 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
5.12
Baseline 70.17% · Performance 44.68% · Measure score 5.12 · Achievement 4.65 · Improvement 5.12
Adjusted total nurse staffing
0.88
Baseline 1.75 hours · Performance 2.30 hours · Measure score 0.88 · Achievement 0 · Improvement 0.88
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 60 · Observed rate 23.33% · Lower 95% interval 9.19% |
| Discharge to community | 53.4% |
50.57%
2.8 pts better
|
No Different than the National Rate · Eligible stays 26 · Observed rate 46.15% · Lower 95% interval 34.53% |
| Medicare spending per beneficiary | 1.58 |
1.02
0.6 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 35 · Denominator 35 |
| Falls with major injury | 5.71% |
0.77%
4.9 pts worse
|
Numerator 2 · Denominator 35 |
| Discharge self-care score | 34.78% |
53.69%
18.9 pts worse
|
Numerator 8 · Denominator 23 |
| Discharge mobility score | 17.39% |
50.94%
33.5 pts worse
|
Numerator 4 · Denominator 23 |
| Pressure ulcers or injuries, new or worsened | 8.57% |
2.29%
6.3 pts worse
|
Numerator 3 · Denominator 35 · Adjusted rate 8.97% |
| Healthcare-associated infections requiring hospitalization | 7.38% |
7.12%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 31 · Observed rate 9.68% · Lower 95% interval 4.17% |
| Staff COVID-19 vaccination coverage | 1.56% |
8.2%
6.6 pts worse
|
Numerator 1 · Denominator 64 |
| Staff flu vaccination coverage | 31.3% |
42%
10.7 pts worse
|
Numerator 41 · Denominator 131 |
| Discharge function score | 26.09% |
56.45%
30.4 pts worse
|
Numerator 6 · Denominator 23 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
2.0
0.6 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.1 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.5 |
2.3
1.2 pts worse
|
1.8
1.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.5 · Observed 3.0 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 86.3% |
89.6%
3.3 pts worse
|
93.4%
7.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 73.3% · Q2 91.1% · Q3 87.0% · Q4 93.5% · 4Q avg 86.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.7% |
91.6%
4.1 pts better
|
95.5%
0.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.7% |
3.3%
4.4 pts worse
|
3.3%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 6.7% · Q3 8.7% · Q4 6.5% · 4Q avg 7.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 89.0% |
50.3%
38.7 pts worse
|
11.4%
77.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 77.3% · Q2 88.4% · Q3 93.2% · Q4 97.6% · 4Q avg 89.0% |
| Percentage of long-stay residents who lose too much weight | 11.3% |
6.5%
4.8 pts worse
|
5.4%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 14.0% · Q3 9.5% · Q4 14.3% · 4Q avg 11.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.3% |
18.5%
6.8 pts worse
|
19.6%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.4% · Q2 27.3% · Q3 27.3% · Q4 22.2% · 4Q avg 25.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 28.6% |
22.8%
5.8 pts worse
|
16.7%
11.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.6% · Q2 25.0% · Q3 30.6% · Q4 30.6% · 4Q avg 28.6% · 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 | 15.3% |
17.2%
1.9 pts better
|
16.3%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 28.4% · Q2 18.5% · Q3 9.1% · Q4 4.3% · 4Q avg 15.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.2% |
15.0%
3.8 pts better
|
14.9%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 19.5% · Q3 7.5% · Q4 10.0% · 4Q avg 11.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.2% |
1.1%
2.1 pts worse
|
1.0%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 5.6% · Q3 2.7% · Q4 2.4% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.7% |
1.7%
About the same
|
1.7%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 2.3% · Q4 2.3% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.7% |
21.3%
8.6 pts better
|
19.8%
7.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.2% · Q2 5.1% · Q3 5.0% · Q4 19.4% · 4Q avg 12.7% |
| Percentage of long-stay residents with pressure ulcers | 14.4% |
5.2%
9.2 pts worse
|
5.1%
9.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 11.7% · Q3 21.2% · Q4 18.4% · 4Q avg 14.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 25.5% |
68.8%
43.3 pts worse
|
81.7%
56.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 16.7% · Q3 8.7% · Q4 56.7% · 4Q avg 25.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.1% |
14.0%
1.1 pts worse
|
12.0%
3.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.1% · Observed 18.2% · Expected 13.5% · 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 25.0% |
63.0%
38 pts worse
|
79.7%
54.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 25.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 13.6% |
26.2%
12.6 pts better
|
23.9%
10.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 13.6% · Observed 15.2% · Expected 26.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-05-10 · Fire 2023-05-10
5 health deficiencies
Top issue: Infection Control (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2022-06-16 · Fire 2022-06-16
5 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-04-11
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-05-11
F · Potential for more than minimal harm
2024-04-11
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-05-16
F · Potential for more than minimal harm
2024-04-11
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-17
F · Potential for more than minimal harm
2024-04-11
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-05-11
F · Potential for more than minimal harm
2024-04-11
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-05-11
F · Potential for more than minimal harm
2024-04-11
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-11
E · Potential for more than minimal harm
2024-04-11
K133 · Construction Deficiencies
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2024-05-11
F · Potential for more than minimal harm
2023-05-10
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-06-08
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-10-24
F687 · Quality of Life and Care Deficiencies
Health
Provide appropriate foot care.
Corrected 2025-11-26
D · Potential for more than minimal harm
2025-10-24
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-11-26
D · Potential for more than minimal harm
2025-06-30
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-09
D · Potential for more than minimal harm
2025-06-30
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-07-09
F · Potential for more than minimal harm
2024-04-11
F727 · Nursing and Physician Services Deficiencies
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 2024-04-22
E · Potential for more than minimal harm
2024-04-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-22
D · Potential for more than minimal harm
2024-04-11
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-04-22
F · Potential for more than minimal harm
2023-05-10
F727 · Nursing and Physician Services Deficiencies
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 2023-05-26
F · Potential for more than minimal harm
2023-05-10
F882 · Infection Control Deficiencies
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2023-05-26
D · Potential for more than minimal harm
2023-05-10
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 2023-05-26
D · Potential for more than minimal harm
2023-05-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-26
D · Potential for more than minimal harm
2023-05-10
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-05-26
G · Actual harm
2022-06-16
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 2022-07-11
F · Potential for more than minimal harm
2022-06-16
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 2022-07-11
E · Potential for more than minimal harm
2022-06-16
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 2022-07-11
E · Potential for more than minimal harm
2022-06-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-07-11
D · Potential for more than minimal harm
2022-06-16
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-07-11
Penalties and ownership
What sits behind the stars
$0
2025-05-15
Payment Denial
Payment Denial · denial start 2025-06-13 · 26 days
26 day denial
Ownership
Ray, Sherwin
5% Or Greater Direct Ownership Interest · Individual
Rothner, Eric
5% Or Greater Direct Ownership Interest · Individual
Atied Associates LLC
5% Or Greater Direct Ownership Interest · Organization
Aronin, David
Corporate Director · Individual
Dixon, William
Operational/Managerial Control · Individual
Extended Care Clinical LLC
Operational/Managerial Control · Organization
Extended Care Consulting LLC
Operational/Managerial Control · Organization
Ray, Sherwin
Corporate Officer · Individual
Roth & Co, Llp
Operational/Managerial Control · Organization
Springer, Jerri
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Arcadia Care Jacksonville
Jacksonville, IL
1-star overall rating with 2-star inspections with abuse icon flag with $98,479 in total fines with 13 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
Jacksonville Skld Nur & Rehab
Jacksonville, IL
2-star overall rating with 3-star inspections with $23,027 in total fines with 10 recent health deficiencies
#3
Grove Health & Rehab Ctr, The
Jacksonville, IL
4-star overall rating with 4-star inspections with $76,577 in total fines with 5 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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