Cycle 1
Health 2025-12-03 · Fire 2025-12-03
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Springfield, IL
Springfield Suites Rehab And Nursing
3-star overall rating with 3-star inspections with 5 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
3089 Old Jacksonville Road, Springfield, IL
(217) 787-0000
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
75
Certified beds
Average residents
63
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Stern Consultants
Operator or chain grouping
Approved since
2013-05-17
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
22 facilities
Chain averages 3 overall / 3 health / 2 staffing / 4 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
0.87
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
1.02
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
3.56
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
5.46
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.90
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
4.36
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.57
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.77
CMS adjusted RN staffing hours
Adjusted total hours
4.83
CMS adjusted total nurse staffing hours
Case-mix index
1.54
Higher values indicate more complex resident acuity
RN turnover
53%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
64%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,448
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.92
Composite VBP score used to determine payment impact.
Payment multiplier
0.9929
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.91
Baseline 24.64% · Performance 22.80% · Measure score 1.91 · Achievement 0 · Improvement 1.91
Healthcare-associated infections
4.11
Baseline 8.38% · Performance 6.82% · Measure score 4.11 · Achievement 3.41 · Improvement 4.11
Total nurse turnover
4.16
Performance 46.67% · Measure score 4.16 · Achievement 4.16 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
5.78
Baseline 4.42 hours · Performance 4.72 hours · Measure score 5.78 · Achievement 5.78 · Improvement 1.73
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.4% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 454 · Observed rate 11.23% · Lower 95% interval 9.2% |
| Discharge to community | 63.27% |
50.57%
12.7 pts better
|
Better than the National Rate · Eligible stays 477 · Observed rate 57.86% · Lower 95% interval 58.76% |
| Medicare spending per beneficiary | 1 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 96.12% |
95.27%
0.9 pts better
|
Numerator 248 · Denominator 258 |
| Falls with major injury | 0.39% |
0.77%
0.4 pts better
|
Numerator 1 · Denominator 258 |
| Discharge self-care score | 51.35% |
53.69%
2.3 pts worse
|
Numerator 95 · Denominator 185 |
| Discharge mobility score | 51.35% |
50.94%
0.4 pts better
|
Numerator 95 · Denominator 185 |
| Pressure ulcers or injuries, new or worsened | 0.78% |
2.29%
1.5 pts better
|
Numerator 2 · Denominator 256 · Adjusted rate 1.15% |
| Healthcare-associated infections requiring hospitalization | 6.82% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 276 · Observed rate 6.16% · Lower 95% interval 4.34% |
| Staff COVID-19 vaccination coverage | 6.71% |
8.2%
1.5 pts worse
|
Numerator 10 · Denominator 149 |
| Staff flu vaccination coverage | 56.25% |
42%
14.2 pts better
|
Numerator 81 · Denominator 144 |
| Discharge function score | 55.68% |
56.45%
0.8 pts worse
|
Numerator 103 · Denominator 185 |
| Transfer of health information to provider | 83.87% |
95.95%
12.1 pts worse
|
Numerator 52 · Denominator 62 |
| Transfer of health information to patient | 88.27% |
96.28%
8 pts worse
|
Numerator 158 · Denominator 179 |
| Resident COVID-19 vaccinations up to date | 15.5% |
25.2%
9.7 pts worse
|
Numerator 20 · Denominator 129 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
89.6%
10.4 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
91.6%
8.4 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.7% |
3.3%
2.4 pts worse
|
3.3%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 8.3% · Q3 3.3% · Q4 3.8% · 4Q avg 5.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.1% |
50.3%
49.2 pts better
|
11.4%
10.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% |
| Percentage of long-stay residents who lose too much weight | 1.4% |
6.5%
5.1 pts better
|
5.4%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 0.0% · 4Q avg 1.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.3% |
18.5%
1.2 pts better
|
19.6%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 19.0% · 4Q avg 17.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.2% |
22.8%
5.6 pts better
|
16.7%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.2% · 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 | 3.7% |
17.2%
13.5 pts better
|
16.3%
12.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.7% |
15.0%
5.3 pts better
|
14.9%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.7% · 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 | 1.0% |
1.7%
0.7 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.8% |
21.3%
7.5 pts worse
|
19.8%
9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.4% · Q2 26.5% · Q3 31.1% · Q4 45.5% · 4Q avg 28.8% |
| Percentage of long-stay residents with pressure ulcers | 1.9% |
5.2%
3.3 pts better
|
5.1%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.3% · Q4 5.0% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.5% |
68.8%
29.7 pts better
|
81.7%
16.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.0% · Q2 99.0% · Q3 97.9% · Q4 98.9% · 4Q avg 98.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.2% |
14.0%
1.2 pts worse
|
12.0%
3.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.2% · Observed 14.0% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
2.3%
0.9 pts better
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 1.0% · Q3 2.0% · Q4 2.0% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.7% |
63.0%
34.7 pts better
|
79.7%
18 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.7% |
| 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 27.2% · Expected 21.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-11-25 · Fire 2024-11-25
17 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Cycle 3
Health 2023-12-14 · Fire 2023-12-14
8 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-12-03
E13 · Emergency Preparedness Deficiencies
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2025-12-05
F · Potential for more than minimal harm
2025-12-03
E29 · Emergency Preparedness Deficiencies
Fire Safety
Develop a communication plan.
Corrected 2025-12-05
F · Potential for more than minimal harm
2025-12-03
E36 · Emergency Preparedness Deficiencies
Fire Safety
Establish emergency prep training and testing.
Corrected 2025-12-05
F · Potential for more than minimal harm
2025-12-03
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-12-16
F · Potential for more than minimal harm
2025-12-03
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-12-05
F · Potential for more than minimal harm
2025-12-03
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-12-11
E · Potential for more than minimal harm
2025-12-03
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 2025-12-04
E · Potential for more than minimal harm
2025-12-03
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-12-05
E · Potential for more than minimal harm
2025-12-03
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-12-22
E · Potential for more than minimal harm
2025-12-03
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-12-15
F · Potential for more than minimal harm
2024-11-25
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-11-27
E · Potential for more than minimal harm
2024-11-25
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 2024-11-27
F · Potential for more than minimal harm
2023-12-14
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-01-18
F · Potential for more than minimal harm
2023-12-14
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-01-18
E · Potential for more than minimal harm
2023-12-14
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 2024-01-18
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-12-03
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 2025-12-10
E · Potential for more than minimal harm
2025-12-03
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-12-10
D · Potential for more than minimal harm
2025-12-03
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 2025-12-10
F · Potential for more than minimal harm
2025-11-19
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-11-26
G · Actual harm
2025-03-25
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-03-30
D · Potential for more than minimal harm
2024-12-06
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 2024-12-19
G · Actual harm
2024-11-25
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-12-03
G · Actual harm
2024-11-25
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-11-26
F · Potential for more than minimal harm
2024-11-25
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2024-11-26
F · Potential for more than minimal harm
2024-11-25
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 2024-11-26
F · Potential for more than minimal harm
2024-11-25
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 2024-12-03
F · Potential for more than minimal harm
2024-11-25
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-12-04
F · Potential for more than minimal harm
2024-11-25
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-03
F · Potential for more than minimal harm
2024-11-25
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 2024-12-03
E · Potential for more than minimal harm
2024-11-25
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 2024-12-03
D · Potential for more than minimal harm
2024-11-25
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 2024-12-03
D · Potential for more than minimal harm
2024-11-25
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 2024-12-03
D · Potential for more than minimal harm
2024-11-25
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 2024-12-03
D · Potential for more than minimal harm
2024-11-25
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-11-26
D · Potential for more than minimal harm
2024-11-25
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 2024-12-03
D · Potential for more than minimal harm
2024-11-25
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2024-12-03
D · Potential for more than minimal harm
2024-11-25
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-11-27
F · Potential for more than minimal harm
2023-12-14
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 2024-01-18
F · Potential for more than minimal harm
2023-12-14
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 2024-01-18
E · Potential for more than minimal harm
2023-12-14
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 2024-01-18
E · Potential for more than minimal harm
2023-12-14
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 2024-01-18
E · Potential for more than minimal harm
2023-12-14
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-18
D · Potential for more than minimal harm
2023-10-25
F624 · Resident Rights Deficiencies
Health
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2023-11-21
D · Potential for more than minimal harm
2023-03-17
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-03-31
D · Potential for more than minimal harm
2023-03-17
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 2023-03-31
Penalties and ownership
What sits behind the stars
$0
2024-11-25
Payment Denial
Payment Denial · denial start 2024-12-18 · 1 days
1 day denial
Ownership
Etn Family Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Tlco Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Erblich, Avraham
5% Or Greater Direct Ownership Interest · Individual
Friedman, Benjamin
5% Or Greater Direct Ownership Interest · Individual
Com Family Trust
5% Or Greater Indirect Ownership Interest · Organization
E Newhouse Family Trust
5% Or Greater Indirect Ownership Interest · Organization
T Newhouse Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Tlm Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Sheps, Boruch
5% Or Greater Direct Ownership Interest · Individual
Cook, Windy
Operational/Managerial Control · Individual
Erblich, Avraham
Operational/Managerial Control · Individual
Etn Family Holdings LLC
Operational/Managerial Control · Organization
Friedman, Benjamin
Operational/Managerial Control · Individual
Friedman, Benjamin
Corporate Officer · Individual
Millman, Chaim
Operational/Managerial Control · Individual
Newhouse, Eric
Operational/Managerial Control · Individual
Schaaf, Cynthia
Operational/Managerial Control · Individual
Sheps, Boruch
Operational/Managerial Control · Individual
Stern Therapy Consultants LLC
Operational/Managerial Control · Organization
Tlco Holdings LLC
Operational/Managerial Control · Organization
Zaman, Asad
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Arc at Sangamon Valley
Springfield, IL
1-star overall rating with 1-star inspections with $309,361 in total fines with 30 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
Concordia Village Care Center
Springfield, IL
5-star overall rating with 4-star inspections with $8,678 in total fines with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Regency Care
Springfield, IL
1-star overall rating with 2-star inspections with $197,065 in total fines with 17 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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