Sullivan, IL

Sullivan Healthcare & Senior Living

1-star overall rating with 1-star inspections with abuse icon flag with $91,654 in total fines with 17 recent health deficiencies

11 Hawthorne Lane, Sullivan, IL

(217) 728-4327

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 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

123

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Pointe Management

Operator or chain grouping

Approved since

1978-05-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

12 facilities

Chain averages 1 overall / 2 health / 1 staffing / 1 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

0.33

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.73

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.06

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

3.12

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.06

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

2.91

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.26

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.31

CMS adjusted RN staffing hours

Adjusted total hours

2.88

CMS adjusted total nurse staffing hours

Case-mix index

1.48

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

9,175

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

Performance score

24.56

Composite VBP score used to determine payment impact.

Payment multiplier

0.9835

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.09

Baseline 21.82% · Performance 21.54% · Measure score 0.09 · Achievement 0 · Improvement 0.09

Healthcare-associated infections

4.04

Baseline 10.15% · Performance 7.81% · Measure score 4.04 · Achievement 0 · Improvement 4.04

Total nurse turnover

5.70

Baseline 54.55% · Performance 40.38% · Measure score 5.70 · Achievement 5.70 · Improvement 4.27

Adjusted total nurse staffing

Baseline 2.95 hours · Performance 2.99 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.91%	10.72% 1.2 pts worse	No Different than the National Rate · Eligible stays 114 · Observed rate 15.79% · Lower 95% interval 8.78%
Discharge to community	39.8%	50.57% 10.8 pts worse	Worse than the National Rate · Eligible stays 90 · Observed rate 32.22% · Lower 95% interval 32.5%
Medicare spending per beneficiary	1.04	1.02 About the same
Drug regimen review with follow-up	98.11%	95.27% 2.8 pts better	Numerator 52 · Denominator 53
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 53
Discharge self-care score	32.26%	53.69% 21.4 pts worse	Numerator 10 · Denominator 31
Discharge mobility score	25.81%	50.94% 25.1 pts worse	Numerator 8 · Denominator 31
Pressure ulcers or injuries, new or worsened	1.89%	2.29% 0.4 pts better	Numerator 1 · Denominator 53 · Adjusted rate 1.52%
Healthcare-associated infections requiring hospitalization	7.81%	7.12% 0.7 pts worse	No Different than the National Rate · Eligible stays 54 · Observed rate 11.11% · Lower 95% interval 4.2%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 77
Staff flu vaccination coverage	73.68%	42% 31.7 pts better	Numerator 56 · Denominator 76
Discharge function score	35.48%	56.45% 21 pts worse	Numerator 11 · Denominator 31
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 21 · Denominator 21
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	4.76%	25.2% 20.4 pts worse	Numerator 1 · Denominator 21

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.0	2.0 1 pts worse	1.9 1.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 3.2 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.8	2.3 0.5 pts better	1.8 About the same	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.9 · Expected 1.8 · Used in QM five-star
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	92.0%	91.6% 0.4 pts better	95.5% 3.5 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 92.0%
Percentage of long-stay residents experiencing one or more falls with major injury	1.9%	3.3% 1.4 pts better	3.3% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 1.4% · Q3 1.5% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.5%	50.3% 48.8 pts better	11.4% 9.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.0% · Q3 1.8% · Q4 2.2% · 4Q avg 1.5%
Percentage of long-stay residents who lose too much weight	4.4%	6.5% 2.1 pts better	5.4% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 0.0% · Q3 11.3% · Q4 3.2% · 4Q avg 4.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	22.9%	18.5% 4.4 pts worse	19.6% 3.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 24.2% · Q3 24.2% · Q4 21.2% · 4Q avg 22.9%
Percentage of long-stay residents who received an antipsychotic medication	30.4%	22.8% 7.6 pts worse	16.7% 13.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.3% · Q2 33.3% · Q3 28.3% · Q4 30.6% · 4Q avg 30.4% · 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	31.0%	17.2% 13.8 pts worse	16.3% 14.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 37.7% · Q2 26.0% · Q3 41.3% · Q4 18.8% · 4Q avg 31.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	22.9%	15.0% 7.9 pts worse	14.9% 8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.3% · Q2 20.7% · Q3 30.5% · Q4 10.7% · 4Q avg 22.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	6.6%	1.1% 5.5 pts worse	1.0% 5.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 8.0% · Q3 7.4% · Q4 4.3% · 4Q avg 6.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.7%	1.7% 1 pts worse	1.7% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 0.0% · Q3 3.2% · Q4 1.6% · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.3%	21.3% 3 pts worse	19.8% 4.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.4% · Q2 24.7% · Q3 15.8% · Q4 29.1% · 4Q avg 24.3%
Percentage of long-stay residents with pressure ulcers	8.7%	5.2% 3.5 pts worse	5.1% 3.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 6.1% · Q3 9.0% · Q4 8.7% · 4Q avg 8.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	97.8%	68.8% 29 pts better	81.7% 16.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.7% · Q3 96.3% · Q4 98.0% · 4Q avg 97.8%
Percentage of short-stay residents who had an outpatient emergency department visit	12.3%	14.0% 1.7 pts better	12.0% 0.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 12.3% · Observed 14.3% · Expected 12.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	4.9%	2.3% 2.6 pts worse	1.6% 3.3 pts worse	Short Stay · 2024Q4-2025Q3 · Q2 4.5% · Q3 4.2% · Q4 4.3% · 4Q avg 4.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	69.6%	63.0% 6.6 pts better	79.7% 10.1 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 69.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	30.4%	26.2% 4.2 pts worse	23.9% 6.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 30.4% · Observed 38.6% · Expected 30.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-15 · Fire 2024-09-13

17 health deficiencies

Top issue: Nutrition and Dietary (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-09-13 · Fire 2023-08-04

18 health deficiencies

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

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2023-08-04 · Fire 2022-09-02

11 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (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 2023-08-04

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2023-08-16

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-20

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 2026-01-22

G · Actual harm 2025-11-25

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 2025-12-04

F · Potential for more than minimal harm 2025-11-25

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2025-12-01

F · Potential for more than minimal harm 2025-11-25

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 2025-12-04

E · Potential for more than minimal harm 2025-11-25

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 2025-12-04

E · Potential for more than minimal harm 2025-11-25

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 2025-12-04

D · Potential for more than minimal harm 2025-11-25

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 2025-12-04

F · Potential for more than minimal harm 2025-08-15

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 2025-09-02

F · Potential for more than minimal harm 2025-08-15

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2025-09-02

F · Potential for more than minimal harm 2025-08-15

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 2025-09-02

F · Potential for more than minimal harm 2025-08-15

F868 · Administration Deficiencies

Health

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

Corrected 2025-09-02

E · Potential for more than minimal harm 2025-08-15

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 2025-09-02

E · Potential for more than minimal harm 2025-08-15

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 2025-09-02

D · Potential for more than minimal harm 2025-08-15

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 2025-09-02

D · Potential for more than minimal harm 2025-08-15

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2025-09-02

D · Potential for more than minimal harm 2025-08-15

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-09-02

D · Potential for more than minimal harm 2025-08-15

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-09-02

G · Actual harm 2025-01-10

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-13

D · Potential for more than minimal harm 2025-01-10

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 2025-02-06

L · Immediate jeopardy 2024-12-20

F678 · Quality of Life and Care Deficiencies

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 2024-12-31

E · Potential for more than minimal harm 2024-12-20

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 2024-12-31

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

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 2024-10-25

F · Potential for more than minimal harm 2024-09-13

F572 · Resident Rights Deficiencies

Health

Give residents a notice of rights, rules, services and charges.

Corrected 2024-09-30

F · Potential for more than minimal harm 2024-09-13

F576 · Resident Rights Deficiencies

Health

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2024-09-30

F · Potential for more than minimal harm 2024-09-13

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2024-09-30

F · Potential for more than minimal harm 2024-09-13

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 2024-09-30

E · Potential for more than minimal harm 2024-09-13

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 2024-09-30

E · Potential for more than minimal harm 2024-09-13