Federal inspection record · CMS data as of October 1, 2026

Twin Willows Nursing Center

1600 North Broadway, Salem, IL · (618) 548-0542

CMS overall rating

2 of 5

Compare with a nearby home →
Certified beds
72
Residents per day
23
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
October 1, 2004

1

How this home got 2 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Illinois.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    −1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Illinois homes

Twin Willows Nursing Center carries 85 inspection points. That is fewer than 59% of Illinois's 659 rated homes.

5★4★3★2★1★+20 homes above 459.7505102550100200400inspection points → fewer is better on the leftThis home · 85 pts · 3★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Illinois: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–31 pts
  • 4★ 31–73 pts
  • 3★ 73–120.25 pts
  • 2★ 120.25–219 pts
  • 1★ over 219 pts

Bars show every rated home in Illinois by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

27 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 17 4 pts
E 4 8 pts
F 5 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Quality of Life and Care8D
  1. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    April 3, 2026 · Standard · F677 · Corrected April 30, 2026

  2. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    April 3, 2026 · Standard · F689 · Corrected April 30, 2026

  3. D

    Provide enough food/fluids to maintain a resident's health.

    April 3, 2026 · Standard · F692 · Corrected April 30, 2026

  4. D

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

    January 16, 2025 · Standard · F686 · Corrected February 7, 2025

  5. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    January 16, 2025 · Standard · F689 · Corrected February 6, 2025

  6. D

    Provide enough food/fluids to maintain a resident's health.

    January 16, 2025 · Standard · F692 · Corrected February 6, 2025

  7. D

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    January 16, 2025 · Standard · F744 · Corrected January 31, 2025

  8. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    January 5, 2024 · Standard · F677 · Corrected January 24, 2024

Resident Rights6E
  1. E

    Reasonably accommodate the needs and preferences of each resident.

    April 3, 2026 · Standard · F558 · Corrected April 30, 2026

  2. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    April 3, 2026 · Standard · F550 · Corrected April 30, 2026

  3. D

    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.

    April 3, 2026 · Standard · F578 · Corrected April 30, 2026

  4. D

    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.

    April 3, 2026 · Standard · F584 · Corrected April 30, 2026

  5. E

    Reasonably accommodate the needs and preferences of each resident.

    January 16, 2025 · Standard · F558 · Corrected February 13, 2025

  6. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    January 16, 2025 · Standard · F550 · Corrected February 5, 2025

Nutrition and Dietary4F
  1. F

    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.

    April 3, 2026 · Standard · F801 · Corrected April 30, 2026

  2. E

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    April 3, 2026 · Standard · F805 · Corrected April 30, 2026

  3. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    January 16, 2025 · Standard · F812 · Corrected February 13, 2025

  4. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    July 8, 2024 · Complaint · F812 · Corrected July 9, 2024

Infection Control3E
  1. E

    Provide and implement an infection prevention and control program.

    April 3, 2026 · Standard · F880 · Corrected April 30, 2026

  2. D

    Provide and implement an infection prevention and control program.

    January 16, 2025 · Standard · F880 · Corrected February 7, 2025

  3. D

    Implement a program that monitors antibiotic use.

    January 16, 2025 · Standard · F881 · Corrected February 13, 2025

Environmental2F
  1. F

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    April 3, 2026 · Standard · F921 · Corrected April 30, 2026

  2. F

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    January 16, 2025 · Standard · F921 · Corrected February 13, 2025

Resident Assessment and Care Planning2D
  1. D

    Ensure each resident receives an accurate assessment.

    April 3, 2026 · Standard · F641 · Corrected April 30, 2026

  2. D

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    January 5, 2024 · Standard · F640 · Corrected January 24, 2024

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Respond appropriately to all alleged violations.

    January 16, 2025 · Standard · F610 · Corrected February 6, 2025

Nursing and Physician Services1C
  1. C

    Post nurse staffing information every day.

    January 16, 2025 · Standard · F732 · Corrected January 18, 2025

Inspection history

  1. 2026-04-03

    12 health deficiencies · 7 fire-safety deficiencies

    Top issue: Resident Rights (4 deficiencies)

  2. 2025-01-16

    12 health deficiencies · 9 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

  3. 2024-01-05

    3 health deficiencies · 4 fire-safety deficiencies

    Top issue: Nutrition and Dietary (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 4 h 2 min of nursing staff time a day, 37 min of it from a registered nurse.

This home

4 h 2 min

Illinois average

3 h 28 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 39% of nursing staff and 0% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.2 pts worse2.22.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse2.22.11.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine9.5 pts better100.0%90.5%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine8.3 pts better100.0%91.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury3 pts better0.0%3.0%3.2%
Percentage of long-stay residents who have depressive symptoms50 pts better5.9%55.9%13.5%
Percentage of long-stay residents who lose too much weight6.1 pts better0.0%6.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication8.1 pts worse26.5%18.4%19.5%
Percentage of long-stay residents who received an antipsychotic medication13.5 pts better8.2%21.7%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened31.6 pts worse44.4%12.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased14.6 pts worse27.6%13.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder4.2 pts worse5.0%0.8%0.7%
Percentage of long-stay residents with a urinary tract infection7.1 pts worse8.6%1.5%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.8 pts better11.0%19.8%18.3%
Percentage of long-stay residents with pressure ulcers0.4 pts worse5.2%4.8%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine23.8 pts better93.8%70.0%82.3%

·

Who owns and runs it

10 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Woodruff, Helen5% Or Greater Direct Ownership Interest · Individual95%1 facilities
Woodruff, Jeffrey5% Or Greater Direct Ownership Interest · Individual5%1 facilities
Woodruff, HelenAdp Of The SNF · Individual0%1 facilities
Woodruff, JeffreyCorporate Director · Individual0%1 facilities
Woodruff, JeffreyCorporate Officer · Individual0%1 facilities
Woodruff, JeffreyAdp Of The SNF · Individual0%1 facilities
Woodruff, ToddCorporate Director · Individual0%1 facilities
Woodruff, ToddCorporate Officer · Individual0%1 facilities
Woodruff, ToddOperational/Managerial Control · Individual0%1 facilities
Woodruff, ToddAdp Of The SNF · Individual0%1 facilities

·

Fire safety

20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Emergency Preparedness10F
  1. F

    Address subsistence needs for staff and patients.

    January 16, 2025 · E15 · Corrected January 14, 2025

  2. F

    Establish staff and initial training requirements.

    January 16, 2025 · E37 · Corrected January 14, 2025

  3. F

    Conduct testing and exercise requirements.

    January 16, 2025 · E39 · Corrected February 13, 2025

  4. F

    Address subsistence needs for staff and patients.

    January 5, 2024 · E15 · Corrected March 22, 2024

  5. F

    Establish roles under a Waiver declared by secretary.

    January 5, 2024 · E26 · Corrected March 22, 2024

  6. F

    Conduct testing and exercise requirements.

    January 5, 2024 · E39 · Corrected March 22, 2024

  7. F

    Conduct risk assessment and an All-Hazards approach.

    January 5, 2024 · E6 · Corrected March 22, 2024

  8. F

    Conduct testing and exercise requirements.

    December 15, 2022 · E39 · Corrected February 28, 2023

  9. F

    Develop and maintain an Emergency Preparedness Program (EP).

    December 15, 2022 · E4 · Corrected January 27, 2023

  10. F

    Address patient/client population and determine types of services needed.

    December 15, 2022 · E7 · Corrected January 27, 2023

Smoke9F
  1. F

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    January 16, 2025 · K346 · Corrected January 13, 2025

  2. F

    Inspect, test, and maintain automatic sprinkler systems.

    January 16, 2025 · K353 · Corrected February 17, 2025

  3. F

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    January 16, 2025 · K354 · Corrected January 13, 2025

  4. E

    Install corridor and hallway doors that block smoke.

    January 16, 2025 · K363 · Corrected January 20, 2025

  5. F

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    January 5, 2024 · K346 · Corrected March 22, 2024

  6. F

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    January 5, 2024 · K354 · Corrected March 22, 2024

  7. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    January 5, 2024 · K321 · Corrected March 22, 2024

  8. E

    Inspect, test, and maintain automatic sprinkler systems.

    January 5, 2024 · K353 · Corrected March 22, 2024

  9. F

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    December 15, 2022 · K354 · Corrected January 27, 2023

Miscellaneous1F
  1. F

    Provide a written emergency evacuation plan.

    January 16, 2025 · K711 · Corrected January 13, 2025

·

Other homes nearby

  1. Doctors Nursing & Rehab Center

    Salem, IL · Helia Healthcare

    Worst citation, 3 yrs
    J
    Nursing / resident / day
    3 h 21 min
    Fines
    $52,760
  2. Odin Health And Rehab Center

    Odin, IL · Crest Healthcare Consulting

    Worst citation, 3 yrs
    J
    Nursing / resident / day
    3 h 14 min
    Fines
    $344,578
  3. Centralia Manor

    Centralia, IL · Unlimited Development, Inc. · Abuse icon

    Worst citation, 3 yrs
    J
    Nursing / resident / day
    4 h 25 min
    Fines
    $200,263