The nursing home failed to provide services that met professional standards of quality. Cited September 2025 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: L
Nursing home report
ARCADIA CARE ON THE HILL
SPRINGFIELD, IL · Medicare-certified · 251 beds
Needs attention
For-profitChain member
1 of 5 overall
ARCADIA CARE ON THE HILL (Springfield, IL) has an overall 1 of 5 stars, with 1-star health inspection and staffing ratings and a 3-star quality measures rating. Reported nurse staffing is 2.61 hours per resident per day versus the 4.1-hour federal benchmark, there were no fines in the last 24 months, and recent citations included professional standards, medication errors, and accident hazard/supervision issues.
Facility ratings
Health inspections
Staffing
2.6111 hrs/resident/day
Quality measures
Last inspection: November 26, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.6111.
Staffing detail
- Registered nurses
- 0.15
- Licensed practical nurses
- 0.84
- Nurse aides
- 1.62
- Weekend nursing
- 2.44
Hours per resident per day.
Total staff turnover: 33%
Registered nurse turnover: 56%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
8.9%Improving
Residents with a fall causing major injury
1.6%Worsening
Residents with pressure ulcers (bedsores)
4.9%Steady
Residents with a urinary tract infection
0.7%Worsening
Residents who lost too much weight
10.1%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
3.7%Improving
Residents whose ability to walk got worse
4.4%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
28%Steady
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.2%Steady
Residents with new or worsening incontinence
19.9%Worsening
Residents with depressive symptoms
97.5%Worsening
Long-stay residents given the seasonal flu vaccine
94.5%Steady
Long-stay residents given the pneumonia vaccine
78.6%Worsening
Short-stay residents given the seasonal flu vaccine
40.7%Steady
Short-stay residents given the pneumonia vaccine
22.8%Worsening
What the inspectors found
The nursing home failed to ensure residents were free from significant medication errors. Cited September 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited May 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $57,030 in total fines · 1 payment denial.
- 62 days
Medicare/Medicaid payment denial
Sep 17, 2025
- $47,515
Federal fine
Apr 1, 2024
- $9,515
Federal fine
Aug 24, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of ARCADIA CARE · 22 homes · 1.5 stars avg
- Occupancy
- 128.2 residents on an average day (51% of 251 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 57 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.