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
Aperion Care Capitol
Registered name: ARCADIA CARE ON THE HILL
SPRINGFIELD, IL · Medicare-certified · 251 beds
Needs attention
Special Focus candidateFor-profitChain member
Data as of September 1, 2026
1 of 5 overall
Aperion Care Capitol in Springfield, IL has an overall rating of 1 out of 5 stars, with 1-star health inspection and staffing ratings and 3-star quality measures. It is a Special Focus Facility candidate, had $172,113 in fines in the last 24 months, and reported nurse staffing of 2.80 hours per resident per day versus the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
2.7996 hrs/resident/day
Quality measures
Last inspection: July 27, 2026Penalties, last 24 months: $172,113special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.7996.
Staffing detail
- Registered nurses
- 0.17
- Licensed practical nurses
- 0.92
- Nurse aides
- 1.70
- Weekend nursing
- 2.61
Hours per resident per day.
Total staff turnover: 29%
Registered nurse turnover: 60%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
10.3%5.6%Improving
Residents with a fall causing major injury
1.7%3.5%Worsening
Residents with pressure ulcers (bedsores)
5.1%2.7%Improving
Residents with a urinary tract infection
1.7%0.9%Improving
Residents who lost too much weight
10.9%15%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
2%8.5%Worsening
Residents whose ability to walk got worse
6.2%11.2%Worsening
Long-stay residents on antianxiety or sleep medication
25.7%26.2%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%2.1%Worsening
Residents with new or worsening incontinence
18.6%17%Improving
Residents with depressive symptoms
97.1%99%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—94.5%—
Long-stay residents given the pneumonia vaccine
81.5%92%Improving
Short-stay residents given the seasonal flu vaccine
—40.7%—
Short-stay residents given the pneumonia vaccine
32.9%33%No change
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 provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — 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 9 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $73,800 was recorded.
- 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
- 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 fine of $98,313 was recorded.
- PENALTY
A federal payment denial was recorded.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 3 fines · $219,628 in total fines · 1 payment denial.
- $73,800
Federal fine
Apr 22, 2026
- 62 days
Medicare/Medicaid payment denial
Sep 17, 2025
- $98,313
Federal fine
Sep 17, 2025
- $47,515
Federal fine
Apr 1, 2024
Operator & ownership
Recent ownership change · Aug 1, 2024
Now operated by Arcadia Care on the Hill, previously Aperion Care Capitol.
- Ownership
- For profit - Corporation
- Chain
- Part of ARCADIA CARE · 25 homes · 1.4 stars avg
- Occupancy
- 121.2 residents on an average day (48% 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.