The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited December 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
CARLINVILLE REHAB & HCC
CARLINVILLE, IL · Medicare-certified · 98 beds
Needs attention
Abuse citationFor-profitChain member
1 of 5 overall
Carlinville Rehab & HCC has a 1-star overall rating, with 1-star staffing and 2-star health inspection and quality ratings. Reported nursing hours are below the federal benchmark (3.06 vs. 4.1), and it has $137,709 in fines in the last 24 months plus a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.0645 hrs/resident/day
Quality measures
Last inspection: December 18, 2025Penalties, last 24 months: $137,709recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0645.
Staffing detail
- Registered nurses
- 0.36
- Licensed practical nurses
- 0.78
- Nurse aides
- 1.93
- Weekend nursing
- 2.59
Hours per resident per day.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
18.9%Worsening
Residents with a fall causing major injury
4.6%Worsening
Residents with pressure ulcers (bedsores)
3.5%Improving
Residents with a urinary tract infection
0.4%Worsening
Residents who lost too much weight
0.8%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
14%Improving
Residents whose ability to walk got worse
30.2%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
13%Worsening
Short-stay residents newly given an antipsychotic
4.1%Improving
Residents with a long-term catheter
0.8%Improving
Residents with new or worsening incontinence
29.8%Improving
Residents with depressive symptoms
38.1%Worsening
Long-stay residents given the seasonal flu vaccine
85.2%Steady
Long-stay residents given the pneumonia vaccine
66.4%Improving
Short-stay residents given the seasonal flu vaccine
27.5%Steady
Short-stay residents given the pneumonia vaccine
23.1%Improving
What the inspectors found
The home failed to protect residents from the wrongful use of their belongings or money. Cited September 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 602 — 42 CFR §483.12 — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited July 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited July 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: G
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: F
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 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $137,709 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $171,737 in total fines · 1 payment denial.
- 69 days
Medicare/Medicaid payment denial
May 29, 2024
- $137,709
Federal fine
May 29, 2024
- $34,028
Federal fine
Jul 27, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of TUTERA SENIOR LIVING & HEALTH CARE · 26 homes · 2.2 stars avg
- Occupancy
- 79.1 residents on an average day (81% of 98 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 43 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.