The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
COULTERVILLE REHAB & HCC
COULTERVILLE, IL · Medicare-certified · 75 beds
In good standing
For-profitChain member
4 of 5 overall
COULTERVILLE REHAB & HCC has an overall 4-star rating, with strong health inspection results but weaker staffing at 2 stars; reported nurse staffing is 3.10 hours per resident per day, below the federal benchmark of 4.1. There were no fines in the last 24 months, and recent inspection citations included supervision/accident hazards, food handling, and registered nurse coverage.
Facility ratings
Health inspections
Staffing
3.0966 hrs/resident/day
Quality measures
Last inspection: December 15, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0966.
Staffing detail
- Registered nurses
- 0.42
- Licensed practical nurses
- 0.74
- Nurse aides
- 1.94
- Weekend nursing
- 2.74
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 29%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
11.5%Improving
Residents with a fall causing major injury
5.3%Improving
Residents with pressure ulcers (bedsores)
4.9%Steady
Residents with a urinary tract infection
1.3%Worsening
Residents who lost too much weight
12.6%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
4.1%Worsening
Residents whose ability to walk got worse
3.3%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
22.7%Improving
Short-stay residents newly given an antipsychotic
3.4%Improving
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
26%Worsening
Residents with depressive symptoms
9.5%Worsening
Long-stay residents given the seasonal flu vaccine
97%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
82.1%Steady
Short-stay residents given the pneumonia vaccine
85.8%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited July 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited July 2023 — widespread issue, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
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 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of TUTERA SENIOR LIVING & HEALTH CARE · 26 homes · 2.2 stars avg
- Occupancy
- 69.7 residents on an average day (93% of 75 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 26 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.