The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
DIXON REHAB & HCC
DIXON, IL · Medicare-certified · 97 beds
Needs attention
For-profitChain member
2 of 5 overall
Dixon Rehab & HCC in Dixon, IL has an overall rating of 2 out of 5 stars, with low staffing and quality ratings and only average health inspection results. Reported nurse staffing is 3.22 hours per resident per day versus the 4.1-hour federal benchmark, and the facility had $34,753 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.2168 hrs/resident/day
Quality measures
Last inspection: January 15, 2025Penalties, last 24 months: $34,753recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2168.
Staffing detail
- Registered nurses
- 0.68
- Licensed practical nurses
- 0.55
- Nurse aides
- 1.99
- Weekend nursing
- 2.81
Hours per resident per day.
Total staff turnover: 33%
Registered nurse turnover: 25%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
12.6%Improving
Residents with a fall causing major injury
5.9%Worsening
Residents with pressure ulcers (bedsores)
6.9%Improving
Residents with a urinary tract infection
3.6%Steady
Residents who lost too much weight
7.6%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
24.7%Worsening
Residents whose ability to walk got worse
28.1%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
20.4%Improving
Short-stay residents newly given an antipsychotic
1.1%Improving
Residents with a long-term catheter
0.4%Improving
Residents with new or worsening incontinence
34.8%Worsening
Residents with depressive symptoms
29.9%Worsening
Long-stay residents given the seasonal flu vaccine
98.7%Steady
Long-stay residents given the pneumonia vaccine
94.1%Worsening
Short-stay residents given the seasonal flu vaccine
80.6%Steady
Short-stay residents given the pneumonia vaccine
86.1%Steady
What the inspectors found
The home failed to provide enough food and fluids to keep residents healthy. Cited October 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited October 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 make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $14,505 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- 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.
- PENALTY
A federal fine of $20,248 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $34,753 in total fines · 1 payment denial.
- $14,505
Federal fine
Jan 15, 2025
- 11 days
Medicare/Medicaid payment denial
Oct 23, 2024
- $20,248
Federal fine
Oct 23, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of TUTERA SENIOR LIVING & HEALTH CARE · 26 homes · 2.2 stars avg
- Occupancy
- 78.7 residents on an average day (81% of 97 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 29 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.