The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
HILLTOP SKILLED NSG & REHAB
CHARLESTON, IL · Medicare-certified · 108 beds
Needs attention
Abuse citationFor-profitChain member
2 of 5 overall
Hilltop Skilled Nsg & Rehab in Charleston, IL has a 2-star overall rating, with 2-star health inspection, staffing, and quality ratings. It reports 3.47 nurse staffing hours per resident per day versus the 4.1 federal benchmark, $53,768 in fines over the last 24 months, and a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.4716 hrs/resident/day
Quality measures
Last inspection: February 11, 2026Penalties, last 24 months: $53,768recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4716.
Staffing detail
- Registered nurses
- 0.51
- Licensed practical nurses
- 0.80
- Nurse aides
- 2.16
- Weekend nursing
- 3.11
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 43%
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
8%3%Improving
Residents with a fall causing major injury
6.1%5.9%No change
Residents with pressure ulcers (bedsores)
7.6%7.4%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
5.1%11.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.3%18.2%Worsening
Residents whose ability to walk got worse
—21%—
Long-stay residents on antianxiety or sleep medication
11.6%14.9%Worsening
Short-stay residents newly given an antipsychotic
3.9%0%Improving
Residents with a long-term catheter
0%2.1%Worsening
Residents with new or worsening incontinence
39.8%22.3%Improving
Residents with depressive symptoms
44.4%60%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
—80.8%—
Long-stay residents given the pneumonia vaccine
89.8%88.2%Worsening
Short-stay residents given the seasonal flu vaccine
—62%—
Short-stay residents given the pneumonia vaccine
63.8%72.1%Improving
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited July 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited July 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited December 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited February 2026 — 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 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $53,768 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $177,262 in total fines · 2 payment denials.
- $53,768
Federal fine
Jul 19, 2024
- 24 days
Medicare/Medicaid payment denial
Oct 28, 2023
- $86,697
Federal fine
Oct 28, 2023
- 7 days
Medicare/Medicaid payment denial
Aug 28, 2023
- $36,797
Federal fine
Aug 28, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CREST HEALTHCARE CONSULTING · 13 homes · 1.9 stars avg
- Occupancy
- 60.9 residents on an average day (56% of 108 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 30 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.