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
In good standing
For-profitChain member
Data as of September 1, 2026
2 of 5 overall
Hilltop Skilled Nsg & Rehab in Charleston, IL has a 2-star overall rating, with a 1-star staffing rating and nurse staffing below the federal benchmark (3.36 vs 4.1 hours per resident per day). Its health inspection and quality measures are both 3 stars, there were no fines in the last 24 months, and recent inspection citations involved accident hazards/supervision and abuse/neglect response issues.
Facility ratings
Health inspections
Staffing
3.3559 hrs/resident/day
Quality measures
Last inspection: April 8, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3559.
Staffing detail
- Registered nurses
- 0.47
- Licensed practical nurses
- 0.77
- Nurse aides
- 2.11
- Weekend nursing
- 3.00
Hours per resident per day.
Total staff turnover: 45%
Registered nurse turnover: 33%
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
6.5%5%Improving
Residents with a fall causing major injury
6.1%3.8%Improving
Residents with pressure ulcers (bedsores)
7.3%5.5%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
4.7%13.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
4.7%14.9%Worsening
Residents whose ability to walk got worse
—20.5%—
Long-stay residents on antianxiety or sleep medication
9.1%12.2%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%2%Worsening
Residents with new or worsening incontinence
8.5%22.9%Worsening
Residents with depressive symptoms
90%70.7%Improving
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%84.9%Worsening
Short-stay residents given the seasonal flu vaccine
—62%—
Short-stay residents given the pneumonia vaccine
75%61.8%Worsening
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 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
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2026 — 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.
- 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 3 health deficiencies.
See what inspectors found
- 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: 2 fines · $140,465 in total fines · 1 payment denial.
- $53,768
Federal fine
Jul 19, 2024
- 24 days
Medicare/Medicaid payment denial
Oct 28, 2023
- $86,697
Federal fine
Oct 28, 2023
Operator & ownership
Recent ownership change · Sep 1, 2019
Now operated by Hilltop Skilled Nsg & Rehab, previously Hilltop Skilled Nursing and Rehabilitation Center.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CREST HEALTHCARE CONSULTING · 11 homes · 2.3 stars avg
- Occupancy
- 62.8 residents on an average day (58% 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.