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
LITCHFIELD HEALTH & REHAB CENTER
LITCHFIELD, IL · Medicare-certified · 92 beds
In good standing
For-profitChain member
4 of 5 overall
LITCHFIELD HEALTH & REHAB CENTER in LITCHFIELD, IL has an overall 4-star rating, with 4 stars for health inspections and quality measures but only 2 stars for staffing. Reported nurse staffing is 2.88 hours per resident day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
2.8757 hrs/resident/day
Quality measures
Last inspection: March 20, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8757.
Staffing detail
- Registered nurses
- 0.56
- Licensed practical nurses
- 0.41
- Nurse aides
- 1.91
- Weekend nursing
- 2.44
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 56%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
4.3%Worsening
Residents with a fall causing major injury
4.9%Improving
Residents with pressure ulcers (bedsores)
3.8%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
4.5%Improving
Residents who were physically restrained
0.4%Worsening
Residents needing more help with daily activities
6.7%Improving
Residents whose ability to walk got worse
8.7%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
6.8%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
17.9%Improving
Residents with depressive symptoms
10.5%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
98.7%Improving
Short-stay residents given the seasonal flu vaccine
78.2%Steady
Short-stay residents given the pneumonia vaccine
72.7%Worsening
What the inspectors found
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 March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: E
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 March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to keep residents’ personal and medical records private and confidential. Cited March 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 583 — 42 CFR §483.10 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 6 health deficiencies.
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
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of SUMMIT HEALTHCARE CONSULTING · 9 homes · 2.7 stars avg
- Occupancy
- 60.6 residents on an average day (66% of 92 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 51 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.