The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
ST CLARA'S REHAB & SENIOR CARE
LINCOLN, IL · Medicare-certified · 99 beds
Needs attention
Non-profitChain member
2 of 5 overall
ST CLARA'S REHAB & SENIOR CARE (LINCOLN, IL) has an overall rating of 2 out of 5 stars. Key concerns include a 1-star quality measures rating, 2-star staffing, nurse staffing below the federal benchmark (2.98 vs 4.1 hours per resident per day), $70,895 in fines over the last 24 months, and a recent federal penalty.
Facility ratings
Health inspections
Staffing
2.9842 hrs/resident/day
Quality measures
Last inspection: October 15, 2025Penalties, last 24 months: $70,895recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9842.
Staffing detail
- Registered nurses
- 0.41
- Licensed practical nurses
- 0.62
- Nurse aides
- 1.96
- Weekend nursing
- 2.71
Hours per resident per day.
Total staff turnover: 36%
Registered nurse turnover: 43%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
16%Steady
Residents with a fall causing major injury
6.8%Improving
Residents with pressure ulcers (bedsores)
7.9%Improving
Residents with a urinary tract infection
0.6%Improving
Residents who lost too much weight
3.6%Improving
Residents who were physically restrained
0.3%Steady
Residents needing more help with daily activities
28.3%Improving
Residents whose ability to walk got worse
32.5%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
21.1%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
3%Improving
Residents with new or worsening incontinence
29.6%Improving
Residents with depressive symptoms
11.8%Worsening
Long-stay residents given the seasonal flu vaccine
92.5%Steady
Long-stay residents given the pneumonia vaccine
92.9%Worsening
Short-stay residents given the seasonal flu vaccine
49.1%Steady
Short-stay residents given the pneumonia vaccine
74.1%Worsening
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2025 — 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 sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2025 — 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 notify the resident and family in time before a transfer or discharge, including their right to appeal. Cited May 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 623 — 42 CFR §483.15 — S/S: F
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 758 — 42 CFR §483.45(e) — S/S: E
Recent history
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $56,880 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $14,015 was recorded.
- 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
Penalties & enforcement
On record with Medicare: 2 fines · $70,895 in total fines · 1 payment denial.
- 14 days
Medicare/Medicaid payment denial
Dec 17, 2025
- $56,880
Federal fine
Dec 17, 2025
- $14,015
Federal fine
Oct 15, 2025
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of HERITAGE OPERATIONS GROUP · 9 homes · 2.2 stars avg
- Occupancy
- 94 residents on an average day (95% of 99 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 34 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.