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
Data as of July 1, 2026
2 of 5 overall
2 out of 5 stars overall, with a 1-star staffing rating and reported nurse staffing below the federal benchmark (2.95 vs 4.1 hours per resident per day). It also has a recent federal penalty and $70,895 in fines over the last 24 months.
Facility ratings
Health inspections
Staffing
2.9516 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 2.9516.
Staffing detail
- Registered nurses
- 0.40
- Licensed practical nurses
- 0.57
- Nurse aides
- 1.98
- Weekend nursing
- 2.76
Hours per resident per day.
Total staff turnover: 35%
Registered nurse turnover: 44%
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
18.5%12.9%Improving
Residents with a fall causing major injury
6.2%2.3%Improving
Residents with pressure ulcers (bedsores)
8.6%7%Improving
Residents with a urinary tract infection
0%1.2%Worsening
Residents who lost too much weight
6.2%1.3%Improving
Residents who were physically restrained
1.2%0%Improving
Residents needing more help with daily activities
25.9%16.4%Improving
Residents whose ability to walk got worse
25.5%12.1%Improving
Long-stay residents on antianxiety or sleep medication
17.9%19.2%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
2.9%0.7%Improving
Residents with new or worsening incontinence
24.5%19.1%Improving
Residents with depressive symptoms
8.6%13.9%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
—92.5%—
Long-stay residents given the pneumonia vaccine
96.3%96.5%No change
Short-stay residents given the seasonal flu vaccine
—49.1%—
Short-stay residents given the pneumonia vaccine
75%88.3%Improving
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 · 1.9 stars avg
- Occupancy
- 96.1 residents on an average day (97% 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.