Special Focus candidateAbuse citationFor-profitChain member
★★★★★1 of 5 overall
Timbercreek Rehab and Health Care Center in Pekin, IL has a 1-star overall rating, with 1-star health inspection, staffing, and quality ratings. It is an SFF Candidate/special focus facility, had $118,864 in fines in the last 24 months, and reported nurse staffing of 3.64 hours per resident per day versus the 4.1 federal benchmark.
Last inspection: March 28, 2026Penalties, last 24 months: $118,864special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6352.
Staffing detail
Registered nurses
0.23
Licensed practical nurses
1.12
Nurse aides
2.28
Weekend nursing
3.18
Hours per resident per day.
Total staff turnover: 71%
Registered nurse turnover: 92%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
12%Worsening
Residents with a fall causing major injury
5.8%Improving
Residents with pressure ulcers (bedsores)
4.9%Improving
Residents with a urinary tract infection
2.4%Improving
Residents who lost too much weight
12%Improving
Residents who were physically restrained
0.3%Worsening
Residents needing more help with daily activities
28.1%Worsening
Residents whose ability to walk got worse
35.7%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
30.3%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
1.3%Improving
Residents with new or worsening incontinence
27%Steady
Residents with depressive symptoms
27.1%Worsening
Long-stay residents given the seasonal flu vaccine
49%Steady
Long-stay residents given the pneumonia vaccine
34%Improving
Short-stay residents given the seasonal flu vaccine
12.2%Steady
Short-stay residents given the pneumonia vaccine
19.3%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2026 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: L
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited August 2025 — isolated incident, actual harm.
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F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited October 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited April 2024 — isolated incident, actual harm.
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F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited September 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 3 health deficiencies.
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PENALTY
A federal fine of $16,965 was recorded.
PENALTY
A federal fine of $49,220 was recorded.
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $52,679 was recorded.
Penalties & enforcement
On record with Medicare: 6 fines · $213,731 in total fines · 3 payment denials.
Federal fine
Dec 12, 2024
$16,965
Federal fine
Oct 4, 2024
$49,220
Medicare/Medicaid payment denial
Jul 25, 2024
25 days
Federal fine
Jul 25, 2024
$52,679
Medicare/Medicaid payment denial
Mar 13, 2024
9 days
Federal fine
Mar 13, 2024
$22,950
Medicare/Medicaid payment denial
Nov 17, 2023
32 days
Federal fine
Nov 17, 2023
$62,654
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of PETERSEN HEALTH CARE · 13 homes · 1.7 stars avg
Occupancy
83.2 residents on an average day (41% of 202 beds)
Resident voice
Resident council
Medicare history
Certified for 52 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.