Twin Willows Nursing Center in Salem, IL has an overall 3-star rating, with stronger health inspection and staffing scores (4 stars each) but a very low quality measures rating of 1 star. Reported nurse staffing is 3.74 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Last inspection: January 16, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7439.
Staffing detail
Registered nurses
0.54
Licensed practical nurses
0.71
Nurse aides
2.50
Weekend nursing
3.44
Hours per resident per day.
Total staff turnover: 41%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
10.7%Steady
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
4.4%Worsening
Residents with a urinary tract infection
7.1%Worsening
Residents who lost too much weight
0%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
26.7%Steady
Residents whose ability to walk got worse
41.1%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
22.1%Worsening
Residents with a long-term catheter
3.2%Worsening
Residents with new or worsening incontinence
12.5%Steady
Residents with depressive symptoms
10%Worsening
Long-stay residents given the seasonal flu vaccine
92.9%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
93.1%Steady
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited January 2025 — widespread issue, potential for harm.
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F-Tag 921 — 42 CFR §483.90 — S/S: F
The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited January 2025 — limited pattern, potential for harm.
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F-Tag 558 — 42 CFR §483.10 — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited January 2025 — isolated incident, potential for harm.
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F-Tag 550 — 42 CFR §483.10(a) — S/S: D
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited January 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — 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 12 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 2 health deficiencies.
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Operator & ownership
Ownership
For profit - Corporation
Occupancy
25 residents on an average day (35% of 72 beds)
Resident voice
Resident council
Medicare history
Certified for 21 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.