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Nursing home report

WINNING WHEELS

PROPHETSTOWN, IL · Medicare-certified · 88 beds

Needs attention
Abuse citationNon-profit
1 of 5 overall

Winning Wheels in Prophetstown, IL has a 1-star overall rating, with 1-star staffing and 2-star health inspection scores. It also has a recent abuse citation, $12,258 in fines over the last 24 months, and reported nurse staffing of 3.61 hours per resident per day versus the 4.1 federal benchmark.

Facility ratings

Health inspections

Staffing

3.609 hrs/resident/day

Quality measures

Last inspection: February 5, 2026Penalties, last 24 months: $12,258recent abuse citation

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.609.

Staffing detail

Registered nurses
0.38
Licensed practical nurses
0.75
Nurse aides
2.47
Weekend nursing
3.43

Hours per resident per day.

Total staff turnover: 53%
Registered nurse turnover: 70%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

22.7%Worsening

Residents with a fall causing major injury

3.1%Steady

Residents with pressure ulcers (bedsores)

8.3%Improving

Residents with a urinary tract infection

1.7%Steady

Residents who lost too much weight

0.7%Steady

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

5.8%Worsening

Residents whose ability to walk got worse

3.7%Steady
Show all measures

Long-stay residents on antianxiety or sleep medication

26.1%Improving

Residents with a long-term catheter

0.4%Worsening

Residents with new or worsening incontinence

22.7%Worsening

Residents with depressive symptoms

15.3%Worsening

Long-stay residents given the seasonal flu vaccine

100%Steady

Long-stay residents given the pneumonia vaccine

87.5%Worsening

Short-stay residents given the pneumonia vaccine

80%Steady

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to provide safe, appropriate pain management for a resident who needed it. Cited November 2023 — isolated incident, actual harm.

View the original federal record

F-Tag 697 — 42 CFR §483.25(k) — S/S: G

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2023 — isolated incident, actual harm.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: G

The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited February 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 925 — 42 CFR §483.90 — S/S: F

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $12,258 was recorded.

Penalties & enforcement

On record with Medicare: 2 fines · $76,343 in total fines · 1 payment denial.

  • Federal fine

    May 1, 2024

    $12,258
  • Medicare/Medicaid payment denial

    May 30, 2023

    82 days
  • Federal fine

    May 30, 2023

    $64,085

Operator & ownership

Ownership
Non profit - Corporation
Occupancy
70.6 residents on an average day (80% of 88 beds)
Resident voice
Resident council
Medicare history
Certified for 40 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.