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.
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
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 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
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.