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Legal Business Name Not Available

DECATUR, IL · Macon County · For profit - Corporation · 58 certified beds

📍 136 South Dipper Lane, Decatur, IL 62522  ·  📞 (217) 428-7767

Medicare ID: 14E848  ·  Last Medicare inspection: Nov 13, 2024

Overall Safety Score
39
out of 100
Poor
Component Scores
11
Inspection
20
Staffing
32
Enforcement
✓ None
Complaints
50
Quality
📋 Last inspected: November 13, 2024 📦 CMS data as of: May 2026

Score Breakdown

Inspection
11
Staffing
20
Enforcement
32
Complaints
100
Quality Outcomes
50

What the numbers mean

Legal Business Name Not Available scored 39 out of 100 — 17 points below the state average of 56.

📋 Inspections: 62 citations over the last 36 months — 30 more than the state average (32). 3 were rated serious (G+) — inspectors found actual or potential harm to residents. 3 findings recurred across inspection cycles — indicating a problem that was not fixed.

🚨 Staffing: Staffing levels are well below average — this is a serious concern. Understaffing leads to worse resident outcomes. We strongly recommend asking for staffing schedules and speaking with current residents or family members before making any decision.

⚠️ Penalties & enforcement: CMS has recorded 2 enforcement actions totaling $25,500 against this facility. Penalties are only issued after a facility fails two levels of regulatory review — meaning this is a serious escalation beyond a standard citation. Ask for a written explanation of every fine and what corrective actions were taken.

💬 Complaints: Low complaint activity — few formal complaints from residents or families have triggered inspections. Ask if there is a family council you can speak with.

⚠️ Resident quality outcomes: Some quality measures are below national benchmarks. Areas like fall prevention, pain management, or medication use may warrant closer attention.

What inspectors found (last 3 surveys)

62
Total citations
State avg: 31.6
3
Serious (G+)
State avg: 4.1
3
Repeat findings

Top concern areas

62

⚖ Penalties & Enforcement

Federal civil monetary penalties (CMPs) are only issued after a facility has failed two levels of regulatory review — meaning problems were found on inspection and the facility could not rebut the findings. This is a serious escalation beyond a standard citation.

$25,500
Total federal fines
2
Enforcement actions

⚠ Each enforcement action required CMS to make a separate non-compliance determination — meaning this facility failed two levels of regulatory review before any fine was issued. Ask management specifically what violations triggered these fines and what corrective steps were taken.

📋 Enforcement Context Analysis
📊
Enforcement score: 32/100 — 14 points below the state average of 46/100 — worse than most comparable facilities. A score below 70 indicates a meaningful enforcement history that warrants direct conversation with facility management.
Serious Citations That May Have Triggered Enforcement
Pressure ulcer prevention & treatment — Resident was harmed · Sep 25, 2024
Qualified dietary staff — No harm, could worsen · Sep 25, 2024
F0912 — No harm, could worsen · Sep 25, 2024

📅 Per-action enforcement records (date, fine amount, and penalty type for each individual action) are sourced from a separate CMS enforcement dataset and will be added in a future data update.

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🛑
Overall Assessment — Critical Issues — Proceed With Extreme Caution  ·  39/100
This facility has serious issues in the public record. This is among the lowest-scoring facilities in our coverage area.
What to do next: We strongly recommend exploring other options. If this facility is the only choice, require a written corrective action plan and speak with the state ombudsman before proceeding.
Federal Penalty: $25,500 (2 separate actions)
CMS has imposed civil monetary penalties totaling $25,500 against this facility. Penalties are only levied after a separate non-compliance determination — meaning a facility must fail two levels of regulatory review before a fine is issued. Ask management specifically what violations triggered these fines and what corrective actions were taken.

What this facility's data shows

📋 Inspections
Inspection record is well below average. Multiple or serious deficiencies found.
👥 Staffing
Staffing is below recommended levels. Ask about RN coverage on nights and weekends.
⚖ Penalties
Facility has received federal fines or enforcement sanctions. Requires direct explanation from management.
💬 Complaints
Complaint activity is low — few formal complaints filed by residents or families.
Multiple quality measures are below national benchmarks. Ask management directly about resident care practices.
⚠ Serious Findings on Record: 5 citation(s) where inspectors found actual harm or immediate jeopardy to residents. See Section D for the full details and ask management how each was resolved.
Score breakdown — the numbers behind this assessment
👥 Staffing 20
What it measures RN hours per resident per day, total nurse hours, and RN turnover rate.
💡 Understaffing is the strongest single predictor of poor inspection outcomes.
📋 Inspection 11
What it measures Number, severity (A–L), and scope of deficiencies found. Repeat findings carry extra weight.
💡 Every citation in Section D feeds directly into this score.
⚖ Penalties 32
What it measures Whether CMS escalated from a deficiency citation to actual financial or operational sanctions.
💡 A penalty means the facility already failed a second level of regulatory review.
💬 Complaints 100
What it measures Volume of complaint-triggered inspections and the share that were substantiated.
💡 Complaint surveys are unannounced — they often surface issues annual surveys miss.
🎯 Quality outcomes 50
What it measures Resident outcome measures: falls, pressure ulcers, antipsychotic use, weight loss, hospitalizations.
💡 Reflects the lived experience of residents beyond what inspectors observe.

Each pillar scores 0–100 and is combined into the overall score. A strong overall can mask a weak pillar — compare all four and see how they stack against the state average in Section B.

🏗 How This Facility Compares to IL State Averages

Comparing a facility to others in the same state puts its score in context. A facility might have 8 citations and that could be above average in one state and below in another. Green means this facility is doing better than its peers; red means it's falling short.

Metric This facility IL avg vs. State
Overall score
The combined Senior Care Report Card score out of 100.
39 56 ▼ Worse than state avg
Inspection score
How well the facility performs on standard health surveys.
11 44 ▼ Worse than state avg
Staffing score
RN hours, total nurse hours, and staff turnover from CMS payroll data.
20 52 ▼ Worse than state avg
Penalty score
Fines, payment denials, and enforcement actions on file.
32 46 ▼ Worse than state avg
Complaint score
Volume of complaint surveys and substantiated complaints.
100 76 ▲ Better than state avg
Quality score
Resident clinical outcomes vs national benchmarks: falls, antipsychotics, pain, vaccination, hospitalizations.
50 68 ▼ Worse than state avg
Citations (3 yrs)
Total number of deficiencies cited in the last 36 months.
62 31.6 ▼ Worse than state avg
Serious citations
Citations rated severity G or higher (actual harm or immediate jeopardy).
3 4.1 ▲ Better than state avg

📅 Inspection Timeline

State health inspectors visit nursing homes on a regular cycle — typically every 12 to 15 months — and document every deficiency they find. The timeline below shows the date and scale of each inspection visit over the past several years. A pattern of worsening surveys is a red flag even if the most recent visit looks clean.

2024-11-13
2 citations
2024-09-25
20 citations  (1 serious)
2024-09-19
1 citations
2024-08-20
4 citations
2024-05-08
3 citations
2024-04-04
2 citations  (2 serious)
2024-02-10
4 citations
2024-01-26
1 citations
2023-08-22
19 citations
2023-07-31
5 citations

Bar length proportional to citation count. Red = serious findings (severity G+). Orange = elevated. Green = low.

📄 Full Citation Record

Every time state inspectors visit a nursing home, they write up anything that doesn’t meet federal standards. Each write-up is called a citation.

Each citation shows what the problem was and how serious it was, using a color-coded badge:

Green — No residents harmed Yellow — Risk of harm, no injury Orange — A resident was harmed Red — Life or safety in danger

A Repeat tag means the same problem appeared in a previous inspection — it was not fully corrected the first time. Citations shown cover the last two years.

Survey: 2024-11-13 2 citation(s)
F0660 No harm, could worsen
F0660
F0623 No harm, could worsen
Notice before transfer or discharge
Survey: 2024-09-25 20 citation(s) — 1 serious
F0686 Resident was harmed
Pressure ulcer prevention & treatment
F0801 No harm, could worsen
Qualified dietary staff
F0912 No harm, could worsen
F0912
F0761 No harm, could worsen
Medication storage & labeling
F0881 No harm, could worsen
Infection preventionist qualifications
F0812 No harm, could worsen
Food sanitation & safety
F0641 No harm, could worsen
Accuracy of resident assessment
F0759 No harm, could worsen
Medication error rate control
F0689 No harm, could worsen
Accident & hazard prevention
F0804 No harm, could worsen
Therapeutic diets
F0805 No harm, could worsen
Food frequency & variety
F0609 No harm, could worsen
Timely reporting of alleged violations
F0758 No harm, could worsen
Unnecessary psychotropic drugs
F0584 No harm, could worsen
F0584
F0695 No harm, could worsen
Respiratory care
F0656 No harm, could worsen
Comprehensive care plan
F0919 No harm, could worsen
F0919
F0688 No harm, could worsen
Range of motion & mobility
F0644 No harm, could worsen
Accuracy & completeness of assessments
F0883 No harm, could worsen
Immunizations (flu & pneumonia)
Survey: 2024-09-19 1 citation(s)
F0727 No harm, could worsen
Physician visits & orders
Survey: 2024-08-20 4 citation(s)
F0689 No harm, could worsen
Accident & hazard prevention
F0557 No harm, could worsen
Right to access medical records
F0655 No harm, could worsen
Baseline care plan
F0584 No harm, could worsen
F0584

💬 Questions to Ask Before Touring

These questions are generated specifically from this facility's score profile and citation history — not a generic checklist. A facility's willingness to answer them openly, and the quality of their answers, is itself an important signal. Bring this list when you tour or call.

  1. Federal inspectors found 5 citations rated as causing actual harm or immediate jeopardy in the public record. Walk us through each incident: what happened, who was affected, and what specific policy or staffing changes have been put in place since?
  2. CMS data shows this facility is significantly below the state average for total nurse hours and RN-specific hours per resident day. What is the actual RN coverage on evenings, nights, and weekends — not the regulatory minimum, but what residents consistently receive?
  3. What is your 90-day CNA and nurse turnover rate? How do you ensure a resident sees the same familiar caregivers across a given week?
  4. This facility has a significant CMS enforcement history. Can you identify each action in the past three years, what it was for, and what systemic — not just procedural — changes were made to prevent recurrence?
  5. Some resident outcome measures are below average here. What is your current approach to fall prevention, pain management, and quarterly medication review?
  6. 5 citations in the public record were rated as causing actual harm to a resident. Can you describe what occurred in each case and what specific safeguards are now in place?
  7. Can we speak privately with two or three current residents or their families?

👪 Family Decision Guide

This guide translates this facility's data into practical next steps for families. It is not a recommendation for or against placement — it is a structured framework for the conversations you need to have before making a decision.

✓ Positives to confirm

  • Low complaint activity — ask if there is a family council you can speak with
  • No pattern of repeat violations detected

⚠ Areas to probe

  • Inspection score is low — ask for the most recent state survey results
  • Staffing concerns — request staffing schedules and ask about agency nurse use
  • Penalty history present — ask what enforcement actions occurred and outcomes
  • Serious-harm citations on record — require a written explanation of corrective action
  • Always speak with at least two current residents or family members independently

📈 Score History

The score is recalculated every time CMS releases updated data (typically monthly). A consistent downward trend is more concerning than a single low score. An improving trend after a period of poor performance may indicate management changes are taking effect. Your subscription will alert you whenever the score changes materially.

2026-05-07
39 — Poor

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🏠 Verify this data on Medicare.gov
All data in this report comes from the CMS Care Compare database. You can review the official public record directly on Medicare.gov — including the full inspection narrative, star ratings, and any recent enforcement actions.
View on Medicare.gov ↗

This report reflects publicly available CMS data only and is updated monthly. Severity codes and narratives are reproduced directly from the CMS health inspection database. Senior Care Report Card scores are independently computed and are not affiliated with or endorsed by CMS or Medicare.gov.

Data source: CMS Care Compare · Methodology · State Ombudsman

This report uses public CMS nursing home data and simplified scoring to help families ask better questions. It is not a recommendation, ranking, medical opinion, legal opinion, or substitute for an in-person visit. Source data last published by CMS: May 5, 2026.