Carlinville Rehab & Hcc
751 North Oak Street · Carlinville, IL · 62626 · 2178542511
98 certified beds For profit - Limited Liability company Chain: Tutera Senior Living & Health Care
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- 6 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.06 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.36 | 0.55–0.75 |
| Weekend hours / resident-day | 2.59 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $171,737 |
Inspection citations (38 in the current record)
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Potential for harm · D April 17, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 1, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G December 18, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 15, 2026 · Quality of Life and Care
-
Potential for harm · E June 26, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 11, 2025 · Resident Rights
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Potential for harm · D June 26, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 26, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected July 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 26, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 11, 2025 · Quality of Life and Care
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Potential for harm · D June 26, 2025
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected July 11, 2025 · Quality of Life and Care
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Potential for harm · E June 26, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 11, 2025 · Quality of Life and Care
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Potential for harm · D June 26, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected July 11, 2025 · Pharmacy Service
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Potential for harm · F June 26, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected July 11, 2025 · Nutrition and Dietary
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Potential for harm · F June 26, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 11, 2025 · Nutrition and Dietary
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Potential for harm · E June 26, 2025
Provide and implement an infection prevention and control program.
Corrected July 11, 2025 · Infection Control
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Potential for harm · E June 26, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected July 11, 2025 · Infection Control
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Potential for harm · E April 30, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 16, 2025 · Pharmacy Service
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Actual harm · G September 3, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected July 17, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G July 1, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected July 2, 2024 · Quality of Life and Care
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Actual harm · G July 1, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 29, 2024 · Quality of Life and Care
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Potential for harm · E July 1, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 2, 2024 · Resident Rights
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Potential for harm · D July 1, 2024
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected July 2, 2024 · Resident Rights
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Potential for harm · E July 1, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected July 2, 2024 · Quality of Life and Care
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Potential for harm · D July 1, 2024
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected July 2, 2024 · Quality of Life and Care
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Potential for harm · D July 1, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 2, 2024 · Pharmacy Service
-
Potential for harm · D July 1, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected July 2, 2024 · Pharmacy Service
-
Potential for harm · E July 1, 2024
Provide and implement an infection prevention and control program.
Corrected July 2, 2024 · Infection Control
-
Potential for harm · D July 1, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 2, 2024 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 29, 2024 | Fine | $137,709 |
| May 29, 2024 | Payment Denial | 69 days |
| July 27, 2023 | Fine | $34,028 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145454 · certified since August 31, 1982. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.