Fair Oaks Rehab & Healthcare
1515 Blackhawk Boulevard · South Beloit, IL · 61080 · 8153893911
78 certified beds For profit - Corporation Chain: Tutera Senior Living & Health Care
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- 4 citations involved actual harm to residents.
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 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
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.
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: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.39 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.75 | 0.55–0.75 |
| Weekend hours / resident-day | 2.88 | ≈ weekday level |
| Nursing turnover / year | 56% | median 45% |
| Fines (3-yr window) | 2 · $22,534 |
Inspection citations (39 in the current record)
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Actual harm · G April 6, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 13, 2026 · Quality of Life and Care
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Immediate jeopardy · J March 10, 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 March 11, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 10, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 12, 2026 · Infection Control
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Potential for harm · D December 12, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 24, 2025 · Quality of Life and Care
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Potential for harm · D June 9, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected June 19, 2025 · Pharmacy Service
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Immediate jeopardy · J February 11, 2025 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected February 3, 2025 · Quality of Life and Care
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Actual harm · G February 11, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 27, 2025 · Quality of Life and Care
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Potential for harm · E November 12, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 5, 2024 · Pharmacy Service
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Potential for harm · D October 28, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 8, 2024 · Quality of Life and Care
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Potential for harm · D October 28, 2024 · found via complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected November 8, 2024 · Nutrition and Dietary
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Potential for harm · D September 24, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 17, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 2, 2024 · Quality of Life and Care
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Potential for harm · D July 17, 2024
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected August 2, 2024 · Quality of Life and Care
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Potential for harm · D July 17, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected August 2, 2024 · Quality of Life and Care
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Potential for harm · E July 17, 2024
Provide and implement an infection prevention and control program.
Corrected August 2, 2024 · Infection Control
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Potential for harm · D July 17, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected August 2, 2024 · Infection Control
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Potential for harm · D March 20, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 5, 2024 · Pharmacy Service
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Potential for harm · D November 9, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 21, 2023 · Quality of Life and Care
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Potential for harm · D August 31, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 15, 2023 · Resident Rights
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Potential for harm · D August 31, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 15, 2023 · Quality of Life and Care
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Potential for harm · D August 31, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 15, 2023 · Quality of Life and Care
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Potential for harm · D August 31, 2023
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 September 15, 2023 · Quality of Life and Care
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Potential for harm · D August 31, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 15, 2023 · Quality of Life and Care
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Potential for harm · D August 31, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 15, 2023 · Pharmacy Service
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Potential for harm · D August 31, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 15, 2023 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 11, 2025 | Fine | $8,161 |
| February 11, 2025 | Fine | $14,373 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145702 · certified since October 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.