Fairfield Senior Living & Rehabilitation LLC
305 N.W. 11th Street · Fairfield, IL · 62837 · 6188423036
104 certified beds For profit - Limited Liability company Chain: Wlc Management Firm
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 7 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
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Total nurse staffing below 3.0 hours per resident-day
2.96 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
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: 1 of 5
| Total nurse hours / resident-day | 2.96 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.66 | 0.55–0.75 |
| Weekend hours / resident-day | 2.77 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 7 · $110,110 |
Inspection citations (45 in the current record)
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Actual harm · G April 28, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 13, 2026 · Pharmacy Service
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Potential for harm · D April 28, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 7, 2026 · Quality of Life and Care
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Potential for harm · D December 3, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 5, 2025 · Quality of Life and Care
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Potential for harm · D July 25, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected August 5, 2025 · Resident Rights
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Potential for harm · F July 25, 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 August 5, 2025 · Pharmacy Service
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Potential for harm · D July 25, 2025
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected August 5, 2025 · Nutrition and Dietary
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Potential for harm · F July 25, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 5, 2025 · Nutrition and Dietary
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Potential for harm · F July 25, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected August 5, 2025 · Environmental
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Potential for harm · D February 14, 2025 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected February 26, 2025 · Environmental
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Actual harm · G September 20, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 27, 2024 · Quality of Life and Care
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Potential for harm · E September 20, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 27, 2024 · Quality of Life and Care
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Potential for harm · E September 20, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected September 27, 2024 · Nursing and Physician Services
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Actual harm · G August 29, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 27, 2024 · Quality of Life and Care
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Potential for harm · D August 29, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 29, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected September 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 29, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 27, 2024 · Quality of Life and Care
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Immediate jeopardy · J August 8, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 20, 2024 · Quality of Life and Care
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Potential for harm · D August 8, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected September 27, 2024 · Nursing and Physician Services
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Potential for harm · D June 20, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 27, 2024 · Quality of Life and Care
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Potential for harm · F June 20, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected September 27, 2024 · Nursing and Physician Services
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Actual harm · G May 28, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected June 17, 2024 · Quality of Life and Care
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Potential for harm · D May 28, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected June 17, 2024 · Resident Rights
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Potential for harm · E May 28, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected September 4, 2024 · Resident Rights
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Potential for harm · D May 28, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected June 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · E May 28, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 27, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 28, 2024 | Fine | $16,065 |
| May 28, 2024 | Fine | $16,065 |
| May 28, 2024 | Fine | $16,065 |
| May 28, 2024 | Fine | $16,801 |
| May 28, 2024 | Payment Denial | 94 days |
| April 9, 2024 | Fine | $14,050 |
| February 20, 2024 | Fine | $14,050 |
| September 20, 2023 | Fine | $17,014 |
| September 20, 2023 | Payment Denial | 19 days |
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 146000 · certified since November 1, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.