Hallmark Hc of Carlinville

826 North High · Carlinville, IL · 62626 · 2178549606

49 certified beds Government - City Chain: Crest Healthcare Consulting

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • 3 citations involved actual harm to residents.

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Red flags

2 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 37
Serious harm & abuse 20% 82
Staffing 20% 60
Federal penalties 15% 52
Trend 10% 56
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.263.48 min · 4.1 strong
RN hours / resident-day0.480.55–0.75
Weekend hours / resident-day2.85≈ weekday level
Nursing turnover / year46%median 45%
Fines (3-yr window)1 · $25,493

Inspection citations (24 in the current record)

  • Potential for harm · F April 7, 2025 · found via complaint

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected April 10, 2025 · Environmental

  • Actual harm · G February 26, 2025

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected March 14, 2025 · Quality of Life and Care

  • Actual harm · G February 26, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected March 14, 2025 · Pharmacy Service

  • Potential for harm · D February 26, 2025

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected March 14, 2025 · Resident Rights

  • Potential for harm · D February 26, 2025

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected April 1, 2025 · Quality of Life and Care

  • Potential for harm · F February 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 March 14, 2025 · Pharmacy Service

  • Potential for harm · F February 26, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 14, 2025 · Nutrition and Dietary

  • Potential for harm · D February 26, 2025

    Provide and implement an infection prevention and control program.

    Corrected March 14, 2025 · Infection Control

  • No harm found · C February 26, 2025

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Corrected March 14, 2025 · Environmental

  • Actual harm · G January 23, 2024

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected February 8, 2024 · Quality of Life and Care

  • Potential for harm · E January 23, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected February 8, 2024 · Resident Rights

  • Potential for harm · E January 23, 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 February 8, 2024 · Resident Rights

  • Potential for harm · D January 23, 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 February 8, 2024 · Quality of Life and Care

  • Potential for harm · F January 23, 2024

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected February 8, 2024 · Nursing and Physician Services

  • Potential for harm · F January 23, 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 February 8, 2024 · Pharmacy Service

  • Potential for harm · F January 23, 2024

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Corrected February 15, 2024 · Administration

  • Potential for harm · E January 23, 2024

    Provide and implement an infection prevention and control program.

    Corrected February 8, 2024 · Infection Control

  • No harm found · C January 23, 2024

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Corrected February 8, 2024 · Environmental

  • Potential for harm · D February 24, 2023

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected March 7, 2023 · Resident Rights

  • Potential for harm · F February 24, 2023

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected March 7, 2023 · Nursing and Physician Services

  • Potential for harm · F February 24, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 7, 2023 · Nutrition and Dietary

  • Potential for harm · D February 24, 2023

    Provide and implement an infection prevention and control program.

    Corrected March 7, 2023 · Infection Control

  • Potential for harm · E February 24, 2023

    Implement a program that monitors antibiotic use.

    Corrected March 7, 2023 · Infection Control

  • No harm found · C February 24, 2023

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Corrected March 7, 2023 · Environmental

Federal penalties

DateTypeAmount / length
February 26, 2025Fine$25,493
February 26, 2025Payment Denial13 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145769 · certified since January 20, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.