Heartland Senior Living

101 Trowbridge Road · Neoga, IL · 62447 · 2178952665

71 certified beds For profit - Limited Liability company

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $109,535 in fines in the last 24 months.
  • 8 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

Red flags

Cited under the freedom-from-abuse rule

Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

3 actual-harm citations in the most recent cycle

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

$109,535 in federal fines in the last 24 months

2 fines — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 38
Serious harm & abuse 20% 70
Staffing 20% 59
Federal penalties 15% 5
Trend 10% 85
Context 5% 100

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

CMS ratings & staffing

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

Total nurse hours / resident-day3.253.48 min · 4.1 strong
RN hours / resident-day0.450.55–0.75
Weekend hours / resident-day2.77≈ weekday level
Nursing turnover / year39%median 45%
Fines (3-yr window)4 · $152,711

Inspection citations (27 in the current record)

  • Actual harm · G March 6, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 18, 2026 · Quality of Life and Care

  • Actual harm · G April 16, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 4, 2025 · Quality of Life and Care

  • Potential for harm · D January 28, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected January 29, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 1, 2024 · found via complaint

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

    Corrected July 2, 2024 · Quality of Life and Care

  • Actual harm · G June 12, 2024

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

    Corrected June 14, 2024 · Quality of Life and Care

  • Actual harm · G June 12, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected June 14, 2024 · Quality of Life and Care

  • Potential for harm · D June 12, 2024

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected June 14, 2024 · Resident Rights

  • Potential for harm · D June 12, 2024

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected June 14, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 12, 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 June 14, 2024 · Quality of Life and Care

  • Potential for harm · D June 12, 2024

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Corrected June 14, 2024 · Quality of Life and Care

  • Potential for harm · D June 12, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected June 14, 2024 · Quality of Life and Care

  • Potential for harm · D November 6, 2023 · found via complaint

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected November 8, 2023 · Resident Rights

  • Potential for harm · F September 20, 2023 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected September 21, 2023 · Infection Control

  • Actual harm · G August 25, 2023 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected September 20, 2023 · Quality of Life and Care

  • Actual harm · G May 17, 2023

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

    Corrected June 22, 2023 · Quality of Life and Care

  • Actual harm · G May 17, 2023

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected June 22, 2023 · Quality of Life and Care

  • Potential for harm · D May 17, 2023

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected June 22, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · F May 17, 2023

    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 June 22, 2023 · Pharmacy Service

  • Potential for harm · E May 17, 2023

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected June 23, 2023 · Nutrition and Dietary

  • Potential for harm · F May 17, 2023

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

    Corrected June 22, 2023 · Nutrition and Dietary

  • Potential for harm · E May 17, 2023

    Provide and implement an infection prevention and control program.

    Corrected June 23, 2023 · Infection Control

  • Actual harm · G June 17, 2022

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected August 26, 2022 · Quality of Life and Care

  • Potential for harm · D June 17, 2022

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

    Corrected August 5, 2022 · Resident Rights

  • Potential for harm · E June 17, 2022

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected August 5, 2022 · Pharmacy Service

  • Potential for harm · F June 17, 2022

    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, 2022 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
March 6, 2026Fine$95,030
March 6, 2026Payment Denial14 days
April 16, 2025Fine$14,505
June 12, 2024Fine$30,137
August 25, 2023Fine$13,039

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.

Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.

Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 146030 · certified since August 1, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.