Prairie Oasis
16000 South Wabash · South Holland, IL · 60473 · 7083390600
135 certified beds For profit - Individual Chain: Icare Consulting Services
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).
- Federal penalties on record: $285,707 in fines in the last 24 months.
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.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
4 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$285,707 in federal fines in the last 24 months
4 fines — CMS fines are reserved for verified, serious non-compliance.
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: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.44 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.55 | 0.55–0.75 |
| Weekend hours / resident-day | 2.87 | ≈ weekday level |
| Nursing turnover / year | 42% | median 45% |
| Fines (3-yr window) | 6 · $302,164 |
Inspection citations (67 in the current record)
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Potential for harm · D March 21, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 31, 2026 · Quality of Life and Care
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Immediate jeopardy · J February 20, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 5, 2026 · Quality of Life and Care
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Potential for harm · E February 20, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 5, 2026 · Quality of Life and Care
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Potential for harm · F February 20, 2026 · 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 March 5, 2026 · Nursing and Physician Services
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Potential for harm · F February 20, 2026 · found via complaint
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected March 5, 2026 · Nutrition and Dietary
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Potential for harm · F February 20, 2026 · found via complaint
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected March 5, 2026 · Nutrition and Dietary
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Potential for harm · F February 20, 2026 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 5, 2026 · Nutrition and Dietary
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Potential for harm · F February 20, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 5, 2026 · Nutrition and Dietary
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Potential for harm · F February 20, 2026 · found via complaint
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected March 5, 2026 · Administration
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Actual harm · G February 8, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 24, 2026 · Quality of Life and Care
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Potential for harm · D February 8, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 24, 2026 · Resident Assessment and Care Planning
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Actual harm · G December 18, 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 8, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G December 18, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 8, 2026 · Quality of Life and Care
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Potential for harm · D December 18, 2025 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected January 8, 2026 · Resident Rights
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Potential for harm · F December 18, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected January 8, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 18, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 8, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G September 12, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 29, 2025 · Quality of Life and Care
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Potential for harm · D September 12, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected September 29, 2025 · Resident Rights
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Potential for harm · D September 12, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected September 29, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 12, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 12, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected September 29, 2025 · Quality of Life and Care
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Potential for harm · F September 12, 2025
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 September 29, 2025 · Nursing and Physician Services
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Potential for harm · D September 12, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected September 29, 2025 · Pharmacy Service
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Potential for harm · D September 12, 2025
Provide or obtain dental services for each resident.
Corrected September 29, 2025 · Quality of Life and Care
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Potential for harm · E September 12, 2025
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected September 29, 2025 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 8, 2026 | Fine | $123,940 |
| December 18, 2025 | Fine | $58,200 |
| September 12, 2025 | Payment Denial | 3 days |
| February 27, 2025 | Fine | $20,470 |
| October 24, 2024 | Fine | $83,097 |
| October 24, 2024 | Payment Denial | 82 days |
| February 6, 2024 | Fine | $3,418 |
| July 28, 2023 | Fine | $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.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145927 · certified since May 1, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.