Silver Foxes Sr Living & Rehab

609 South Marshall · McLeansboro, IL · 62859 · 6186432325

60 certified beds For profit - Limited Liability company Chain: Wlc Management Firm

Why this verdict

  • Staffing levels are well below research benchmarks for safe care.
  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 74 points, but Recommended is gated: staffing below the Recommended bar. That rule is part of the published method.

Red flags

Total nurse staffing below 3.0 hours per resident-day

2.49 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

68% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 70
Serious harm & abuse 20% 94
Staffing 20% 39
Federal penalties 15% 100
Trend 10% 60
Context 5% 100

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

CMS ratings & staffing

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

Total nurse hours / resident-day2.493.48 min · 4.1 strong
RN hours / resident-day0.350.55–0.75
Weekend hours / resident-day2.34≈ weekday level
Nursing turnover / year68%median 45%
Fines (3-yr window)none

Inspection citations (6 in the current record)

  • Actual harm · G January 9, 2026 · found via complaint

    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 January 30, 2026 · Quality of Life and Care

  • Potential for harm · D January 9, 2026 · found via complaint

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

    Corrected January 30, 2026 · Resident Rights

  • Potential for harm · D November 14, 2024

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

    Corrected December 11, 2024 · Quality of Life and Care

  • Potential for harm · D November 14, 2024

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected December 11, 2024 · Infection Control

  • Potential for harm · D July 13, 2022

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

    Corrected July 26, 2022 · Quality of Life and Care

  • Potential for harm · D July 13, 2022

    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 July 26, 2022 · Quality of Life and Care

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 146146 · certified since September 8, 2011. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.