Villa Health Care East
100 Marian Parkway · Sherman, IL · 62684 · 2177442299
109 certified beds Non profit - Corporation Chain: Heritage Operations Group Part of a CCRC
Why this verdict
- 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).
- Inspection results are getting worse cycle over cycle, not better.
- 5 citations involved actual harm to residents.
Red flags
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 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
63% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 2 of 5 Staffing: 3 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 4.66 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.59 | 0.55–0.75 |
| Weekend hours / resident-day | 4.16 | ≈ weekday level |
| Nursing turnover / year | 63% | median 45% |
| Fines (3-yr window) | 1 · $10,358 |
Inspection citations (19 in the current record)
-
Immediate jeopardy · J April 14, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 27, 2026 · Quality of Life and Care
-
Potential for harm · D January 29, 2026 · found via complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected February 9, 2026 · Nutrition and Dietary
-
Actual harm · G October 15, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 4, 2025 · Quality of Life and Care
-
Potential for harm · E October 15, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 4, 2025 · Resident Assessment and Care Planning
-
Potential for harm · F October 15, 2025 · 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 November 4, 2025 · Nursing and Physician Services
-
Potential for harm · E August 21, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 11, 2025 · Resident Rights
-
Actual harm · G July 17, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 31, 2025 · Quality of Life and Care
-
Actual harm · G January 28, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 6, 2025 · Quality of Life and Care
-
Potential for harm · D August 13, 2024
Ensure that residents are free from significant medication errors.
Corrected September 3, 2024 · Pharmacy Service
-
Potential for harm · E August 13, 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 September 3, 2024 · Pharmacy Service
-
Potential for harm · E August 13, 2024
Provide and implement an infection prevention and control program.
Corrected September 3, 2024 · Infection Control
-
Potential for harm · D August 13, 2024
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected September 3, 2024 · Infection Control
-
Potential for harm · F May 25, 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 7, 2023 · Pharmacy Service
-
Potential for harm · F May 25, 2023
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected June 7, 2023 · Nutrition and Dietary
-
Potential for harm · F May 25, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 7, 2023 · Nutrition and Dietary
-
Potential for harm · E May 25, 2023
Provide and implement an infection prevention and control program.
Corrected June 8, 2023 · Infection Control
-
Actual harm · G August 11, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 30, 2022 · Quality of Life and Care
-
Actual harm · G August 11, 2022
Provide enough food/fluids to maintain a resident's health.
Corrected August 31, 2022 · Quality of Life and Care
-
Potential for harm · F August 11, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 29, 2022 · Nutrition and Dietary
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 17, 2025 | Fine | $10,358 |
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 145721 · certified since January 1, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.