Winning Wheels
701 East 3rd Street · Prophetstown, IL · 61277 · 8155375168
88 certified beds Non profit - Corporation
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- 4 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
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 prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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.
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: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.61 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.38 | 0.55–0.75 |
| Weekend hours / resident-day | 3.43 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | 1 · $12,258 |
Inspection citations (54 in the current record)
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Actual harm · G February 5, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 27, 2026 · Quality of Life and Care
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Potential for harm · F February 5, 2026 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected February 27, 2026 · Environmental
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Potential for harm · D January 27, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 6, 2026 · Pharmacy Service
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Potential for harm · E December 21, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected December 31, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 21, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 31, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 21, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 31, 2025 · Pharmacy Service
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Potential for harm · D July 23, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected August 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 23, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected August 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 23, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 7, 2025 · Quality of Life and Care
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Potential for harm · D July 23, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 7, 2025 · Quality of Life and Care
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Potential for harm · D July 23, 2025
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected August 7, 2025 · Quality of Life and Care
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Potential for harm · D July 23, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 7, 2025 · Pharmacy Service
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Potential for harm · D July 23, 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 August 7, 2025 · Pharmacy Service
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Potential for harm · D July 23, 2025
Provide or obtain dental services for each resident.
Corrected August 7, 2025 · Quality of Life and Care
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Potential for harm · E July 23, 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 August 7, 2025 · Nutrition and Dietary
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Potential for harm · E July 23, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected August 7, 2025 · Nutrition and Dietary
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Potential for harm · F July 23, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 7, 2025 · Nutrition and Dietary
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Potential for harm · D July 23, 2025
Provide and implement an infection prevention and control program.
Corrected August 7, 2025 · Infection Control
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Potential for harm · D July 23, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected August 7, 2025 · Environmental
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Actual harm · G May 27, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 6, 2025 · Quality of Life and Care
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Potential for harm · D May 20, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 30, 2025 · Quality of Life and Care
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Potential for harm · E February 13, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 28, 2025 · Pharmacy Service
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Potential for harm · D January 7, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 7, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 17, 2025 · Quality of Life and Care
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Potential for harm · D July 23, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 9, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 1, 2024 | Fine | $12,258 |
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 145556 · certified since June 7, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.