Big Meadows
Savanna, Illinois · CCN 14E701
26 surveys since 2012. The first finding at harm level was recorded in 2018.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 88
- Surveys
- 26
- Harm or worse
- 9
- Immediate jeopardy
- 2
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 83
- Ownership
- For profit - Corporation
- Chain
- Independent
- County
- Carroll · rural
- Medicare-certified since
- 1976
CMS ratings
- Overall
- 3
- Health inspection
- 3
- Staffing
- 2
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.
Weighted by harm level, against 140 for-profit facilities of 66–99 beds in Illinois.
Last survey on record
May 14, 2026
179 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.31 | 3.18 |
| Registered-nurse hours per resident day | 0.53 | — |
| Annual nurse turnover | 37.9% | 45.5% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $4,500 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J25.9% | K— | L— |
| Actual harm | G411.8% | H— | I— |
| No harm, potential for more than minimal | D2573.5% | E38.8% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6844×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F6894×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F5802×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F7552×
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F8802×
Provide and implement an infection prevention and control program.
In the surveyor’s words
From the most serious findings on record at Big Meadows, in the surveyor’s own words.
- Immediate jeopardy, isolatedF580Nov 14, 2023
Based on interview and record review, the facility failed to notify a resident's physician of a change in condition for greater than 24 hours. This failure resulted in a decline in R1's condition leading to hospitalization for acute hypoxic respiratory failure, sepsis, and suspected hypoxic brain injury. This applies to 1 (R1) of 3 residents reviewed for change in condition in the sample of 6. The findings include: The Immediate Jeopardy began on 11/4/23 when R1 began experiencing increased incontinence, assistance with transfers, assistance with feeding. V1 (Administrator) was notified of the Immediate Jeopardy on 11/14/23 at 10:15AM. […]
- Immediate jeopardy, isolatedF695Nov 14, 2023
Based on interview and record review, the facility failed to identify, assess, and monitor a resident (R1) with significant respiratory changes. This failure resulted in R1 being hospitalized with acute respiratory failure, septic shock related to urinary tract infection and pneumonia, and suspected hypoxic brain injury. R1 expired in the hospital as a result of his illnesses. This failure applies to 1 of 3 residents reviewed for oxygen therapy in the sample of 6. The findings include: The Immediate Jeopardy began on [DATE] when R1 was struggling to breathe and placed on oxygen. V1 (Administrator) was notified of the Immediate Jeopardy on [DATE] at 10:15AM. […]
- Actual harm, isolatedF744Feb 25, 2025
Based on observation, interview, and record review the facility failed to implement care planned interventions to reduce a dementia resident's anxiety and aggressive behaviors. This failure resulted in R49 fracturing a finger on his left hand after punching a wall. This failure applies to 1 of 9 residents (R49) reviewed for dementia care in the sample of 16. The findings include: A facility incident report dated 2/18/25 showed R49 became agitated during cares and swung out at CNA (certified nursing assistant). While swinging at the CNA, he hit the wall as he was in bed and the bed was pushed up against the wall. X-ray was completed and shows acute fracture of proximal phalanx 3rd finger with mild deformity . […]
- Actual harm, isolatedF689Feb 29, 2024
Based on observation, interview, and record review the facility failed to transport a resident in a wheelchair with her feet on the foot pedals. This failure resulted in R1 sustaining a fracture to her right femur. This applies to 1 of 3 residents (R1) reviewed for safety in the sample of 3. The findings include: R1's Admission Record (Face Sheet) showed an original admitted [DATE] with diagnoses to include: cervical vertebra fracture (bones in the neck, was her admitting diagnosis), osteoporosis (decreased bone strength) without current pathological fracture (no fractures due to her osteoporosis), arthritis, cognitive communication deficit, lack of coordination, difficulty in walking, lack of coordination, need for assistance with personal care, and adult failure to thrive. […]
- Actual harm, isolatedF697Feb 29, 2024
Based on observation, interview, and record review the facility failed to manage a resident's (R1) pain when she was known to have a fractured leg and she was transferred without her immobilizer. The facility also failed to provide pain medication for resident (R1) with fractured leg prior to transferring her out of bed. This failure resulted in R1 experiencing excruciating pain. This applies to 1 of 3 residents reviewed for pain in the sample of 3. The findings include: R1's Admission Record (Face Sheet) showed an original admitted [DATE] with diagnoses to include: cervical vertebra fracture (bones in the neck, was her admitting diagnosis), osteoporosis (decreased bone strength) without current pathological fracture (no fractures due to her osteoporosis), arthritis, cognitive… […]
Read 26 findings in full →The most serious and the most recent: 26 of 88 on record.
Every survey on record
FindingsAt actual harm or above
- May 14, 2026Standard and complaint7 findings
- Dec 6, 2025Complaint1 finding
- Oct 30, 2025Complaint1 finding
- Feb 25, 2025Standard and complaint7 findings · 1 harm
- Feb 29, 2024Complaint4 findings · 2 harm
- Feb 20, 2024Complaint3 findings
- Jan 18, 2024Standard4 findings
- Jan 4, 2024Complaint1 finding
Show the 18 earlier surveys
- Nov 14, 2023Complaint2 findings · 2 harm
- Feb 28, 2023Standard4 findings · 1 harm
- Apr 21, 2022Standard4 findings
- Jul 6, 2021Complaint1 finding
- Jun 24, 2021Standard4 findings
- Nov 5, 2020Infection control1 finding
- Mar 5, 2020Standard3 findings
- Feb 21, 2019Standard6 findings
- Dec 5, 2018Complaint4 findings
- Jul 18, 2018Complaint1 finding
- Jan 17, 2018Standard3 findings · 3 harm
- Apr 17, 2017Complaint3 findings
- Dec 29, 2016Standard6 findings
- Aug 20, 2016Complaint1 finding
- Feb 20, 2015Standard6 findings
- Mar 27, 2014Standard2 findings
- Apr 4, 2013—4 findings
- Mar 15, 2012—5 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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