Carlinville Rehab & HCC
Carlinville, Illinois · CCN 145454
41 surveys since 2011, 20 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 150
- Surveys
- 41
- Harm or worse
- 20
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 98
- Ownership
- For profit - Limited Liability company
- Chain
- TUTERA SENIOR LIVING & HEALTH CARE
- County
- Macoupin
- Medicare-certified since
- 1982
CMS ratings
- Overall
- 1
- Health inspection
- 2
- Staffing
- 1
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 140 for-profit facilities of 66–99 beds in Illinois.
Last survey on record
Apr 17, 2026
206 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 | 3.14 | 3.18 |
| Registered-nurse hours per resident day | 0.44 | — |
| Annual nurse turnover | 62.9% | 45.5% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $137,709 across 1 penalty
- Payment denials
- 1
- Abuse icon
- Flagged by CMS on Care Compare
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 | J— | K— | L— |
| Actual harm | G615.8% | H— | I— |
| No harm, potential for more than minimal | D2052.6% | E1026.3% | F25.3% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6003×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F6843×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F7613×
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.
- F8803×
Provide and implement an infection prevention and control program.
- F5502×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
In the surveyor’s words
From the most serious findings on record at Carlinville Rehab & HCC, in the surveyor’s own words.
- Actual harm, isolatedF684Dec 18, 2025
Based on observation, interview, and record review the facility failed to administer an ordered intravenous, IV, antibiotic, timely transport, and contact prescribing Physician for 1(R2) of 3 residents in the sample of 23. This failure resulted in R2's course of treatment being interrupted, R2 needing to have six additional days of IV antibiotics, and the potential of septic infection. Findings include:R2's undated face sheet documents an admission date of 11/28/2025 and a discharge date of 12/4/2025. Diagnosis include Fournier Gangrene, Chronic Kidney Disease, Bacteriuria, Urinary Tract Infection, Acute Kidney Failure, Malignant Neoplasm of Rectum, Colostomy Status.R2's Minimum Data Set, MDS dated R2's MDS dated [DATE] documents R2 has no cognitive deficits. […]
- Actual harm, isolatedF602Sep 3, 2024
Based on interview and record review, the facility failed to keep a resident free from misappropriation of property related to a staff member's use of a resident's money, for 1 of 3 residents (R3) reviewed for misappropriation in a sample of 8. This failure resulted in R3 having money stolen from bank account and feeling unsafe, like a fool, stupid and like a target. This past non-compliance occurred on 7/9/24 to 7/17/2024. Findings include: R3's Minimal Data Set, dated 5/30/2024, documents that R3 is cognitively intact. The facility's investigation documents On 7/16/2024, resident (R3), notified her bank of inconsistencies with her bank account. She filed a report with the bank. […]
- Actual harm, isolatedF684Jul 1, 2024
Based on observation, interview, and record review, the facility failed to provide the Physician prescribed skin/wound treatments for 1 of 6 residents (R5) reviewed for wounds and quality of care in the sample of 44. Findings include: 1. On 06/25/24 at 10:00 AM, R5 stated that he does get cellulitis in his abdomen often. R5 was questioned if he gets a treatment to his abdominal folds. R5 stated that he gets nystatin powder to his folds and to his groin. R5 was questioned if he gets any type of barrier disposable cloth placed in his abdomen to collect the moisture, he stated that he does not. On 6/25/24 at 3:00 PM, V3, Assistant Director of Nurses, (ADON), entered R5's room to look at his abdomen. […]
- Actual harm, isolatedF697Jul 1, 2024
Based on observation, interview, and record review the facility failed to identify, assess, and implement interventions for pain for 1 of 6 residents (R129) reviewed for pain in the sample of 44. This failure resulted in R129 moaning in pain due to not being assessed and treated with pain medication for 44 minutes. Findings include: 1. On 6/24/2024 at 11:50AM R129 stated to V3 Assistant Director of Nursing (ADON) that her stomach was hurting. R129 was lying in bed groaning with facial grimacing. V3 told R129 that she would let her nurse know and left R129's room. On 6/24/24 at 12:10 PM R129 continued to groan while belching and stating, Oh God, I want to die. On 6/24/24 at 12:15 PM V7, Certified Nursing Assistant (CNA) entered R129's room to turn her on her left side. […]
- Actual harm, isolatedF684May 29, 2024
Based on interview and record review, the facility failed to monitor and treat a resident with the diagnoses of Diabetes Type 2 for one of 3 residents (R10) reviewed for quality of care, in the sample of 12. This failure resulted in R10 being hospitalized with Uncontrolled Diabetes Mellitus with an initial blood glucose of 614 in the emergency room (ER). Findings include: R10's Hospital emergency room (ER) Records, dated 5/22/24, documented that he had a history of insulin dependent diabetes mellitus and that he was admitted to the hospital on that date with the diagnoses of Acute on Chronic Renal Failure and Uncontrolled Diabetes Mellitus. […]
Read 36 findings in full →The most serious and the most recent: 36 of 150 on record.
Every survey on record
FindingsAt actual harm or above
- Apr 17, 2026Complaint1 finding
- Dec 18, 2025Complaint1 finding · 1 harm
- Jun 26, 2025Standard11 findings
- Apr 30, 2025Complaint1 finding
- Sep 3, 2024Complaint1 finding · 1 harm
- Jul 1, 2024Standard and complaint16 findings · 2 harm
- May 29, 2024Complaint2 findings · 1 harm
- Sep 26, 2023Complaint1 finding
Show the 33 earlier surveys
- Jul 27, 2023Standard4 findings · 1 harm
- May 30, 2023Complaint1 finding
- Apr 18, 2023Complaint2 findings
- Apr 6, 2023Complaint2 findings
- Mar 1, 2023Complaint1 finding · 1 harm
- Feb 9, 2023Complaint3 findings · 3 harm
- Jan 10, 2023Complaint1 finding
- Nov 3, 2022Complaint1 finding
- Aug 25, 2022Complaint2 findings
- Aug 17, 2022Complaint3 findings
- Aug 2, 2022Standard and complaint9 findings
- Feb 10, 2022Complaint3 findings
- Nov 17, 2021Complaint3 findings
- Aug 9, 2021Standard11 findings · 2 harm
- Feb 23, 2021Infection control1 finding
- Jan 20, 2021Infection control4 findings · 1 harm
- Sep 16, 2020Complaint1 finding · 1 harm
- Jun 27, 2019Standard9 findings
- Aug 22, 2018Standard7 findings
- Jul 27, 2017Standard9 findings
- Jun 10, 2016Standard8 findings · 2 harm
- Aug 14, 2015Standard5 findings
- Apr 26, 2015Complaint1 finding · 1 harm
- Jul 25, 2014Standard6 findings · 2 harm
- Apr 4, 2014Complaint3 findings
- Sep 12, 2013—2 findings
- Apr 30, 2013—3 findings · 1 harm
- Jan 3, 2013—2 findings
- Aug 16, 2012—1 finding
- Feb 22, 2012—1 finding
- Sep 7, 2011—5 findings
- Aug 5, 2011—1 finding
- Jun 2, 2011—1 finding
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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