Deficiency Index

Carlyle Healthcare & SR Living

Carlyle, Illinois · CCN 145729

28 surveys since 2010, 8 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
100
Surveys
28
Harm or worse
8
Immediate jeopardy
1
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file20/28

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
109
Ownership
For profit - Limited Liability company
Chain
POINTE MANAGEMENT
County
Clinton
Medicare-certified since
1992

CMS ratings

Overall
1
Health inspection
2
Staffing
2
Quality measures
1

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 110 for-profit facilities of 100–127 beds in Illinois.

Last survey on record

Jun 8, 2026

154 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.213.16
Registered-nurse hours per resident day0.49—
Annual nurse turnover42.4%48.7%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

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

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG418.2%H—I—
No harm, potential for more than minimalD731.8%E627.3%F522.7%
No harm, potential for minimalA—B—C—
CMS’s current file: 22 of the 100 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F6002×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • F6892×

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

  • F5501×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F6091×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

In the surveyor’s words

From the most serious findings on record at Carlyle Healthcare & SR Living, in the surveyor’s own words.

  • Immediate jeopardy, widespreadF880Feb 1, 2022

    II. Based on observation, interview, and record review, the facility failed to implement infection control measures to prevent and/or contain Covid-19 as evidenced by 1. Failure to provide adequate resident supervision to ensure Covid-19 positive residents remain within the designated Covid-19 isolation areas and away from Covid negative residents. 2. Failure to ensure residents testing positive and/or developed symptoms of [CONDITION(S)] CoV-2 (Covid-19) were isolated per current standards of practice to prevent the spread of Covid-19. 3. Failure to ensure proper use of PPE (Personal Protective Equipment), hand hygiene, and prevention of cross contamination according to current standards of practice. 4. […]

  • Actual harm, isolatedF600Dec 18, 2024

    Based on observation, interview and record review, the facility failed to prevent mental abuse for 1 (R2) of 3 residents reviewed for abuse in the sample of 3. This failure resulted in R2 being tearful and expressing feelings including being upset and fearful of being kicked out of the facility. Findings include: R2's Minimum Data Set (MDS), dated [DATE] documents, she is alert and oriented, cognitively intact. R2's Undated Face Sheet, documents she was admitted to the facility on [DATE] with a diagnoses major depressive disorder and anxiety. V1, Administrator's typed stated, dated 12/9/2024 documents this is a statement regarding V6, CNA (Certified Nurse Aide) from 12/8/2024. […]

  • Actual harm, isolatedF689May 17, 2022

    Based on observation, interview, and record review the facility failed to ensure interventions to prevent falls were appropriately implemented for 1 of 8 (R65) residents reviewed for falls in the sample of 43. This failure resulted in R65 falling out of bed sustaining a comminuted intra-articular fracture of distal femur. Findings Include: R65's facility face sheet dated 5/17/22 documents R65 was admitted to the facility on [DATE] with diagnoses that include acquired absence of right and left leg below the knee, heart failure, [CONDITION(S)], chronic pain, diabetes, and muscle spasms. R65's Minimum Data Set (MDS) dated [DATE] documents R65 has a Brief Interview for Mental Status (BIMS) score of 15, which indicates R65 is cognitively intact. […]

  • Actual harm, isolatedF692May 17, 2022

    Based on observation, interview, and record review, the facility failed to provide prescribed nutritional supplements and meals as ordered for 3 (R23, R24, R38) of 7 residents reviewed for nutritional services in the sample of 43. This failure resulted in R24 suffering a 7.95% weight loss over the past 3 months. Findings Include: 1. On 05/11/22 at 09:47 AM, R24 was observed in his room, sitting in his wheelchair. An interview with R24 revealed R24 was alert to person only. R24's current physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

  • Actual harm, isolatedF693May 17, 2022

    Based on observation, interview and record review, the facility failed to check the placement of an enteral tube before initiating a feeding, to monitor monthly and weekly weights, and to provide the correct amount of enteral feeding as per Dietician and Physicians orders for one tube fed resident with significant weight loss (R48) of one resident reviewed for enteral feeding in the sample of 43. This failure resulted in R48 losing a total of 30 pounds between 12/21/21 and 4/6/22. Findings include: A Face Sheet documented that R48 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

Read 24 findings in full →The most serious and the most recent: 24 of 100 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 8, 2026Complaint1 finding
  • Jan 12, 2026Complaint1 finding
  • Jul 2, 2025Complaint2 findings
  • Jan 8, 2025Complaint1 finding
  • Dec 18, 2024Complaint1 finding · 1 harm
  • Jul 15, 2024Standard6 findings
  • Jun 2, 2023Standard1 finding
  • Jun 22, 2022Complaint1 finding
Show the 20 earlier surveys
  • May 17, 2022Standard9 findings · 3 harm
  • Feb 1, 2022Complaint6 findings · 2 harm
  • Mar 18, 2021Standard1 finding
  • Jan 21, 2021Complaint2 findings
  • Jan 8, 2021Complaint1 finding
  • Jan 24, 2020Complaint1 finding · 1 harm
  • May 17, 2019Standard4 findings
  • Apr 13, 2018Standard4 findings
  • Mar 8, 2017Standard4 findings
  • Jul 12, 2016Complaint1 finding
  • Feb 19, 2016Standard4 findings
  • Mar 26, 2015Standard5 findings
  • Feb 9, 2015Complaint1 finding
  • Jul 30, 2014Complaint2 findings
  • May 29, 2014Complaint1 finding
  • Apr 10, 2014Standard5 findings
  • Jun 28, 2013—10 findings
  • May 25, 2012—4 findings
  • Jul 12, 2011—19 findings · 1 harm
  • Nov 8, 2010—2 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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