Grove Health & Rehab CTR, The
Jacksonville, Illinois · CCN 146059
42 surveys since 2011, 18 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
- 127
- Surveys
- 42
- Harm or worse
- 18
- Immediate jeopardy
- 3
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
- 175
- Ownership
- For profit - Limited Liability company
- Chain
- SUMMIT HEALTHCARE CONSULTING
- County
- Morgan · rural
- Medicare-certified since
- 2004
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 1
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 232 for-profit facilities with 128 or more beds in Illinois.
Last survey on record
Jul 29, 2026
103 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 | 3.57 | 3.12 |
| Registered-nurse hours per resident day | 0.54 | — |
| Annual nurse turnover | 50.7% | 43.2% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $105,079 across 3 penalties
- 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— | L13.1% |
| Actual harm | G721.9% | H— | I— |
| No harm, potential for more than minimal | D1237.5% | E1237.5% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6895×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F5503×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F6903×
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- F8803×
Provide and implement an infection prevention and control program.
- F5802×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
In the surveyor’s words
From the most serious findings on record at Grove Health & Rehab CTR, The, in the surveyor’s own words.
- Immediate jeopardy, widespreadF678Mar 26, 2026
Based on interview and record review, the facility failed to ensure CPR (cardiopulmonary resuscitation) was initiated per physician's orders and resident's wishes for 1 of 3 (R16) residents reviewed for death. This failure resulted in an Immediate Jeopardy on [DATE] at 8:20 AM when R16 was found without a pulse nor respirations by a CNA (Certified Nurse Assistant). CPR was not attempted per R16's wishes. This failure has the potential to affect all 138 residents of the facility.The Immediate Jeopardy began on [DATE] at 8:20 AM when R16 was found without a pulse or respirations by V30 CNA. V30 notified R16's nurse V19 LPN (Licensed Practical Nurse) of R16's condition and V19 failed to initiate CPR per R16's wishes. R16 expired at the facility on [DATE]. […]
- Immediate jeopardy, isolatedF689Jul 26, 2022
A. Based on observation, interview and record review, the facility failed to provide supervision while eating for residents with potential choking hazards for 5 of 5 residents (R41, R46, R57, R216, R217) reviewed for supervision to prevent choking in the sample of 56. This failure has resulted in R57, R216, and R217 choking that resulted in death related to the incidents of choking. This failure resulted in an Immediate Jeopardy (IJ) which began on [DATE] when R217, a resident with dysphagia (difficulty swallowing), was left unattended to consume a liquid dietary supplement and choked. R217 expired on [DATE]. The Immediate Jeopardy was identified on [DATE]. On [DATE], V1, Administrator, was notified of the Immediate Jeopardy. […]
- Actual harm, isolatedF689Apr 2, 2026
Based on observation, interview, and record review, the facility failed to prevent an accident during a full mechanical lift transfer in 1 of 5 residents (R3) reviewed for accident hazards in the sample of 9. This failure resulted in R3 sustaining fractures to the left distal fibula, right distal tibia, and right distal fibula.Findings Include:On 4/1/26 at 9:45 AM, R3 was observed in her wheelchair with bilateral ankle contractures and a right knee contracture. A full mechanical lift transfer was observed with V16, CNA (Certified Nursing Assistant), and V17, CNA, without incident. […]
- Actual harm, isolatedF689Nov 20, 2025
Based on interview and record review the Facility failed to provide a safe transfer for 1 of 3 residents (R1) reviewed for transfers in the sample of 10. This failure resulted in R1 being left unattended as staff left the room and R1 fell out of the bed and sustained an Intracranial hemorrhage (head injury).Findings include:R1's Physician Order Sheet (POS) for November 2025 documents a diagnosis of unspecified sequelae of unspecified cerebrovascular disease, hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side; dementia in other diseases classified elsewhere; unspecified severity without behavioral disturbances, psychotic disturbance, and insomnia. […]
- Actual harm, isolatedF689Sep 13, 2024
Based on interview, observation and record review, the facility failed to ensure personal use items were within reach and provide an environment free of clutter to prevent falls and injury for 1 of 6 residents (R12) reviewed for accidents in the sample of 61. This failure resulted in R12 sustaining a cervical fracture, wearing a neck brace from 4/8/24 until 6/18/24, and requiring 9 sutures to his forehead. Findings include: R12's Admission Record, print date of 9/11/24, documents that R12 was admitted on [DATE] with diagnoses of Repeated Falls, Mild Cognitive Impairment, and Pallative Care. […]
Read 32 findings in full →The most serious and the most recent: 32 of 127 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 29, 2026Complaint1 finding
- Apr 2, 2026Complaint1 finding · 1 harm
- Mar 26, 2026Complaint2 findings · 1 harm
- Mar 20, 2026Complaint1 finding
- Nov 20, 2025Complaint1 finding · 1 harm
- Aug 29, 2025Standard and complaint3 findings
- May 15, 2025Complaint1 finding
- Nov 20, 2024Complaint1 finding
Show the 34 earlier surveys
- Sep 18, 2024Complaint1 finding
- Sep 13, 2024Standard and complaint8 findings · 3 harm
- May 9, 2024Complaint3 findings
- Dec 14, 2023Complaint1 finding
- Nov 13, 2023Complaint1 finding · 1 harm
- Oct 4, 2023Complaint1 finding
- Aug 15, 2023Standard6 findings · 1 harm
- Jan 18, 2023Complaint1 finding
- Aug 24, 2022Complaint3 findings
- Jul 26, 2022Standard9 findings · 1 harm
- Jun 24, 2022Complaint2 findings
- May 2, 2022Complaint2 findings · 1 harm
- Feb 14, 2022Complaint3 findings
- Jan 27, 2022Complaint2 findings · 1 harm
- Nov 22, 2021Complaint2 findings
- Jul 15, 2021Complaint2 findings
- Jun 17, 2021Standard and complaint6 findings
- Sep 15, 2020Complaint1 finding · 1 harm
- Jun 11, 2020Infection control1 finding
- Feb 20, 2020Complaint2 findings
- Jun 27, 2019Standard6 findings · 1 harm
- Mar 11, 2019Complaint2 findings · 1 harm
- Aug 23, 2018Standard12 findings
- Apr 6, 2018Complaint1 finding
- Jul 21, 2017Standard5 findings
- Mar 21, 2017Complaint6 findings
- Jun 1, 2016Standard3 findings
- Aug 17, 2015Standard3 findings
- Jul 10, 2014Standard3 findings
- Mar 18, 2014Complaint2 findings
- Jun 28, 2013—4 findings
- Mar 14, 2013—1 finding · 1 harm
- Aug 24, 2012—4 findings
- Sep 16, 2011—7 findings · 3 harm
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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