Deficiency Index

Lakeland Rehab & Healthcare Center

Effingham, Illinois · CCN 145256

32 surveys since 2010, 6 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
97
Surveys
32
Harm or worse
6
Immediate jeopardy
0
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse6

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file18/32

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

The facility

Certified beds
154
Ownership
For profit - Corporation
Chain
TUTERA SENIOR LIVING & HEALTH CARE
County
Effingham · rural
Medicare-certified since
1973

CMS ratings

Overall
4
Health inspection
4
Staffing
2
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 232 for-profit facilities with 128 or more beds in Illinois.

Last survey on record

Jun 26, 2026

136 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 day3.393.12
Registered-nurse hours per resident day0.46—
Annual nurse turnover38.6%43.2%

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

Enforcement

Fines
$86,553 across 3 penalties

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 harmG517.2%H—I—
No harm, potential for more than minimalD2069.0%E413.8%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 29 of the 97 citations on record.

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.

  • F6232×

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  • F6772×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • F6842×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F8032×

    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.

In the surveyor’s words

From the most serious findings on record at Lakeland Rehab & Healthcare Center, in the surveyor’s own words.

  • Actual harm, isolatedF689Jun 3, 2026

    Based on interview and record review the facility failed to safely transport 1 of 3 (R1) residents reviewed for accidents in a sample of 4. This failure resulted in R1's left foot getting caught in her wheelchair wheel during transport and resulted in R1 sustaining an acute mildly displaced fracture of the distal fibula and medial malleolus of the left leg.This past non-compliance occurred from 5/16/2026 to 5/18/2026.R1's admission Record documented an admission date of 4/4/2025 with diagnoses of type two diabetes mellitus, complete atrioventricular block, chronic kidney disease, non-st elevation myocardial infarction and weakness among others. […]

  • Actual harm, isolatedF600Feb 18, 2025

    Based on interview and record review, the facility failed to prevent peer to peer sexual abuse for 1 of 4 residents (R1) reviewed for abuse in the sample of 4. This failure resulted in R1, who is cognitively impaired and incapable of giving informed consent to inappropriate sexual touching and having unsolicited sexual comments directed toward her. These actions would cause a reasonable person to experience feelings of guilt, embarrassment, anger, and shame. Findings include: R1's Face Sheet documented an admitted [DATE] and listed diagnoses including Osteoarthritis and Alzheimer's Disease. R1's Minimum Data Set (MDS) dated [DATE] documented a Brief Interview for Mental Status (BIMS) score of 3, indicating R1 has severe impaired cognition. […]

  • Actual harm, isolatedF684Jun 11, 2024

    Based on interview and record review, the facility failed to remove surgical staples and to obtain an x-ray as ordered for 1 of 11 residents (R1) reviewed for quality of care in the sample of eleven. This failure resulted in R1's surgical hip incision becoming infected and requiring antibiotic therapy. Findings include: R1's Face Sheet documented an admitted [DATE] and listed diagnoses including Congestive Heart Failure, Anxiety Disorder, and Chronic Kidney Disease. R1's 1/5/24 Minimum Data Set (MDS) documented that R1 had severe deficits in cognitive function. R1's Nursing Progress Notes documented the following: On 1/29/24 at 8:10am: Continues to complain of severe pain right hip/right leg. Had hydrocodone and ativan around 3:20am, then Tylenol at 7:12am. No relief. Moaning. […]

  • Actual harm, isolatedF677May 24, 2024

    Based on interview and record review the facility failed to ensure timely assistance was provided for toileting needs for 1 (R56) of 6 reviewed for Activities of Daily Living in the sample of 51. This failure resulted in R56 expressing undue feelings of frustration, embarrassment, and neck pain. Findings Include: R56's Admission Record documented an original admitted to the facility as 7/1/22. R56 is documented as being a [AGE] year old female with diagnoses including but not limited to: Secondary Parkinsonism, Unspecified; End Stage Renal Disease; Nontraumatic Subarachnoid Hemorrhage, Unspecified, etc. R56's Minimum Data Set (MDS) with an Assessment Reference Date of 2/27/24 documented a Brief Interview for Mental Status Score of 13, indicating she's cognitively intact. […]

  • Actual harm, isolatedF600May 14, 2024

    Based on interview and record review, the facility failed to ensure residents are free from abuse for two of three residents (R2 and R6) reviewed for abuse in the sample of 3. This failure resulted in R6 experiencing having clothing placed over his mouth twice in an attempt to quiet him. A reasonable person would also experience feelings of humiliation, intimidation, fear, emotional distress, and helplessness as a result. This past non-compliance occurred between 4/13/24 and 4/16/24. Findings include: 1.R6's face Sheet documented an admitted [DATE], and diagnoses including Autistic Disorder, Dysphagia, Repeated Falls, and Unspecified Intellectual Disabilities. […]

Read 22 findings in full →The most serious and the most recent: 22 of 97 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 26, 2026Standard1 finding
  • Jun 3, 2026Complaint1 finding · 1 harm
  • Apr 13, 2026Complaint1 finding
  • Apr 2, 2026Complaint2 findings
  • Mar 5, 2026Complaint1 finding
  • Jul 28, 2025Standard3 findings
  • Feb 18, 2025Complaint3 findings · 1 harm
  • Oct 10, 2024Complaint4 findings
Show the 24 earlier surveys
  • Jun 25, 2024Complaint1 finding
  • Jun 11, 2024Complaint2 findings · 1 harm
  • May 24, 2024Standard6 findings · 1 harm
  • May 14, 2024Complaint2 findings · 1 harm
  • Dec 4, 2023Complaint1 finding
  • Apr 20, 2023Standard1 finding
  • Mar 25, 2022Standard6 findings
  • Nov 8, 2021Complaint1 finding
  • Sep 18, 2019Complaint1 finding
  • Mar 28, 2019Standard3 findings
  • Mar 7, 2019Complaint2 findings
  • Jun 14, 2018Standard4 findings
  • Apr 27, 2017Standard2 findings
  • Mar 17, 2016Standard1 finding
  • Dec 14, 2015Complaint1 finding
  • Sep 24, 2015Complaint1 finding
  • Apr 9, 2015Standard6 findings
  • May 22, 2014Standard6 findings
  • Jun 13, 2013—6 findings
  • Oct 2, 2012—1 finding
  • Apr 26, 2012—13 findings
  • Mar 14, 2011—9 findings · 1 harm
  • Feb 24, 2011—1 finding
  • Dec 8, 2010—4 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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