Litchfield Health & Rehab Center
Litchfield, Illinois · CCN 145271
11 surveys since 2012. The first finding at harm level was recorded in 2016.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 34
- Surveys
- 11
- Harm or worse
- 2
- 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
- 92
- Ownership
- For profit - Limited Liability company
- Chain
- SUMMIT HEALTHCARE CONSULTING
- County
- Montgomery · rural
- Medicare-certified since
- 1974
CMS ratings
- Overall
- 4
- Health inspection
- 4
- Staffing
- 2
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=13, floor 20).
Last survey on record
Mar 20, 2025
599 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 | 2.89 | 3.18 |
| Registered-nurse hours per resident day | 0.57 | — |
| Annual nurse turnover | 34.1% | 45.5% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G111.1% | H— | I— |
| No harm, potential for more than minimal | D444.4% | E333.3% | F111.1% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F5831×
Keep residents' personal and medical records private and confidential.
- F6881×
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- F6901×
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- F6931×
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
In the surveyor’s words
From the most serious findings on record at Litchfield Health & Rehab Center, in the surveyor’s own words.
- Actual harm, isolatedF689Jul 18, 2023
Based on interview, and record review, the facility failed to provide supervision during toileting to prevent falls for 1 of 4 residents (R2) reviewed for supervision. This failure resulted in R2 falling and sustaining a hip fracture. Findings include: R2's Admission Record, print date of 7/12/23 documented R2 has diagnoses of weakness, muscle weakness, and unspecified dementia. R2's Care Plan, dated 2/3/23 initiated, documented R2 had a self-care performance deficit due to weakness, history of falls and dementia and needs mostly limited assistance with all care needs. The Care Plan documented *Restorative* will continue safe transfers with assist will minimize risk factors for falls thru next review. […]
- No harm, potential for more than minimal, widespreadF727Mar 20, 2025
Based on record review and interview, the facility failed to ensure a Registered Nurse (RN) was scheduled in the facility for at least 8 consecutive hours a day, 7 days a week. This has the potential to affect all 61 residents who reside in the facility. Findings include: On 3/20/25 at 10:40 AM, V21, Assistant Director/Infection Preventionist (ADON/IP) stated she was not aware of any registered nurse (RN) staffing issues. She stated that we have RNs who works days and RNs who work nights, so she is not aware that has ever happened. On 3/20/25 at 10:45 AM, V5, Certified Nursing Assistant (CNA) stated that she is not aware that an RN has ever not been present for an eight-hour period out of twenty-four hours. […]
- No harm, potential for more than minimal, patternF689Mar 20, 2025
Based on observation, interview, and record review the facility failed to perform proper and safe transfers for 4 of 5 residents (R1, R31, R36, R46) reviewed for supervision to prevent accidents in the sample of 46. Findings include: 1. R46's Care Plan, dated 4/30/2024, documents that (R46) has a self-Care Deficit As Evidenced by: Needs assistance with ADLs (activity of daily living) and Transfer: One-person physical assistance required with wheeled walker. R46's Minimum Data Set (MDS), dated [DATE], documents that R46 is moderately cognitively impaired and requires supervision/touching assistance with transfers. On 3/17/2024 at 10:24 AM, V18, Certified Nurse's Aide, CNA, transfer R46. R46 was sitting on toilet andV18 was standing bathroom door. R46 then stood up from toilet. […]
- No harm, potential for more than minimal, patternF690Mar 20, 2025
Based on observation, interview, and record review the facility failed to perform complete incontinence care with an authorized cleansing agent for 4 of 6 residents, (R58, R27, R49, R12) reviewed for Bowel/Bladder Incontinence/ Catheter Care in a sample of 46. Findings include: 1.R58's face sheet documented she was admitted to the facility on [DATE] with diagnosis of, in part, facture of the sacrum, acute respiratory failure with hypoxia and moderate protein-calorie malnutrition. R58's Minimum Data Set (MDS) dated [DATE], documented she was severely cognitively impaired and dependent on the assistance for toileting hygiene. […]
- No harm, potential for more than minimal, patternF880Mar 20, 2025
Based on observation, interview, and record review, the facility failed perform proper hand hygiene and glove changes when performing incontinence care and providing meal service. The facility also failed to don personal protective equipment appropriately when providing care for a resident on enhanced barrier precautions for 5 of 7 residents ( R12, R15, R17, R27, R49) reviewed for infection control in a sample of 46. Findings include: 1. R27's Admission Record, not dated, documents that following diagnoses: Frontal Lobe and Executive Function Deficit Following Cerebral Infarction, Heart Failure, Unspecified, Cardiovascular and Coagulations, Unspecified Dementia, Unspecified Severity, Without Behavioral Disturbance, Psychotic Disturbance, Mood Disturbance, and Anxiety, Overactive Bladder. […]
Read 20 findings in full →The most serious and the most recent: 20 of 34 on record.
Every survey on record
FindingsAt actual harm or above
- Mar 20, 2025Standard6 findings
- Apr 12, 2024Complaint1 finding
- Jul 18, 2023Complaint1 finding · 1 harm
- Jan 26, 2023Standard1 finding
- Mar 1, 2022Standard4 findings
- Feb 27, 2019Standard2 findings
- Jan 31, 2018Standard2 findings
- Dec 16, 2016Standard3 findings · 1 harm
Show the 3 earlier surveys
- Jan 15, 2016Standard5 findings
- Dec 12, 2013—6 findings
- Feb 21, 2012—3 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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