Deficiency Index

Mcleansboro Rehab & HLTH C CTR

Mcleansboro, Illinois · CCN 145964

18 surveys since 2011. The first finding at harm level was recorded in 2021.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
50
Surveys
18
Harm or worse
3
Immediate jeopardy
0
The record, 2011–2024
’11’15’20’24
No harm recordedHarm or worseNot surveyed
Harm or worse3

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file12/18

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

The facility

Certified beds
43
Ownership
For profit - Individual
Chain
Independent
County
Hamilton · rural
Medicare-certified since
1998

CMS ratings

Overall
3
Health inspection
4
Staffing
1
Quality measures
—

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=18, floor 20).

Last survey on record

Jun 24, 2024

868 days ago.

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

Enforcement

Fines
$45,123 across 1 penalty
Payment denials
1

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 harmG218.2%H—I—
No harm, potential for more than minimalD545.5%E—F436.4%
No harm, potential for minimalA—B—C—
CMS’s current file: 11 of the 50 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7274×

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

  • F6001×

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

  • F6091×

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

  • F6101×

    Respond appropriately to all alleged violations.

  • F6411×

    Ensure each resident receives an accurate assessment.

In the surveyor’s words

From the most serious findings on record at Mcleansboro Rehab & HLTH C CTR, in the surveyor’s own words.

  • Actual harm, isolatedF600May 7, 2024

    Based on interview and record review, the facility failed to ensure residents are free from staff to resident abuse for one of three residents (R1) reviewed for abuse in the sample of 3. This failure resulted in R1 experiencing burning pain and irritation as a result of hand sanitizer being applied to her bottom and legs, some areas of which had excoriation. A reasonable person would also experience feelings of intimidation, fear, emotional distress, and helplessness as a result. […]

  • Actual harm, isolatedF686May 4, 2023

    Based on interview, observation and record review, the facility failed to follow through with a wound referral for a worsening pressure ulcer, failed to timely reassess and identify worsening pressure ulcer, and timely treat new wounds for 1 of 2 residents reviewed for pressure ulcers in the sample of 16. This failure resulted in the worsening and infection of R12's pressure ulcer to the right ankle. Findings: R12's medical record, New Admission Information documents an admitted [DATE] with diagnoses including Hypertension, Edema (multifactorial component of Congested Heart Failure/Venous Stasis). […]

  • Actual harm, isolatedF686Feb 11, 2021

    Based on observation, interview, and record review the facility failed to provide care to prevent the development and worsening of pressure ulcers for 1 of 2 residents (R7) reviewed for prevention and treatment of [REDACTED]. This failure resulted in the new development and or worsening of pressure areas to the back, buttocks, heels and axilla's (underarms/armpits) for R7. Findings include: The facility's undated Face Sheet of R7's medical record documents that R7 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. […]

  • No harm, potential for more than minimal, widespreadF727Jun 24, 2024

    Based on interview and record review, the facility failed to have a Registered Nurse working 8 consecutive hours a day, 7 days a week. This failure has the potential to affect all 35 residents residing in the facility. The Findings Include: Nursing schedules reviewed for June 7, 2024 through June 24, 2024 revealed the facility did not have Registered Nurse (RN) coverage on Saturday, 6/15/24 and Sunday, 6/16/24. On 6/24/2024 at 1:45pm, V5 (Corporate Administrator) said the facility does not have the required 8 hours of continuous RN coverage per day. V5 said the lack of RN coverage occurs on the weekends. On 6/24/24 at 2:00pm, V1 (Administrator) said there are weekends that the facility does not have the required RN coverage of 8 hours a day minimum. […]

  • No harm, potential for more than minimal, widespreadF727Jun 7, 2024

    Based on interview and record review, the facility failed to have a Registered Nurse working 8 consecutive hours a day, 7 days a week. This failure has the potential to affect all 30 residents residing in the facility. The Findings Include: On 6/6/24 at 11:00 AM, V3 (Director of Nursing/DON) stated that there are weekends that she sometimes cannot get covered with a Registered Nurse (RN) working. V3 further stated that they do not use a staffing agency, but they have a PRN (as needed) float pool within the company and a list of facility specific PRN RN's that they attempt to have cover these shifts. V3 stated that they do have advertisements out to hire RN's but if there are times they cannot get RN's to cover the shift they use their LPN (Licensed Practical Nurses) staff. […]

Read 20 findings in full →The most serious and the most recent: 20 of 50 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 24, 2024Complaint1 finding
  • Jun 7, 2024Standard3 findings
  • May 7, 2024Complaint3 findings · 1 harm
  • Mar 19, 2024Complaint1 finding
  • Nov 13, 2023Complaint1 finding
  • May 4, 2023Standard2 findings · 1 harm
  • Aug 9, 2022Complaint2 findings
  • Jul 29, 2021Complaint2 findings
Show the 10 earlier surveys
  • May 10, 2021Complaint1 finding
  • Feb 11, 2021Standard2 findings · 1 harm
  • Apr 12, 2019Standard6 findings
  • May 24, 2018Standard4 findings
  • Jun 29, 2017Standard3 findings
  • May 21, 2015Standard1 finding
  • Jun 5, 2014Standard4 findings
  • Apr 11, 2013—7 findings
  • May 16, 2012—1 finding
  • Jun 30, 2011—6 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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