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Nursing HomeMedicaid Investigative

Arcadia Care on the Hill

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

555 West Carpenter, Oak Ridge · Springfield, IL 62702251 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
2.7/5

based on 52 Google reviews

5
4
3
2
1
Arcadia Care on the Hill Nursing Home in Springfield, IL — Street View
Street View

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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (12 vs median 11.0)
  • High RN turnover (67%)

Bottom 25% in IL · Critically understaffed (RN) · Worst in ARCADIA CARE chain · $57,030 in fines

Source: Medicare data

What this means for your family

While the facility has undergone recent cosmetic updates and has a helpful admissions team, the recurring reports of severe neglect and understaffing are deeply concerning. We strongly advise families to look elsewhere, or if you must consider this facility, conduct unannounced visits at different times of the day to verify the quality of care firsthand.

Google Reviews

Google Reviews

52 reviews on Google
Arcadia Care On the Hill faces severe and persistent criticism regarding patient neglect, poor hygiene, and understaffing. While some reviewers praise the admissions process and specific staff members, a large volume of reports detail dangerous conditions, including untreated medical issues, missing personal belongings, and a lack of responsiveness to patient needs. Families considering this facility should be aware of the significant gap between the facility's marketing and the experiences reported by multiple long-term and short-term residents' families.

Quality Themes

Tap a score for details
Food1.0Staff2.0Clean1.0ActivitiesN/AMeds1.0MemoryN/AComms2.0ValueN/A

Strengths

  • Helpful admissions and social work staff
  • Convenient location near major hospitals
  • Some dedicated individual nursing and wound care staff
  • Modernized, clean areas in newer sections

Concerns

  • Severe understaffing and slow response to call lights (mentioned by 9 reviewers)
  • Neglect of medical needs and poor wound care (mentioned by 7 reviewers)
  • Unsanitary conditions including odors, pests, and dirty rooms (mentioned by 6 reviewers)
  • Rude, condescending, or abusive staff behavior (mentioned by 6 reviewers)
  • Missing or stolen personal belongings (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'14(1)'17(1)'19(1)'21(3)'23(14)'25(9)'26(3)

Distribution · 53 analyzed

5
20
4
2
3
3
2
2
1
26

How They Respond to Reviews

47%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I noticed your admissions and social work teams are very helpful; how do they support families during the transition process?
  • 2With the newer, modernized sections of the facility, what specific steps are being taken to ensure those high standards of cleanliness are maintained throughout the entire building?
  • 3How does the nursing team manage call light response times to ensure residents receive timely assistance with their needs?
  • 4Can you tell me more about how the medication management process works to ensure everything is administered accurately and on schedule?
  • 5What is the current plan for ensuring consistent, high-quality meal service and dining experiences for all residents?
  • 6In the event of a medical emergency or a change in a resident's condition, what is the protocol for communicating with the family and coordinating with nearby hospitals?

Personalized based on this facility's data


Key Review Excerpts

My mother was sent here for therapy only to be bed bound, unable to speak, and unable to eat. She was sent to the hospital by my request and the hospital staff found a huge bite mark on her back!

Long-term resident's family · 2024☆☆☆☆

My 92 year old friend was ignored so many times and the facility wouldn't take his phone calls and had to resort to banging his bed pan on the bed to get someones attention.

Friend of resident · 2025☆☆☆☆

The nurses are very mean and very neglectful. Wouldn’t let me father walk at all so he was getting no exercise. Nurses stations do not have basic things like bandaids.

Resident's family · 2025★★☆☆☆
Source: 52 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.15hrs
21%
Registered nurses for medical care
Total Nursing
2.61hrs
64%
All nurses + aides combined
Staff Turnover
33%
Lower is better (< 30% = good)
RN Turnover
56%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

8

measures

Worse Than Avg

6

measures

Mixed Results

2

measures

Similar to Avg

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility97.5%
Worse than Avg
Here
97.5%
US
12.1%
IL
52.5%
Sangamon
44.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility4.4%
Better than Avg
Here
4.4%
US
15.3%
IL
15.9%
Sangamon
23.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility78.6%
Worse than Avg
Here
78.6%
US
93.4%
IL
90.0%
Sangamon
94.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.9%
Better than Avg
Here
8.9%
US
15.5%
IL
21.8%
Sangamon
18.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility3.7%
Better than Avg
Here
3.7%
US
14.4%
IL
14.2%
Sangamon
16.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility28.0%
Worse than Avg
Here
28.0%
US
19.5%
IL
18.3%
Sangamon
18.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility22.8%
Worse than Avg
Here
22.8%
US
81.8%
IL
69.0%
Sangamon
73.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility40.7%
Worse than Avg
Here
40.7%
US
79.8%
IL
63.1%
Sangamon
81.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
IL
2.4%
Sangamon
2.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies
3penalties
Near state avg (12.0)
19 complaint-triggered
$57,030 in fines

This facility has a concerning pattern with over half of its 40 deficiencies triggered by family complaints, indicating ongoing issues that prompted external reports. The most recurring problems involve accident prevention and safety supervision, medication management, and basic care needs like incontinence support. While the facility corrects identified issues, the persistent complaints across multiple surveys suggest underlying care quality concerns that families should thoroughly investigate before choosing this facility.

Apr 22, 2026Complaint
1
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Nov 26, 2025Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Oct 17, 2025Complaint
1
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Sep 17, 2025Routine
8
0761Potential for harm · WidespreadCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

Sep 17, 2025Complaint
2
0658Immediate jeopardy · WidespreadCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0760Immediate jeopardy · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Jun 24, 2025Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Federal Penalties

Payment Denial

Sep 17, 2025

62-day denial

Fine

Apr 1, 2024

$47,515

Fine

Aug 24, 2023

$9,515

Ownership & Operations

Who Operates This Facility

Owner / Operator

Arcadia Care on the Hill

Organization Type

for profit

Chain Affiliation

Chain Name

Arcadia Care

Chain Size

22 facilities nationwide

Chain avg rating: 1.8/5 · Rank 18 of 19 (Worst)

Ownership & Management

Owners

David a Berkowitz Delta Trust

Owner · Organization

Yosef Meystel Delta Trust

Owner · Organization

Seitler, Dovid

Owner

Frankel, Frederick

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Goldfarb, Brian

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Cooper, BrandyManaging Control - Governing BodySimmons, TracyManaging Control - Governing BodyMcclure, MichelleOfficer / DirectorSeitler, DovidOfficer / DirectorSpector, JenniferOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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