Nursing HomeMedicaid Investigative

Autumn Meadows of Cahokia

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

2 Annable Court, Cahokia, IL 62206|150 beds|Licensed & Active

1/5

Medicare

Inspection

Quality

Staffing

Google rating

4.6/5

based on 34 Google reviews

(618) 332-0114 Directions Website

Street View

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9/ 10

critical Risk

Quality Concerns Identified

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

Special Focus Facility (under heightened CMS scrutiny)
Abuse citation on record
Low overall rating (1/5 stars)
Low staffing rating (1/5 stars)
Above-median deficiencies (29 vs median 11.0)

Bottom 25% in IL · Critically understaffed (RN) · $955,600 in fines · Special Focus Facility (CMS) · Abuse citation

Source: Medicare data

What this means for your family

This facility is a strong candidate for families seeking effective rehab therapy and a clean, community-oriented environment. However, you should schedule a tour to meet the administrative team directly, as some past reviews have noted concerns regarding their communication style and professionalism.

Google Reviews

34 reviews on Google

“Autumn Meadows of Cahokia receives consistent praise for its dedicated nursing and therapy staff, with multiple families noting successful rehab-to-home transitions for their loved ones. While the facility is frequently described as clean and welcoming, some reviewers have raised concerns regarding administrative professionalism and the need for physical building updates. The facility also maintains a strong community presence through frequent public events.”

Quality Themes

Tap a score for details

Strengths

Compassionate and attentive nursing/CNA staff
Effective physical therapy and rehab programs
Clean and well-maintained environment
Strong community engagement and family-friendly atmosphere

Concerns

Administrative staff professionalism and communication issues (mentioned by 2 reviewers)
Need for physical building and room updates (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 38 analyzed

⚡15 reviews posted between Oct 28, 2025 – Oct 31, 2025 · 15 were 5-star

How They Respond to Reviews

0%response rate

Questions for Your Tour

1Given the recent focus on staffing and health inspections, what specific steps is the leadership team taking to improve the facility's current CMS ratings?
2I noticed some feedback regarding administrative communication; what is the best way for families to stay updated and reach the right department if they have questions about their loved one's care?
3With 150 residents, how do you ensure that the compassionate, one-on-one attention mentioned by many families remains consistent throughout the day?
4Since some areas of the building are older, what is your current plan for room maintenance and facility upgrades to ensure a comfortable living environment?
5Could you walk me through how your team handles medical emergencies or sudden changes in a resident's health status during the night or on weekends?
6What are some of the most popular community activities or events that really help residents feel connected and engaged with one another here?

Personalized based on this facility's data

Key Review Excerpts

“My son's great grandma was here for rehab to home. After about 5 months of therapy she was able to go home and had been home and doing well for almost a year now. The staff is amazing.”

Rehab patient's family · 2024★★★★★

“The nurses and the CNA's at this facility are EXCELLENT CAREGIVERS. They took better care of my Father better than we ever could have asked. I would recommend Autumn Meadows. Would even stay there myself.”

Long-term resident's family · 2021★★★★★

“My experience at Autumn Meadow was good. CNAs are older and have lots of patience with the residents. Very clean. Front office very helpful. Activity director love helping the residents and are always looking for new activities.”

Rehab patient · 2024★★★★☆

Source: 34 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.33hrs

44%

Registered nurses for medical care

Total Nursing

3.18hrs

78%

All nurses + aides combined

Staff Turnover

47%

Lower is better (< 30% = good)

RN Turnover

75%

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

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

Medicare Rating

1/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

😔

Residents with depression symptoms

↓ Lower is better

This Facility17.4%

Mixed vs Avgs

Here

17.4%

12.1%

52.5%

St. clair

35.4%

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

💉

Residents vaccinated for the flu

↑ Higher is better

This Facility75.5%

Worse than Avg

Here

75.5%

95.5%

91.8%

St. clair

88.8%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility73.9%

Worse than Avg

Here

73.9%

93.4%

90.0%

St. clair

90.8%

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility13.7%

Better than Avg

Here

13.7%

19.5%

18.3%

St. clair

25.3%

⚖️

Residents who lost too much weight

↓ Lower is better

This Facility13.1%

Worse than Avg

Here

13.1%

5.3%

6.6%

St. clair

6.1%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility22.8%

Worse than Avg

Here

22.8%

15.5%

21.8%

St. clair

19.5%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility13.5%

Worse than Avg

Here

13.5%

79.8%

63.1%

St. clair

61.5%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility20.2%

Worse than Avg

Here

20.2%

81.8%

69.0%

St. clair

74.9%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.0%

Better than Avg

Here

0.0%

1.6%

2.4%

St. clair

2.9%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

29deficiencies

5penalties

Well above state avg (12.0)

47 complaint-triggered

$955,600 in fines

This facility shows a concerning pattern of recurring problems, with families filing complaints that triggered 44 of 71 total deficiencies. The most persistent issues involve protection from abuse and neglect, accident prevention and safety hazards, and medication management errors. These core problems—particularly abuse protection failures and safety hazards—have appeared repeatedly across multiple surveys and complaint investigations, suggesting ongoing systemic challenges despite stated corrections.

Feb 25, 2026Complaint3 findings

0804Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Jan 29, 2026Complaint1 finding

0600Potential for harm · IsolatedCorrected