Carlinville Rehab & Hcc
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 35 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (13 vs median 11.0)
Bottom 25% in IL · Critically understaffed (RN) · Worst in TUTERA SENIOR LIVING & HEALTH CARE chain · $171,737 in fines · Abuse citation
What this means for your family
This facility offers a strong rehab program and a very welcoming, active environment, which many families appreciate. However, given the recurring reports of understaffing and communication gaps, we strongly advise you to visit during off-hours and ask specifically about their process for tracking resident belongings and providing medical updates.
Google Reviews
Google Reviews
35 reviews on Google“Carlinville Rehab & HCC receives highly polarized feedback, with many families praising the compassionate, family-like atmosphere and effective physical therapy team. However, significant concerns regarding chronic understaffing, poor communication, and issues with the safety and personal property of residents are frequently cited by dissatisfied families. Prospective families should be aware that while many report positive outcomes, there are serious allegations regarding neglect and organizational failures.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical therapy and wound care
- Compassionate and friendly nursing/CNA staff
- Welcoming, family-oriented environment
- Responsive administrative leadership
Concerns
- Chronic understaffing leading to neglect (mentioned by 5 reviewers)
- Poor communication regarding resident status and health (mentioned by 2 reviewers)
- Loss or damage of resident personal belongings (mentioned by 2 reviewers)
- Inconsistent nursing staff and lack of continuity of care (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 37 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1It is wonderful to see how responsive the leadership team is to feedback; how does the administration involve families in the care planning process?
- 2We have heard great things about the physical therapy and wound care here; could you walk us through how those specialized services are coordinated for a new resident?
- 3How do you ensure that the nursing staff can provide consistent, personalized care and maintain clear communication with families regarding daily health updates?
- 4What specific protocols are in place to ensure medication management is handled accurately and that all resident belongings are kept secure?
- 5Could you tell us more about the dining experience and what the daily meal schedule and menu options look like for residents?
- 6What kind of daily activities or social programs are available to help residents stay engaged and connected with the community?
Personalized based on this facility's data
Key Review Excerpts
“The wound nurses were amazing and on it like clockwork. The rehab therapists were amazing as well. Activities were pretty good and they brought a daily trivia page with a cross word word search and a coloring page.”
“They dropped him two days in a row and then told him it'd probably be best if they found him someplace else to go. Is that something you would want to hear?”
“We could almost never get accurate status of his health and rehab status. It seemed that he never had the same nurse so it was hard for them to track his progress.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
6
measures
6
measures
5
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple complaint reports resulting in 20 deficiencies, signaling ongoing concerns that warrant careful consideration. The facility shows persistent issues with providing appropriate treatment and care according to physician orders, medication management, and protection from abuse and neglect. While most deficiencies have correction dates, recurring problems in these critical care areas appear across multiple surveys from 2023 through 2025.
Apr 17, 2026Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Dec 18, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jun 26, 2025Routine12
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
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.
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.
Apr 30, 2025Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Sep 3, 2024Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Jul 1, 2024Routine21
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Egress Deficiencies
Install proper backup exit lighting.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Federal Penalties
Fine
May 29, 2024
$137,709
Payment Denial
May 29, 2024
69-day denial
Fine
Jul 27, 2023
$34,028
Ownership & Operations
Who Operates This Facility
Carlinville Rehab & Hcc
for profit
Chain Affiliation
Tutera Senior Living & Health Care
26 facilities nationwide
Chain avg rating: 2.2/5 · Rank 20 of 25 (Worst)
Ownership & Management
Owners
Jct Family Limited Partnership
Owner · Organization
Tutera Investments, LLC
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
35 reviews from families & visitors
Official Website
Visit tutera.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.