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Nursing HomeMedicaid Investigative

Carlinville Rehab & Hcc

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

751 North Oak Street, Carlinville, IL 6262698 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 35 Google reviews

5
4
3
2
1
Carlinville Rehab & Hcc Nursing Home in Carlinville, IL — Street View
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6/ 10
high Risk

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

Source: Medicare data

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 details
Food4.0Staff6.0Clean3.0Activities8.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • 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

2341.0'17(1)5.04.0'19(4)4.34.4'23(7)3.83.8'25(4)5.0'26(5)

Distribution · 37 analyzed

5
28
4
1
3
0
2
1
1
7

How They Respond to Reviews

93%response rate

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.

Rehab patient · 2025★★★★

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?

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

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.

Long-term resident's family · 2024☆☆☆☆
Source: 35 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.36hrs
47%
Registered nurses for medical care
Total Nursing
3.06hrs
75%
All nurses + aides combined

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
2/ 5
Better Than Avg

6

measures

Worse Than Avg

6

measures

Mixed Results

5

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility38.1%
Mixed vs Avgs
Here
38.1%
US
12.1%
IL
52.5%
Macoupin
70.6%

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

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility66.4%
Worse than Avg
Here
66.4%
US
93.4%
IL
90.0%
Macoupin
89.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility30.2%
Worse than Avg
Here
30.2%
US
15.3%
IL
15.9%
Macoupin
14.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.0%
Better than Avg
Here
13.0%
US
19.5%
IL
18.3%
Macoupin
26.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility29.8%
Mixed vs Avgs
Here
29.8%
US
19.4%
IL
21.1%
Macoupin
31.1%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility85.2%
Worse than Avg
Here
85.2%
US
95.5%
IL
91.8%
Macoupin
92.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility23.1%
Worse than Avg
Here
23.1%
US
81.8%
IL
69.0%
Macoupin
58.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility27.5%
Worse than Avg
Here
27.5%
US
79.8%
IL
63.1%
Macoupin
69.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility4.1%
Worse than Avg
Here
4.1%
US
1.6%
IL
2.4%
Macoupin
2.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies
3penalties
Above state avg (12.0)
15 complaint-triggered
$171,737 in fines

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, 2026Complaint
1
0600Potential for harm · IsolatedCorrected

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, 2025Complaint
1
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jun 26, 2025Routine
12
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.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0883Potential for harm · PatternCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0600Potential for harm · IsolatedCorrected

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.

0605Potential for harm · IsolatedCorrected

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.

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.

0761Potential for harm · IsolatedCorrected

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, 2025Complaint
1
0755Potential for harm · PatternCorrected

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, 2024Complaint
1
0602Actual harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Jul 1, 2024Routine
21
0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

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.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0346Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0741Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0281Potential for harm · Pattern

Egress Deficiencies

Install proper backup exit lighting.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0690Potential for harm · PatternCorrected

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0625Potential for harm · IsolatedCorrected

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.

0694Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761Potential for harm · IsolatedCorrected

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

Owner / Operator

Carlinville Rehab & Hcc

Organization Type

for profit

Chain Affiliation

Chain Name

Tutera Senior Living & Health Care

Chain Size

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

Tutera, JosephOfficer / DirectorBloom, RandallOfficer / DirectorBrooks, KileyOfficer / DirectorWalnut Creek Management Company LLCManagerBloom, RandallManager
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 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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