Nursing HomeMedicaid Investigative

Coulterville Rehab & Hcc

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

13138 State Route 13, Coulterville, IL 62237|75 beds|Licensed & Active

2/5

Medicare

Inspection

Quality

Staffing

Google rating

4.9/5

based on 46 Google reviews

(618) 758-2256 Directions Website

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1/ 10

low Risk

Quality Concerns Identified

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

Low staffing rating (2/5 stars)

Top 25% in IL · Below recommended RN staffing · Chain outperformer · No penalties on record · Very few deficiencies

Source: Medicare data

What this means for your family

This facility is highly regarded for its cleanliness and dedicated therapy staff, making it a strong candidate for rehabilitation needs. While the facility has received excellent feedback recently, we recommend scheduling a tour to observe staff-resident interactions firsthand to ensure they align with your expectations for care.

Google Reviews

46 reviews on Google

“Coulterville Rehab & HCC receives overwhelmingly positive feedback from families and staff, who frequently praise the facility's cleanliness and the compassionate, attentive nature of the nursing and therapy teams. While the vast majority of reviews are highly favorable, one older review from 2019 raised concerns regarding staff professionalism and facility hygiene, though recent feedback suggests significant improvements under new leadership.”

Quality Themes

Tap a score for details

Strengths

Clean, well-maintained environment
Compassionate and attentive nursing staff
Effective rehab and therapy services
Strong, supportive leadership

Concerns

Inconsistent staff professionalism and poor bedside manner

Rating Trends

Tap a year to see what changed

Distribution · 49 analyzed

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

1I noticed your leadership team is very active in responding to feedback online; how do you use that family input to shape the daily care experience here?
2With a 75-resident capacity, how do you ensure that every resident receives consistent, personalized attention throughout the day?
3I see your rehab services are highly regarded; how do you integrate those therapy goals into the resident's daily routine and social activities?
4Sometimes families worry about the consistency of bedside manner; what kind of ongoing training or mentorship do you provide to ensure staff maintain a compassionate approach with every interaction?
5Given the current staffing levels, what is your process for ensuring that residents' non-medical needs, like companionship and assistance with daily tasks, are consistently met?
6How does your nursing team communicate with families when there is a change in a resident's health status or an urgent medical situation?

Personalized based on this facility's data

Key Review Excerpts

“My mother, Margaret, received THE BEST care here. She was challenged to work hard with OT/PT and all the staff were most caring.”

Long-term resident's family · 2022★★★★★

“I’ve picked up a few shifts here now & I can say with complete honesty this facility is wonderful . The staff is great , they’re kind & attentive , they’re helpful .”

Staff member · 2024★★★★★

“My sister has been a patient since dec 16 and she goes home today. The staff has been outstanding. I would highly recommend this facility.”

Long-term resident's family · 2026★★★★★

Source: 46 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.42hrs

56%

Registered nurses for medical care

Total Nursing

3.10hrs

76%

All nurses + aides combined

Staff Turnover

49%

Lower is better (< 30% = good)

RN Turnover

29%

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

3/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

😔

Residents with depression symptoms

↓ Lower is better

This Facility9.5%

Better than Avg

Here

9.5%

12.1%

52.5%

Randolph

10.5%

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 Facility3.3%

Better than Avg

Here

3.3%

15.3%

15.9%

Randolph

17.9%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility4.1%

Better than Avg

Here

4.1%

14.4%

14.2%

Randolph

16.4%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility11.5%

Better than Avg

Here

11.5%

15.5%

21.8%

Randolph

23.2%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

93.4%

90.0%

Randolph

96.2%

⚖️

Residents who lost too much weight

↓ Lower is better

This Facility12.6%

Worse than Avg

Here

12.6%

5.3%

6.6%

Randolph

5.5%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility82.1%

Mixed vs Avgs

Here

82.1%

79.8%

63.1%

Randolph

86.1%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility85.8%

Better than Avg

Here

85.8%

81.8%

69.0%

Randolph

82.8%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility3.4%

Worse than Avg

Here

3.4%

1.6%

2.4%

Randolph

1.2%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies

Well below state avg (12.0)

3 complaint-triggered

Coulterville Rehab has a moderate inspection record with 12 deficiencies across three surveys, including a recent complaint filed by families regarding resident living conditions. The most recurring issues involve infection control, food safety and nutrition, and safety hazards. While all deficiencies have been corrected by the provider, families should note the pattern of food-related violations appearing in multiple inspections and the complaint-triggered deficiency in December 2024.

Apr 7, 2026Complaint2 findings

0689Immediate jeopardy · 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.

0600Potential for harm · PatternCorrected

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 15, 2025Complaint1 finding

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Aug 30, 2024Routine3 findings

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.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Jul 21, 2023Routine8 findings

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.

0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

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.

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.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0881Potential for harm · PatternCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0883Potential for harm · PatternCorrected

Infection Control Deficiencies

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

0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Coulterville 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 2 of 25

Ownership & Management

Owners

Jct Family Limited Partnership

Owner · Organization

Jct Investments, LLC

Owner · Organization

Dominic Frank Tutera 2016 Irrv Tr