See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Investigative

Freeburg Care Center

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

746 Urbanna Drive, Freeburg, IL 62243118 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 19 Google reviews

5
4
3
2
1
Freeburg Care Center Nursing Home in Freeburg, IL — Street View
Street View

Watch Freeburg Care Center

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

8/ 10
critical 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 (2/5 stars)
  • Above-median deficiencies (12 vs median 11.0)
  • High staff turnover (55%)
  • High RN turnover (73%)

Bottom 25% in IL · Critically understaffed (RN) · Above average staffing · $101,294 in fines · Abuse citation

Source: Medicare data

What this means for your family

Freeburg Care Center is highly regarded for its cleanliness and compassionate staff, making it a strong candidate for families prioritizing a warm environment. However, given the serious medical concern raised by one family and the warning from an agency nurse, we recommend that you ask detailed questions about their clinical oversight protocols and staffing ratios during your tour.

Google Reviews

Google Reviews

19 reviews on Google
Freeburg Care Center receives high praise for its clean environment, lack of odors, and a staff that is consistently described as caring and attentive. While most families report positive experiences with long-term and hospice care, there are isolated concerns regarding medical oversight and warnings from agency staff about working conditions.

Quality Themes

Tap a score for details
FoodN/AStaff9.0Clean10.0Activities8.0MedsN/AMemoryN/AComms8.0Value8.0

Strengths

  • Clean, odor-free facility
  • Kind and attentive nursing staff
  • Strong therapy department
  • Supportive hospice and end-of-life care

Concerns

  • Concerns regarding medical oversight and health outcomes (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.0'16(1)5.05.0'20(1)5.04.4'23(7)3.05.0'25(3)4.0'26(2)

Distribution · 20 analyzed

5
17
4
0
3
1
2
0
1
2

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the facility's current CMS health inspection rating, what specific steps are you taking to improve your clinical oversight and health outcome protocols?
  • 2I noticed your staffing rating is currently lower; how do you ensure that the nursing staff has enough time to provide the attentive, personalized care that many families have praised in your reviews?
  • 3With 12 state violations reported in the last year, could you walk me through your process for addressing these findings and how you ensure long-term compliance?
  • 4Many families have highlighted how clean and odor-free the facility is; how do you maintain that environment while balancing the demands of a 118-resident capacity?
  • 5Since your therapy department is highly regarded, how do you integrate those services into the daily routines of residents to help them maintain their mobility and independence?
  • 6How do you coordinate with primary physicians and specialists to ensure that medical oversight is consistent and proactive for residents with complex health needs?

Personalized based on this facility's data


Key Review Excerpts

I have been to nursing homes that smell awful.! Every day the patients games to play, and bingo is a favorite.

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

The staff there was extremely caring, not only to my mother, but to our whole family. Even in these difficult days of COVID, they made sure we could communicate with her the best we could.

Hospice family member · 2021★★★★★

Many thanks to Rebecca at Freeburg Care Center for the extra help getting mom’s hearing aids to Beltone for repair.

Resident's family · 2025★★★★★
Source: 19 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.25hrs
33%
Registered nurses for medical care
Total Nursing
3.71hrs
90%
All nurses + aides combined
Staff Turnover
53%
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
1/ 5
Better Than Avg

6

measures

Worse Than Avg

7

measures

Mixed Results

4

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
IL
52.5%
St. clair
36.1%

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

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility29.7%
Worse than Avg
Here
29.7%
US
14.4%
IL
14.2%
St. clair
13.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility29.1%
Worse than Avg
Here
29.1%
US
15.3%
IL
15.9%
St. clair
14.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.1%
Better than Avg
Here
8.1%
US
15.5%
IL
21.8%
St. clair
20.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
IL
90.0%
St. clair
89.8%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility94.8%
Mixed vs Avgs
Here
94.8%
US
95.5%
IL
91.8%
St. clair
88.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.9%
Better than Avg
Here
98.9%
US
81.8%
IL
69.0%
St. clair
71.6%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility69.0%
Mixed vs Avgs
Here
69.0%
US
79.8%
IL
63.1%
St. clair
59.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility5.4%
Worse than Avg
Here
5.4%
US
1.6%
IL
2.4%
St. clair
2.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
7penalties
Near state avg (12.0)
10 complaint-triggered
$101,294 in fines

This facility shows concerning patterns with families filing 10 complaints that triggered federal inspections, revealing ongoing issues with accident prevention, neglect protection, and resident communication. The most recurring problems involve accident hazards and supervision (cited 5 times), abuse and neglect protections (cited 4 times), and fire safety systems. While all deficiencies show correction dates, the persistence of accident prevention and neglect issues across multiple years, including recent complaints through 2025, suggests systemic challenges that warrant careful consideration during any visit.

Jan 13, 2026Complaint
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 21, 2025Complaint
1
0600Actual 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.

May 30, 2025Complaint
4
0552Actual harm · IsolatedResolved (past non-compliance)

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0684Actual harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

0580Potential for harm · IsolatedResolved (past non-compliance)

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0628Potential for harm · IsolatedResolved (past non-compliance)

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Aug 30, 2024Routine
10
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

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.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Dec 12, 2023Complaint
3
0600Actual 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.

0609Potential for harm · WidespreadCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · WidespreadCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Sep 22, 2023Routine
10
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.

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.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0583Potential for harm · PatternCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0521Potential for harm · PatternCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0690Potential for harm · IsolatedCorrected

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.

Federal Penalties

Fine

Nov 26, 2025

$14,810

Fine

Oct 21, 2025

$48,500

Fine

Aug 30, 2024

$28,373

Fine

Dec 12, 2023

$38,420

Payment Denial

Dec 12, 2023

4-day denial

Payment Denial

Sep 1, 2023

38-day denial

Fine

Sep 1, 2023

$34,501

Ownership & Operations

Who Operates This Facility

Owner / Operator

Freeburg Care Center

Organization Type

for profit

Ownership & Management

Owners

Holland, Barbara

Owner

7%

Parrish, Herschel

Owner

14%

Schaufler, John

Owner

21%

Stumpf, Carolyn

Owner

7%

Towers, Brad

Owner

7%

Key personnel

Heiligenstein, FrankOfficer / DirectorLickenbrock, DaleOfficer / DirectorRhutasel, LarryOfficer / DirectorSchaufler, JohnOfficer / DirectorRhutasel, LarryOfficer / 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.

Call