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Nursing HomeMedicaid Investigative

Hilltop Skilled Nsg & Rehab

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

910 West Polk Street, Charleston, IL 61920108 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 80 Google reviews

5
4
3
2
1
Hilltop Skilled Nsg & Rehab Nursing Home in Charleston, IL — Street View
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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 (1/5 stars)
  • Above-median deficiencies (12 vs median 11.0)
  • High staff turnover (55%)
  • High RN turnover (56%)

Bottom 25% in IL · Below recommended RN staffing · Worst in CREST HEALTHCARE CONSULTING chain · $177,262 in fines · Abuse citation

Source: Medicare data

What this means for your family

Hilltop has a strong history of successful rehabilitation outcomes, but recent reviews indicate a concerning decline in consistency and basic care standards. If you choose this facility, it is essential to maintain a regular, unpredictable presence to monitor hygiene and medication administration, as multiple families have reported lapses in these critical areas.

Google Reviews

Google Reviews

80 reviews on Google
Hilltop Skilled Nursing & Rehab receives high praise for its rehabilitation therapy and compassionate nursing staff, with many families noting successful recoveries and a welcoming environment. However, recent reviews highlight significant concerns regarding inconsistent care, including reports of poor hygiene, slow response times, and medication errors. While many long-term experiences are positive, the facility appears to have struggled with staffing consistency in more recent years.

Quality Themes

Tap a score for details
Food8.0Staff7.0Clean6.0Activities8.0Meds3.0MemoryN/AComms6.0ValueN/A

Strengths

  • Highly effective physical and occupational therapy
  • Warm, attentive nursing and CNA staff
  • Clean and well-maintained facility
  • Strong communication with families during rehab stays

Concerns

  • Understaffing leading to slow response times (mentioned by 2 reviewers)
  • Poor hygiene and lack of assistance with personal care (mentioned by 2 reviewers)
  • Medication management errors (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'13(1)'19(3)'21(13)'23(8)'25(15)'26(3)

Distribution · 63 analyzed

5
47
4
4
3
4
2
0
1
8

How They Respond to Reviews

97%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1Given the recent feedback regarding response times, what specific protocols do you have in place to ensure residents receive timely assistance with call lights and daily personal care?
  • 2I noticed your facility is very active in responding to online feedback; how do you use that family input to improve the day-to-day quality of life for residents?
  • 3With your strong reputation for physical and occupational therapy, how do you integrate those rehab services into the daily schedule to ensure residents stay active and engaged?
  • 4Can you walk me through your current process for medication administration and the safety checks you have in place to prevent errors?
  • 5Since staffing levels are a priority for us, could you explain how you manage shift coverage to ensure consistent care, especially during peak hours?
  • 6What does a typical day look like for a resident here in terms of social activities and opportunities to interact with others outside of their therapy sessions?

Personalized based on this facility's data


Key Review Excerpts

The therapy department were miracle workers

Family member of resident · 2025★★★★★

The staff was very kind to her and she loved the food!!!! The therapists were top notch and were truly invested in her progress.

Family member of resident · 2021★★★★★

He went a week and four days without a shower! This was AFTER we called a meeting the first week regarding the insufficient care he was receiving. He had been left to sit in urine soaked pants for 2-3 hours at a time.

Family member of resident · 2025☆☆☆☆
Source: 80 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.51hrs
68%
Registered nurses for medical care
Total Nursing
3.47hrs
85%
All nurses + aides combined
Staff Turnover
53%
Lower is better (< 30% = good)
RN Turnover
43%
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
2/ 5
Better Than Avg

7

measures

Worse Than Avg

7

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility68.9%
Worse than Avg
Here
68.9%
US
12.1%
IL
52.5%
Coles
12.6%

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

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.0%
Better than Avg
Here
5.0%
US
15.5%
IL
21.8%
Coles
28.7%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility80.8%
Worse than Avg
Here
80.8%
US
95.5%
IL
91.8%
Coles
98.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.1%
Better than Avg
Here
12.1%
US
19.5%
IL
18.3%
Coles
23.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility13.1%
Better than Avg
Here
13.1%
US
14.4%
IL
14.2%
Coles
23.2%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility21.0%
Mixed vs Avgs
Here
21.0%
US
15.3%
IL
15.9%
Coles
21.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility62.0%
Worse than Avg
Here
62.0%
US
79.8%
IL
63.1%
Coles
66.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility71.0%
Mixed vs Avgs
Here
71.0%
US
81.8%
IL
69.0%
Coles
63.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.1%
Better than Avg
Here
1.1%
US
1.6%
IL
2.4%
Coles
2.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies
5penalties
Above state avg (12.0)
27 complaint-triggered
$177,262 in fines

Families have frequently filed complaints against this facility, triggering 23 of its 71 federal deficiencies. The most concerning pattern involves recurring violations of abuse and neglect protections, accident prevention and safety supervision, and dietary services. While the facility has corrected most issues, the persistent complaints and repeated safety violations across multiple surveys suggest ongoing care quality challenges that warrant careful consideration during any visit.

Apr 8, 2026Complaint
1
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.

Feb 11, 2026Complaint
3
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.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

May 20, 2025Complaint
2
0689Actual harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0602Potential for 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.

Oct 18, 2024Routine
13
0015Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0025Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Create arrangements with other facilities to receive patients.

0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0584Potential for harm · IsolatedCorrected

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.

0636Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0661Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0803Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Oct 1, 2024Complaint
3
0607Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Jul 19, 2024Complaint
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.

0610Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

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.

Federal Penalties

Fine

Jul 19, 2024

$53,768

Fine

Oct 28, 2023

$86,697

Payment Denial

Oct 28, 2023

24-day denial

Fine

Aug 28, 2023

$36,797

Payment Denial

Aug 28, 2023

7-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Hilltop Skilled Nsg & Rehab

Organization Type

for profit

Chain Affiliation

Chain Name

Crest Healthcare Consulting

Chain Size

13 facilities nationwide

Chain avg rating: 1.6/5 · Rank 8 of 13 (Worst)

Ownership & Management

Owners

Crest Illinois Holdco LLC

Owner · Organization

Crest I Tbd Holdco LLC

Owner (parent company) · Organization

Ecfjc Trust

Owner (parent company) · Organization

Il M Trust

Owner (parent company) · Organization

Jcecf Trust

Owner (parent company) · Organization

Mrs Windy City State Trust

Owner (parent company) · Organization

Tsdama Trust

Owner (parent company) · Organization

Lichtman, Shalom

Owner (parent company)

Key personnel

Capital Finance LLC5% or Greater Security InterestLichtman, ShalomManaging Control - Governing BodyCapital Finance LLCManagerLight Man LLCManagerDoughty, TylerManager
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 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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