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Nursing HomeMedicaid Investigative

Timbercreek Rehab and Health Care Center

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

2220 State Street, Pekin, IL 61554202 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
2.7/5

based on 40 Google reviews

5
4
3
2
1
Timbercreek Rehab and Health Care Center Nursing Home in Pekin, 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 (23 vs median 11.0)
  • High staff turnover (67%)
  • High RN turnover (83%)

Bottom 25% in IL · Critically understaffed (RN) · Worst in PETERSEN HEALTH CARE chain · $213,731 in fines · Abuse citation

Source: Medicare data

What this means for your family

While some families report positive interactions with individual staff members, the facility has a long-standing history of concerns regarding cleanliness, medication management, and administrative responsiveness. We strongly recommend that you conduct an unannounced visit to assess the environment yourself and ask for a clear plan on how they monitor resident property and medical needs.

Google Reviews

Google Reviews

40 reviews on Google
Timbercreek Rehab and Health Care Center faces consistent, long-standing criticism regarding facility maintenance, cleanliness, and administrative communication. While a subset of reviewers praises individual staff members for their dedication, many families report significant concerns about neglect, theft of personal property, and poor responsiveness to urgent needs.

Quality Themes

Tap a score for details
Food4.0Staff4.0Clean1.0ActivitiesN/AMeds1.0MemoryN/AComms2.0ValueN/A

Strengths

  • Dedicated individual nursing and therapy staff
  • Positive experiences with specific rehab services
  • Some families report responsive and kind care

Concerns

  • Persistent unpleasant odors and poor facility maintenance (mentioned by 6 reviewers)
  • Staff unresponsiveness and lack of supervision (mentioned by 5 reviewers)
  • Theft of resident personal property (mentioned by 2 reviewers)
  • Poor communication and difficulty reaching administration (mentioned by 3 reviewers)
  • Inadequate medication management (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'14(1)'19(3)'22(5)'24(3)'26(8)

Distribution · 41 analyzed

5
17
4
1
3
0
2
1
1
22

How They Respond to Reviews

33%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1Given the size of the facility, what specific protocols are in place to ensure consistent daily supervision and timely responses to resident call lights?
  • 2I noticed some concerns regarding facility maintenance and odors; what is your current plan for deep cleaning and improving the overall environment for residents?
  • 3How do you manage the security of personal belongings in resident rooms to ensure that items remain safe and accounted for?
  • 4Communication is very important to our family; what is the best way to get regular updates from your administration, and how do you handle inquiries regarding care plans?
  • 5Could you walk me through your process for medication management to ensure that dosages and timing are handled accurately for each resident?
  • 6What social activities or daily engagement programs are available to help residents feel connected and active within the community?

Personalized based on this facility's data


Key Review Excerpts

The people who choose to show up and care for residents there, day in and day out, are nothing short of extraordinary.

Family member · 2025★★★★★

I heard a nurse call alarm as I walked past the first set of rooms and when I left 20 minutes later it was still going off without anyone checking on the patient.

Visitor · 2018☆☆☆☆

The staff is extremely kind, courteous, helpful, and call me if there is ever an issue.

Family member · 2025☆☆☆☆
Source: 40 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.23hrs
31%
Registered nurses for medical care
Total Nursing
3.64hrs
89%
All nurses + aides combined
Staff Turnover
71%
Lower is better (< 30% = good)
RN Turnover
92%
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

1

measures

Worse Than Avg

13

measures

Mixed Results

2

measures

Similar to Avg

1

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility34.0%
Worse than Avg
Here
34.0%
US
93.4%
IL
90.0%
Tazewell
78.0%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility49.0%
Worse than Avg
Here
49.0%
US
95.5%
IL
91.8%
Tazewell
85.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility27.1%
Mixed vs Avgs
Here
27.1%
US
12.1%
IL
52.5%
Tazewell
43.4%

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 Facility35.7%
Worse than Avg
Here
35.7%
US
15.3%
IL
15.9%
Tazewell
21.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility28.1%
Worse than Avg
Here
28.1%
US
14.4%
IL
14.2%
Tazewell
17.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility30.3%
Worse than Avg
Here
30.3%
US
19.5%
IL
18.3%
Tazewell
22.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility12.2%
Worse than Avg
Here
12.2%
US
79.8%
IL
63.1%
Tazewell
54.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility19.3%
Worse than Avg
Here
19.3%
US
81.8%
IL
69.0%
Tazewell
59.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
IL
2.4%
Tazewell
0.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

22deficiencies
9penalties
Well above state avg (12.0)
37 complaint-triggered
$213,731 in fines

Timbercreek has a concerning pattern of 39 complaint-triggered deficiencies where families filed reports with federal inspectors. The facility repeatedly struggles with accident prevention and supervision, pressure ulcer care, and medication management, with accident hazards appearing in complaints from 2023 through 2024. Additional issues include abuse protection failures and inadequate nursing staffing. While all deficiencies show correction dates, the recurring nature of safety problems warrants careful consideration.

Mar 28, 2026Complaint
2
0689Immediate jeopardy · WidespreadCorrected

Quality of Life and Care Deficiencies

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

0944Potential for harm · WidespreadCorrected

Administration Deficiencies

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Dec 6, 2025Complaint
2
0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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.

Aug 25, 2025Complaint
3
0580Actual harm · IsolatedCorrected

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.

0725Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jul 16, 2025Complaint
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.

Jun 11, 2025Complaint
1
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.

Apr 28, 2025Complaint
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.

Federal Penalties

Fine

Dec 12, 2024

$16,965

Fine

Oct 4, 2024

$31,993

Payment Denial

Jul 25, 2024

25-day denial

Fine

Jul 25, 2024

$52,679

Payment Denial

Mar 13, 2024

9-day denial

Fine

Mar 13, 2024

$22,950

Payment Denial

Nov 17, 2023

32-day denial

Fine

Nov 17, 2023

$62,654

Fine

Sep 21, 2023

$9,263

Ownership & Operations

Who Operates This Facility

Owner / Operator

Timbercreek Rehab and Health Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Petersen Health Care

Chain Size

12 facilities nationwide

Chain avg rating: 1.6/5 · Rank 7 of 13 (Worst)

Ownership & Management

Owners

Petersen, Mark

Owner

Key personnel

Petersen, MarkOfficer / DirectorWoodle, JeremyManager
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.

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