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Nursing HomeMedicaid

Twin Willows Nursing Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

1600 North Broadway, Salem, IL 6288172 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
2.9/5

based on 10 Google reviews

5
4
3
2
1
Twin Willows Nursing Center Nursing Home in Salem, IL — Street View
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What this means for your family

Given the recent, severe report of medical negligence involving a patient's feeding requirements, we strongly advise families to exercise extreme caution. Please conduct an in-person visit and ask specifically about their protocols for patients with complex dietary needs and feeding tubes before considering this facility.

Google Reviews

Google Reviews

10 reviews on Google
Twin Willows Nursing Center lacks substantive feedback, with most reviews consisting of star ratings without comments. However, a recent, highly concerning report alleges dangerous negligence regarding the feeding of a patient with specific medical restrictions, which warrants extreme caution for prospective families.

Quality Themes

Tap a score for details
Food0.0Staff1.0CleanN/AActivitiesN/AMedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Facility capacity inquiries handled
  • Local guide engagement

Concerns

  • Serious medical negligence regarding patient feeding

Rating Trends

Tap a year to see what changed

2345.02016(1)4.82020(4)1.02022(1)1.02023(1)5.02024(1)1.02025(4)

Distribution · 12 analyzed

5
5
4
1
3
0
2
0
1
6

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the recent feedback regarding meal service, could you walk me through how you ensure residents receive proper nutrition and assistance during dining hours?
  • 2With a capacity of 72 residents, how do you maintain consistent, high-quality care across all shifts to ensure every resident's individual needs are met?
  • 3I noticed there have been some recent state violations; what specific steps has the facility taken to address those concerns and improve the overall quality of care?
  • 4Could you describe the daily activity schedule and how you encourage residents to stay engaged and social throughout the week?
  • 5In the event of a medical complication or emergency, what is your protocol for notifying family members and coordinating with local medical professionals?
  • 6I appreciate that you engage with local guides and families; how do you incorporate that community feedback into your ongoing staff training and operational improvements?

Personalized based on this facility's data


Key Review Excerpts

They attempted to mouth feed solid food to a woman with throat and mouth cancer, and a feeding tube.

Family member · 2025☆☆☆☆
Source: 10 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.54hrs
72%
Registered nurses for medical care
Total Nursing
3.74hrs
91%
All nurses + aides combined
Staff Turnover
41%
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 · 15 measures

Medicare Rating
1/ 5
Better Than Avg

8

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility10.0%
Better than Avg
Here
10.0%
US
12.1%
IL
52.5%
Marion
22.2%

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 Facility41.1%
Worse than Avg
Here
41.1%
US
15.3%
IL
15.9%
Marion
10.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility26.7%
Worse than Avg
Here
26.7%
US
14.4%
IL
14.2%
Marion
8.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility10.7%
Better than Avg
Here
10.7%
US
15.5%
IL
21.8%
Marion
11.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
IL
90.0%
Marion
92.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility12.5%
Better than Avg
Here
12.5%
US
19.4%
IL
21.1%
Marion
19.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility93.1%
Better than Avg
Here
93.1%
US
81.8%
IL
69.0%
Marion
79.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies
Near state avg (12.0)
1 complaint-triggered

Twin Willows shows recurring issues with fire safety systems and emergency preparedness across multiple surveys, with families filing at least one complaint about food handling. The facility has persistent problems with sprinkler system maintenance, fire alarm procedures, and emergency planning that appear in 2022, 2024, and 2025 inspections, suggesting ongoing safety concerns despite reported corrections.

Jan 16, 2025Routine
20
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.

0921Potential for harm · WidespreadCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0015Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

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.

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.

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0558Potential for harm · PatternCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0744Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0881Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Jul 8, 2024Complaint
1
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.

Jan 5, 2024Routine
10
0006Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0015Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0026Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0346Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

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.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0640Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

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.

Dec 15, 2022Routine
6
0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0007Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address patient/client population and determine types of services needed.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

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.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Twin Willows Nursing Center

Organization Type

for profit

Ownership & Management

Owners

Woodruff, Helen

Owner

95%

Woodruff, Jeffrey

Owner

5%

Key personnel

Woodruff, JeffreyOfficer / DirectorWoodruff, ToddOfficer / DirectorWoodruff, JeffreyOfficer / DirectorWoodruff, ToddOfficer / DirectorWoodruff, ToddManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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