Arcadia Care on the Hill
555 West Carpenter · Springfield, IL · 62702 · 2175251880
251 certified beds For profit - Corporation Chain: Arcadia Care
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.15 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.61 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.61 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.15 | 0.55–0.75 |
| Weekend hours / resident-day | 2.44 | ≈ weekday level |
| Nursing turnover / year | 33% | median 45% |
| Fines (3-yr window) | 2 · $57,030 |
Inspection citations (36 in the current record)
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Actual harm · G April 22, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 1, 2026 · Quality of Life and Care
-
Potential for harm · D November 26, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 9, 2025 · Quality of Life and Care
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Actual harm · G October 17, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 28, 2025 · Quality of Life and Care
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Immediate jeopardy · L September 17, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 18, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J September 17, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected November 15, 2025 · Pharmacy Service
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Potential for harm · D September 17, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 25, 2025 · Quality of Life and Care
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Potential for harm · D September 17, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 25, 2025 · Quality of Life and Care
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Potential for harm · D September 17, 2025
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected September 25, 2025 · Quality of Life and Care
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Potential for harm · F September 17, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected September 25, 2025 · Pharmacy Service
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Potential for harm · F September 17, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 25, 2025 · Nutrition and Dietary
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Potential for harm · E September 17, 2025
Provide and implement an infection prevention and control program.
Corrected September 25, 2025 · Infection Control
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Potential for harm · D June 24, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 1, 2025 · Quality of Life and Care
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Potential for harm · D May 5, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 9, 2025 · Quality of Life and Care
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Potential for harm · D October 29, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 4, 2024 · Resident Rights
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Potential for harm · E July 24, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected August 8, 2024 · Resident Rights
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Potential for harm · E July 24, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected August 8, 2024 · Quality of Life and Care
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Potential for harm · D July 24, 2024
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected August 8, 2024 · Quality of Life and Care
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Potential for harm · D July 24, 2024
Ensure that residents are free from significant medication errors.
Corrected August 8, 2024 · Pharmacy Service
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Potential for harm · F July 24, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 8, 2024 · Nutrition and Dietary
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Potential for harm · F July 24, 2024
Provide and implement an infection prevention and control program.
Corrected August 8, 2024 · Infection Control
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Actual harm · G May 16, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected June 3, 2024 · Quality of Life and Care
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Potential for harm · D April 1, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 10, 2024 · Pharmacy Service
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Actual harm · G January 17, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 9, 2024 · Quality of Life and Care
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Potential for harm · D January 17, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 9, 2024 · Quality of Life and Care
-
Potential for harm · D January 17, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected February 9, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 17, 2025 | Payment Denial | 62 days |
| April 1, 2024 | Fine | $47,515 |
| August 24, 2023 | Fine | $9,515 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145160 · certified since May 23, 1969. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.