Coulterville Rehab & Hcc
13138 State Route 13 · Coulterville, IL · 62237 · 6187582256
75 certified beds For profit - Corporation Chain: Tutera Senior Living & Health Care
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- No federal fines or payment denials in CMS’s 3-year window.
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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation 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.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
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: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.10 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.42 | 0.55–0.75 |
| Weekend hours / resident-day | 2.74 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (12 in the current record)
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Immediate jeopardy · J April 7, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 9, 2026 · Quality of Life and Care
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Potential for harm · E April 7, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 9, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 15, 2025 · found via complaint
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.
Corrected December 31, 2025 · Resident Rights
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Potential for harm · D August 30, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected September 20, 2024 · Quality of Life and Care
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Potential for harm · F August 30, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 20, 2024 · Nutrition and Dietary
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Actual harm · G July 21, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 15, 2023 · Quality of Life and Care
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Potential for harm · D July 21, 2023
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 15, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F July 21, 2023
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected August 15, 2023 · Nursing and Physician Services
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Potential for harm · F July 21, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 15, 2023 · Nutrition and Dietary
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Potential for harm · F July 21, 2023
Provide and implement an infection prevention and control program.
Corrected August 15, 2023 · Infection Control
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Potential for harm · E July 21, 2023
Implement a program that monitors antibiotic use.
Corrected August 15, 2023 · Infection Control
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Potential for harm · E July 21, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected August 15, 2023 · Infection Control
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 145993 · certified since May 1, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.