Decatur Rehab & Health Care Ct
136 South Dipper Lane · Decatur, IL · 62522 · 2174287767
58 certified beds For profit - Corporation
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- 5 citations involved actual harm to residents.
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
Cited under the freedom-from-abuse rule
Cited 4 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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: not rated
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $25,500 |
Inspection citations (89 in the current record)
-
Potential for harm · E November 13, 2024 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected November 14, 2024 · Resident Rights
-
Potential for harm · E November 13, 2024 · found via complaint
Plan the resident's discharge to meet the resident's goals and needs.
Corrected November 14, 2024 · Resident Assessment and Care Planning
-
Actual harm · G September 25, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 18, 2024 · Quality of Life and Care
-
Potential for harm · D September 25, 2024
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 October 18, 2024 · Resident Rights
-
Potential for harm · D September 25, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E September 25, 2024
Ensure each resident receives an accurate assessment.
Corrected October 18, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D September 25, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected October 18, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D September 25, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 18, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D September 25, 2024
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected October 18, 2024 · Quality of Life and Care
-
Potential for harm · E September 25, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 18, 2024 · Quality of Life and Care
-
Potential for harm · D September 25, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 18, 2024 · Quality of Life and Care
-
Potential for harm · D September 25, 2024
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.
Corrected October 18, 2024 · Pharmacy Service
-
Potential for harm · E September 25, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected October 18, 2024 · Pharmacy Service
-
Potential for harm · F September 25, 2024
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 November 13, 2024 · Pharmacy Service
-
Potential for harm · F September 25, 2024
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected November 13, 2024 · Nutrition and Dietary
-
Potential for harm · D September 25, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected October 18, 2024 · Nutrition and Dietary
-
Potential for harm · D September 25, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected October 18, 2024 · Nutrition and Dietary
-
Potential for harm · F September 25, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 13, 2024 · Nutrition and Dietary
-
Potential for harm · F September 25, 2024
Implement a program that monitors antibiotic use.
Corrected October 18, 2024 · Infection Control
-
Potential for harm · D September 25, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected October 18, 2024 · Infection Control
-
Potential for harm · F September 25, 2024
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected October 18, 2024 · Environmental
-
Potential for harm · D September 25, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected October 18, 2024 · Environmental
-
Potential for harm · F September 19, 2024 · found via complaint
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 October 8, 2024 · Nursing and Physician Services
-
Potential for harm · D August 20, 2024 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected September 6, 2024 · Resident Rights
-
Potential for harm · D August 20, 2024 · 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 September 6, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 19, 2024 | Fine | $25,500 |
| September 19, 2024 | Payment Denial | 23 days |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 14E848 · certified since October 23, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.