Dixon Rehab & Hcc

800 Division Street · Dixon, IL · 61021 · 8152843393

97 certified beds For profit - Corporation Chain: Tutera Senior Living & Health Care

Why this verdict

  • Federal penalties on record: $34,753 in fines in the last 24 months.
  • 6 citations involved actual harm to residents.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

3 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.

Score breakdown

Inspection record 30% of score 42
Serious harm & abuse 20% 70
Staffing 20% 66
Federal penalties 15% 38
Trend 10% 49
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day3.223.48 min · 4.1 strong
RN hours / resident-day0.680.55–0.75
Weekend hours / resident-day2.81≈ weekday level
Nursing turnover / year33%median 45%
Fines (3-yr window)2 · $34,753

Inspection citations (21 in the current record)

  • Actual harm · G January 15, 2025 · found via complaint

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

    Corrected January 16, 2025 · Quality of Life and Care

  • Actual harm · G November 23, 2024 · found via complaint

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

    Corrected November 25, 2024 · Quality of Life and Care

  • Potential for harm · D November 6, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected November 11, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G October 23, 2024

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

    Corrected October 24, 2024 · Quality of Life and Care

  • Actual harm · G October 23, 2024 · found via complaint

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

    Corrected October 24, 2024 · Quality of Life and Care

  • Actual harm · G October 23, 2024 · found via complaint

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

    Corrected October 24, 2024 · Quality of Life and Care

  • Potential for harm · D October 23, 2024

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected October 24, 2024 · Quality of Life and Care

  • Potential for harm · E October 23, 2024

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

    Corrected November 25, 2024 · Quality of Life and Care

  • Potential for harm · D October 23, 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 24, 2024 · Quality of Life and Care

  • Potential for harm · D October 23, 2024

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected October 24, 2024 · Quality of Life and Care

  • Potential for harm · D October 23, 2024

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected October 24, 2024 · Pharmacy Service

  • Potential for harm · D October 23, 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 24, 2024 · Pharmacy Service

  • Potential for harm · F October 23, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected October 24, 2024 · Nutrition and Dietary

  • Actual harm · G February 20, 2024 · found via complaint

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

    Corrected March 8, 2024 · Quality of Life and Care

  • Potential for harm · D December 21, 2023

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

    Corrected January 12, 2024 · Quality of Life and Care

  • Potential for harm · D December 21, 2023

    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 December 22, 2023 · Quality of Life and Care

  • Potential for harm · D December 21, 2023

    Provide and implement an infection prevention and control program.

    Corrected December 22, 2023 · Infection Control

  • Potential for harm · D October 19, 2023 · found via complaint

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected October 20, 2023 · Resident Rights

  • Potential for harm · D January 19, 2023

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected January 20, 2023 · Quality of Life and Care

  • Potential for harm · D January 19, 2023

    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 January 19, 2023 · Quality of Life and Care

  • Potential for harm · D January 19, 2023

    Provide and implement an infection prevention and control program.

    Corrected January 26, 2023 · Infection Control

Federal penalties

DateTypeAmount / length
January 15, 2025Fine$14,505
October 23, 2024Fine$20,248
October 23, 2024Payment Denial11 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145906 · certified since November 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.