Fondulac Rehabilitation and Health Care Center
901 Illini Drive · East Peoria, IL · 61611 · 3096946446
98 certified beds For profit - Corporation Chain: Petersen Health Care
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $146,601 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
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 prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$146,601 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.28 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
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 | 3.06 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.28 | 0.55–0.75 |
| Weekend hours / resident-day | 2.66 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $146,601 |
Inspection citations (61 in the current record)
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Immediate jeopardy · J May 28, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J May 28, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 11, 2025 · Quality of Life and Care
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Potential for harm · F May 28, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F May 28, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F May 28, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected June 11, 2025 · Administration
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Potential for harm · F May 28, 2025 · found via complaint
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected June 11, 2025 · Administration
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Potential for harm · F May 28, 2025 · found via complaint
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected June 11, 2025 · Infection Control
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Potential for harm · F May 28, 2025 · found via complaint
Provide training in compliance and ethics.
Corrected June 11, 2025 · Administration
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Potential for harm · F May 28, 2025 · found via complaint
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected June 11, 2025 · Administration
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Actual harm · G March 21, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 14, 2025 · Quality of Life and Care
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Actual harm · G August 21, 2024
Ensure that residents are free from significant medication errors.
Corrected October 27, 2024 · Pharmacy Service
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Potential for harm · E August 21, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected October 1, 2024 · Resident Rights
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Potential for harm · E August 21, 2024
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected October 27, 2024 · Resident Rights
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Potential for harm · D August 21, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected October 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 21, 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 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 21, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 27, 2024 · Quality of Life and Care
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Potential for harm · D August 21, 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 October 1, 2024 · Quality of Life and Care
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Potential for harm · F August 21, 2024
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 1, 2024 · Nursing and Physician Services
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Potential for harm · E August 21, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 27, 2024 · Pharmacy Service
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Potential for harm · D August 21, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected October 1, 2024 · Pharmacy Service
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Potential for harm · D August 21, 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 1, 2024 · Pharmacy Service
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Potential for harm · D August 21, 2024
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected October 27, 2024 · Administration
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Potential for harm · F August 21, 2024
Provide and implement an infection prevention and control program.
Corrected October 1, 2024 · Infection Control
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Potential for harm · D August 21, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 1, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 21, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected October 1, 2024 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 28, 2025 | Fine | $136,243 |
| May 28, 2025 | Payment Denial | 4 days |
| March 21, 2025 | Fine | $10,358 |
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 145266 · certified since December 26, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.