Hillcrest Home

14688 Illinois Highway 82 · Geneseo, IL · 61254 · 3099442147

99 certified beds Government - City/county

  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 73 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Red flags

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.

98% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 52
Serious harm & abuse 20% 94
Staffing 20% 56
Federal penalties 15% 100
Trend 10% 70
Context 5% 100

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

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.503.48 min · 4.1 strong
RN hours / resident-day0.610.55–0.75
Weekend hours / resident-day2.85≈ weekday level
Nursing turnover / year98%median 45%
Fines (3-yr window)none

Inspection citations (17 in the current record)

  • Potential for harm · D May 23, 2025

    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 June 18, 2025 · Resident Rights

  • Potential for harm · E May 23, 2025

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected June 18, 2025 · Resident Rights

  • Potential for harm · E May 23, 2025

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

    Corrected June 18, 2025 · Quality of Life and Care

  • Potential for harm · D May 23, 2025

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

    Corrected June 18, 2025 · Quality of Life and Care

  • Potential for harm · F May 23, 2025

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

    Corrected June 18, 2025 · Nutrition and Dietary

  • Potential for harm · F May 23, 2025

    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

    Corrected June 18, 2025 · Administration

  • No harm found · C May 23, 2025

    Post nurse staffing information every day.

    Corrected June 18, 2025 · Nursing and Physician Services

  • Potential for harm · D June 24, 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 July 9, 2024 · Resident Rights

  • Actual harm · G May 31, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected June 20, 2024 · Resident Rights

  • Potential for harm · D May 31, 2024

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

    Corrected June 20, 2024 · Quality of Life and Care

  • Potential for harm · D May 31, 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 June 20, 2024 · Pharmacy Service

  • Potential for harm · F May 31, 2024

    Implement a program that monitors antibiotic use.

    Corrected June 20, 2024 · Infection Control

  • Potential for harm · F May 31, 2024

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected June 20, 2024 · Environmental

  • Potential for harm · D April 23, 2024 · found via complaint

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

    Corrected May 2, 2024 · Quality of Life and Care

  • Potential for harm · D February 7, 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 February 27, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E November 15, 2023 · found via complaint

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

    Corrected December 4, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 7, 2023

    Provide and implement an infection prevention and control program.

    Corrected April 19, 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 145949 · certified since February 1, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.