Hilltop Skilled Nsg & Rehab
910 West Polk Street · Charleston, IL · 61920 · 2173457066
108 certified beds For profit - Limited Liability company Chain: Crest Healthcare Consulting
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $53,768 in fines in the last 24 months.
- 8 citations involved actual harm to residents.
- 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
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$53,768 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
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: 2 of 5
| Total nurse hours / resident-day | 3.47 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.51 | 0.55–0.75 |
| Weekend hours / resident-day | 3.11 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | 3 · $177,262 |
Inspection citations (64 in the current record)
-
Potential for harm · D April 8, 2026 · found via complaint
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 April 14, 2026 · Quality of Life and Care
-
Potential for harm · E February 11, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 28, 2026 · Quality of Life and Care
-
Potential for harm · F February 11, 2026 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected February 28, 2026 · Nutrition and Dietary
-
Potential for harm · F February 11, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 28, 2026 · Nutrition and Dietary
-
Actual harm · G May 20, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 9, 2025 · Quality of Life and Care
-
Potential for harm · D May 20, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected April 24, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D October 18, 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 24, 2024 · Resident Rights
-
Potential for harm · D October 18, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected October 24, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D October 18, 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 24, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D October 18, 2024
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected October 24, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D October 18, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 24, 2024 · Quality of Life and Care
-
Potential for harm · D October 18, 2024
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
-
Potential for harm · D October 18, 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 24, 2024 · Pharmacy Service
-
Potential for harm · D October 18, 2024
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected October 24, 2024 · Nutrition and Dietary
-
Potential for harm · E October 18, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected October 24, 2024 · Nutrition and Dietary
-
Potential for harm · D October 18, 2024
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected October 24, 2024 · Nutrition and Dietary
-
Potential for harm · D October 1, 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 October 24, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E October 1, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected October 24, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D October 1, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 24, 2024 · Resident Assessment and Care Planning
-
Actual harm · G July 19, 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 August 12, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G July 19, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected August 12, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D July 19, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 12, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D February 26, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 27, 2024 · Quality of Life and Care
-
Potential for harm · F January 27, 2024 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected February 6, 2024 · Environmental
-
Potential for harm · D December 5, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 21, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 19, 2024 | Fine | $53,768 |
| October 28, 2023 | Fine | $86,697 |
| October 28, 2023 | Payment Denial | 24 days |
| August 28, 2023 | Fine | $36,797 |
| August 28, 2023 | Payment Denial | 7 days |
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 145862 · certified since January 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.