Imboden Creek Senior Living
180 West Imboden · Decatur, IL · 62521 · 2174226464
95 certified beds For profit - Limited Liability company Chain: Wlc Management Firm
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $255,767 in fines in the last 24 months.
- 5 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
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
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.
$255,767 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.16 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.91 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
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: 1 of 5
| Total nurse hours / resident-day | 2.91 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.16 | 0.55–0.75 |
| Weekend hours / resident-day | 2.73 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | 5 · $379,323 |
Inspection citations (77 in the current record)
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Potential for harm · F November 28, 2025 · found via complaint
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 December 1, 2025 · Nutrition and Dietary
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Potential for harm · E November 13, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 26, 2025 · Quality of Life and Care
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Immediate jeopardy · J November 6, 2025 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected November 19, 2025 · Quality of Life and Care
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Potential for harm · D November 6, 2025 · 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 November 19, 2025 · Resident Rights
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Potential for harm · D November 6, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · E November 6, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 19, 2025 · Quality of Life and Care
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Potential for harm · E November 6, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · F November 6, 2025 · found via complaint
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected November 19, 2025 · Infection Control
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Potential for harm · D September 17, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 2, 2025 · Quality of Life and Care
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Potential for harm · D September 5, 2025 · 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 September 23, 2025 · Resident Rights
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Potential for harm · D September 5, 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 September 23, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 5, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 5, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 23, 2025 · Quality of Life and Care
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Potential for harm · D August 1, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 11, 2025 · Quality of Life and Care
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Potential for harm · D August 1, 2025 · 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 August 11, 2025 · Quality of Life and Care
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Potential for harm · D August 1, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 11, 2025 · Pharmacy Service
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Potential for harm · D August 1, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 11, 2025 · Resident Assessment and Care Planning
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Actual harm · G July 3, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 16, 2025 · Quality of Life and Care
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Actual harm · G January 29, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 14, 2025 · Quality of Life and Care
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Potential for harm · D November 20, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 29, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 20, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected November 29, 2024 · Quality of Life and Care
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Potential for harm · D November 20, 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 November 29, 2024 · Pharmacy Service
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Potential for harm · D November 20, 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 29, 2024 · Pharmacy Service
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Potential for harm · F November 20, 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 29, 2024 · Nutrition and Dietary
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Potential for harm · F November 20, 2024
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected November 29, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 13, 2026 | Fine | $114,170 |
| January 13, 2026 | Payment Denial | 14 days |
| November 6, 2025 | Fine | $128,500 |
| November 6, 2025 | Payment Denial | 3 days |
| August 28, 2024 | Fine | $13,097 |
| March 26, 2024 | Fine | $12,048 |
| August 23, 2023 | Fine | $111,508 |
| August 23, 2023 | Payment Denial | 47 days |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145945 · certified since October 1, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.