Marigold Rehabilitation and Health Care Center
275 East Carl Sandburg Drive · Galesburg, IL · 61401 · 3093441151
172 certified beds For profit - Corporation Chain: Petersen Health Care
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $40,440 in fines in the last 24 months.
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Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
3 immediate-jeopardy citations 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.
4 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.
2 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.
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: 2 of 5
| Total nurse hours / resident-day | 3.34 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.42 | 0.55–0.75 |
| Weekend hours / resident-day | 3.00 | ≈ weekday level |
| Nursing turnover / year | 59% | median 45% |
| Fines (3-yr window) | 2 · $120,910 |
Inspection citations (40 in the current record)
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Actual harm · G April 21, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 21, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 25, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 3, 2026 · Pharmacy Service
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Immediate jeopardy · J January 9, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 10, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J January 9, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 10, 2026 · Quality of Life and Care
-
Potential for harm · D January 9, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 10, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D September 25, 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 November 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G August 19, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected September 2, 2025 · Resident Rights
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Potential for harm · D August 19, 2025 · found via complaint
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected September 2, 2025 · Resident Rights
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Immediate jeopardy · K July 31, 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 November 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · F July 31, 2025 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected August 22, 2025 · Resident Rights
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Potential for harm · E July 31, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 13, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 7, 2025 · Quality of Life and Care
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Potential for harm · D April 23, 2025 · found via complaint
Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.
Corrected May 15, 2025 · Resident Rights
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Potential for harm · D April 23, 2025 · found via complaint
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected May 15, 2025 · Resident Rights
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Potential for harm · E April 23, 2025 · found via complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected May 15, 2025 · Quality of Life and Care
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Potential for harm · F April 23, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected May 15, 2025 · Administration
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Potential for harm · E August 22, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 12, 2024 · Resident Rights
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Potential for harm · D August 22, 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 2, 2024 · Resident Rights
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Potential for harm · D August 22, 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 2, 2024 · Resident Rights
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Potential for harm · D August 22, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected October 2, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 22, 2024
Provide care or services that was trauma informed and/or culturally competent.
Corrected September 6, 2024 · Quality of Life and Care
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Potential for harm · D August 22, 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 August 27, 2024 · Pharmacy Service
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Potential for harm · E August 22, 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 September 1, 2024 · Nutrition and Dietary
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Potential for harm · F August 22, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 26, 2024 · Nutrition and Dietary
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Potential for harm · E August 22, 2024
Provide and implement an infection prevention and control program.
Corrected August 23, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 9, 2026 | Fine | $40,440 |
| July 31, 2025 | Payment Denial | 83 days |
| July 6, 2024 | Fine | $80,470 |
| July 6, 2024 | Payment Denial | 60 days |
Better-scoring options nearby
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 145446 · certified since April 2, 1982. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.