Richland Nursing & Rehab
900 East Scott Street · Olney, IL · 62450 · 6183951000
157 certified beds For profit - Corporation Chain: Helia Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- 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: $259,170 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
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.
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.
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.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$259,170 in federal fines in the last 24 months
8 fines — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
2.98 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: 2 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 2.98 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.31 | 0.55–0.75 |
| Weekend hours / resident-day | 2.62 | ≈ weekday level |
| Nursing turnover / year | 59% | median 45% |
| Fines (3-yr window) | 9 · $315,382 |
Inspection citations (45 in the current record)
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Actual harm · G February 24, 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 March 7, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 10, 2026 · 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 February 20, 2026 · Resident Rights
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Potential for harm · D February 10, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected February 22, 2026 · Pharmacy Service
-
Immediate jeopardy · J November 4, 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 October 28, 2025 · Quality of Life and Care
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Potential for harm · D November 4, 2025 · found via complaint
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 October 28, 2025 · Resident Rights
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Actual harm · G October 23, 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 October 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G September 12, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 30, 2025 · Quality of Life and Care
-
Actual harm · G May 8, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 12, 2025 · Resident Rights
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Potential for harm · E May 8, 2025 · found via complaint
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 May 12, 2025 · Resident Rights
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Potential for harm · D May 8, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 12, 2025 · Quality of Life and Care
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Potential for harm · F May 8, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected May 12, 2025 · Nursing and Physician Services
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Potential for harm · D May 8, 2025 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected May 12, 2025 · Quality of Life and Care
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Immediate jeopardy · J April 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 23, 2025 · Quality of Life and Care
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Potential for harm · D April 21, 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 April 23, 2025 · Resident Rights
-
Potential for harm · E April 21, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected May 12, 2025 · Nursing and Physician Services
-
Actual harm · G March 12, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 17, 2025 · Quality of Life and Care
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Potential for harm · E February 7, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 20, 2025 · Resident Rights
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Potential for harm · D February 7, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected February 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 7, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected February 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 7, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 20, 2025 · Quality of Life and Care
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Potential for harm · D February 7, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 17, 2025 · Quality of Life and Care
-
Potential for harm · F February 7, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected February 20, 2025 · Nursing and Physician Services
-
Potential for harm · D February 7, 2025
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 February 20, 2025 · Nutrition and Dietary
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Potential for harm · D February 7, 2025
Provide and implement an infection prevention and control program.
Corrected February 20, 2025 · Infection Control
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Actual harm · G January 2, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 20, 2025 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 24, 2026 | Fine | $39,780 |
| October 23, 2025 | Fine | $19,115 |
| October 23, 2025 | Fine | $26,685 |
| September 12, 2025 | Fine | $22,315 |
| April 21, 2025 | Fine | $10,056 |
| April 21, 2025 | Fine | $16,575 |
| January 2, 2025 | Fine | $98,982 |
| January 2, 2025 | Payment Denial | 48 days |
| August 12, 2024 | Fine | $25,662 |
| January 19, 2024 | Fine | $56,212 |
| January 19, 2024 | Payment Denial | 18 days |
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 145135 · certified since July 1, 1970. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.