South Elgin Living & Rehab Center
746 West Spring Street · South Elgin, IL · 60177 · 8476970565
90 certified beds For profit - Corporation Chain: Lineage Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $82,082 in fines in the last 24 months.
- 3 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
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 prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation 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.
$82,082 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: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.03 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.06 | 0.55–0.75 |
| Weekend hours / resident-day | 2.79 | ≈ weekday level |
| Nursing turnover / year | 33% | median 45% |
| Fines (3-yr window) | 2 · $230,403 |
Inspection citations (58 in the current record)
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Actual harm · G July 8, 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 July 29, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F September 13, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected October 11, 2024 · Infection Control
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Potential for harm · D September 13, 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 October 11, 2024 · Environmental
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Potential for harm · E August 14, 2024 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected September 6, 2024 · Nursing and Physician Services
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Potential for harm · E June 13, 2024 · found via complaint
Provide activities to meet all resident's needs.
Corrected July 9, 2024 · Quality of Life and Care
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Potential for harm · F June 13, 2024 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected July 9, 2024 · Nursing and Physician Services
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Actual harm · G 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 28, 2024 · Pharmacy Service
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Potential for harm · D May 31, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected June 28, 2024 · Resident Rights
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Potential for harm · D May 31, 2024
Keep residents' personal and medical records private and confidential.
Corrected June 28, 2024 · Resident Rights
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Potential for harm · D May 31, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 28, 2024 · Quality of Life and Care
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Potential for harm · E May 31, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 26, 2024 · Quality of Life and Care
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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 28, 2024 · Quality of Life and Care
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Potential for harm · D May 31, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected June 28, 2024 · Quality of Life and Care
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Potential for harm · D May 31, 2024
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected June 28, 2024 · Quality of Life and Care
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Potential for harm · E May 31, 2024
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected July 26, 2024 · Quality of Life and Care
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Potential for harm · E May 31, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 28, 2024 · Pharmacy Service
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Potential for harm · E May 31, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected July 26, 2024 · Pharmacy Service
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Potential for harm · D May 31, 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 June 28, 2024 · Pharmacy Service
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Potential for harm · F May 31, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 28, 2024 · Nutrition and Dietary
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Potential for harm · D May 31, 2024
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected June 28, 2024 · Nutrition and Dietary
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Potential for harm · E May 31, 2024
Provide and implement an infection prevention and control program.
Corrected June 28, 2024 · Infection Control
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Potential for harm · E May 31, 2024
Implement a program that monitors antibiotic use.
Corrected July 26, 2024 · Infection Control
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Actual harm · G April 25, 2024 · found via complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected July 31, 2024 · Quality of Life and Care
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Potential for harm · F April 25, 2024 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected July 9, 2024 · Nursing and Physician Services
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Potential for harm · F April 25, 2024 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected May 24, 2024 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 8, 2025 | Fine | $82,082 |
| July 8, 2025 | Payment Denial | 36 days |
| February 1, 2024 | Fine | $148,321 |
| February 1, 2024 | Payment Denial | 152 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 145825 · certified since March 15, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.