Three Springs Sr Living & Rhab
161 Three Springs Road · Chester, IL · 62233 · 6188263210
83 certified beds For profit - Limited Liability company Chain: Wlc Management Firm
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- No federal fines or payment denials in CMS’s 3-year window.
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
RN staffing in the bottom 10% nationally
0.22 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
98% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 3 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.13 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.22 | 0.55–0.75 |
| Weekend hours / resident-day | 2.88 | ≈ weekday level |
| Nursing turnover / year | 98% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (21 in the current record)
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Potential for harm · D November 18, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected December 3, 2025 · Pharmacy Service
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Potential for harm · F September 16, 2025
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 September 22, 2025 · Nursing and Physician Services
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Potential for harm · D September 16, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 22, 2025 · Pharmacy Service
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Potential for harm · E September 16, 2025
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected September 22, 2025 · Nutrition and Dietary
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Potential for harm · F September 16, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 22, 2025 · Nutrition and Dietary
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No harm found · B September 16, 2025
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
No revisit needed · Environmental
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Potential for harm · D September 5, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected September 22, 2025 · Resident Rights
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Actual harm · G September 3, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 18, 2025 · Quality of Life and Care
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Potential for harm · E August 13, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 21, 2025 · Quality of Life and Care
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Potential for harm · D August 13, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 18, 2025 · Quality of Life and Care
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Potential for harm · E August 13, 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 August 21, 2025 · Nursing and Physician Services
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Potential for harm · F December 13, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 30, 2024 · Infection Control
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Potential for harm · E November 19, 2024 · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected November 27, 2024 · Quality of Life and Care
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Potential for harm · F November 19, 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 November 27, 2024 · Nursing and Physician Services
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Potential for harm · F November 19, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 27, 2024 · Infection Control
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Potential for harm · D October 29, 2024 · 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 November 5, 2024 · Resident Rights
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Potential for harm · F October 29, 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 November 19, 2024 · Nursing and Physician Services
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Potential for harm · D June 14, 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 July 2, 2024 · Pharmacy Service
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Potential for harm · F June 14, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 2, 2024 · Nutrition and Dietary
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No harm found · B June 14, 2024
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected July 2, 2024 · Environmental
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No harm found · B September 13, 2023
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected September 27, 2023 · Environmental
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145497 · certified since September 11, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.