Timbercreek Rehab and Health Care Center
2220 State Street · Pekin, IL · 61554 · 3093471110
202 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 (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $101,637 in fines in the last 24 months.
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
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
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.
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.
$101,637 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
0.23 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
71% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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 | 3.64 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.23 | 0.55–0.75 |
| Weekend hours / resident-day | 3.18 | ≈ weekday level |
| Nursing turnover / year | 71% | median 45% |
| Fines (3-yr window) | 6 · $196,504 |
Inspection citations (71 in the current record)
-
Immediate jeopardy · L March 28, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 14, 2026 · Quality of Life and Care
-
Potential for harm · F March 28, 2026 · found via complaint
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected April 14, 2026 · Administration
-
Potential for harm · D December 6, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 13, 2025 · Quality of Life and Care
-
Potential for harm · D December 6, 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 December 13, 2025 · Quality of Life and Care
-
Actual harm · G August 25, 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 8, 2025 · Resident Rights
-
Potential for harm · D August 25, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected September 8, 2025 · Quality of Life and Care
-
Potential for harm · F August 25, 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 September 8, 2025 · Nursing and Physician Services
-
Potential for harm · D July 16, 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 August 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E June 11, 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 June 23, 2025 · Resident Rights
-
Potential for harm · D April 28, 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 May 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E April 4, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 16, 2025 · Quality of Life and Care
-
Potential for harm · D April 4, 2025 · found via complaint
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 April 16, 2025 · Pharmacy Service
-
Actual harm · G December 12, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 20, 2024 · Quality of Life and Care
-
Potential for harm · D November 8, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected November 27, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D November 8, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 27, 2024 · Quality of Life and Care
-
Potential for harm · D November 8, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 27, 2024 · Infection Control
-
Actual harm · G October 4, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 24, 2024 · Quality of Life and Care
-
Potential for harm · E August 7, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected September 23, 2024 · Resident Rights
-
Potential for harm · D August 7, 2024
Ensure each resident receives an accurate assessment.
Corrected August 29, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D August 7, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected August 29, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D August 7, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected August 29, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E August 7, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 23, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D August 7, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 29, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D August 7, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 23, 2024 · Quality of Life and Care
-
Potential for harm · D August 7, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 29, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 12, 2024 | Fine | $16,965 |
| October 4, 2024 | Fine | $31,993 |
| July 25, 2024 | Fine | $52,679 |
| July 25, 2024 | Payment Denial | 25 days |
| March 13, 2024 | Fine | $22,950 |
| March 13, 2024 | Payment Denial | 9 days |
| November 17, 2023 | Fine | $62,654 |
| November 17, 2023 | Payment Denial | 32 days |
| September 21, 2023 | Fine | $9,263 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145275 · certified since February 1, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.