Tower Hill Healthcare Center
759 Kane Street · South Elgin, IL · 60177 · 8476973310
206 certified beds For profit - Partnership
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- 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.
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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.
Total nurse staffing below 3.0 hours per resident-day
2.79 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 | 2.79 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.43 | 0.55–0.75 |
| Weekend hours / resident-day | 2.50 | ≈ weekday level |
| Nursing turnover / year | 37% | median 45% |
| Fines (3-yr window) | 2 · $57,365 |
Inspection citations (54 in the current record)
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Potential for harm · D April 24, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 8, 2026 · Quality of Life and Care
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Actual harm · G April 22, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 25, 2026 · Quality of Life and Care
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Potential for harm · D April 22, 2026 · 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 May 12, 2026 · Quality of Life and Care
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Potential for harm · D March 27, 2026 · 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 April 7, 2026 · Resident Rights
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Potential for harm · D March 27, 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 April 7, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 7, 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 12, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 7, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 12, 2026 · Quality of Life and Care
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Potential for harm · D August 12, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 18, 2025 · Pharmacy Service
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Potential for harm · D July 1, 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 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 28, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 1, 2025 · Quality of Life and Care
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Potential for harm · D March 18, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 21, 2025 · Resident Rights
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Potential for harm · D February 27, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 3, 2025 · Quality of Life and Care
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Potential for harm · D February 6, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 14, 2025 · Quality of Life and Care
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Potential for harm · D February 6, 2025
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected February 14, 2025 · Quality of Life and Care
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Potential for harm · D February 6, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected February 14, 2025 · Quality of Life and Care
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Potential for harm · D February 6, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected February 14, 2025 · Quality of Life and Care
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Potential for harm · D February 6, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected February 14, 2025 · Pharmacy Service
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Potential for harm · D February 6, 2025
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 February 14, 2025 · Pharmacy Service
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Potential for harm · D February 6, 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 14, 2025 · Nutrition and Dietary
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Potential for harm · E February 6, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected February 14, 2025 · Nutrition and Dietary
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Potential for harm · D February 6, 2025
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected February 14, 2025 · Nutrition and Dietary
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Potential for harm · D February 6, 2025
Provide and implement an infection prevention and control program.
Corrected February 14, 2025 · Infection Control
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Potential for harm · F February 6, 2025
Implement a program that monitors antibiotic use.
Corrected February 14, 2025 · Infection Control
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Potential for harm · D December 26, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 27, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D 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 18, 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 |
|---|---|---|
| May 16, 2024 | Fine | $18,377 |
| March 15, 2024 | Fine | $38,988 |
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 145795 · certified since July 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.