Twin Willows Nursing Center

1600 North Broadway · Salem, IL · 62881 · 6185480542

72 certified beds For profit - Corporation

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 73 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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.

Get the Safety Report

Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 53
Serious harm & abuse 20% 100
Staffing 20% 71
Federal penalties 15% 100
Trend 10% 25
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day3.743.48 min · 4.1 strong
RN hours / resident-day0.540.55–0.75
Weekend hours / resident-day3.44≈ weekday level
Nursing turnover / year41%median 45%
Fines (3-yr window)none

Inspection citations (17 in the current record)

  • Potential for harm · D January 16, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected February 5, 2025 · Resident Rights

  • Potential for harm · E January 16, 2025

    Reasonably accommodate the needs and preferences of each resident.

    Corrected February 13, 2025 · Resident Rights

  • Potential for harm · D January 16, 2025

    Respond appropriately to all alleged violations.

    Corrected February 6, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 16, 2025

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected February 7, 2025 · Quality of Life and Care

  • Potential for harm · D January 16, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 6, 2025 · Quality of Life and Care

  • Potential for harm · D January 16, 2025

    Provide enough food/fluids to maintain a resident's health.

    Corrected February 6, 2025 · Quality of Life and Care

  • Potential for harm · D January 16, 2025

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Corrected January 31, 2025 · Quality of Life and Care

  • Potential for harm · F January 16, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 13, 2025 · Nutrition and Dietary

  • Potential for harm · D January 16, 2025

    Provide and implement an infection prevention and control program.

    Corrected February 7, 2025 · Infection Control

  • Potential for harm · D January 16, 2025

    Implement a program that monitors antibiotic use.

    Corrected February 13, 2025 · Infection Control

  • Potential for harm · F January 16, 2025

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected February 13, 2025 · Environmental

  • No harm found · C January 16, 2025

    Post nurse staffing information every day.

    Corrected January 18, 2025 · Nursing and Physician Services

  • Potential for harm · F July 8, 2024 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected July 9, 2024 · Nutrition and Dietary

  • Potential for harm · D January 5, 2024

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected January 24, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D January 5, 2024

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected January 24, 2024 · Quality of Life and Care

  • Potential for harm · D December 15, 2022

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected February 28, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D December 15, 2022

    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 28, 2023 · Pharmacy Service

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 146070 · certified since October 1, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.