| St Clara's Rehab & Senior Care | |
| 1450 Castle Manor Drive, Lincoln, Illinois 62656 | |
| (217) 735-1507 | |
| Name | St Clara's Rehab & Senior Care |
|---|---|
| Location | 1450 Castle Manor Drive, Lincoln, Illinois |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 99 |
| Occupancy Rate | 97.07% |
| Medicare ID (CCN) | 145720 |
| Legal Business Name | St. Clara's Manor |
| Ownership Type | Non Profit - Corporation |
| Chain | Heritage Operations Group (9 nursing homes) |
| Chain Average Overall Rating | 2 out of 5 |
| NPI Number | 1346231198 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | St. Clara's Manor |
| Address | 200 5th St, Lincoln, IL 62656 |
| Phone Number | 217-735-1507 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 2.95 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.4 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.57 | 0.86 |
| Nurse aide hours per resident per day | 1.98 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.76 | 3.42 |
| RN hours per resident per day on the weekend | 0.37 | 0.48 |
| Physical therapist hours per resident per day | 0.02 | 0.07 |
| Total nursing staff turnover | 34.6% | 45.8% |
| Registered nurse turnover | 44.4% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 2 |
| Total Amount of Fines in Dollars | $65,990 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 3 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Oct 15, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Oct 29, 2025 |
| Aug 23, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Sep 10, 2025 |
| Aug 23, 2025 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Sep 10, 2025 |
| Feb 5, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Feb 23, 2025 |
| Feb 5, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Feb 23, 2025 |
| Feb 5, 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. F0758, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Mar 24, 2025 |
| Feb 5, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Mar 24, 2025 |
| Feb 5, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 24, 2025 |
| Feb 5, 2025 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 23, 2025 |
| Feb 5, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 23, 2025 |
| May 3, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, widespread | Corrected by May 21, 2024 |
| May 3, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 21, 2024 |
| May 3, 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. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by May 21, 2024 |
| Nov 17, 2022 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 8, 2022 |
| Nov 17, 2022 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 8, 2022 |
| Nov 17, 2022 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 8, 2022 |
| Nov 17, 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. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Dec 8, 2022 |
| Nov 17, 2022 | Post nurse staffing information every day. F0732, Nursing and Physician Services, Standard inspection | Minimal harm potential, widespread | Corrected by Dec 8, 2022 |
| Nov 17, 2022 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. F0847, Administration, Standard inspection | Minimal harm potential, widespread | Corrected by Dec 8, 2022 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.01 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 2.86 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.53 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.3 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 13.61 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0.3 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.06 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93.75 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 76.06 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 23.32 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.63 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.47 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 49.09 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 7.55 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 15.7 | 15.38 |
Lincoln Village Healthcare Location: 2202 North Kickapoo Street, Lincoln, Illinois 62656 Phone: (217) 735-1538 |