Dixon Rehab & HCC
800 Division Street, Dixon, IL 61021 · Lee County · 97 certified beds · avg 72 residents/day · certified since Nov 1, 1996
Part of chain: TUTERA SENIOR LIVING & HEALTH CARE (25 facilities, chain avg rating 2.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jan 15, 2025 · F-0686 · triggered by a complaint
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jan 16, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Nov 23, 2024 · F-0686 · triggered by a complaint
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Nov 25, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 23, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 24, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 23, 2024 · F-0692
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 24, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 23, 2024 · F-0697 · triggered by a complaint
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 24, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Feb 20, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Mar 8, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (21)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 15, 2025 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Nov 23, 2024 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Nov 6, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Oct 23, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Oct 23, 2024 | ▲ G · Actual harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Oct 23, 2024 | ▲ G · Actual harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Oct 23, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Oct 23, 2024 | E · Potential for harm, repeated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Oct 23, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Oct 23, 2024 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Oct 23, 2024 | D · Potential for harm, one-off | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. |
| Oct 23, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Oct 23, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Feb 20, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Dec 21, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Dec 21, 2023 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Dec 21, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Oct 19, 2023 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint |
| Jan 19, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jan 19, 2023 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jan 19, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 0 | D |
| 2024 | 13 | 5 | G ▲ |
| 2025 | 1 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
2 fines totaling $34,753, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Jan 15, 2025 | Fine | $14,505 |
| Oct 23, 2024 | Fine | $20,248 |
| Oct 23, 2024 | Payment Denial | 11 days from Nov 15, 2024 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Illinois avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.55 | 2.99 | 3.95 | bottom 40% in Illinois; bottom 4% in the U.S. |
| Registered Nurse hours | 0.60 | 0.63 | 0.69 | top 37% in Illinois; top 48% in the U.S. |
| Weekend total nurse staffing | 2.24 | 2.67 | 3.50 | bottom 37% in Illinois; bottom 4% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.46 | 0.56 | 0.48 | bottom 49% in Illinois; top 39% in the U.S. |
| Total nursing staff turnover (%) | 33.3 | 44.5 | 45.8 | top 20% in Illinois; top 20% in the U.S. |
| RN turnover (%) | 18.2 | 41.8 | 42.9 | top 14% in Illinois; top 12% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.46, RN 0.81, weekend 3.03. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Joseph Charles Tutera 2013 Family Irrevociable Trust Agreement | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/09/2012 |
| Marian Olander Tutera 2020 MRTL Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/31/2020 |
| Tutera Investments, LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 01/09/2012 |
| Tutera, Joseph | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/09/2012 |
| Tutera, Marian | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/09/2012 |
| Arnold, Tina | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Bloom, Randall | Individual | Corporate Officer | NOT APPLICABLE | 01/09/2012 |
| Bloom, Randall | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/09/2012 |
| Bloom, Randall | Individual | ADP of the SNF | NOT APPLICABLE | 01/09/2012 |
| Brooks, Kiley | Individual | Corporate Officer | NOT APPLICABLE | 04/25/2017 |
| Brooks, Kiley | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/25/2017 |
| Brooks, Kiley | Individual | ADP of the SNF | NOT APPLICABLE | 04/25/2017 |
| Flanagan, Michael | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/12/2025 |
| Lebedowicz, Bohdan | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Lebedowicz, Bohdan | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Meeks, Betty | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Meeks, Betty | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Ti-Dixon Illinois, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/09/2012 |
| Tutera Investments, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/09/2012 |
| Tutera, Joseph | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/09/2012 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Heritage Square | 1.5 mi | Dixon, IL | ★★★★☆ | 5/5 | |
| Franklin Grove Living and Rehab | 8.6 mi | Franklin Grove, IL | ★★★★★ | 4/5 | |
| La Bella of Sterling | 10.8 mi | Sterling, IL | ★★☆☆☆ | 3/5 | |
| Polo Rehabilitation & HCC | 11.6 mi | Polo, IL | ★★★☆☆ | 4/5 | |
| Citadel of Sterling,the | 11.8 mi | Sterling, IL | ★★★☆☆ | 4/5 | |
| Allure of Sterling | 12.2 mi | Sterling, IL | ★☆☆☆☆ | 2/5 | abuse |
| Oregon Living and Rehabilitation Center | 13.7 mi | Oregon, IL | ★★☆☆☆ | 3/5 | |
| Allure of Pinecrest | 14.7 mi | Mount Morris, IL | ★★☆☆☆ | 2/5 | |
| Manor Court of Rochelle | 16.7 mi | Rochelle, IL | ★★★☆☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 145906.