Highland Health Care Center
1450 26th Street, Highland, IL 62249 · Madison County · 128 certified beds · avg 85 residents/day · certified since Jun 20, 1984
Abuse citation flag (CMS)
Part of chain: CREST HEALTHCARE CONSULTING (11 facilities, chain avg rating 2.2★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5
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)
▲ Immediate jeopardy, facility-wide · Sep 4, 2025 · 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 (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.
Corrected: Sep 5, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Dec 5, 2025 · F-0600 · triggered by a complaint
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.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
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: Dec 15, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Apr 17, 2025 · F-0600 · triggered by a complaint
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.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
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: Apr 15, 2025 (Past Non-Compliance)
▲ Actual harm, one-off · Jun 27, 2024 · F-0677 · triggered by a complaint
The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Why it matters: Residents who don't get this help can suffer poor hygiene, skin breakdown, weight loss, and a loss of dignity.
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: Jul 9, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (26)
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 |
|---|---|---|
| Dec 5, 2025 | ▲ G · Actual 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 |
| Dec 5, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Sep 4, 2025 | ▲ L · Immediate jeopardy, facility-wide | 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 |
| Apr 17, 2025 | ▲ G · Actual 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 |
| Dec 5, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Sep 27, 2024 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Sep 27, 2024 | E · Potential for harm, repeated | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Sep 27, 2024 | B · Minimal risk, repeated | The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. |
| Jun 27, 2024 | ▲ G · Actual harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Jun 27, 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. · from a complaint |
| Jun 27, 2024 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · from a complaint |
| Jun 7, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Mar 15, 2024 | 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. · from a complaint |
| Oct 25, 2023 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Oct 25, 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. · from a complaint |
| Oct 13, 2023 | 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 13, 2023 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Oct 13, 2023 | E · Potential for harm, repeated | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Oct 13, 2023 | D · Potential for 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 |
| Oct 13, 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. |
| Oct 13, 2023 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Oct 13, 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. · from a complaint |
| Oct 13, 2023 | B · Minimal risk, repeated | The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. |
| Aug 10, 2023 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Dec 9, 2022 | E · Potential for harm, repeated | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Dec 9, 2022 | B · Minimal risk, repeated | The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (7 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 2 | 0 | E |
| 2023 | 11 | 0 | F |
| 2024 | 9 | 1 | G ▲ |
| 2025 | 4 | 3 | L ▲ |
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)
1 fine totaling $35,875.
| Date | Type | Amount / length |
|---|---|---|
| Dec 5, 2025 | Fine | $35,875 |
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) | 2.39 | 2.99 | 3.95 | bottom 28% in Illinois; bottom 3% in the U.S. |
| Registered Nurse hours | 0.39 | 0.63 | 0.69 | bottom 30% in Illinois; bottom 20% in the U.S. |
| Weekend total nurse staffing | 2.13 | 2.67 | 3.50 | bottom 28% in Illinois; bottom 3% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.44 | 0.56 | 0.48 | bottom 47% in Illinois; top 41% in the U.S. |
| Total nursing staff turnover (%) | 66.7 | 44.5 | 45.8 | bottom 6% in Illinois; bottom 8% in the U.S. |
| RN turnover (%) | 14.3 | 41.8 | 42.9 | top 8% in Illinois; top 7% 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 3.31, RN 0.54, weekend 2.94. Staffing rating: 1/5.
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: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Capital Finance LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 09/01/2019 |
| Capital Finance LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2022 |
| Lichtman, Shalom | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/08/2021 |
| Lichtman, Shalom | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2019 |
| Lichtman, Shalom | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2019 |
| Lichtman, Shalom | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2019 |
| Light Man LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/08/2021 |
| Reed, Debra | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/14/2021 |
| Reed, Debra | Individual | ADP of the SNF | NOT APPLICABLE | 02/14/2021 |
| Schaefer, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2019 |
| Schaefer, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
- "Can I see the actual room my family member would live in before we decide?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "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 |
|---|---|---|---|---|---|
| Aviston Countryside Manor | 9.1 mi | Aviston, IL | ★★☆☆☆ | 2/5 | abuse |
| Evercare of Lebanon | 10.8 mi | Lebanon, IL | ★☆☆☆☆ | 2/5 | abuse |
| Cedar Ridge Health & Rehab Ctr | 11.2 mi | Lebanon, IL | ★★★☆☆ | 4/5 | |
| Hitz Memorial Home | 11.6 mi | Alhambra, IL | ★★★☆☆ | 3/5 | |
| Evercare of Breese | 11.6 mi | Breese, IL | ★☆☆☆☆ | 3/5 | |
| Alhambra Rehab & Healthcare | 11.8 mi | Alhambra, IL | ★★★★☆ | 5/5 | |
| Clinton Manor Living Center | 13.4 mi | New Baden, IL | ★★★★★ | 5/5 | |
| Manor Court of Maryville | 14.4 mi | Maryville, IL | ★★★★★ | 5/5 | |
| Evercare at Edwardsville | 15.0 mi | Edwardsville, IL | ★☆☆☆☆ | 1/5 | abuse |
| Eden Village Care Center | 15.1 mi | Glen Carbon, IL | ★★★★★ | 4/5 | |
| La Bella of Edwardsville | 16.6 mi | Edwardsville, IL | ★☆☆☆☆ | 2/5 | |
| Evercare at University | 16.8 mi | Edwardsville, IL | ★☆☆☆☆ | 1/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 145508.