Oregon Living and Rehabilitation Center

Name: Oregon Living and Rehabilitation Center
Address: 811 SOUTH 10TH STREET, Oregon, IL, 61061, US
Telephone: 8157327994

811 South 10th Street, Oregon, IL 61061 · Ogle County · 104 certified beds · avg 65 residents/day · certified since Jan 1, 1984

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.38

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5

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 · Aug 17, 2023 · F-0805

The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.

Why it matters: Food served in the wrong texture can cause choking or lead residents to stop eating and lose weight.

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: Aug 25, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (39)

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
Apr 16, 2026	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
Apr 16, 2026	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
Apr 2, 2026	F · Potential for harm, facility-wide	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Apr 2, 2026	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Apr 2, 2026	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
Jan 22, 2026	D · Potential for harm, one-off	The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. · from a complaint
Nov 25, 2025	E · Potential for harm, repeated	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
Nov 13, 2025	D · Potential for harm, one-off	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. · from a complaint
Sep 11, 2025	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.
Sep 11, 2025	E · Potential for harm, repeated	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
Sep 11, 2025	E · Potential for harm, repeated	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.
Sep 11, 2025	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
Sep 11, 2025	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.
Sep 11, 2025	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.
Sep 11, 2025	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Mar 5, 2025	D · Potential for harm, one-off	The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint
Feb 26, 2025	D · Potential for harm, one-off	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · from a complaint
Dec 20, 2024	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Jul 31, 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.
Jul 31, 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.
Jul 31, 2024	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Jul 31, 2024	E · Potential for harm, repeated	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.
Jul 31, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Jul 31, 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.
Jul 31, 2024	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.
Jul 31, 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.
Jul 31, 2024	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jul 31, 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.
Jul 31, 2024	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Jul 31, 2024	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.
May 14, 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
Aug 17, 2023	▲ G · Actual harm, one-off	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Aug 17, 2023	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Aug 17, 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.
Aug 17, 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.
Aug 17, 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.
Aug 17, 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.
Aug 17, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Aug 17, 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 decreased between the last two inspection cycles (12 → 6).

Year	Citations	Serious (G–L)	Worst severity that year
2023	8	1	G ▲
2024	14	0	F
2025	11	0	F
2026	6	0	F

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)

No fines or payment denials in the published 3-year window.

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)	3.38	2.99	3.95	top 23% in Illinois; bottom 31% in the U.S.
Registered Nurse hours	0.35	0.63	0.69	bottom 25% in Illinois; bottom 16% in the U.S.
Weekend total nurse staffing	2.87	2.67	3.50	top 26% in Illinois; bottom 24% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.28	0.56	0.48	bottom 18% in Illinois; bottom 29% in the U.S.
Total nursing staff turnover (%)	0.0	44.5	45.8	—
RN turnover (%)	0.0	41.8	42.9	—

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 3.64, RN 0.38, weekend 3.08. 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: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Herman, Moshe	Individual	5% or Greater Direct Ownership Interest	50%	09/01/2011
Milstein, Ari	Individual	5% or Greater Direct Ownership Interest	7%	09/01/2011
Milstein, Stuart	Individual	5% or Greater Direct Ownership Interest	7%	09/01/2011
Minkove, Elana	Individual	5% or Greater Direct Ownership Interest	7%	09/01/2011
Bettner, Felisha	Individual	Corporate Officer	NOT APPLICABLE	07/01/2025
Bettner, Felisha	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2025
Bettner, Felisha	Individual	ADP of the SNF	NOT APPLICABLE	07/01/2025
Englehart, Erik	Individual	Corporate Officer	NOT APPLICABLE	10/28/2025
Englehart, Erik	Individual	Operational/Managerial Control	NOT APPLICABLE	10/28/2025
Englehart, Erik	Individual	ADP of the SNF	NOT APPLICABLE	01/28/2026
Momentum Healthcare LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	09/01/2011
Momentum Healthcare LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/30/2025
Payton, Dana	Individual	Corporate Officer	NOT APPLICABLE	01/15/2018
Payton, Dana	Individual	Operational/Managerial Control	NOT APPLICABLE	01/15/2018
Payton, Dana	Individual	ADP of the SNF	NOT APPLICABLE	01/15/2018

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 handle residents who need modified food textures, and how do you make those meals appetizing?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"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
Allure of Pinecrest	5.4 mi	Mount Morris, IL	★★☆☆☆	2/5
Neighbors Health Center	9.2 mi	Byron, IL	★★★★★	4/5
Manor Court of Rochelle	9.9 mi	Rochelle, IL	★★★☆☆	4/5
Franklin Grove Living and Rehab	11.2 mi	Franklin Grove, IL	★★★★★	4/5
Polo Rehabilitation & HCC	11.8 mi	Polo, IL	★★★☆☆	4/5
Heritage Square	13.0 mi	Dixon, IL	★★★★☆	5/5
Dixon Rehab & HCC	13.7 mi	Dixon, IL	★★★☆☆	3/5
La Bella of Rochelle	15.6 mi	Rochelle, IL	★☆☆☆☆	1/5	abuse

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 145476.

The Care File

Visit checklist — Oregon Living and Rehabilitation Center

811 South 10th Street, Oregon, IL 61061 · 8157327994

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $0

Most serious findings on record:

▲ Aug 17, 2023 (F-0805, Actual harm, one-off): The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.

Questions for the administrator:

☐ "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 145476 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)