St Clara's Rehab & Senior Care

Name: St Clara's Rehab & Senior Care
Address: 1450 CASTLE MANOR DRIVE, Lincoln, IL, 62656, US
Telephone: 2177351507

1450 Castle Manor Drive, Lincoln, IL 62656 · Logan County · 99 certified beds · avg 96 residents/day · certified since Apr 1, 1992

Part of chain: HERITAGE OPERATIONS GROUP (9 facilities, chain avg rating 2.0★)

3/5

Health inspection rating (on-site)

Serious findings on record

$65,990

Fines, last 3 years

2.56

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 · Oct 15, 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 (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 29, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Feb 5, 2025 · F-0686

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: Feb 23, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (19)

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
Oct 15, 2025	▲ 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
Aug 23, 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. · from a complaint
Aug 23, 2025	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
Feb 5, 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.
Feb 5, 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.
Feb 5, 2025	E · Potential for harm, repeated	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 5, 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.
Feb 5, 2025	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.
Feb 5, 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.
Feb 5, 2025	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.
May 3, 2024	F · Potential for harm, facility-wide	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
May 3, 2024	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.
May 3, 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.
Nov 17, 2022	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Nov 17, 2022	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.
Nov 17, 2022	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.
Nov 17, 2022	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.
Nov 17, 2022	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Nov 17, 2022	C · Minimal risk, facility-wide	The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 7).

Year	Citations	Serious (G–L)	Worst severity that year
2022	6	0	D
2024	3	0	F
2025	10	2	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 $65,990, plus 1 Medicare payment denial period.

Date	Type	Amount / length
Dec 17, 2025	Fine	$56,880
Dec 17, 2025	Payment Denial	14 days from Jan 8, 2026
Oct 15, 2025	Fine	$9,110

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)	2.56	2.99	3.95	bottom 41% in Illinois; bottom 4% in the U.S.
Registered Nurse hours	0.35	0.63	0.69	bottom 24% in Illinois; bottom 15% in the U.S.
Weekend total nurse staffing	2.39	2.67	3.50	top 49% in Illinois; bottom 7% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.37	0.56	0.48	bottom 34% in Illinois; bottom 45% in the U.S.
Total nursing staff turnover (%)	34.6	44.5	45.8	top 24% in Illinois; top 23% in the U.S.
RN turnover (%)	44.4	41.8	42.9	bottom 44% in Illinois; bottom 45% 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 2.95, RN 0.40, weekend 2.76. 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: 2/5 · short-stay residents: 2/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
St. Clara's Manor	Organization	5% or Greater Direct Ownership Interest	100%	10/19/2016
Anderson, Keary	Individual	Corporate Director	NOT APPLICABLE	02/19/2024
Anderson, Keary	Individual	Operational/Managerial Control	NOT APPLICABLE	02/19/2024
Anderson, Keary	Individual	ADP of the SNF	NOT APPLICABLE	02/19/2024
Burbage, Ellen	Individual	Corporate Director	NOT APPLICABLE	01/22/2020
Carroll, Dennis	Individual	Corporate Director	NOT APPLICABLE	11/08/2016
Carroll, Dennis	Individual	Operational/Managerial Control	NOT APPLICABLE	11/08/2016
Carroll, Dennis	Individual	ADP of the SNF	NOT APPLICABLE	11/08/2016
Curry, Daniel	Individual	Corporate Officer	NOT APPLICABLE	04/04/2024
Dehner, Connie	Individual	Corporate Director	NOT APPLICABLE	01/22/2020
Hart, Benjamin	Individual	Operational/Managerial Control	NOT APPLICABLE	05/09/2017
Hart, Steven	Individual	Corporate Officer	NOT APPLICABLE	07/01/2023
Heritage Operations Group, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	10/19/2016
Heritage Operations Group, LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/26/2025
Kasa, Paul	Individual	Corporate Director	NOT APPLICABLE	01/22/2020
McDowell, Catherine	Individual	Corporate Director	NOT APPLICABLE	01/01/2024
Reifsteck, Tonita	Individual	Corporate Director	NOT APPLICABLE	11/08/2016

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?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"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
Lincoln Village Healthcare	2.7 mi	Lincoln, IL	★☆☆☆☆	2/5	abuse
H & J Vonderlieth LVG Ctr, the	10.9 mi	Mount Pulaski, IL	★★★★★	5/5
Mason City Area Nursing Home	15.6 mi	Mason City, IL	★☆☆☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Lincoln →

Facility data as of CMS processing date 2026-08-01. CCN 145720.

The Care File

Visit checklist — St Clara's Rehab & Senior Care

1450 Castle Manor Drive, Lincoln, IL 62656 · 2177351507

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $65,990

Most serious findings on record:

▲ Oct 15, 2025 (F-0689, 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.
▲ Feb 5, 2025 (F-0686, 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.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "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 145720 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)