Villa Health Care East
100 Marian Parkway, Sherman, IL 62684 · Sangamon County · 109 certified beds · avg 94 residents/day · certified since Jan 1, 1992
Part of chain: HERITAGE OPERATIONS GROUP (9 facilities, chain avg rating 2.0★)
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, one-off · Apr 14, 2026 · 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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Apr 27, 2026 (Deficient, Provider has date of correction)
▲ 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: Nov 4, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jul 17, 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: Jul 31, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jan 28, 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: Feb 6, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Aug 11, 2022 · 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: Aug 30, 2022 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Aug 11, 2022 · 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: Aug 31, 2022 (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 |
|---|---|---|
| Apr 14, 2026 | ▲ J · Immediate jeopardy, 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 |
| Jan 29, 2026 | 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 |
| 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 |
| Oct 15, 2025 | F · Potential for harm, facility-wide | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint |
| Oct 15, 2025 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Aug 21, 2025 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Jul 17, 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 |
| Jan 28, 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 13, 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. |
| Aug 13, 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. |
| Aug 13, 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. |
| Aug 13, 2024 | D · Potential for harm, one-off | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. |
| May 25, 2023 | F · Potential for harm, facility-wide | 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. |
| May 25, 2023 | F · Potential for harm, facility-wide | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. |
| May 25, 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. |
| May 25, 2023 | 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. |
| Aug 11, 2022 | ▲ 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. |
| Aug 11, 2022 | ▲ 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. |
| Aug 11, 2022 | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 3 | 2 | G ▲ |
| 2023 | 4 | 0 | F |
| 2024 | 4 | 0 | E |
| 2025 | 6 | 3 | G ▲ |
| 2026 | 2 | 1 | J ▲ |
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 $90,998.
| Date | Type | Amount / length |
|---|---|---|
| Apr 14, 2026 | Fine | $80,640 |
| Jul 17, 2025 | Fine | $10,358 |
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) | 0.00 | 2.99 | 3.95 | — |
| Registered Nurse hours | 0.00 | 0.63 | 0.69 | — |
| Weekend total nurse staffing | 0.00 | 2.67 | 3.50 | — |
| Weekend RN hours (not acuity-adjusted) | 0.00 | 0.56 | 0.48 | — |
| Total nursing staff turnover (%) | 63.6 | 44.5 | 45.8 | bottom 9% in Illinois; bottom 11% in the U.S. |
| RN turnover (%) | 43.8 | 41.8 | 42.9 | bottom 45% in Illinois; bottom 46% 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 0.00, RN 0.00, weekend 0.00. 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: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Villa Health Care INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 11/09/2004 |
| Alicea, Tonya | Individual | Corporate Director | NOT APPLICABLE | 09/11/2023 |
| Alicea, Tonya | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/11/2023 |
| Alicea, Tonya | Individual | ADP of the SNF | NOT APPLICABLE | 02/04/2026 |
| Cardinell, Concetta | Individual | Corporate Director | NOT APPLICABLE | 05/01/1993 |
| Cavanagh, Peter | Individual | Corporate Director | NOT APPLICABLE | 04/01/2020 |
| Curry, Daniel | Individual | Corporate Officer | NOT APPLICABLE | 04/04/2022 |
| Curry, Daniel | Individual | ADP of the SNF | NOT APPLICABLE | 04/04/2022 |
| Edwards, Richard | Individual | Corporate Director | NOT APPLICABLE | 09/01/2008 |
| Gill, Pavinderpal | Individual | Corporate Director | NOT APPLICABLE | 03/01/2014 |
| Gill, Pavinderpal | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2014 |
| Gill, Pavinderpal | Individual | ADP of the SNF | NOT APPLICABLE | 02/04/2026 |
| Hart, Benjamin | Individual | Corporate Officer | NOT APPLICABLE | 05/09/2017 |
| 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 | 07/01/2016 |
| Heritage Operations Group, LLC | Organization | Limited Partnership Interest | NOT APPLICABLE | 11/08/2016 |
| Heritage Operations Group, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/04/2026 |
| McDowell, Catherine | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Scott, Stephen | Individual | Corporate Director | NOT APPLICABLE | 06/01/1981 |
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 monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "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 |
|---|---|---|---|---|---|
| Arcadia Care on the Hill | 6.9 mi | Springfield, IL | ★☆☆☆☆ | 1/5 | |
| Regency Care | 8.0 mi | Springfield, IL | ★☆☆☆☆ | 2/5 | |
| Avenues at Springfield | 8.6 mi | Springfield, IL | ★★☆☆☆ | 3/5 | |
| Arc at Sangamon Valley | 8.9 mi | Springfield, IL | ★☆☆☆☆ | 1/5 | |
| Springfield Suites Rehab and Nursing | 9.6 mi | Springfield, IL | ★★★☆☆ | 3/5 | |
| Concordia Village Care Center | 11.0 mi | Springfield, IL | ★★★★★ | 4/5 | |
| Sunny Acres Nursing Home | 13.6 mi | Petersburg, IL | ★☆☆☆☆ | 1/5 | abuse |
| H & J Vonderlieth LVG Ctr, the | 19.0 mi | Mount Pulaski, IL | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 145721.