IMBODEN CREEK SENIOR LIVING
180 WEST IMBODEN, DECATUR, IL 62521 · CCN 145945
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★☆☆☆☆ 1
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 95
- Avg residents/day
- 77.2
- Phone
- 2174226464
Inspection history vs Illinois & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Illinois avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-11-20 | 25 | 12.2 | 9.5 | +12.8 worse |
| 2 | 2023-08-23 | 27 | 12.7 | 9.8 | +14.3 worse |
| 3 | 2022-06-03 | 44 | 13.1 | 9.3 | +30.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 9 |
| Resident assessment and care planning | 4 |
| Resident rights | 2 |
| Nutrition and dietary | 3 |
| Pharmacy service | 3 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.14 | — |
| RN staffing (reported) | 0.15 | — |
| Total nurse staffing (adjusted) | 3.31 | — |
Fines & penalties
- Total fines
- $261,699
- Number of fines
- 4
- Number of penalties
- 6
- Payment denials
- 2
Chain
- Chain
- WLC MANAGEMENT FIRM
- Facilities in chain
- 17
- Chain avg overall
- 2.50 / 5
Inspection citations (96)2 immediate jeopardy5 actual harm
- FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2025-11-28 · Health · corrected 2025-12-01
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2025-11-13 · Health · corrected 2025-11-26
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-11-06 · Health · corrected 2025-11-19
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-11-06 · Health · corrected 2025-11-19
Potential for more than minimal harm
- JF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2025-11-06 · Health · corrected 2025-11-19
Immediate jeopardy
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-06 · Health · corrected 2025-11-19
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-11-06 · Health · corrected 2025-11-19
Potential for more than minimal harm
- FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2025-11-06 · Health · corrected 2025-11-19
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-09-17 · Health · corrected 2025-10-02
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-09-05 · Health · corrected 2025-09-23
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-09-05 · Health · corrected 2025-09-23
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-09-05 · Health · corrected 2025-09-23
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-05 · Health · corrected 2025-09-23
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-08-01 · Health · corrected 2025-08-11
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-08-01 · Health · corrected 2025-08-11
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-08-01 · Health · corrected 2025-08-11
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-08-01 · Health · corrected 2025-08-11
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-03 · Health · corrected 2025-07-16
Actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-29 · Health · corrected 2025-02-14
Actual harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-11-20 · Health · corrected 2024-11-29
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-11-20 · Health · corrected 2024-11-29
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-11-20 · Health · corrected 2024-11-29
Potential for more than minimal harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-11-20 · Health · corrected 2024-11-29
Potential for more than minimal harm
- FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-11-20 · Health · corrected 2024-11-29
Potential for more than minimal harm
- FF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2024-11-20 · Health · corrected 2024-11-29
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2024-11-20 · Health · corrected 2024-11-29
Potential for more than minimal harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2024-11-13 · Health · corrected 2024-11-22
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-10-15 · Health · corrected 2024-11-01
Potential for more than minimal harm
- DF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2024-10-15 · Health · corrected 2024-11-01
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-09-16 · Health · corrected 2024-09-27
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-28 · Health · corrected 2024-08-26
Actual harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-02 · Health · corrected 2024-05-14
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-03-26 · Health · corrected 2024-04-11
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-26 · Health · corrected 2024-04-11
Actual harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-12-05 · Health · corrected 2023-12-13
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-12-05 · Health · corrected 2023-12-13
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-12-05 · Health · corrected 2023-12-13
Potential for more than minimal harm
- EF0908Keep all essential equipment working safely.2023-12-05 · Health · corrected 2023-12-13
Potential for more than minimal harm
- DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2023-12-05 · Health · corrected 2023-12-13
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-10-31 · Health · corrected 2023-11-01
Potential for more than minimal harm
- FF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2023-10-31 · Health · corrected 2023-11-01
Potential for more than minimal harm
- DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-09-13 · Health · corrected 2023-10-11
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-09-13 · Health · corrected 2023-10-11
Potential for more than minimal harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2023-08-23 · Health · corrected 2023-10-11
Potential for more than minimal harm
- DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-08-23 · Health · corrected 2023-10-11
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-08-23 · Health · corrected 2023-10-11
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-08-23 · Health · corrected 2023-10-11
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-23 · Health · corrected 2023-10-11
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-08-23 · Health · corrected 2023-10-14
Potential for more than minimal harm
- GF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-08-23 · Health · corrected 2023-10-11
Actual harm
- DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2023-08-23 · Health · corrected 2023-10-11
Potential for more than minimal harm
- FF0730Observe each nurse aide's job performance and give regular training.2023-08-23 · Health · corrected 2023-10-11
Potential for more than minimal harm
- EF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-08-23 · Health · corrected 2023-10-11
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2023-08-23 · Health · corrected 2023-10-11
Potential for more than minimal harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2023-08-23 · Health · corrected 2023-10-11
Potential for more than minimal harm
- FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2023-08-23 · Health · corrected 2023-10-11
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-08-23 · Health · corrected 2023-10-11
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-08-23 · Health · corrected 2023-10-11
Potential for more than minimal harm
- EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-08-23 · Health · corrected 2023-10-11
Potential for more than minimal harm
- FF0908Keep all essential equipment working safely.2023-08-23 · Health · corrected 2023-10-11
Potential for more than minimal harm
- DF0917Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.2023-08-23 · Health · corrected 2023-10-11
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-27 · Health · corrected 2023-08-08
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-06-20 · Health · corrected 2023-07-06
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-06-20 · Health · corrected 2023-07-06
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-06-20 · Health · corrected 2023-07-06
Potential for more than minimal harm
- KF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2023-05-18 · Health · corrected 2023-05-26
Immediate jeopardy
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-04-27 · Health · corrected 2023-05-11
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-04-27 · Health · corrected 2023-05-11
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-04-12 · Health · corrected 2023-04-21
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-04-12 · Health · corrected 2023-04-21
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-04-12 · Health · corrected 2023-05-11
Potential for more than minimal harm
- DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2023-04-12 · Health · corrected 2023-04-21
Potential for more than minimal harm
- DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2023-04-12 · Health · corrected 2023-04-21
Potential for more than minimal harm
- FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2023-04-12 · Health · corrected 2023-04-21
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-03-22 · Health · corrected 2023-04-04
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-03-22 · Health · corrected 2023-04-04
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-03-22 · Health · corrected 2023-04-04
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2023-03-22 · Health · corrected 2023-04-04
Potential for more than minimal harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-03-22 · Health · corrected 2023-04-04
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-03-22 · Health · corrected 2023-04-04
Potential for more than minimal harm
- EF0558Reasonably accommodate the needs and preferences of each resident.2023-03-07 · Health · corrected 2023-03-27
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-03-07 · Health · corrected 2023-03-27
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-03-07 · Health · corrected 2023-04-04
Potential for more than minimal harm
- FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-03-07 · Health · corrected 2023-03-27
Potential for more than minimal harm
- DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2022-06-03 · Health · corrected 2022-07-19
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-06-03 · Health · corrected 2022-07-19
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2022-06-03 · Health · corrected 2022-07-19
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-06-03 · Health · corrected 2022-07-20
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-06-03 · Health · corrected 2022-07-19
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2022-06-03 · Health · corrected 2022-07-19
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-06-03 · Health · corrected 2022-07-19
Potential for more than minimal harm
- FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2022-06-03 · Health · corrected 2022-07-19
Potential for more than minimal harm
- FF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-06-03 · Health · corrected 2022-07-19
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2022-06-03 · Health · corrected 2022-07-19
Potential for more than minimal harm
- DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2022-06-03 · Health · corrected 2022-07-19
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2022-06-03 · Health · corrected 2022-07-19
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| WLC MANAGEMENT FIRM LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-03-01 |
| STOUT, SCOTT | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2022-03-01 |
| WLC MANAGEMENT FIRM LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-03-01 |
| STOUT, SCOTT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-03-01 |
| TWEEDY, MICHELLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-03-01 |
| STOUT, SCOTT | Individual | CORPORATE OFFICER | — | 2022-03-01 |
| FLICK, JOHN | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2023-06-01 |
| BARTELS, SONIA | Individual | W-2 MANAGING EMPLOYEE | — | 2023-10-16 |
Other facilities in DECATUR
| Name | Overall | Beds |
|---|---|---|
| FAIR HAVENS SENIOR LIVING | ★★☆☆☆ | 154 |
| LOFT REHAB OF DECATUR | ★☆☆☆☆ | 150 |
| LOFT REHAB OF ROCK SPRINGS, THE | ★☆☆☆☆ | 195 |
| DECATUR REHAB & HEALTH CARE CT | ★☆☆☆☆ | 58 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.