Timbercreek Rehab and Health Care Center
2220 STATE STREET, PEKIN, IL 61554 · CCN 145275
Abuse icon
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★☆☆☆☆ 1
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 202
- Avg residents/day
- 83.6
- Phone
- 3093471110
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 | 2024-08-07 | 24 | 12.2 | 9.5 | +11.8 worse |
| 2 | 2023-09-21 | 28 | 12.7 | 9.8 | +15.3 worse |
| 3 | 2022-10-05 | 21 | 13.1 | 9.3 | +7.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 9 |
| Resident assessment and care planning | 5 |
| Nursing and physician services | 1 |
| Resident rights | 3 |
| Pharmacy service | 2 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.47 | 67.0% |
| RN staffing (reported) | 0.23 | 83.3% |
| Total nurse staffing (adjusted) | 3.17 | — |
Fines & penalties
- Total fines
- $213,731
- Number of fines
- 6
- Number of penalties
- 9
- Payment denials
- 3
Chain
- Chain
- PETERSEN HEALTH CARE
- Facilities in chain
- 14
- Chain avg overall
- 1.60 / 5
Inspection citations (73)1 immediate jeopardy9 actual harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-12-06 · Health · corrected 2025-12-13
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.2025-12-06 · Health · corrected 2025-12-13
Potential for more than minimal harm
- GF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-08-25 · Health · corrected 2025-09-08
Actual harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-08-25 · Health · corrected 2025-09-08
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.2025-08-25 · Health · corrected 2025-09-08
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.2025-07-16 · Health · corrected 2025-08-05
Potential for more than minimal harm
- EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2025-06-11 · Health · corrected 2025-06-23
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.2025-04-28 · Health · corrected 2025-05-15
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-04 · Health · corrected 2025-04-16
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.2025-04-04 · Health · corrected 2025-04-16
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-12 · Health · corrected 2024-12-20
Actual harm
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-11-08 · Health · corrected 2024-11-27
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-08 · Health · corrected 2024-11-27
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-11-08 · Health · corrected 2024-11-27
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-10-04 · Health · corrected 2024-10-24
Actual harm
- EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-08-07 · Health · corrected 2024-09-23
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-08-07 · Health · corrected 2024-08-29
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-08-07 · Health · corrected 2024-08-29
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 admitted2024-08-07 · Health · corrected 2024-08-29
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-08-07 · Health · corrected 2024-09-23
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.2024-08-07 · Health · corrected 2024-08-29
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-08-07 · Health · corrected 2024-09-23
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-07 · Health · corrected 2024-08-29
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-08-07 · Health · corrected 2024-08-29
Potential for more than minimal 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.2024-08-07 · Health · corrected 2024-09-23
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-08-07 · Health · corrected 2024-09-23
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.2024-08-07 · Health · corrected 2024-09-23
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-08-07 · Health · corrected 2024-09-23
Potential for more than minimal harm
- FF0881Implement a program that monitors antibiotic use.2024-08-07 · Health · corrected 2024-08-29
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-07-25 · Health · corrected 2024-08-23
Potential for more than minimal harm
- KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-25 · Health · corrected 2024-08-23
Immediate jeopardy
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-28 · Health · corrected 2024-05-16
Actual harm
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2024-04-28 · Health · corrected 2024-05-16
Actual harm
- FF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-04-07 · Health · corrected 2024-04-08
Potential for more than minimal harm
- EF0761Ensure 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.2024-03-13 · Health · corrected 2024-03-27
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-04 · Health · corrected 2024-01-16
Actual harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-11-29 · Health · corrected 2023-12-09
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-17 · Health · corrected 2023-12-01
Actual harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-09-21 · Health · corrected 2023-10-06
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-09-21 · Health · corrected 2023-10-06
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-21 · Health · corrected 2023-10-06
Actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-21 · Health · corrected 2023-10-06
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.2023-09-21 · Health · corrected 2023-10-06
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2023-09-21 · Health · corrected 2023-10-06
Potential for more than minimal harm
- DF0699Provide care or services that was trauma informed and/or culturally competent.2023-09-21 · Health · corrected 2023-10-06
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.2023-09-21 · Health · corrected 2023-10-06
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2023-09-21 · Health · corrected 2023-10-06
Potential for minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-09-21 · Health · corrected 2023-10-06
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-09-21 · Health · corrected 2023-10-06
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.2023-09-21 · Health · corrected 2023-10-06
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.2023-09-21 · Health · corrected 2023-10-06
Potential for more than minimal harm
- FF0850Hire a qualified full-time social worker in a facility with more than 120 beds.2023-09-21 · Health · corrected 2023-10-06
Potential for more than minimal harm
- FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2023-09-21 · Health · corrected 2023-10-06
Potential for more than minimal harm
- FF0881Implement a program that monitors antibiotic use.2023-09-21 · Health · corrected 2023-10-06
Potential for more than minimal harm
- EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-09-21 · Health · corrected 2023-10-06
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.2023-08-17 · Health · corrected 2023-09-01
Potential for more than minimal harm
- FF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-08-17 · Health · corrected 2023-09-01
Potential for more than minimal harm
- BF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2023-08-17 · Health · corrected 2023-09-01
Potential for minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-08-17 · Health · corrected 2023-09-01
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.2023-08-17 · Health · corrected 2023-09-01
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.2023-08-17 · Health · corrected 2023-09-01
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.2023-08-17 · Health · corrected 2023-09-05
Potential for more than minimal harm
- DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2023-08-17 · Health · corrected 2023-09-01
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-08-17 · Health · corrected 2023-09-01
Potential for more than minimal harm
- FF0881Implement a program that monitors antibiotic use.2023-08-17 · Health · corrected 2023-09-05
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.2023-08-17 · Health · corrected 2023-09-05
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.2023-03-28 · Health · corrected 2023-04-07
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-03-28 · Health · corrected 2023-04-07
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-28 · Health · corrected 2023-04-07
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.2023-03-28 · Health · corrected 2023-04-07
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-10-05 · Health · corrected 2022-10-19
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-10-05 · Health · corrected 2022-10-19
Actual 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.2022-10-05 · Health · corrected 2022-10-19
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PETERSEN, MARK | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2005-09-30 |
| WOODLE, JEREMY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-06-01 |
| PETERSEN, MARK | Individual | CORPORATE DIRECTOR | — | 2006-01-24 |
Other facilities in PEKIN
| Name | Overall | Beds |
|---|---|---|
| PEKIN MANOR | ★★★★☆ | 130 |
| HALLMARK HEALTHCARE OF PEKIN | ★☆☆☆☆ | 71 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.