23/100
Poor
1515 Blackhawk Boulevard, South Beloit, IL 61080
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
Abuse icon on record
CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.
4 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$71,124 in federal fines
CMS has fined this facility across 3 penalty action(s).
Nursing staff turnover of 61%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: September 10, 2025 (11 months ago).
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Actual harm to a resident
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Immediate jeopardy to resident health or safety
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
No actual harm, potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
No actual harm, potential for more than minimal harm
Part of TUTERA SENIOR LIVING & HEALTH CARE, which operates 26 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| JCT INVESTMENTS, LLC | Organization | DIRECT OWNERSHIP INTEREST | — |
| TUTERA INVESTMENTS, LLC | Organization | DIRECT OWNERSHIP INTEREST | — |
| JOSEPH CHARLES TUTERA 2013 FAMILY IRREVOCIABLE TRUST AGREEMENT | Organization | INDIRECT OWNERSHIP INTEREST | — |
| MARIAN OLANDER TUTERA 2020 MRTL TR | Organization | INDIRECT OWNERSHIP INTEREST | — |
| TUTERA, JOSEPH | Individual | INDIRECT OWNERSHIP INTEREST | — |
| TUTERA, MARIAN | Individual | INDIRECT OWNERSHIP INTEREST | — |
| BLOOM, RANDALL | Individual | CORPORATE OFFICER | — |
| BROOKS, KILEY | Individual | CORPORATE OFFICER | — |
| WALNUT CREEK MANAGEMENT COMPANY LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| BLOOM, RANDALL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| BROOKS, KILEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| GILLIHAN, SHERRY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
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Fair Oaks Rehab & Healthcare holds an ElderGrade of F (23 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.43 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 4 of the 36 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Fair Oaks Rehab & Healthcare is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.