Nursing homes across Macon County, Illinois, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Decatur Rehab & Health Care Center runs 58 certified beds under corporate ownership, and the federal numbers are rough across the board. Inspectors have logged 89 deficiencies on the current record, including 9 tied to abuse and 5 serious enough to put residents in immediate harm or jeopardy. Staffing levels sit far below what CMS expects, the one-star rating there means fewer caregivers per resident than the national average, which matters most when someone needs help with daily tasks or a quick response. The last full inspection was September 25, 2024, and the home has one fine on record for $25,500. When a building carries this many health and safety citations alongside thin staffing, families should ask hard questions before moving anyone in.
Loft Rehab of Rock Springs carries 94 deficiencies on its current record, six of them serious enough to involve actual harm or jeopardy, and eight tied to abuse. Those aren't paperwork problems. The health inspection rating sits at 1 out of 5, and the staffing rating matches it, 2.85 nurse hours per resident per day against a national average of 3.86, roughly a quarter less hands-on time. Weekend coverage drops another 11% below the home's own weekday numbers. Turnover at 43.7% is marginally better than the 45.8% national figure, which is the only number here that isn't working against it. A $17,870 fine and a March 2025 inspection round out the picture.
Arc At Hickory Point reports 4.50 nurse hours per resident day, which is genuinely above the national average of 3.86, but that number comes with an asterisk. Weekend staffing drops about 10% below weekday levels, and annual turnover sits at 72.5%, well above the 45.8% national figure, so the aides and nurses at the bedside keep changing. The inspection record is where things get harder to explain away: 45 deficiencies, 13 of them at harm or jeopardy level, one abuse-related, and four fines totaling $355,296. A for-profit corporation runs this 64-bed home in Forsyth. Roughly 72 cents of every dollar in fines here went toward penalties tied to serious resident harm.
Fair Havens runs 154 beds in Decatur under for-profit LLC ownership, and the numbers that matter most here are the ones CMS flags hardest. Its health inspection rating sits at 1 out of 5, with 93 deficiencies on the current record, 9 of them at harm or jeopardy level and 17 tied to abuse. Four fines total $277,416, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems. Nurse staffing runs just below the national average at 3.73 hours per resident day, weekends drop about 15% below weekdays, and turnover hits 51.9% against a 45.8% national figure. The December 2025 inspection is recent.
Mt Zion Health & Rehab runs on thinner nursing coverage than most homes in the country, 3.22 nurse hours per resident day against a national average of 3.86, and weekends get even leaner, dropping roughly 12% below its own weekday staffing. That strain shows up in the workforce itself: 56.3% annual turnover means more than half the nursing staff leaves each year, well above the 45.8% national figure. The inspection record backs it up, with 51 deficiencies on file, including three at the level that put residents in harm's way and seven tied to abuse, plus a $47,700 fine. State surveyors last visited in February 2024.
Imboden Creek runs about 3.17 nursing hours per resident day, roughly 18% under the national average, and weekend coverage slips another 10% below its own weekday numbers. That thin staffing shows up in the inspection record: 83 deficiencies, seven at harm or jeopardy level, nine abuse-related, and five fines totaling $379,323. Annual turnover sits at 50%, above the national 45.8%, so the people providing care keep changing. The last inspection was January 13, 2026, and the federal government's own ratings give this for-profit corporation one star each for health inspections, quality measures, and staffing, the lowest marks CMS issues on all three.
Loft Rehab Of Decatur runs 150 certified beds under corporate ownership, and the numbers worth knowing are the staffing and inspection record. Nurses provide about 3.03 hours of care per resident per day, roughly a fifth below the national average, and weekend coverage drops further below what the home staffs on weekdays. Annual turnover sits at 55.7 percent against a national 45.8. Inspectors cited 95 deficiencies on the current record, 13 of them at harm or jeopardy level and 11 abuse-related, with $278,764 in fines across four penalties. The last inspection was March 2025, so the record is current, not stale.