Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
HILLTOP SKILLED NSG & REHAB
CHARLESTON, IL · 108 certified beds · Last Life Safety survey October 18, 2024
CMS Certification Number 145862 · first certified January 1996
Ownership
Operated by CREST HEALTHCARE CONSULTING · For profit - Limited Liability company
- Ownership changed September 1, 2019 (change of ownership)from COVENANT CARE HILLTOP, LLC
Position within IL
11 citations — more than 38% of the 666 certified nursing homes in IL. Compared within IL rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 3 citations; the earlier surveys in the window averaged 4. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
Well past the typical window (September 2025 to November 2025), and past the point by which nine in ten IL facilities have been surveyed. This facility’s last Life Safety survey was October 2024. Facilities in IL are typically surveyed 11–13 months after the last one (median 12), measured over 759 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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Emergency preparedness
11 of the 11 citations on file are Emergency Preparedness E-tags — every citation here is about the program, not the building. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
12 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 11 Life Safety citations above. The Physical Environment Index
- F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-0584 Honor 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.
- F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- F-0880 Provide and implement an infection prevention and control program.
How that compares
Compared with the median facility in IL, and nationally. Surveyors differ markedly between states, so the IL figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 11 |
| Median facility in IL | 15 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| December 27, 2022 | 1 |
| November 1, 2023 | 7 |
| October 18, 2024 | 3 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| E-0039 | Conduct testing and exercise requirements. | 2 | 2023-11-01 |
| E-0015 | Address subsistence needs for staff and patients. | 2 | 2024-10-18 |
| E-0041 | Implement emergency and standby power systems. | 2 | 2024-10-18 |
| E-0025 | Create arrangements with other facilities to receive patients. | 2 | 2024-10-18 |
| E-0007 | Address patient/client population and determine types of services needed. | 1 | 2023-11-01 |
| E-0024 | Establish policies and procedures for volunteers. | 1 | 2023-11-01 |
| E-0026 | Establish roles under a Waiver declared by secretary. | 1 | 2023-11-01 |
What the citations cover
- Emergency Preparedness Deficiencies 11
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 11 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
October 18, 2024 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (November 13, 2024) |
| E-0025 | Create arrangements with other facilities to receive patients. | Deficient, Provider has date of correction (November 13, 2024) |
| E-0041 | Implement emergency and standby power systems. | Deficient, Provider has date of correction (November 13, 2024) |
November 1, 2023 — 7 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0007 | Address patient/client population and determine types of services needed. | Deficient, Provider has date of correction (November 24, 2023) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (November 24, 2023) |
| E-0024 | Establish policies and procedures for volunteers. | Deficient, Provider has date of correction (November 24, 2023) |
| E-0025 | Create arrangements with other facilities to receive patients. | Deficient, Provider has date of correction (November 24, 2023) |
| E-0026 | Establish roles under a Waiver declared by secretary. | Deficient, Provider has date of correction (November 24, 2023) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (November 24, 2023) |
| E-0041 | Implement emergency and standby power systems. | Deficient, Provider has date of correction (November 24, 2023) |
December 27, 2022 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (January 19, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.