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LUTHERAN HILLSIDE VILLAGE Inspection Report, Violations & Safety Grade (PEORIA, Illinois)

6901 NORTH GALENA ROAD, PEORIA, Illinois 61614

Phone: 3096924494

CMS Overall:5/5

Overview & Bed Count

Certified Beds
107
Avg Residents/Day
72.5
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Peoria
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health4/5
Staffing5/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityIllinois AvgDifference
RN Hours per Resident per Day0.770.71+0.05
Total Nurse Hours per Resident per Day4.443.47+0.97
CMS Staffing Rating5/52.2/5-
Nursing Staff Turnover39.8%43.7%-

Health Citation History

14 health citations on record

DateCategoryDescriptionSeverity
2026-06-17Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2025-10-15Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2025-02-05Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D – Moderate Harm Potential
2025-02-05Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2024-12-13Resident Rights DeficienciesAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.F – Moderate Harm Potential
2024-12-13Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential
2024-12-13Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2024-12-13Quality of Life and Care DeficienciesTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.D – Moderate Harm Potential
2023-01-26Pharmacy Service DeficienciesImplement 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.E – Moderate Harm Potential
2023-01-26Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2023-01-26Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D – Moderate Harm Potential
2023-01-26Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2023-01-26Quality of Life and Care DeficienciesTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.D – Moderate Harm Potential
2023-01-26Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential

Fire Safety Citation History

10 fire safety citations on record

DateCategoryDescriptionSeverity
2024-12-13Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.F – Moderate Harm Potential
2024-12-13Construction DeficienciesInstall a two-hour-resistant firewall separation.E – Moderate Harm Potential
2024-12-13Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2023-11-08Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2023-11-08Construction DeficienciesInstall a two-hour-resistant firewall separation.E – Moderate Harm Potential
2023-11-08Egress DeficienciesHave properly located and lighted "Exit" signs.E – Moderate Harm Potential
2023-01-26Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.F – Moderate Harm Potential
2023-01-26Emergency Preparedness DeficienciesEstablish policies and procedures for sheltering.F – Moderate Harm Potential
2023-01-26Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2023-01-26Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential

Total Penalties & Fines

$25,470
Total Fine Amount (CMS)
2
Number of Fines
3
Total Penalties
DateTypeFine AmountPayment Denial
2026-02-19Fine$12,735-
2026-02-19Fine$12,735-
2026-02-19Payment Denial-102 days starting 2026-03-20

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