nursing home in South Beloit, IL

Fair Oaks Rehab & Healthcare

1515 Blackhawk Boulevard, South Beloit, IL 61080 · (815) 389-3911

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★1
  • Quality measures★★★★★2
  • Abuse citation

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Fair Oaks Rehab & Healthcare at a glance

Fair Oaks Rehab & Healthcare is a 78-bed for-profit nursing home in South Beloit, Illinois (Winnebago County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Illinois average of 2.5.

Residents receive about 3.4 hours of nursing care per day (0.7 of them from registered nurses), close to the state average of 3.4 hours.

Its most recent standard health inspection (September 10, 2025) found 15 health citations. The Illinois average is 12.5.

Federal regulators fined it 3 times in the past three years, totaling $71,124.

Nursing staff turnover is 61.3% per year (state average 44.5%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
78
Certified for
Medicare and Medicaid
Chain / affiliated entity
Tutera Senior Living & Health Care
Medicare-certified since
October 1, 1991
Resident/family council
Resident
County
Winnebago County
CMS Certification Number
145702

Ratings

MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 52.5 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)2 / 52.7 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)1 / 52.1 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)2 / 53 / 53.6 / 5Worse
Long-stay quality rating (higher is better)4 / 53.4 / 53.8 / 5Average
Short-stay (rehab) quality rating (higher is better)1 / 52.5 / 53.3 / 5Worse

Staffing

This facility3.43 hrsIllinois average3.45 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Illinois and U.S. averages
MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.43 hrs3.45 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.74 hrs0.72 hrs0.69 hrsBetter
Nurse aide hours per resident per day (higher is better)1.99 hrs2.09 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)3.01 hrs3.07 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)61.3%44.5%45.8%Worse
Registered nurse turnover (yearly) (lower is better)73.7%41.8%42.9%Worse
Administrators who left in the past year (lower is better)001Better

Inspections

This facility15Illinois average12U.S. average9
Health citations in the most recent inspection: this facility vs. Illinois and U.S. averages
MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)15129Worse
Citations from complaint investigations (latest cycle) (lower is better)553Worse
Weighted health inspection score ⓘ (lower is better)140.314380.6Worse

Penalties

This facility3Illinois average2U.S. average1
Fines in the past 3 years: this facility vs. Illinois and U.S. averages
MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)321Worse
Total fines in the past 3 years (lower is better)$71,124$111,013$30,972Worse
All federal penalties in the past 3 years (lower is better)431Worse

Size

MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Certified beds78128107
Average residents per day599586
Occupancy75.8%75%80.9%

Long-stay residents

This facility0.5%Illinois average3.1%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Illinois and U.S. averages
MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)0.5%3.1%3.2%Better
Long-stay residents with pressure ulcers (lower is better)4.8%4.8%4.6%Average
Long-stay residents given antipsychotic medication (lower is better)12.8%21.7%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)0.5%1.5%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0%0.9%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)15.9%13.4%13.9%Worse
Long-stay residents whose walking worsened (lower is better)26.5%14.3%14.1%Worse
Long-stay residents who lose too much weight (lower is better)6.9%6.3%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)26.6%54.2%12.8%Worse
Long-stay residents who were physically restrained (lower is better)0%0.1%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)23.8%18.3%19.5%Worse
Long-stay residents with new or worse incontinence (lower is better)23.4%20.6%19%Worse
Long-stay residents given a flu vaccine (higher is better)96.2%91.8%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)94.7%90.3%93.6%Average

Short-stay residents

This facility3.7%Illinois average2.2%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Illinois and U.S. averages
MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)3.7%2.2%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)63.8%63.1%79.8%Worse
Short-stay residents given a pneumonia vaccine (higher is better)86.5%69.7%82%Better

Inspection citations

State inspectors cited this home for 37 health deficiencies and 17 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm, including 2 rated "immediate jeopardy".

DateCitationSeverityStatus
July 20, 2026
Complaint
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected August 3, 2026
April 6, 2026
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
G
Actual harm, isolated
Corrected April 13, 2026
March 10, 2026
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
J
Immediate jeopardy, isolated
Corrected March 11, 2026
March 10, 2026
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected March 12, 2026
December 12, 2025
Complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected December 24, 2025
September 10, 2025
Fire safety
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies · Tag K0291
F
Potential harm, widespread
Corrected September 25, 2025
September 10, 2025
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
F
Potential harm, widespread
Corrected September 30, 2025
September 10, 2025
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
E
Potential harm, pattern
Corrected September 25, 2025
September 10, 2025
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
E
Potential harm, pattern
Corrected September 25, 2025
September 10, 2025
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected September 25, 2025
September 10, 2025
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
E
Potential harm, pattern
Corrected September 25, 2025
September 10, 2025
Standard
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Tag F0805
E
Potential harm, pattern
Corrected September 25, 2025
September 10, 2025
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
E
Potential harm, pattern
Corrected September 25, 2025
September 10, 2025
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected September 25, 2025
September 10, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected September 25, 2025
September 10, 2025
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
D
Potential harm, isolated
Corrected September 25, 2025
September 10, 2025
Standard
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Tag F0756
D
Potential harm, isolated
Corrected September 25, 2025
September 10, 2025
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected September 25, 2025
September 10, 2025
Standard
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0697
D
Potential harm, isolated
Corrected September 25, 2025
September 10, 2025
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected September 25, 2025
September 10, 2025
Standard
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Tag F0554
D
Potential harm, isolated
Corrected September 25, 2025
June 9, 2025
Complaint
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected June 19, 2025
February 11, 2025
Complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies · Tag F0678
J
Immediate jeopardy, isolated
Corrected February 3, 2025
February 11, 2025
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
G
Actual harm, isolated
Corrected February 27, 2025
November 12, 2024
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected November 5, 2024
October 28, 2024
Complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected November 8, 2024
October 28, 2024
Complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Tag F0806
D
Potential harm, isolated
Corrected November 8, 2024
September 24, 2024
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected September 30, 2024
July 17, 2024
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
E
Potential harm, pattern
Corrected August 23, 2024
July 17, 2024
Fire safety
Have exits that are accessible at all times.
Egress Deficiencies · Tag K0271
E
Potential harm, pattern
Corrected August 23, 2024
July 17, 2024
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
D
Potential harm, isolated
Corrected August 23, 2024
July 17, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected August 2, 2024
July 17, 2024
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected August 2, 2024
July 17, 2024
Standard
Provide 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.
Quality of Life and Care Deficiencies · Tag F0688
D
Potential harm, isolated
Corrected August 2, 2024
July 17, 2024
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected August 2, 2024
July 17, 2024
Standard
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
D
Potential harm, isolated
Corrected August 2, 2024
March 20, 2024
Complaint
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected April 5, 2024
November 9, 2023
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected November 21, 2023
August 31, 2023
Fire safety
Establish policies and procedures for volunteers.
Emergency Preparedness Deficiencies · Tag E0024
F
Potential harm, widespread
Corrected October 6, 2023
August 31, 2023
Fire safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0916
F
Potential harm, widespread
Corrected October 6, 2023
August 31, 2023
Fire safety
Have proper power supply for life support equipment.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0915
F
Potential harm, widespread
Corrected October 6, 2023
August 31, 2023
Fire safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914
F
Potential harm, widespread
Corrected October 6, 2023
August 31, 2023
Fire safety
Create arrangements with other facilities to receive patients.
Emergency Preparedness Deficiencies · Tag E0025
F
Potential harm, widespread
Corrected October 6, 2023
August 31, 2023
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
E
Potential harm, pattern
Corrected October 6, 2023
August 31, 2023
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected October 6, 2023
August 31, 2023
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
E
Potential harm, pattern
Corrected October 6, 2023
August 31, 2023
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
F
Potential harm, widespread
Corrected September 15, 2023
August 31, 2023
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
D
Potential harm, isolated
Corrected September 15, 2023
August 31, 2023
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected September 15, 2023
August 31, 2023
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected September 15, 2023
August 31, 2023
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected September 15, 2023
August 31, 2023
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected September 15, 2023
August 31, 2023
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected September 15, 2023
August 31, 2023
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected September 15, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 4 federal penalties in the past three years, including $71,124 in fines.

DatePenaltyAmount / length
March 10, 2026Payment Denial13 days from March 31, 2026
March 10, 2026Fine$48,590
February 11, 2025Fine$14,373
February 11, 2025Fine$8,161

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
BLOOM, RANDALL
Individual
adp of the snfNOT APPLICABLE12/28/2021
BROOKS, KILEY
Individual
adp of the snfNOT APPLICABLE12/28/2021
GILLIHAN, SHERRY
Individual
adp of the snfNOT APPLICABLE05/01/2025
NIKA, VASIL
Individual
adp of the snfNOT APPLICABLE05/01/2025
TI-SOUTH BELOIT, LLC
Organization
adp of the snfNOT APPLICABLE01/01/2019
TUTERA, JOSEPH
Individual
adp of the snfNOT APPLICABLE12/28/2021
WALNUT CREEK MANAGEMENT COMPANY LLC
Organization
adp of the snfNOT APPLICABLE04/12/2025
BLOOM, RANDALL
Individual
corporate officerNOT APPLICABLE12/28/2021
BROOKS, KILEY
Individual
corporate officerNOT APPLICABLE12/28/2021
JCT INVESTMENTS, LLC
Organization
direct ownership interestNOT APPLICABLE05/12/2010
TUTERA INVESTMENTS, LLC
Organization
direct ownership interestNOT APPLICABLE12/28/2021
JOSEPH CHARLES TUTERA 2013 FAMILY IRREVOCIABLE TRUST AGREEMENT
Organization
indirect ownership interestNOT APPLICABLE12/28/2021
MARIAN OLANDER TUTERA 2020 MRTL TR
Organization
indirect ownership interestNOT APPLICABLE12/28/2021
TUTERA, JOSEPH
Individual
indirect ownership interestNOT APPLICABLE12/28/2021
TUTERA, MARIAN
Individual
indirect ownership interestNOT APPLICABLE12/28/2021
FLANAGAN, MICHAEL
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE04/12/2025
BLOOM, RANDALL
Individual
operational/managerial controlNOT APPLICABLE12/28/2021
BROOKS, KILEY
Individual
operational/managerial controlNOT APPLICABLE12/28/2021
GILLIHAN, SHERRY
Individual
operational/managerial controlNOT APPLICABLE05/01/2025
NIKA, VASIL
Individual
operational/managerial controlNOT APPLICABLE05/01/2025
TUTERA, JOSEPH
Individual
operational/managerial controlNOT APPLICABLE12/28/2021
WALNUT CREEK MANAGEMENT COMPANY LLC
Organization
operational/managerial controlNOT APPLICABLE01/01/2016

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  4. River Bluff Nursing Home

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  5. Avira Health Pavilion

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Frequently asked questions

What is Fair Oaks Rehab & Healthcare's rating?

Fair Oaks Rehab & Healthcare has 1 out of 5 stars on the CMS overall star rating. The average for Illinois nursing homes is 2.5 stars.

How many inspection citations did Fair Oaks Rehab & Healthcare receive?

Its most recent standard health inspection found 15 citations, compared with a Illinois average of 12.5. Every citation is listed on this page with its severity.

Does Fair Oaks Rehab & Healthcare accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Fair Oaks Rehab & Healthcare?

It is for profit - corporation and part of Tutera Senior Living & Health Care. The ownership section on this page lists the owners and managers reported to CMS.

Where is Fair Oaks Rehab & Healthcare and how do I contact it?

Fair Oaks Rehab & Healthcare is at 1515 Blackhawk Boulevard, South Beloit, IL 61080. Phone: (815) 389-3911.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.