Richland Nursing & Rehab
A nursing home in Olney, Illinois 62450
900 East Scott Street, Olney, Illinois 62450. (618) 395-1000.
- Cited for abuse (CMS flag)
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 25 health citations at the latest inspection cycle Illinois average: 12.7
- 2.92 nurse hours per resident per day Illinois average: 3.47
- 10 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
25 health citations at the latest inspection cycle
The Illinois average is 12.7.
Last standard inspection Apr 21, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Nov 4, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
57 citations in 14 months of the last 36. Last cited May 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 57 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 26 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
May 12, 2026: complaint inspection2 citations
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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.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Apr 21, 2026: standard inspection17 citations
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Ensure that residents are free from significant medication errors.
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Honor the resident’s right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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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.
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
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Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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Assure that each resident’s assessment is updated at least once every 3 months.
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Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Provide activities to meet all resident’s needs.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide safe and appropriate respiratory care for a resident when needed.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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Provide and implement an infection prevention and control program.
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Implement a program that monitors antibiotic use.
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Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
Feb 24, 2026: complaint inspection1 citation
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Feb 10, 2026: complaint inspection2 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Ensure that residents are free from significant medication errors.
Nov 4, 2025: complaint inspection2 citations
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Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
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Honor the resident’s right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Oct 23, 2025: complaint inspection1 citation
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Sep 12, 2025: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 8, 2025: complaint inspection5 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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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.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Apr 21, 2025: complaint inspection3 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Mar 12, 2025: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Feb 7, 2025: standard inspection8 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
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Provide and implement an infection prevention and control program.
Jan 2, 2025: complaint inspection4 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Aug 12, 2024: complaint inspection1 citation
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Feb 27, 2024: complaint inspection2 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide enough food/fluids to maintain a resident’s health.
Jan 25, 2024: complaint inspection1 citation
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Make sure that a working call system is available in each resident’s bathroom and bathing area.
Jan 19, 2024: standard inspection6 citations
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Ensure that residents are free from significant medication errors.
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
-
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Ensure medication error rates are not 5 percent or greater.
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jul 1, 1970.
- Not on CMS’s special focus list.
- CMS marks it with its abuse icon: cited for abuse or neglect that harmed a resident.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, corporation.
- 157 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 10 fines in the last three years, $364,245 in all.
- 3 Medicare payment denials in the last three years.
- 26 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Apr 21, 2026 | Medicare payment denial | Not given |
| Apr 21, 2026 | Fine | $86,220 |
| Feb 24, 2026 | Fine | $25,857 |
| Oct 23, 2025 | Fine | $17,345 |
| Oct 23, 2025 | Fine | $12,425 |
| Sep 12, 2025 | Fine | $14,505 |
| Apr 21, 2025 | Fine | $16,828 |
| Apr 21, 2025 | Fine | $10,209 |
| Jan 2, 2025 | Medicare payment denial | Not given |
| Jan 2, 2025 | Fine | $98,982 |
| Aug 12, 2024 | Fine | $25,662 |
| Jan 19, 2024 | Medicare payment denial | Not given |
| Jan 19, 2024 | Fine | $56,212 |
Who does the caring?
2.92 nurse hours per resident per day
The Illinois average is 3.47.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Illinois average |
|---|---|---|
| Nurse hours per resident per day | 2.92 | 3.47 |
| Of which registered nurses | 0.47 | 0.71 |
| At weekends | 2.76 | 3.08 |
| Nursing staff turnover | 64% | 43.7% |
| Registered nurse turnover | 63.6% | 41.5% |
| Administrators who left | 2 | Not given |
Who owns it?
- 4 owners or officers are people: Stephen P Miller (owns 5% or more directly, 100%); Stephen P Miller (corporate officer, 100%); Stephen P Miller (runs it (operational or managerial control), 100%); Michael Jason Mills (corporate officer, 0%).
- Part of Helia Healthcare (13 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
How do residents fare?
- CMS rates its quality measures 2 of 5 (Illinois average 3.1).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 2 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 29.1 miles, this one had the 1st most health citations at the latest inspection cycle (25; the middle value was 9.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Richland Nursing & Rehab This nursing home | 25 | |
| Helia Healthcare of Olney | 0.7 | 11 |
| The Haven of Bridgeport | 17.1 | 11 |
| Helia Healthcare of Newton | 17.9 | 6 |
| The Haven of Ridgeview | 20.0 | 13 |
| Axiom Gardens of Flora | 22.2 | 16 |
| Axiom Healthcare of Flora | 22.8 | 3 |
| Cisne Rehabilitation and Health Care Center | 24.8 | 14 |
| Robinson Rehab and Nursing | 26.5 | 5 |
| Oakview Nursing and Rehab | 27.6 | 2 |
| Fairfield Memorial Hospital | 29.1 | 4 |
| Fairfield Senior Living & Rehabilitation LLC | 29.1 | 8 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.