F
Randolph County Care Center
32/100 score
0.45 hrs RN staffing
5 deficiencies
THREE SPRINGS SR LIVING & RHAB
161 THREE SPRINGS ROAD, CHESTER, IL 62233
Operator
WLC MANAGEMENT FIRM · 18 facilities
- Provider number (CCN)
- 145497
- Certification
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified beds
- 83
- Phone
- (618) 826-3210
- CMS data as of
- August 1, 2026
F
●
stable
Staffing 0% · Deficiencies +20% over tracking period
What the records show
CMS rates THREE SPRINGS SR LIVING & RHAB 2 out of 5 stars overall, with 3 of 5 for health inspections, 1 of 5 for staffing, 2 of 5 for quality measures. Federal inspectors cited 23 health deficiencies across the last three survey cycles, most recently surveyed in 2025, 1 at actual-harm level or higher. CMS lists no fines or payment denials for this facility in the covered period.
Facility Assessment
Inspectors recorded 1 citation at the actual-harm level or worse in the last three survey cycles. This facility is operated by WLC MANAGEMENT FIRM, which scores 18 points below the national average. This facility staffs below 0.55 RN hours per resident day — the level the 2024 federal rule, repealed in February 2026, would have required.
Reviews, Ratings and Official Records
This page reviews THREE SPRINGS SR LIVING & RHAB using federal government records — CMS star ratings, health-inspection findings, staffing data and enforcement actions. NursingHomeGrade does not collect, host or publish resident or family testimonials, and no star rating below is a consumer review score.
Below the repealed 0.55 hr benchmark — review the inspection and enforcement records below for the safety history behind the grade.
Ratings and Grade Breakdown
|
RN Staffing
Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.
|
0.25 — Below the repealed 0.55 hr benchmark |
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why |
|
|
Health Deficiencies (last 3 survey cycles)
Violations found during federal inspections, with how many remain open and how many involved actual harm.
|
Total
23
Outstanding
0
Actual harm or worse (G–L)
1
|
|
CMS Ratings
Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.
|
Overall: ★★☆☆☆ (2/5)
Health inspection: ★★★☆☆ (3/5)
Quality: ★★☆☆☆ (2/5)
Staffing: ★☆☆☆☆ (1/5)
|
|
NursingHomeGrade Score
|
24/100 |
Loaded into NursingHomeGrade on September 5, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.
CMS scores each facility from one to five stars — one is in the bottom fifth of facilities in its state on health inspections, five is in the top tenth. Our own A–F grade is a separate 0–100 score built from staffing hours, inspection citations, and the severity and correction status of those citations, weighted as described in our grading methodology.
Staffing Compared With State and National Levels
| This facility | 0.25 hrs |
|---|---|
| IL median | 0.61 hrs |
| National average | 0.69 hrs |
Total nursing staff turnover: 65.1%
Staffing figures are the values CMS published in its file processed August 1, 2026, drawn from payroll-based journal reporting.
Inspection Records Covered
- Most recent standard health survey: September 16, 2025.
- Citations shown below span 3 recorded inspection cycles.
- Survey dates on file range from September 13, 2023 to June 10, 2026.
Source records: CMS Care Compare profile for provider 145497 ↗ · the federal files we load and when.
Inspection Deficiencies
Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).
1 actual harm issue found among 23 total deficiencies. 23 corrected.
Most recent inspection (September 16, 2025)
B
No harm — pattern
F0912
Status: Corrected
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies — No revisit needed
F
Potential harm — widespread
F0727
Status: Corrected
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies — Deficient, Provider has date of correction, corrected September 22, 2025
E
Potential harm — pattern
F0725
Status: Corrected
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies — Deficient, Provider has date of correction, corrected August 21, 2025
F
Potential harm — widespread
F0812
Status: Corrected
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies — Deficient, Provider has date of correction, corrected September 22, 2025
E
Potential harm — pattern
F0800
Status: Corrected
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary Deficiencies — Deficient, Provider has date of correction, corrected September 22, 2025
D
Potential harm — isolated
F0760
Status: Corrected
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected December 3, 2025
D
Potential harm — isolated
F0755
Status: Corrected
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected September 22, 2025
D
Potential harm — isolated
F0677
Status: Corrected
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected June 19, 2026
G
Actual harm — isolated
F0689
Status: Corrected
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected September 18, 2025
E
Potential harm — pattern
F0677
Status: Corrected
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected August 21, 2025
D
Potential harm — isolated
F0689
Status: Corrected
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected September 18, 2025
E
Potential harm — pattern
F0584
Status: Corrected
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.
Resident Rights Deficiencies — Deficient, Provider has date of correction, corrected June 19, 2026
D
Potential harm — isolated
F0627
Status: Corrected
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies — Deficient, Provider has date of correction, corrected September 22, 2025
Inspection cycle 2 (June 14, 2024)
B
No harm — pattern
F0912
Status: Corrected
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies — Waiver has been granted, corrected July 2, 2024
F
Potential harm — widespread
F0880
Status: Corrected
Provide and implement an infection prevention and control program.
Infection Control Deficiencies — Deficient, Provider has date of correction, corrected December 30, 2024
F
Potential harm — widespread
F0880
Status: Corrected
Provide and implement an infection prevention and control program.
Infection Control Deficiencies — Deficient, Provider has date of correction, corrected November 27, 2024
F
Potential harm — widespread
F0727
Status: Corrected
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies — Deficient, Provider has date of correction, corrected November 27, 2024
F
Potential harm — widespread
F0727
Status: Corrected
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies — Deficient, Provider has date of correction, corrected November 19, 2024
F
Potential harm — widespread
F0812
Status: Corrected
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies — Deficient, Provider has date of correction, corrected July 2, 2024
D
Potential harm — isolated
F0758
Status: Corrected
Implement 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.
Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected July 2, 2024
E
Potential harm — pattern
F0676
Status: Corrected
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected November 27, 2024
D
Potential harm — isolated
F0578
Status: Corrected
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.
Resident Rights Deficiencies — Deficient, Provider has date of correction, corrected November 5, 2024
Inspection cycle 3 (September 13, 2023)
B
No harm — pattern
F0912
Status: Corrected
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies — Waiver has been granted, corrected September 27, 2023
Fines and Enforcement Actions
CMS lists no fines and no payment denials for THREE SPRINGS SR LIVING & RHAB in the enforcement records covering the last three years, as published in the file processed August 1, 2026.
Ownership and Contact Information
- Facility name
- THREE SPRINGS SR LIVING & RHAB
- Legal business name
- THREE SPRINGS SENIOR LIVING & REHABILITATION LLC
- Address
- 161 THREE SPRINGS ROAD, CHESTER, IL 62233
- Phone
- (618) 826-3210
- Provider number (CCN)
- 145497
- Ownership type
- For profit - Limited Liability company
- Operator
- WLC MANAGEMENT FIRM · 18 facilities
- Medicare/Medicaid certified since
- September 11, 1984
- Official record
- CMS Care Compare profile ↗
- Details verified against CMS data dated
- August 1, 2026
The federal nursing-home files publish no email address for certified facilities, so none is listed here. We do not guess or construct contact addresses. Contact details above are reproduced from CMS Provider Information; call the facility to confirm before relying on them.
How We Stay Independent
NursingHomeGrade is strictly independent. We do not accept payments from facilities. Our grades are calculated solely from federal CMS datasets.
Learn about our data methodology →Nearby facilities in CHESTER
Compare local nursing homes using the same CMS-backed grading method.
D
COULTERVILLE REHAB & HCC
40/100 score
0.41 hrs RN staffing
5 deficiencies
D
PINCKNEYVILLE NURSING & REHAB
36/100 score
0.40 hrs RN staffing
4 deficiencies
D
DUQUOIN NURSING & REHAB
40/100 score
0.38 hrs RN staffing
2 deficiencies
F
FAIRVIEW REHAB & HEALTHCARE
26/100 score
0.17 hrs RN staffing
1 deficiencies
Sources and Methodology
- CMS Provider Information (file processed August 1, 2026) — ratings, staffing, ownership, certification and contact details. Dataset 4pq5-n9py ↗
- CMS Health Deficiencies — inspection citations, scope and severity, correction status. Dataset r5ix-sfxw ↗
- CMS Ownership — owning and managing organisations. Dataset y2hd-n93e ↗
The NursingHomeGrade score is our own calculation from these federal files — it is not a CMS rating and not a consumer review score. See exactly how the score is calculated · full methodology · source files and load dates.
Need help choosing a facility?
Get free guidance from senior living advisors. We don't earn a fee for these links, and we never take payment from nursing facilities.
Get help finding alternatives ↗ Compare nearby ↗↗ Links open independent third-party sites in a new tab.
Get score alerts for this facility
We'll email you when THREE SPRINGS SR LIVING & RHAB's staffing score changes.