PlainNursing
CMS Nursing Home Compare · August 2026

Three Springs Sr Living & Rhab

161 Three Springs Road, Chester, IL 62233

Three Springs Sr Living & Rhab, a 83-bed for profit - limited liability company nursing facility in Chester, IL, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #394 of 661 rated homes in IL on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 6188263210

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2 / 5
Below average · CMS overall · nat'l 3.0
#394 of 661
In-state rank among rated IL homes
2.91
Well below average · nurse hrs/day · nat'l 3.86
23
Inspection findings · 1 serious

The verdict

Three Springs Sr Living & Rhab, a 83-bed for profit - limited liability company nursing facility in Chester, IL, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #394 of 661 rated homes in IL on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#394 of 661
In-state rank among rated IL homes
2.91
Nurse hrs/resident-day · national 3.86
23
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 666 IL nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

3/5

Staffing

1/5

Quality Measures

2/5

Long-Stay Quality

2/5

Facility Information

Provider Number
145497
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
83
Residents
65
In Hospital
No
County
Randolph
Last Inspection
Sep 16, 2025

Staffing Data

How the 2.91 total nursing hours per resident-day are staffed:

RN Hours
0.25 (nat'l avg: 0.69)
LPN Hours
0.89
CNA Hours
1.77
Total Nursing Hours
2.91 (nat'l avg: 3.86)
PT Hours
0.01
Nursing Turnover
65.1%

What the CMS Record Reveals About Three Springs Sr Living & Rhab

According to CMS Nursing Home Compare, Three Springs Sr Living & Rhab ranks #394 of 661 rated nursing homes in IL on overall stars (tie-broken by health+staffing+quality, then fewer fines). Three Springs Sr Living & Rhab operates 83 certified beds in Chester, IL with approximately 65 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 3★ · staffing 1★ · quality 2★).

The inspection file contains 23 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider. Staffing is reported at 2.91 total nursing hours per resident day (national average 3.86), with RN coverage at 0.25 per resident day.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Three Springs Sr Living & Rhab falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 65.1% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (23 most recent)

D - Isolated - Minimal harm Jun 10, 2026 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 19, 2026

E - Pattern - Minimal harm Jun 10, 2026 Tag: 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.

Category: Resident Rights Deficiencies

Corrected: Jun 19, 2026

D - Isolated - Minimal harm Nov 18, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Dec 3, 2025

B - Pattern - No harm Sep 16, 2025 Tag: 0912

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Category: Environmental Deficiencies

D - Isolated - Minimal harm Sep 16, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Sep 22, 2025

E - Pattern - Minimal harm Sep 16, 2025 Tag: 0800

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 22, 2025

F - Widespread - Minimal harm Sep 16, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 22, 2025

F - Widespread - Minimal harm Sep 16, 2025 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Sep 22, 2025

D - Isolated - Minimal harm Sep 5, 2025 Tag: 0627

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Category: Resident Rights Deficiencies

Corrected: Sep 22, 2025

G - Isolated - Actual harm Sep 3, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 18, 2025

D - Isolated - Minimal harm Aug 13, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 18, 2025

E - Pattern - Minimal harm Aug 13, 2025 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 21, 2025

E - Pattern - Minimal harm Aug 13, 2025 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 21, 2025

F - Widespread - Minimal harm Dec 13, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 30, 2024

E - Pattern - Minimal harm Nov 19, 2024 Tag: 0676

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 27, 2024

F - Widespread - Minimal harm Nov 19, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 27, 2024

F - Widespread - Minimal harm Nov 19, 2024 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 27, 2024

D - Isolated - Minimal harm Oct 29, 2024 Tag: 0578

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.

Category: Resident Rights Deficiencies

Corrected: Nov 5, 2024

F - Widespread - Minimal harm Oct 29, 2024 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 19, 2024

B - Pattern - No harm Jun 14, 2024 Tag: 0912

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Category: Environmental Deficiencies

Corrected: Jul 2, 2024

D - Isolated - Minimal harm Jun 14, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Jul 2, 2024

F - Widespread - Minimal harm Jun 14, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 2, 2024

B - Pattern - No harm Sep 13, 2023 Tag: 0912

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Category: Environmental Deficiencies

Corrected: Sep 27, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 22.6% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.5% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 3.6% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 26.8% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 1.6% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 9.5% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.1% No
Percentage of long-stay residents who have depressive symptoms Long Stay 2.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 95.6% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 20.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 89.7% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 21.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 76.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 40.9% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Three Springs Sr Living & Rhab, both outside IL so the neighborhoods are not the same-state geography list below.

What the CMS records show for Three Springs Sr Living & Rhab

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The IL registry aggregates state averages and the highest-rated homes in this cohort. View IL registry
  • Peer homes near 83 beds show how CMS stars vary at a similar scale in IL. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Three Springs Sr Living & Rhab?
Three Springs Sr Living & Rhab has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (3★), staffing levels (1★), and quality measures (2★).
Where does Three Springs Sr Living & Rhab rank among nursing homes in IL?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Three Springs Sr Living & Rhab ranks 394th among 661 rated nursing homes in IL (#394 of 661). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Three Springs Sr Living & Rhab?
Three Springs Sr Living & Rhab reports 2.91 total nursing hours per resident day (national average: 3.86). RN hours are 0.25 per resident day (national average: 0.69). Nursing staff turnover is 65.1%.
How many beds does Three Springs Sr Living & Rhab have?
Three Springs Sr Living & Rhab has 83 certified beds with approximately 65 residents. The facility is located at 161 Three Springs Road, Chester, IL 62233.
Does Three Springs Sr Living & Rhab have any deficiencies on record?
Yes, Three Springs Sr Living & Rhab has 23 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Three Springs Sr Living & Rhab received any fines or penalties?
No, Three Springs Sr Living & Rhab has no fines or penalties on record.
Who owns Three Springs Sr Living & Rhab?
Three Springs Sr Living & Rhab is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Three Springs Sr Living & Rhab last inspected?
The most recent health inspection for Three Springs Sr Living & Rhab was on Sep 16, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Three Springs Sr Living & Rhab?
Three Springs Sr Living & Rhab is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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