Below average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Scott County Nursing Center during CMS and state inspections, most recent first.
Failure to Protect Resident from Verbal Abuse by Another Resident: A cognitively intact resident reported that another resident bumped her wheelchair, told her to get out, and threatened to wrap a corn stalk around her neck, leaving her scared and threatened. The record showed prior verbal altercations between the two residents, including yelling, profanity, and repeated efforts to keep them apart during meals and activities.
A resident with severe cognitive impairment and an order for supplemental ice cream BID for weight support did not have documentation showing the supplement was provided, and the supplement was not available in the facility. The resident lost 12 pounds in less than 30 days, and staff gave conflicting accounts about who was responsible for serving and documenting the supplement. The RD and administrator stated they were unaware the supplement was unavailable, and the dietary supervisor said no stock was on hand.
Failure to report and prevent resident-to-resident abuse: A cognitively intact resident reported that another resident bumped her with his wheelchair and threatened her, and records showed prior verbal altercations between the two residents. The other resident had a history of verbal aggression and false accusations, and the Administrator stated the facility did not treat one of the incidents as an abuse allegation despite the resident’s report and fear.
Failure to report and investigate alleged verbal resident-to-resident altercation: Two cognitively intact residents were involved in a verbal exchange during supper in which one resident told the other he did not know how to be a husband and did nothing right, and the other responded by telling her to shut up. The incident was documented in both residents’ progress notes, but no Facility Abuse Investigation was completed, and the Administrator stated the facility did not have an abuse allegation for that event.
The facility failed to follow infection control protocols, with CNAs not performing hand hygiene before and after glove use during resident care. Additionally, Enhanced Barrier Precautions were not implemented for a resident with chronic wounds, lacking necessary signage and PPE. These deficiencies were observed across multiple instances, indicating a lapse in adherence to the facility's infection prevention policies.
A facility failed to prevent the misappropriation of a resident's Ativan by an LPN, who was caught on surveillance footage taking the medication from a locked refrigerator and leaving the facility with it. The medication was intended for a deceased resident and was awaiting destruction. The LPN denied involvement despite evidence, and the incident was reported to authorities. The LPN was suspended and terminated after the investigation.
Failure to Protect Resident from Verbal Abuse by Another Resident
Penalty
Summary
The facility failed to protect a resident from verbal abuse by another resident. R41, who was cognitively intact with a BIMS score of 14 and had a diagnosis of disorders of the muscle, reported that R22 propelled his wheelchair into her in the dining room and then told her to get out, that she was not needed, and that he was going to get a corn stalk from the field and wrap it around her neck. R41 stated she felt scared and threatened, reported the incident to the nurse and the Administrator, and asked that a nurse watch her while she returned to her room because she was afraid R22 might follow her. The record also showed prior resident-to-resident conflicts involving R22 and R41. R22, who had a history of TIA and a BIMS score of 13, had a care plan noting a recent verbal altercation with another resident and directions for staff to monitor and keep him away from the other resident at mealtimes. The abuse investigation records documented earlier incidents in which R22 allegedly made threatening or verbally aggressive statements toward R41, including telling her to get out of the area and using profanity, and staff noted that the residents knew each other and had been separated or moved to different tables or halls after prior altercations.
Failure to Provide Ordered Weight Loss Supplement
Penalty
Summary
The facility failed to follow physician’s orders for a weight loss supplement for one resident, R5, who was reviewed for weight loss. R5’s admission MDS documented severe cognitive impairment, independence with eating, a height of 63 inches, and a weight of 113 pounds with no documented significant recent weight loss. Her care plan and physician’s order sheet both directed that she receive supplemental ice cream twice daily for weight support, and the registered dietitian noted that the supplement had been started for weight support. The medical record for November 2025, December 2025, and January 2026 contained no documentation that R5 received the supplemental ice cream as ordered. R5’s weight was documented as 116.0 pounds on 1/5/2026 and 104.0 pounds on 1/30/2026, reflecting a loss of 12 pounds in less than 30 days, or 10.34% of body weight. During observation on 4/21/2026, R5 was seated in a wheelchair in the dining room and ate 75% of her meal, but no supplemental ice cream was on her lunch tray. Staff interviews showed the supplement was not being managed as ordered. An LPN stated she did not administer or document the supplement because she believed kitchen staff served it. The dietary supervisor stated the facility did not have any supplemental ice cream in stock, that R5 was the only resident receiving it, and that she had not notified the RD. The RD stated she expected ordered supplements to be implemented within a week and to be documented as administered, and the administrator stated the facility should have had the supplement available if it was ordered. The administrator also stated no invoices could be found showing the supplement had been ordered or delivered.
Failure to Report and Prevent Resident-to-Resident Abuse
Penalty
Summary
The facility failed to follow its abuse policy by not reporting an allegation of abuse involving two residents and by not preventing further resident-to-resident conflict. R41, who had a BIMS score of 14 and was cognitively intact, reported that R22 used his wheelchair to bump into her, told her to get out, and threatened to wrap a corn stalk around her neck. She stated she was scared, felt threatened, and reported the incident to nursing staff and the Administrator. R22, who had a BIMS score of 13 and a history of TIA, was documented as having behaviors of yelling and making false accusations toward staff and as being verbally aggressive during care with his wife. Record review showed prior documented verbal altercations between the two residents. One progress note documented that R41 told R22 he did not know how to be a husband and did nothing right, and that R22 responded by telling her to shut up. Another incident was documented in which R22 raised his voice at R41 and told her to get out and that she could not play the game. The care plan for R22 noted a recent verbal altercation with another resident and directed staff to monitor and keep the residents from contact during mealtimes. The facility abuse investigation records described resident-to-resident altercations involving R22 and R41, including R41 reporting that R22 made a threat about wrapping corn around her neck, while R22 denied threatening her. On interview, the Administrator stated that when the incident occurred, staff separated the residents and reviewed their care plans, but also stated that she did not have an allegation of abuse for the 7/4/25 incident, only the later one. The Administrator said she would expect staff to follow the abuse policy. The facility abuse prevention policy stated that the facility advocates for the prevention of, reporting of, and immediate investigation of allegations of resident abuse, neglect, mistreatment, and misappropriation of resident funds or property.
Failure to Report and Investigate Alleged Verbal Resident-to-Resident Altercation
Penalty
Summary
The facility failed to report an allegation of a verbal resident-to-resident altercation involving two cognitively intact residents, R22 and R41, and did not complete a Facility Abuse Investigation for the incident. R41’s record documented a BIMS score of 14 and noted that R41 reported telling R22 during supper that he did not know how to be a husband and did nothing right, after which R22 told her to shut up with big mean eyes. R22’s record documented a BIMS score of 13 and stated that R22 reported R41 told him he did not know how to be a husband and did nothing right, and that he yelled at her and told her to shut up and accused her of knowing everybody’s business and trying to find out more. The progress notes for both residents were dated 7/04/25 and reflected the same verbal exchange, but there was no Facility Abuse Investigation for the alleged verbal resident-to-resident altercation. On 4/22/26, the Administrator stated that the facility did not have an allegation of abuse for 7/4/25, only one for 7/7/25. The facility’s Abuse Prevention Program Policy, revised 1/26/24, states that the facility advocates for the prevention of, reporting of, and immediate investigation of allegations of resident abuse, neglect, mistreatment, and misappropriation of resident funds or property.
Infection Control Deficiencies in Hand Hygiene and Barrier Precautions
Penalty
Summary
The facility failed to adhere to proper infection prevention and control protocols, specifically in hand hygiene and glove usage, for several residents. Certified Nursing Assistants (CNAs) were observed donning gloves without performing hand hygiene before and after resident care. For instance, CNAs V8 and V15 did not wash their hands before putting on gloves or after removing them while providing care to residents R25 and R13. This lack of hand hygiene was consistent across multiple instances, including when CNAs V7 and V8 provided care to residents R21 and R27, failing to perform hand hygiene before and after glove use. Additionally, the facility did not implement Enhanced Barrier Precautions (EBP) for residents with chronic wounds, as required by their policy. Resident R12, who had a stage 2 pressure ulcer and other wounds, was not placed under EBP, and there was no signage indicating the need for such precautions. This oversight was noted when Registered Nurse V19 and another nurse were about to perform wound care without the appropriate personal protective equipment (PPE) until reminded. The facility's policies on glove changing and hand washing, as well as the Enhanced Barrier Precautions policy, were not followed, leading to potential cross-contamination and infection risks. The administrator acknowledged the importance of hand hygiene and the need for EBP for residents with wounds, but the staff did not consistently adhere to these protocols, as evidenced by the observations and interviews conducted during the survey.
Misappropriation of Resident's Medication by LPN
Penalty
Summary
The facility failed to prevent the misappropriation of a resident's medication, specifically concentrated liquid Ativan, by a Licensed Practical Nurse (LPN). The incident involved the LPN removing approximately 29.75 ml of Ativan from a locked refrigerator in the nurse medication room. Surveillance footage captured the LPN taking the medication, placing it in her purse, and leaving the facility with it. The medication was intended for a resident who had passed away, and it was awaiting destruction in accordance with facility policy. The LPN denied any involvement despite the evidence from the surveillance footage. The facility's administrator was notified of the missing medication and initiated an investigation, which included reviewing surveillance footage and interviewing staff. The investigation revealed that the LPN had disposed of the medication box and pharmacy documents in a shred box. The facility reported the incident to local law enforcement, the Illinois Department of Public Health, and other relevant authorities. The LPN was suspended and subsequently terminated following the investigation. The facility had conducted a background check and license review prior to hiring the LPN, which showed no prior disciplinary actions or concerns.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Winchester
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Evervella Of White Hall | 8.5 mi | ★★★★★ | 24 | 0 |
| Eastside Health And Rehabilitation Center | 16.8 mi | ★★★★★ | 0 | 0 |
| Grove Health & Rehab Ctr, The | 17.8 mi | ★★★★★ | 18 | 1 |
| Jacksonville Skld Nur & Rehab | 17.9 mi | ★★★★★ | 2 | 0 |
| Pittsfield Manor | 18.1 mi | ★★★★★ | 0 | 0 |
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