PRAIRIE VILLAGE HEALTHCARE CTR
1024 WEST WALNUT
JACKSONVILLE, IL, 62650
2172455175
CCN: 145294
4
Overall4
Health2
Staffing2
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (1)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
D AND G HEALTH CENTER, INC
1128a1
Excluded 2007-09-20
Ownership
| Name | Role | % |
|---|---|---|
| RAY, SHERWIN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% |
| ROTHNER, ERIC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33% |
| ATIED ASSOCIATES LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 17% |
| ARONIN, DAVID | CORPORATE DIRECTOR | NOT APPLICABLE |
| RAY, SHERWIN | CORPORATE OFFICER | NOT APPLICABLE |
| ROTH & CO, LLP | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DIXON, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SPRINGER, JERRI | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| EXTENDED CARE CONSULTING LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| EXTENDED CARE CLINICAL LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Penalties (1)
| Date | Type | Amount |
|---|---|---|
| 2025-05-15 | Payment Denial | 26 days |
Health Deficiencies (17)
2025-10-24 · Health
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
F687 · Quality of Life and Care Deficiencies
Provide appropriate foot care.
2025-06-30 · Health
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-04-11 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F727 · Nursing and Physician Services Deficiencies
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.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2023-05-10 · Health
D
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
F
F882 · Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F727 · Nursing and Physician Services Deficiencies
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.
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
2022-06-16 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F761 · Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
E
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.65
RN Hrs/Resident/Day0.54
0.50
LPN Hrs/Resident/Day0.81
1.09
CNA Hrs/Resident/Day2.33
3.06
PT Hrs/Resident/Day0.12
0.03
Data as of 2026-03-01