All states › Illinois › Chester › Three Springs Sr Living & Rhab
161 Three Springs Road Chester, IL 62233 · Randolph County
CMS certification number 145497 · See this home on Medicare Care Compare
Is Three Springs Sr Living & Rhab a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Three Springs Sr Living & Rhab as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Illinois average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 2.87 hours per resident per day at Three Springs Sr Living & Rhab, below the Illinois median of 3.33 (US median: 3.72). About 0.18 of those hours are from registered nurses. On weekends it falls to 2.64 hours, 8% below its all-week average. 48% of nursing staff left within a year (Illinois median 43.5%).
About this nursing home
Paying for care at Three Springs Sr Living & Rhab: Medicare and Medicaid
Three Springs Sr Living & Rhab is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Illinois's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on September 16, 2025 and found 5 deficiencies, plus 4 from complaint inspections in the same period. In total, inspectors issued 24 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 24 citations at Three Springs Sr Living & Rhab across 12 inspection dates, 15 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on September 3, 2025. The most common areas cited were quality of life and care (5) and nursing and physician services (4). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, September 3, 2025).
July 10, 2026 · 1 citation · includes complaint inspection
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
June 10, 2026 · 2 citations · includes complaint inspection
EHonor 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.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
November 18, 2025 · 1 citation · includes complaint inspection
DEnsure that residents are free from significant medication errors.
September 16, 2025 · 5 citations
FHave 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.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
BProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
September 5, 2025 · 1 citation · includes complaint inspection
DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
September 3, 2025 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
August 13, 2025 · 3 citations · includes complaint inspection
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
December 13, 2024 · 1 citation · includes complaint inspection
FProvide and implement an infection prevention and control program.
November 19, 2024 · 3 citations · includes complaint inspection
FHave 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.
FProvide and implement an infection prevention and control program.
EEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
October 29, 2024 · 2 citations · includes complaint inspection
FHave 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.
DHonor 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.
June 14, 2024 · 3 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DImplement 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.
BProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
September 13, 2023 · 1 citation
BProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Questions to ask on a tour of Three Springs Sr Living & Rhab
- Inspectors cited the home at the actual-harm level on September 3, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 3/5 | 1/5 | 2/5 |
| August 2026 | 2/5 | 3/5 | 1/5 | 2/5 |
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Location
Hospitals near Three Springs Sr Living & Rhab
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 0.7 mi
-
13.2 mi
Ste Genevieve County Memorial Hospital Ste GenevieveEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 1h 43m for patients treated and sent home
-
13.8 mi
Perry County Memorial Hospital PerryvilleEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 15m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
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Affiliation comes from CMS's affiliated-entity data, October 2026. All 18 Wlc Management Firm nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.