All states › Illinois › Fairfield › Fairfield Senior Living & Rehabilitation
305 N.W. 11th Street Fairfield, IL 62837 · Wayne County
All 2 nursing homes in Fairfield, IL (1 take Medicaid)
CMS certification number 146000 · See this home on Medicare Care Compare
Is Fairfield Senior Living & Rehabilitation 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 Fairfield Senior Living & Rehabilitation as of October 2026.
CMS rates it 1 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 3.01 hours per resident per day at Fairfield Senior Living & Rehabilitation, below the Illinois median of 3.33 (US median: 3.72). About 0.61 of those hours are from registered nurses. On weekends it falls to 2.82 hours, 6% below its all-week average.
About this nursing home
Paying for care at Fairfield Senior Living & Rehabilitation: Medicare and Medicaid
Fairfield Senior Living & Rehabilitation 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 July 25, 2025 and found 5 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 44 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 44 citations at Fairfield Senior Living & Rehabilitation across 12 inspection dates, 18 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on August 8, 2024 (complaint inspection). The most common areas cited were quality of life and care (15) and nutrition and dietary (7). 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 J, August 8, 2024). 4 citations were under CMS's abuse, neglect and exploitation rules.
April 28, 2026 · 2 citations · includes complaint inspection
GEnsure that residents are free from significant medication errors.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
December 3, 2025 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
July 25, 2025 · 5 citations
FEnsure 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.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DHonor 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.
DEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
February 14, 2025 · 1 citation · includes complaint inspection
DMake sure that a working call system is available in each resident's bathroom and bathing area.
September 20, 2024 · 3 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
August 29, 2024 · 4 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
August 8, 2024 · 2 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
June 20, 2024 · 2 citations · includes complaint inspection
FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
May 28, 2024 · 9 citations, includes actual harm
GProvide enough food/fluids to maintain a resident's health.
FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
FEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
April 9, 2024 · 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.
February 20, 2024 · 2 citations, includes actual harm · includes complaint inspection
GProvide safe, appropriate pain management for a resident who requires such services.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
June 23, 2023 · 12 citations
FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
DReasonably accommodate the needs and preferences of each resident.
DHonor 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.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
DProvide and implement an infection prevention and control program.
DImplement a program that monitors antibiotic use.
Questions to ask on a tour of Fairfield Senior Living & Rehabilitation
- Inspectors cited the home at the immediate-jeopardy level on August 8, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on August 29, 2024. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- The home averages about 45% of its beds filled. Are any units closed?
- 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
8 penalties in the last three years, including $109,031 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Apr 28, 2026 | Fine | $15,935 |
| May 28, 2024 | Fine | $16,065 |
| May 28, 2024 | Fine | $16,065 |
| May 28, 2024 | Fine | $16,065 |
| May 28, 2024 | Fine | $16,801 |
| May 28, 2024 | Payment Denial | 94 days of payments denied |
| Apr 9, 2024 | Fine | $14,050 |
| Feb 20, 2024 | Fine | $14,050 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 2/5 |
| August 2026 | 1/5 | 2/5 | 1/5 | 1/5 |
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Location
Hospitals near Fairfield Senior Living & Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.6 mi
Fairfield Memorial Hospital FairfieldEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 1h 41m for patients treated and sent home
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21.4 mi
Clay County Hospital FloraEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 1h 36m for patients treated and sent home
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22.6 mi
Hamilton Memorial Hospital District McLeansboroEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 1h 56m 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.
Nearby nursing homes
More nursing homes near Fairfield Senior Living & Rehabilitation › All nursing homes in Fairfield ›
Compare Fairfield Senior Living & Rehabilitation with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Fairfield Memorial Hospital · Fairfield · 5 stars · 0.2 mi
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- Stonebridge Nursing & Rehab · Benton · 4 stars
- Oakview Nursing & Rehab · Mount Carmel · 4 stars
- Hillview Senior Living & Rehab · Vienna · 4 stars
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.