All states › Illinois › Savanna › Big Meadows
1000 Longmoor Savanna, IL 61074 · Carroll County
CMS certification number 14E701 · See this home on Medicare Care Compare
Is Big Meadows 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 Big Meadows as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as 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 3.00 hours per resident per day at Big Meadows, below the Illinois median of 3.33 (US median: 3.72). About 0.49 of those hours are from registered nurses. On weekends it falls to 2.76 hours, 8% below its all-week average. 42.4% of nursing staff left within a year (Illinois median 43.5%).
About this nursing home
Paying for care at Big Meadows: Medicare and Medicaid
Big Meadows is certified for Medicaid but not Medicare, so Medicare won't pay for a rehab stay here after a hospital discharge. It can serve long-term residents covered by Illinois Medicaid.
Health inspections
The most recent standard inspection was on May 14, 2026 and found 4 deficiencies, plus 5 from complaint inspections in the same period. In total, inspectors issued 30 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 30 citations at Big Meadows across 9 inspection dates, 16 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on November 14, 2023 (complaint inspection). The most common areas cited were quality of life and care (15) and freedom from abuse, neglect, and exploitation (4). The most serious was cited under the CMS rule to "immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident" (tag F0580, level J, November 14, 2023). 4 citations were under CMS's abuse, neglect and exploitation rules.
May 14, 2026 · 7 citations · includes complaint inspection
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate foot care.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
December 6, 2025 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
October 30, 2025 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
February 25, 2025 · 7 citations, includes actual harm · includes complaint inspection
GProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
EProvide activities to meet all resident's needs.
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.
DNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
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.
February 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.
GProvide safe, appropriate pain management for a resident who requires such services.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DProvide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
February 20, 2024 · 3 citations · includes complaint inspection
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
January 18, 2024 · 4 citations
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure 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.
DProvide and implement an infection prevention and control program.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
January 4, 2024 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
November 14, 2023 · 2 citations, includes immediate jeopardy · includes complaint inspection
JImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
JProvide safe and appropriate respiratory care for a resident when needed.
Questions to ask on a tour of Big Meadows
- Inspectors cited the home at the immediate-jeopardy level on November 14, 2023 under the rule on resident rights. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on December 6, 2025. How are staff trained, and how are concerns reported?
- 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
1 penalty in the last three years, including $4,500 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Feb 25, 2025 | Fine | $4,500 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 3/5 | 2/5 |
| August 2026 | 3/5 | 3/5 | 2/5 | 2/5 |
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Location
Hospitals near Big Meadows
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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16.4 mi
Mercy Medical Center-Clinton ClintonEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 3m for patients treated and sent home
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22.0 mi
Morrison Community Hospital MorrisonEmergency roomMedian ER visit 2h 4m 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
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Compare Big Meadows with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Allure of Mt Carroll · Mount Carroll · 4 stars · 7.9 mi
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.