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F
Critical

THREE SPRINGS SR LIVING & RHAB

161 THREE SPRINGS ROAD · CHESTER, IL 62233

6188263210 · For profit - Limited Liability company

83 beds65 residents62 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
F
Critical
RN Staff
F
Critical
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

THREE SPRINGS SR LIVING & RHAB receives an overall staffing grade of F (Critical). With 2.7306 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.147 HPRD, below the recommended 0.75. It is 1.17 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 3.63% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (3)

🚨Had 19 days with zero RN hours this quarter — CMS automatically assigns a 1-star staffing rating for 4+ days.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.7306 HPRD — needs 0.75 more hours per resident per day.
⚠️RN staffing (0.147 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Low agency staff usage (0%) — mostly permanent, familiar staff
✅Consistent weekend staffing — only 3.63% drop-off
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
2.7306hrs/resident/day▼ 1.17
CMS benchmark: 3.48
RN HPRD
0.147hrs/resident/day▼ 0.54
Recommended: 0.75
Weekend Drop-off
3.63%
2.7589 weekday → 2.6588 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
19days this quarter
4+ days = auto 1-star
⚠ Auto 1-star triggered
CNA HPRD
1.7997hrs/resident/day
Direct care aides
LPN HPRD
0.7772hrs/resident/day
Licensed practical nurses
Consistency
0.2581std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Randolph County Average-0.52 HPRD
3.25
02.73 HPRD
vs. Illinois State Average-0.77 HPRD
3.50
02.73 HPRD
vs. National Average-1.17 HPRD
3.90
02.73 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
THREE SPRINGS SR LIVING & RHAB ★
CHESTER · This facility
—
F
2.73060.147★★★☆☆
Randolph County Care Center
SPARTA
14.4 mi
F
3.98690.2185★☆☆☆☆
DUQUOIN NURSING & REHAB
DU QUOIN
32.2 mi
C
3.05890.511★☆☆☆☆
FREEBURG CARE CENTER
FREEBURG
33.4 mi
D
3.58830.3003★☆☆☆☆
Accolade Healthcare of Waterloo
WATERLOO
33.5 mi
A
4.13460.8858★★★★☆
MASCOUTAH REHAB AND NURSING
MASCOUTAH
38.7 mi
B
3.49050.6116★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

10
Inspections
18
Total Deficiencies
$0
Fines Assessed
Nov 18, 2025Health
1 deficiency cited
▼
Sep 5, 2025Health
1 deficiency cited
▼
Sep 3, 2025Health
1 deficiency cited· Includes actual harm
▼
Aug 13, 2025Health
3 deficiencies cited
▼
Dec 13, 2024Health
1 deficiency cited
▼
Nov 19, 2024Health
3 deficiencies cited
▼
Oct 29, 2024Health
2 deficiencies cited
▼
Jun 14, 2024Health
3 deficiencies cited
▼
Sep 13, 2023Health
1 deficiency cited
▼
Aug 19, 2022Health
2 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.