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Arcadia Care on the Hill

⌖ Springfield, IL · Sangamon County
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Medicare overall rating 1 of 5 stars
Certified beds251
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (corporation)

About Arcadia Care on the Hill

Arcadia Care on the Hill is a 251-bed for-profit nursing home in Springfield, IL. Medicare rates it 1 out of 5 stars overall (much below average); the average in Illinois is 2.5. Medicare lists it as a candidate for its Special Focus program because of a history of serious problems. At its last full inspection (Sep 2025), inspectors found 20 problems, more than the Illinois average of 12.6. 6 citations in its recent inspections were for residents being harmed or put in immediate danger. Nurses and aides spend about 2 hr 48 min a day with each resident, less than the Illinois average of 3 hr 27 min. About 29% of its nursing staff left in the past year. Medicare fined it $219,628 in the last three years. Its quality ratings are stronger for long-term care than for short-term rehab.

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

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Key details

Facility nameArcadia Care On The Hill
LocationSangamon County, Illinois
Address555 West Carpenter, Springfield, IL 62702 · Sangamon County
CMS provider number145160
Ownership typeFor-profit (corporation)
Operating companyArcadia Care · 25 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceMay 23, 1969 (57 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating1 of 5Much below average
Health inspections1 of 5Much below average
Quality measures3 of 5Average
Staffing1 of 5Much below average

Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

1 strength and 6 things to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.

Strengths

  • Nursing staff turnover29% a yearIllinois average: 44%
    Strength

Things to ask about

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  • Special Focus Facility candidateYesMedicare lists this home as a candidate for its Special Focus program, which follows homes with a history of quality problems more closely.
    Ask about this
  • Serious health citations2 for immediate jeopardy and 4 for actual harmCitations where inspectors found residents were harmed or put in immediate danger, most recently in Jul 2026 (within the past year). All 6 were later corrected.
    Ask about this
  • Fines and penalties3 fines totaling $219,628; 1 Medicare payment denialFederal penalties from the last three years, most recently in Apr 2026 (within the past year). The national average is $30,972 per home.
    Ask about this
  • Health citations at last inspection20 (Sep 2025)Illinois average: 12.6. Most citations are minor and corrected within weeks.
    Worse than state average
  • Nurse staffing per resident2 hr 48 min a dayIllinois average: 3 hr 27 min
    Worse than state average
  • Registered nurse time per resident10 min a dayIllinois average: 43 min
    Worse than state average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Illinois average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare quality rating: 1 of 5 (much below average)

  • Sent back to the hospital24.1%State average: 26.1%
    About average
  • Needed an emergency room visit18.1%State average: 13.9%
    Worse than average
  • Newly given antipsychotic drugs0.0%State average: 2.2%
    Better than average

Physical therapist time: about 1 minute per resident a day. That is less than the state average of 3 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 5 of 5 (much above average)

  • Falls with a major injury2.2%State average: 3.1%
    Better than average
  • Pressure sores (bedsores)4.3%State average: 4.8%
    About average
  • Given antipsychotic drugs7.8%State average: 21.7%
    Better than average
  • Hospital stays per 1,000 resident days1.5State average: 2.0
    Better than average

Source: Medicare (CMS) quality measures, compared with the Illinois average. Lower is better for every rate shown.

Who pays, and how full it is

Many residents here pay privately or through insurance. In Illinois, Medicaid pays for 62% of resident days at a typical home.

  • 20% Medicaid
  • 6% Medicare
  • 74% Private pay, insurance and other
Beds in use, on average40%Illinois typical: 73%
Cost of care per resident day$285Illinois typical: $320

Shares of resident days, from the home’s Medicare cost report for the year ending December 2023. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 1 star now, the same as 1 star in January 2019. It has ranged from 1 to 2 stars and changed 10 times.

Overall rating1★
Health inspections1★
Staffing1★
Quality of care3★
Nurse hours per resident per day2.8
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201911122.9
Jan 2020––––2.7
Jan 2021––––3.1
Jan 202211143.1
Jan 202323142.6
Jan 202423132.5
Feb 202523122.4
Feb 202611132.7
Sep 202611132.8

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.