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Medicare shows its abuse icon for this nursing home: state inspectors cited it for abuse, neglect or exploitation of residents in recent inspections. Read the inspection reports on Medicare Care Compare before you decide.

Inspection reports on Medicare Care Compare →

Nursing home

Scott County Nursing Center

Winchester, Illinois · Scott County

  • Rural Route 2, Winchester, IL 62694 · Directions
  • (217) 742‑3101
  • Medicare overall rating: 1 of 5 starsMedicare overall rating
  • Ownership: Government – county
  • 9 health citations in its last 3 inspection cycles (most serious: level G), $29,295 in fines. See the inspection record

Summary

Scott County Nursing Center is a Medicare-certified nursing home in Winchester, Illinois, with 49 certified beds. Medicare overall rating: 1 of 5 stars. Most recent standard health inspection: 2026-04-23, with 4 health deficiencies. Medicare lists 1 fine. Ownership: government – county. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 1 of 5 starsMedicare overall rating
49Certified beds
Health inspections: 2 of 5 starsHealth inspections

Quick answers

Where is Scott County Nursing Center?
Rural Route 2, Winchester, IL 62694, in Scott County, Illinois.
What is the phone number of Scott County Nursing Center?
(217) 742-3101, as listed by Medicare (CMS).
What is the Medicare star rating of Scott County Nursing Center?
Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
Has Scott County Nursing Center been fined?
Medicare lists 1 fine totaling $29,295 and 3 payment denials.
What did inspectors find at Scott County Nursing Center?
In its last three inspection cycles (January 25, 2024 to April 23, 2026), Medicare lists 9 health citations; the most serious was level G. 4 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).

Medicare ratings, explained

Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.

Overall rating
Overall rating: 1 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 2 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 4 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 1 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Short-stay residents (rehab): 1 of 5 stars
Quality rating for people who stay a short time, usually to recover after a hospital stay.
Long-stay residents
Long-stay residents: 2 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (January 25, 2024 to April 23, 2026), Scott County Nursing Center had 9 health citations; the most serious was level G (actual harm to residents). 4 of them were level G or higher (actual harm or immediate jeopardy). It was fined $29,295 in total (1 fine, the latest on April 23, 2026) and had 3 Medicare payment denials. Nurse staffing is 3.74 hours per resident per day; the Illinois average is 3.47 and the national average is 3.90.

Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.

Inspection history: last three cycles

State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.

What the letters A to L mean
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: April 23, 2026 — 4 health citations

Inspections in this cycle: April 23, 2026 (standard health inspection).

  • F0600 Level G April 23, 2026 · corrected May 22, 2026

    “Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”

    actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies

  • F0692 Level G April 23, 2026 · corrected May 22, 2026

    “Provide enough food/fluids to maintain a resident's health.”

    actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies

Show 2 less serious citations (levels A to F)
  • F0607 Level D April 23, 2026 · corrected May 22, 2026

    “Develop and implement policies and procedures to prevent abuse, neglect, and theft.”

  • F0609 Level D April 23, 2026 · corrected May 22, 2026

    “Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”

Previous cycle: December 12, 2024 — 3 health citations

Inspections in this cycle: October 10, 2024 (complaint investigation); December 12, 2024 (standard health inspection); September 29, 2025 (complaint investigation).

  • F0684 Level G September 29, 2025 · from a complaint · corrected October 31, 2025

    “Provide appropriate treatment and care according to orders, resident’s preferences and goals.”

    actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies

Show 2 less serious citations (levels A to F)
  • F0880 Level E December 12, 2024 · corrected January 15, 2025

    “Provide and implement an infection prevention and control program.”

  • F0602 Level D October 10, 2024 · from a complaint · corrected October 31, 2024

    “Protect each resident from the wrongful use of the resident's belongings or money.”

Earlier cycle: January 25, 2024 — 2 health citations

Inspections in this cycle: January 25, 2024 (standard health inspection).

  • F0684 Level G January 25, 2024 · corrected February 28, 2024

    “Provide appropriate treatment and care according to orders, resident’s preferences and goals.”

    actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies

Show 1 less serious citation (levels A to F)
  • F0880 Level D January 25, 2024 · corrected February 28, 2024

    “Provide and implement an infection prevention and control program.”

Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.

Full inspection reports on Medicare Care Compare →

Fire safety citations (6)
  • E0026 Level F April 23, 2026 · corrected May 18, 2026

    “Establish roles under a Waiver declared by secretary.”

  • K0353 Level F April 23, 2026 · corrected May 22, 2026

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0363 Level E December 12, 2024 · corrected January 24, 2025

    “Install corridor and hallway doors that block smoke.”

  • E0026 Level F January 25, 2024 · corrected February 28, 2024

    “Establish roles under a Waiver declared by secretary.”

  • K0353 Level F January 25, 2024 · corrected February 28, 2024

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0712 Level F January 25, 2024 · corrected February 28, 2024

    “Have simulated fire drills held at unexpected times.”

Fines and payment denials

Total fines over about the last three years: $29,295 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.

DatePenaltyAmount or length
April 23, 2026Fine$29,295
April 23, 2026Payment denialfrom May 16, 2026, 6 days
September 29, 2025Payment denialfrom October 15, 2025, 16 days
January 25, 2024Payment denialfrom February 23, 2024, 5 days

Source: Medicare (CMS) Penalties file, data updated October 1, 2026.

Staffing

Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.

MeasureThis homeIllinoisNational
Registered nurse (RN) hours per resident per day0.460.710.69
Licensed practical nurse (LPN) hours per resident per day0.930.640.86
Nurse aide hours per resident per day2.352.122.35
Total nurse staff hours per resident per day3.743.473.90
Total nurse staff hours per resident per day on the weekend3.233.083.43
RN hours per resident per day on the weekend0.350.550.48
Nursing staff turnover (per year)39.1%43.7%45.3%
RN turnover (per year)42.9%41.5%42.5%
Administrators who left in the last year0.00.50.5

Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.

Compare with other nursing homes

Key facts

TypeNursing home
Certified beds49
Average residents per day44.7
Takes part inMedicare and Medicaid
OwnershipGovernment – county
First approved by Medicare/Medicaid2006-10-16
Resident and family councilsResident and family councils
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
AddressRural Route 2, Winchester, IL 62694
CountyScott County
StateIllinois
Phone(217) 742‑3101
CMS Certification Number146106
CorrectionsReport an error or suggest an update →

What to ask when you call or visit

A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.

  • Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
  • Can you see the latest state inspection report? Ask how any problems found were fixed.
  • How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
  • Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
  • What therapy (physical, occupational, speech) is offered, and how many days a week?
  • Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
  • What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
  • Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
  • Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
  • Visit more than once, including at a mealtime or in the evening, without an appointment.

Other nursing homes nearby

By straight-line distance (not driving distance).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13