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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Westminster Village is a 72-bed nonprofit senior living community in Bloomington, Illinois, offering a continuum of care that spans independent living, assisted living, memory care, and skilled nursing through its on-site Health Center. The community is 0.2 miles from Bloomington’s city center and is operated by Matthew Riehle on behalf of a nonprofit organization.
The facility carries a 4-star CMS overall rating, 27% above the Illinois average. Staffing is the standout figure: nurse staffing averages 4 hours and 51 minutes per resident per day, ranking 20th among 167 Illinois skilled nursing facilities and placing staffing 50.2% above the state average. RN staffing alone is 84% above the Illinois benchmark. The facility’s occupancy rate is 96%, well above the statewide average of 69.3%, signaling consistent demand.
Inspection history reflects steady improvement. The most recent survey, completed December 2, 2025, found the facility in full compliance with no deficiencies. The prior annual inspection in January 2025 cited two service-plan documentation gaps — an unaddressed wound-care entry and a fall-risk update — and two complaint investigations in 2025 each yielded one deficiency related to service-plan completeness and incident-notification timing. No fines, Immediate Jeopardy findings, or license actions appear in the inspection record.
Westminster Village’s living options include independent apartments, The Willows Duplexes, a dedicated memory care unit, and on-campus rehabilitation and wellness services. The continuum model allows residents to transition across care levels without leaving the community.
Westminster Village is best suited for older adults and families planning ahead for multiple stages of care — particularly those who want memory care or skilled nursing available on the same campus as independent and assisted living.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 20th out of 167 homes in Illinois for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 8m per day | ▲ 54% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 17m per day | ▼ 56% State avg: 38m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 43m per day | ▲ 27% State avg: 2h 8m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 43m per day | ▲ 20% State avg: 3h 5m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▲ 30% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 45m per day | ▲ 31% State avg: 34m per day · National avg: 28m per day |
Higher than the Illinois average: 69.3%In Illinois, the Department of Public Health, Office of Health Care Regulation conducts annual unannounced surveys to assess compliance with state and federal healthcare facility standards.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Illinois state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | IL Average | vs. IL Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 33 | 7 | This facility has 371% more total deficiencies than a typical Illinois nursing home (33 vs. IL avg 7).↑ 371% worse |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 8.3 | 1.8 | This facility has 361% more deficiencies per year than a typical Illinois nursing home (8.3 vs. IL avg 1.8).↑ 361% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 2.2 | 0.9 | This facility has 144% more deficiencies per inspection than a typical Illinois nursing home (2.2 vs. IL avg 0.9).↑ 144% worse |
Inspections
| This Facility | IL Average | vs. IL Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 15 | 8 | This facility has 88% more total inspections than a typical Illinois nursing home (15 vs. IL avg 8).↑ 88% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Illinois average 10.4
Last Health inspection on Apr 2024
Illinois average 36.8
Illinois average 3.68
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
23 of 26 citations resulted from standard inspections; and 3 of 26 resulted from complaint investigations.
100% better than Illinois averageIllinois average: 0.7
44% better than Illinois averageIllinois average: 3.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
17% fewer staff per resident than Illinois average
9% worse than Illinois average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 22 RN Staff are full-time employees. No contractors work on this role.
22
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hoursAssists with medical care and medications.
All 13 LPN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.6 hoursHelps with daily care and mobility.
All 79 CNA Staff are full-time employees. No contractors work on this role.
79
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,039 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 79 | 0 | 79 | 10,390 | 92 | 100% | 7 |
| Registered Nurse | 22 | 0 | 22 | 3,355 | 92 | 100% | 6.9 |
| Licensed Practical Nurse | 13 | 0 | 13 | 1,066 | 83 | 90% | 6.6 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 947 | 63 | 68% | 8 |
| Speech Language Pathologist | 0 | 3 | 3 | 853 | 67 | 73% | 7.6 |
| Other Dietary Services Staff | 2 | 0 | 2 | 852 | 90 | 98% | 7.4 |
| Mental Health Service Worker | 1 | 0 | 1 | 552 | 66 | 72% | 8.4 |
| Dental Services Staff | 2 | 0 | 2 | 540 | 57 | 62% | 9.3 |
| Physical Therapy Aide | 0 | 2 | 2 | 410 | 66 | 72% | 6.2 |
| Administrator | 1 | 0 | 1 | 392 | 49 | 53% | 8 |
| Physical Therapy Assistant | 0 | 2 | 2 | 385 | 65 | 71% | 5.9 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 249 | 63 | 68% | 3.3 |
| Qualified Social Worker | 0 | 1 | 1 | 122 | 36 | 39% | 3.4 |
| Occupational Therapy Aide | 1 | 0 | 1 | 93 | 47 | 51% | 2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 14 | 3 | 3% | 4.5 |
| Medical Director | 0 | 1 | 1 | 7 | 7 | 8% | 1 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
91% lower than Illinois averageIllinois average: $143K
66% fewer fines than Illinois averageIllinois average: 3.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
6% fewer payment denials than Illinois averageIllinois average: 1.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 26, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Mar 26, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.6
9% worse than Illinois averageIllinois average: 9.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.6
16% worse than Illinois averageIllinois average: 18.6
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
15.2%
In line with Illinois averageIllinois average: 15.5%
Percent of long-stay residents whose ability to move independently worsened
21.1%
15% worse than Illinois averageIllinois average: 18.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.4%
31% worse than Illinois averageIllinois average: 21.6%
Percent of long-stay residents experiencing one or more falls with major injury
0.8%
76% better than Illinois averageIllinois average: 3.4%
Percent of long-stay high risk residents with pressure ulcers
10.4%
98% worse than Illinois averageIllinois average: 5.3%
Percent of long-stay residents with a urinary tract infection
3.3%
80% worse than Illinois averageIllinois average: 1.8%
Percent of long-stay residents who lose too much weight
5.4%
18% better than Illinois averageIllinois average: 6.5%
Percent of long-stay residents who have depressive symptoms
48.8%
In line with Illinois averageIllinois average: 48.1%
Percent of long-stay residents who received an antipsychotic medication
15.2%
25% better than Illinois averageIllinois average: 20.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
12% better than Illinois averageIllinois average: 89.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
9% better than Illinois averageIllinois average: 91.6%
Number of hospitalizations per 1,000 long-stay resident days.
0.45
78% better than Illinois averageIllinois average: 2.04
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.68
70% better than Illinois averageIllinois average: 2.25
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
46% better than Illinois averageIllinois average: 68.3%
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
47% better than Illinois averageIllinois average: 2.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.9%
55% better than Illinois averageIllinois average: 63.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.3%
7% better than Illinois averageIllinois average: 26.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.7%
52% better than Illinois averageIllinois average: 14.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Illinois averageIllinois average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
40.5%
25% worse than Illinois averageIllinois average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
45.7%
10% worse than Illinois averageIllinois average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
46% of new residents, usually for short-term rehab.
54% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
90Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Westminster Village Al based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #10 / 166Payroll — State benchmarkedThis home is ranked 10th out of 166 homes in Illinois for payroll. Shows total annual staff payroll benchmarked to the Illinois average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
0.2 miles from city center
Estimated distance in miles from Bloomington's city center to Westminster Village Al's address, calculated via Google Maps.
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Westminster Village Al is located in Bloomington, Illinois.
Here are the financial assistance programs available to residents in Illinois.
The legal owner and operator of Westminster Village Al is Westminster Village, Inc..
Westminster Village Al has a walk score of 84. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to IL state health department records, Westminster Village Al's license number is 5102329.
According to IL state health department records, Westminster Village Al's license expires on January 28, 2027.
Westminster Village Al's occupancy is 100%.
The team at Westminster Village Al can be reached at [email protected].
Westminster Village Al has 72 beds.
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