Timbercreek Rehab: Staffing Cuts Draw Complaints - IL
"Residents have complained to me about the staffing cuts that were made," the Director of Nursing said during an August 22 interview. "We also have increased our census so we are getting more residents and more behaviors/care needs and we are scaling back on staff. It is noticeable to residents and of course staff feel it too."
A nurse at the facility described the daily reality in starker terms. When two residents transferred out to the hospital on the same shift, she said, everything else fell apart. "It's hard to give safe resident care when you don't have enough staff in the building," she told inspectors. "The residents will often complain of longer wait times and that staff morale has decreased." Charting, she added, was the thing that never got caught up. "Especially charting."
Inspectors found the problem ran deeper than a bad shift or two. The facility's own Facility Assessment, dated July 13, 2025, contained no numerical staffing requirements — no specific nurse or nursing assistant counts for each shift tied to the actual resident population and its care demands. Instead, the document stated the facility's staffing plan was "based on the state minimum staffing calculator."
State minimums set a floor. They do not account for a census that is growing or for residents arriving with escalating behavioral and medical needs. The facility's assessment acknowledged both of those pressures. It did not explain how the staffing plan addressed them.
The facility's own Activities of Daily Living policy commits to ensuring that no resident's ability to bathe, dress, toilet, eat, or communicate declines unless their clinical condition makes decline unavoidable. Whether that standard is being met, on short-staffed shifts when nurses are running behind on everything, is a question the July assessment left unanswered.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Timbercreek Rehab and Health Care Center from 2025-08-25 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 22, 2026 · Our methodology
Timbercreek Rehab and Health Care Center in PEKIN, IL was cited for violations during a health inspection on August 25, 2025.
"Residents have complained to me about the staffing cuts that were made," the Director of Nursing said during an August 22 interview.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.