Hope Creek Nursing & Rehab: Diet Order Failures - IL
The man, identified in inspection records as Resident 3, is on a cardiac diet with low concentrated sweets, no pork, reduced carbohydrates, and double protein at every meal. Those aren't preferences. They are physician orders, documented in his medical chart through August 2025. On August 22, at 12:40 in the afternoon, he told an inspector he had only received one corndog and should have gotten double protein.
He was right.
Fourteen minutes later, the dietary manager confirmed it. The corndogs served that day were made with turkey and chicken, not pork, so the ingredient wasn't the problem. The problem was quantity. Resident 3 should have received two. The dietary manager's explanation: the cooks in the kitchen are new. She said she would in-service the staff to make sure residents get their correct diets going forward.
Federal inspectors cited Hope Creek Nursing and Rehab for failing to ensure a resident's therapeutic diet was provided, citing minimal harm or potential for actual harm. The violation applied to one of three residents reviewed for diet compliance during the August 22 complaint inspection.
What makes this harder to explain away is the tray card. Hope Creek's own policy requires that each resident's tray be clearly identified with a color-coded card listing the resident's name, diet order, and room number. Resident 3 had one. It was neon-colored. It listed his diet. The kitchen still sent out the wrong tray.
A double protein order on a cardiac diet isn't an administrative detail. Residents on that kind of order have a documented clinical need for increased protein at meals, often because of wound healing, muscle loss, or other conditions that make nutritional adequacy genuinely consequential. Missing it once, at one meal, may not produce immediate visible harm. Missing it repeatedly, or missing it for a resident whose condition depends on meeting those targets, is a different matter. The inspection report does not describe how long Resident 3 had been receiving incorrect trays before August 22.
The dietary manager did not say this was the first time. She said the cooks are new and she would train them. That framing, new staff, in-service to follow, is a response to a systems problem dressed up as a staffing problem. The neon tray card exists precisely so that any cook, new or experienced, can read what a resident needs before the tray leaves the kitchen.
Hope Creek's undated therapeutic diets policy states that diets are prepared and served as ordered by the attending physician. On the afternoon of August 22, Resident 3's physician-ordered meal did not reach him as ordered. He noticed. He told the inspector. The dietary manager confirmed he was correct.
He finished his lunch with one corndog.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Hope Creek Nursing & Rehab from 2025-08-22 including all violations, facility responses, and corrective action plans.
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: October 8, 2026 · Our methodology
HOPE CREEK NURSING & REHAB in EAST MOLINE, IL was cited for violations during a health inspection on August 22, 2025.
They are physician orders, documented in his medical chart through August 2025.
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.