Arcadia Care Rock Island: Elopement Immediate Jeopardy - IL
The August 2025 complaint inspection, completed August 28, found conditions serious enough that the facility's own corrective plan required a complete halt: no staff would be permitted to work after August 22, 2025, without documented training on door alarms and elopement procedures. That deadline had already passed by the time inspectors finished their review.
The facility's corrective plan required random elopement drills, referred to internally as "Code" drills, to be conducted for one month and then monthly for six months after that. The Maintenance Director was ordered to conduct daily door alarm audits for 30 days, then weekly going forward. A quality assurance team was assigned to oversee each step and confirm that care plans were updated to reflect the new interventions.
The citation listed the level of harm as immediate jeopardy to resident health or safety, with some residents affected.
What the inspection record does not contain is what happened to the resident who prompted all of it. The corrective plan describes the response, the audits, the drills, the deadlines. It does not say where the resident was found, how long they were missing, or whether they were hurt.
Door alarms that were not working, or not being monitored, or both, appear to be at the center of the failure. The corrective plan's specific focus on alarm audits and mandatory alarm training points there. But the inspection narrative, as released, leaves the underlying incident largely in the margins.
The facility is located at 2545 24th Street in Rock Island.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Arcadia Care Rock Island from 2025-08-28 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 19, 2026 · Our methodology
Arcadia Care Rock Island in ROCK ISLAND, IL was cited for immediate jeopardy violations during a health inspection on August 28, 2025.
That deadline had already passed by the time inspectors finished their review.
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.