Friendship Manor: Accident Hazard Violations - IL
The fall happened on November 27, 2025. A certified nursing assistant was transferring the resident from a bed to a recliner using a mechanical lift. Her co-worker had gone to lunch, so the resident's private caregiver, who had been with the resident for over two years, filled in.
The CNA later told inspectors she was fairly new and the resident used a type of sling she wasn't familiar with. She didn't get the loops placed correctly between the resident's legs. The sling slipped, and so did the resident, landing on the floor.
The private caregiver described it plainly: they were almost done with the transfer, almost ready to lower the resident into the recliner, when it happened. The resident got a small scratch on the left ear from contact with the lift. They went to the hospital and were back by 8:00 that evening. No other injuries.
What made the fall avoidable was known before it occurred. The private caregiver told inspectors the facility had already told her she shouldn't help with mechanical lift transfers because she had no training on the equipment. She helped anyway because, as she put it, they used to do transfers with just one CNA, so she would assist. The facility has since required two of its own CNAs for all mechanical lift transfers.
The Director of Nursing confirmed the timeline and said she counseled the CNA after the fall and reviewed proper sling placement with her.
The CNA said she was counseled and educated on correct lift use. She did not explain why she proceeded with an unfamiliar sling and an untrained assistant rather than waiting for her co-worker to return from lunch.
The resident went to the hospital and came back the same night. The scratch healed. The question the inspection report leaves open is a simple one: why, when one trained staff member was unavailable and the other didn't know the equipment, the transfer happened at all.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Friendship Manor from 2026-01-30 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: August 9, 2026 · Our methodology
FRIENDSHIP MANOR in ROCK ISLAND, IL was cited for violations during a health inspection on January 30, 2026.
The fall happened on November 27, 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.