Loft Rehab Of Rock Springs, The
Inspection Findings
F-Tag F0921
F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and
the public.
Based on observation, interview, and record review the facility failed to provide an environment that was clean and free from environmental hazards for thirteen (Resident R1, Resident R7, Resident R9, Resident R10, Resident R11, Resident R12, Resident R13, Resident R14, Resident R15, Resident R16, Resident R17, Resident R18, Resident R19) of nineteen residents reviewed for Physical Plant Problems on a sample list of nineteen.
Findings include:On 9/29/25 at 9:45 AM, Resident R1's room where Resident R1 resided during her stay at the facility was observed to have a ceiling in disrepair with evidence of a raised black substance with the appearance of mold present near a dirty sprinkler head. The toilet in the bathroom had a dark ring in the bowl and a dirty vent on the ceiling. On 9/30/2025 between 3:05 PM and 3:40 PM a tour of the resident rooms on the fourth floor was completed with V9 (Maintenance Director). V9 confirmed the ceiling tiles in rooms where Resident R7, Resident R9, Resident R10, Resident R11, Resident R12, Resident R13, Resident R14, Resident R15, Resident R16, Resident R17, Resident R18, and Resident R19 currently reside contained a raised black substance growing on them and it had the appearance of mold.On 9/29/25 at 9:10 AM, Resident R1 stated there were ceiling tiles missing, paint chipping, and a black substance on the ceiling and in the toilet of the room Resident R1 resided in during Resident R1's stay at the facility. On 9/30/25 at 9:30 AM, V11 (Housekeeper) stated she has tried everything to clean the gold/black sediment in the toilet bowl in the room where Resident R1 formerly resided and nothing will remove it. V11 stated she thought the toilet needed to be replaced and that she reported it to the former maintenance director and to her supervisor, but it has not been taken care of.On 9/30/2025 at 11:14 AM, V2 (Director of Nursing (DON)) stated the maintenance department has been spotty for a while and that the cleanliness of the building could be better.On 9/30/2025 at 11:31 AM, V1 (Administrator) stated
he was not aware of the raised black substance on the ceiling tiles in resident rooms on the fourth floor and agreed this is an environmental hazard.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
LOFT REHAB OF ROCK SPRINGS, THE in DECATUR, IL inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in DECATUR, IL, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from LOFT REHAB OF ROCK SPRINGS, THE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.