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Complaint Investigation

Loft Rehab Of Rock Springs, The

December 29, 2025 · Decatur, IL · 2530 North Monroe Street
Citations 1
CMS Rating 1/5
Beds 195
Provider ID 146003
Healthcare Facility
Loft Rehab Of Rock Springs, The
Decatur, IL  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

LOFT REHAB OF ROCK SPRINGS, THE in DECATUR, IL — inspection on December 29, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies

punishment, and neglect by anybody.

observation, interview, and record review, the facility failed to protect the resident's right to be free

the sample of three.On 12/23/2025 at 1:15 PM V1, Administrator, provided an investigation file documenting a physical altercation between R6 and R7.

The Abuse Investigation file dated 8/8/25 documents a physical altercation between R6 and R7.

The file documents R6's statement of the incident involving R7 stating that R6 was grabbed and punched by R7 in the left arm. It documents R6 returned a punch hitting R7.On 12/23/2025 R6's care plan review documents R6's admission to the facility on [DATE] with the following diagnoses: End Stage Renal Disease, Chronic Diastolic (Congestive) Heart Failure, Type Two Diabetes Mellitus, Hypertensive Heart and Chronic Kidney Disease with Heart Failure, and Stage Five Chronic Kidney Disease.On 12/23/2025 at 11:02 AM R6 stated she had a physical altercation a few months ago involving her old roommate (R7). R6 stated she was approached by R7 and R7 was accusing R6 of having on a shirt that belonged to R7 when R7 began to hit R6 in the arm. R6 pointed to her right upper arm and stated she had a bruise on her arm after the altercation. R6 stated she hit R7 back as well and threw a glass of water on R7 in attempt to get R7 away from her. R6 stated the facility moved R7 to another room on another floor immediately after the physical altercation. R7's Minimum Data Set, dated [DATE] documents R7 with a brief interview for mental status score of 12 indicating moderate cognitive impairment. R7's care plan dated 11/17/2025 addresses physical aggression towards other residents.On 12/23/2025 R7's Care Plan documents an admission date of 8/21/2024 with admitting diagnoses of Hemiplegia and Hemiparesis following Cerebral Infarction affecting the left non-dominant side, Hyperlipidemia, and Chronic Obstructive Pulmonary Disease.On 12/23/2025 at 10:43 AM R7 stated she had a physical altercation with her old roommate, R6, regarding a shirt R6 was wearing claiming the article of clothing belonged to R7. R7 denied the ability to recall a specific date but added it was the day she moved to another floor. R7 stated R6 started to hit me so I hit her back. R7 denied being harmed during the altercation. R7 stated she left the area where the altercation took place to report it to staff.

On 12/23/2025 at 1:15 PM V1, Administrator confirmed physical contact occurred between R6 and R7.

V1 stated R6 and R7 were immediately separated by staff and a room change was executed to ensure further separation of R6 and R7.The Abuse, Neglect and exploitation policy dated 6/8/2020 documents the facility is to provide protections for the health, welfare and rights of each resident by developing and implementing written policies and procedures that prohibit and prevent abuse, neglect, exploitation, and misappropriation of resident property and the facility will make efforts to ensure all residents are protected from physical and psychological harm, as well as additional abuse, during and after the investigation regarding abuse.

The abuse policy defines abuse as the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish, which can include staff to resident abuse and certain resident to resident altercations.

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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

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.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.