River View Rehab Center
Inspection Findings
F-Tag F0600
F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Based on interviews and record reviews, the facility failed to protect Resident R2's right to be free of abuse from another resident. This applies to 1 of 4 residents (Resident R2) reviewed for physical abuse.The findings include:The facility's Incident Report to IDPH (Illinois Department of Public Health) on 11/14/2025 showed that on 11/10/2025, Resident R3 grabbed Resident R2 by the neck, and the local police were called.On 12/27/2028 at 12:10 PM, Resident R2 said when Resident R3 came to Resident R8/Resident R9's room to see Resident R9, Resident R8 (Resident R9's roommate and Resident R2's girlfriend) told him to get out. Resident R2 stated when he tried to intervene, Resident R3 got upset and punched him in the neck.Resident R2's Face Sheet showed Resident R2 had been residing at the facility since 03/17/2017 with mental health diagnoses including schizoaffective disorder, depressive type, personality disorder, schizophrenia, post-traumatic stress disorder, disorder of psychological development, and suicidal ideation. Resident R2's MDS (Minimum Data Set) dated 12/17/2025 showed Resident R2's cognition is intact. On 12/28/2025 at 1:00 PM, Resident R3 said he went to see Resident R9 in the room, and Resident R8 told him to get out of the room. Resident R3 acknowledged Resident R2 was present and when Resident R2 tried to intervene, Resident R3 got upset and hit Resident R3 on the neck. Resident R3 said he was sent to the hospital for evaluation and that his pass privileges were revoked.Resident R3's Face Sheet showed Resident R3 had been residing at the facility since 10/22/2025 with mental health diagnoses including schizoaffective disorder, anxiety disorder with depressed mood, and adjustment disorder. On 12/28/2025 at 3:30 PM, V9 (Registered Nurse) stated that staff told her Resident R3 was aggressive and pushed Resident R2 by the neck. V9 said the social worker intervened and separated them, and Resident R3 was sent to
the hospital for psychiatric evaluations. On 12/28/2025 at 3:00 PM, V1 (Administrator) said that, upon investigation, the incident was substantiated. V1 said the facility failed to provide a safe environment free from abuse for Resident R2. V1 said it is the facility's policy to maintain a secure environment for residents and to ensure they are free from abuse by residents and staff.The facility's Abuse policy dated 01/2020 in part showed that the residents have a right to be free from verbal, physical, sexual, mental abuse, neglect, exploitation, misappropriation of property, involuntary seclusion, or mistreatment.
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:
RIVER VIEW REHAB CENTER in ELGIN, 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 ELGIN, 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 RIVER VIEW REHAB CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.