Robinson Rehab And Nursing
Inspection Findings
F-Tag F0550
F 0550 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
happen. V2 stated they are attempting to hire more staff and get them trained.On 08/29/2025 at 11:44 AM, V1 (Administrator) stated she was not made aware of the call light concerns regarding Resident R1 on the weekend of 08/23/2025 and 08/24/2025 until now. V1 stated the call light does not have a report that can be viewed to see how long the call light was going off. V1 stated she has never been made aware of any resident complaining about call lights going off for an hour. On 08/29/2025 at 2:04 PM, V12 (CNA) stated at times I feel like we are understaffed. V12 stated it is hard to get to call lights on night shift because there are not a lot of staff working. V12 stated there are a lot of times there are only three CNA's in the building for the entire night. V12 stated lately when there are 4 scheduled and someone calls in, they are not replaced on
the schedule. V12 stated she gets the bare basics done for the residents, but there are too many that require two-person assist and they have to wait for up to an hour.On 08/29/2025 at 3:21 PM, V11 (CNA) stated Resident R1 had incontinent episodes over the weekend of 08/23/2025 - 08/24/2024. V11 stated that it is not typical for Resident R1 to be incontinent. V11 stated we cannot get to all the residents after supper in a timely manner. V11 stated it happens more often than not. V11 stated a lot of residents have to wait when they shouldn't. V11 stated the staff try to get everyone out of the dining room, residents changed who are wet,
the ones who want laid down, laid down and answer the call lights. V11 stated management is aware of the issues as the night shift staff have complained. V11 stated they are told to ask the other CNA's or the nurse for help. V11 stated that all the staff are busy including the nurses and it is hard to get the call lights answered. V11 stated the staff issues are mostly on the weekends. V11 stated she does not do as well as
she could because it is impossible. V11 stated if I would have been able to get to Resident R1 in time she would not have been incontinent. V11 stated if a resident is a two assist, they have to wait until there are two staff available and it can easily take an hour. V11 also stated that the weekend laundry staff recently quit so they have to do the laundry on night shift too.On 09/02/2025 at 2:21 PM, V15 (LPN) stated she was working and was Resident R1's nurse the weekend of 8/23-8/24/25 when Resident R1 had an incontinent episode. V15 stated Resident R1 is normally continent, and she thought it was odd that this happened. V15 stated it wasn't until later in the shift, Resident R1 told her that she was incontinent because the call light was on for over an hour. V15 stated that one nurse and one certified nurse assistant is not enough for the 30 residents that reside on Resident R1's hall. V15 stated this last Saturday 08/30/2025 a CNA called in and the nurse on call (V7) did not find any coverage and did not come in to help. V15 stated it seems every weekend they are short staffed. V15 stated all the residents cannot receive the care they need with the current staffing they have.A facility provided census sheet documented there are 27 residents that reside on Resident R1's hall. Of those 27 residents, V2 indicated by placing a dot beside resident names that there were 15 residents who require the assist of two staff for transfers and care, with Resident R1 being one of those residents. V2 indicated by yellow highlight that 10 residents
on that hall require the assist of one staff member for transfers and care. Facility policy titled Facility Resident Rights Policy and Procedure with no date documents under section V. Respect and dignity. Every resident has a right to be treated with respect and dignity.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/03/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Robinson Rehab and Nursing
600 East Robinwood Drive Robinson, IL 62454
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0725
F 0725 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many
FORM CMS-2567 (02/99) Previous Versions Obsolete
laundry staff recently quit so they have to do the laundry on night shift too. V11 stated she cannot even get her showers done when she works.On 09/02/2025 at 2:21 PM, V15 (LPN) stated that one nurse and one certified nurse assistant is not enough for the 30 residents that reside on the Resident R1's hall. V15 stated this last Saturday 08/30/2025, a CNA called in and the nurse on call (V7, ADON/LPN) did not find any coverage and did not come in to help. V15 stated it seems every weekend they are short staffed. V15 stated all the residents cannot receive the care they need with the current staffing they have. The July 2025 Certified Nurse Assistant schedule documented on 07/04, 07/11, 07/18 and 07/19 there were only three certified nurse assistants scheduled to work.The August 2025 Certified Nurse Assistant schedule documented on 08/09, 08/15, 08/23, 08/24 there were only three certified nurse assistants scheduled to work.A facility provided census sheet documented there are 3 halls in the facility, one being East/Far East, one being West, and one being North. This document shows 60 residents reside in the facility, with V2 indicating 35 of those residents require two staff assist for care and transfers by placing a dot beside the resident names.
V2 indicated by yellow highlight (without a dot) that 19 residents require the assist of one staff member for care and transfers. The East/Far East Hall denotes 27 residents reside on the hall, with 15 requiring the assist of two staff for transfers and care, and 10 requiring the assist of one staff member for transfers and care. The document shows 18 residents reside of the [NAME] Hall, with 11 requiring the assist of two staff for transfers and care and 4 requiring the assist of one staff for transfers and care. The North Hall notes 16 residents reside on the hall, with 9 residents requiring the assist of two staff for transfers and care and 5 residents requiring the assist of one staff for transfers and care. The facility's policy titled Staffing with a revision date of 02/20/2025 documented under section titled Procedure: The facility will provide sufficient staff with the appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well- being of each resident.A facility matrix dated 08/29/2025 documented a total of 60 residents residing at the facility.
Event ID:
Facility ID:
If continuation sheet
ROBINSON REHAB AND NURSING in ROBINSON, 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 ROBINSON, 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 ROBINSON REHAB AND NURSING or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.