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Complaint Investigation

Friendship Manor

January 30, 2026 · Rock Island, IL · 1209 21st Avenue
Citations 1
CMS Rating 4/5
Beds 94
Provider ID 146099
Healthcare Facility
Friendship Manor
Rock Island, IL  ·  View full profile →
Inspection Summary

FRIENDSHIP MANOR in ROCK ISLAND, IL — inspection on January 30, 2026.

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.

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Inspection Findings

FF0689
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

providing care to R1 in R1's room and stated, On 11/27/25 around dinner time, I was assisting (V5 CNA) with a (mechanical lift) transfer from (R1's) bed to (R1's) recliner. (V5) was the only CNA available to help with (R1's) transfer, so I helped (V5). I attached the two top loops onto the mechanical lift and (V5) attached the bottom loops.

When we were transferring (R1) from the bed, we were almost done and ready to place (R1) into the recliner, and (R1) slipped out of the sling and fell on buttocks onto the floor. We realized that the sling was not properly placed between (R1's) legs and that caused (R1) to slip onto the floor. I am not a CNA, and I did not have any training with the mechanical lift, I provide private duty general care for (R1). I was told that I should not help with transferring (R1) because I am not trained.

They always used to use just one CNA, so I would help them.

Now they have to use two Facility CNAs. I have been (R1's) private caregiver for over two years, so I rode with (R1) to the hospital, and we were back to the Facility by about 8:00 pm. (R1) did not have any injuries except a small little minor scratch on (R1's) left ear from it hitting the side of the lift.On 1/29/26 at 12:04 pm, V5 (CNA) stated, My other co-worker had gone to lunch, so (V7 R1's Private Caregiver) assisted me with the mechanical lift transfer. I am a fairly new CNA and (R1) had a different kind of sling that I was not familiar with. I did not have the loops placed correctly between (R1's) legs and the sling slipped and caused (R1) to slip onto the floor. I did get counseled about the fall and they did educate me on how to use the mechanical lifts correctly.On 1/29/26, V2 (Director of Nursing) stated, On 11/27/25, (V5 CNA) was using a mechanical lift to transfer (R1) from the bed to the recliner. (V7 R1's Private Caregiver) should not have been helping with the mechanical lift transfer because (V7) is not a Facility employee and had not been trained on our mechanical lifts. I counseled (V5) on proper use of the mechanical lift and the placement of the sling. We now make sure to use two of our own CNAs for mechanical lift transfers.

Facility ID:

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 ROCK ISLAND, 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 FRIENDSHIP MANOR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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