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Complaint Investigation

Generations At Rock Island

Inspection Date: August 28, 2025
Total Violations 2
Facility ID 145950
Location ROCK ISLAND, IL
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Inspection Findings

F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Immediate Jeopardy

F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

on the camera monitoring process and/or the repairs are completed.10. 8/22/2025 facility placed a designated camera alert system at the main entrance to alert 2nd floor staff when the (electronic wandering system) and or main entrance door alarm sounds. This system will remain in place until (electronic wandering system) is fully operational. (V1) will conduct random audits every shift to ensure that the camera alert system at the main entrance functions appropriately.11. 8/22/2025 Local Vendor and (electronic wandering system) Vendor in communication with Maintenance Director and Facility V1 (Administrator)/V2 (Administrator in Training) in relation to repairs vs replacement. On 8/25/25 after communications with vendors it was determined that repair was not feasible, and system replacement would be required. On 8/26/2025 Quote for replacement of system was approved and signed for installation. 12. 8/29/25 Vendor representatives are scheduled to be on-site to coordinate final installation details and requirements. Installation will be initiated promptly thereafter.13. On 8/22/2025 all staff in all departments were in-serviced on Elopement prevention, Missing residents and Door Alarm Policies and procedures by QAT members. No staff will be allowed to work after 8/22/2025 without the listed training.14.

Code [NAME] (Elopement-missing person) drill will be performed randomly for one month and monthly thereafter for 6 months by QAT members.15. Maintenance Director/Designee will do daily door alarm audits for 30 days and then weekly and as needed going forward.16. V1/V2 will enforce the interventions of plan of removal of immediacy and assurance of continued compliance.17. V1/V2 and QAT will ensure that monitoring interventions are implemented immediately, and care planned appropriately.

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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

08/28/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Generations at Rock Island

2545 24th Street Rock Island, IL 61201

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)

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F-Tag F0850

Administration Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0850

Hire a qualified full-time social worker in a facility with more than 120 beds.

Level of Harm - Minimal harm or potential for actual harm

Based on interview and record review the facility failed to employ a full time qualified Social Worker in a facility licensed for 177 beds. This has the potential to affect all 70 residents who reside in the facility.Findings include: The facility Director of Social Services job description, not dated, documents but not limited to, Qualifications: 1. Either a B.A. (Bachelor of Arts) in Psychology or Sociology; a B.A. or M.A. (Master of Arts) in Social Work; or a Licensed Clinical Social Worker's certificate. 2. Two years experience in

the field of social work in a long term care environment is preferred.Facility Midnight Census Report, dated 8/22/25, documents occupied facility beds at 70 with empty beds at 107 and Detailed Census Report, dated 2/1/25 through 8/28/25, documents a daily census ranging from 66-81.On 8/28/25 at 9:35am, V2 (Administrator in Training/AIT) stated, We are licensed for 177 beds. V2 also verified that V15 (Social Service Director/SSD) is not Licensed and stated that she was a CNA (Certified Nursing Assistant).On 8/28/25 at 10:26am, V15 (Social Service Director/SSD) stated, I was a CNA (Certified Nursing Assistant) prior to this Social Service position. I took this around the end of May. I do not have a license or certificate

in Social Services or any type of degree and no previous Social work experience.Neither V2 (Administrator

in Training/AIT) or V15 (Social Service Director/SSD) were able to produce a license or certificate for V15 (SSD) in Social Work.

Residents Affected - Many

FORM CMS-2567 (02/99) Previous Versions Obsolete

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📋 Inspection Summary

Generations at Rock Island in ROCK ISLAND, IL inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

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

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 Generations at Rock Island or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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