Generations At Rock Island
Inspection Findings
F-Tag F0684
F 0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
interview and record review, the facility failed to implement interventions to assess a non-removable lower extremity cast for one of one residents (Resident R1) reviewed for casts in a sample of three. Findings include: The facility's Cast Care policy, undated, documents to assess the cast every shift after the first 24 hours of application for the following: tightness or looseness (able to slip one finger between the cast and skin), circulation, motion, sensation, drainage, odor, and assess the skin for any signs of irritation. This form also documents to report and abnormal findings to the physician and document assessments regarding cast care in the nurses notes.Resident R1's Treatment Administration Record, dated 9/19/25, documents to check CMST's (circulation, movement, sensation, and temperature) to right lower extremity for any abnormal findings and notify the MD (medical doctor) every shift. This order was discontinued on 10/7/25.Resident R1's readmission orders, from the local hospital, dated 10/7/25, does not document any orders for the care of Resident R1's cast on her right lower extremity.Resident R1's Progress Notes, dated 10/11/25, documents that Resident R1 offers complaints of increased pain to RLE (right lower extremity). Resident (Resident R1) states that when she was in physical therapy on Thursday that is was relayed to her (Resident R1) that her casting is damp and smells. Resident (Resident R1) refuses repositioning. Resident (Resident R1) is wondering if she could be seen at the clinic at an earlier date.
Relayed a message to oncoming shift. Resident R1's Orthopedic Note, dated 10/13/25, documents that Resident R1 presents with increased right heel pain, and her splint is wet. Resident R1 has increased right lower extremity pain, concern for neurovascular compromise, infected pressure ulcers, and sepsis, status post right closed reduction and transcalcaneal talus distal tibia pinning with use of C-arm fluoroscopy and placement of soft short leg splint pinning on 9/8/25. This form documents that Resident R1's vitals are concerning for sepsis. Her foot discoloration is concerning for neurovascular compromise. It is recommended that Resident R1 go to the emergency room for further evaluation. On 10/28/25 at 10:45am, V10, Certified Medical Assistant, stated that if Resident R1's cast was assessed every shift, the wound on her foot could have been found sooner. V10 verified that Resident R1 was seen in the orthopedic clinic, then was sent to the hospital on [DATE REDACTED]. V10 stated that Resident R1's cast was found to be saturated. On 10/28/25 at 11:00am, V9, Wound Nurse/Registered Nurse, verified that Resident R1's readmision orders, dated 10/7/25, did not have orders for the care of the cast on her right lower extremity. V9 also stated that staff did not call to obtain orders for Resident R1's cast care. V9 stated that she noticed on 10/12/25 that Resident R1 did not have orders concerning the cast care, after she was told about Resident R1 having a wound inside her cast. V9 stated that Resident R1's original orders concerning her cast should have been continued when she was readmitted on [DATE REDACTED].
Residents Affected - Few
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:
Generations at Rock Island in ROCK ISLAND, 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 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.