St Anthony's Nsg & Rehab Ctr
ST ANTHONY'S NSG & REHAB CTR in ROCK ISLAND, IL — inspection on September 24, 2025.
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.
Inspection Findings
Based on interview and record review the facility failed to administer medication as ordered by the physician for one resident (R3), reviewed for respiratory treatments, in a sample of three residents.
The facility's Medication Administration Policy dated 10/14/24 documents, The facility will provide pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all medications, to meet the needs of each resident.R3's medical record documents R3 was admitted to the facility 9/15/25 with the following diagnoses: Acute respiratory failure with hypoxia, pneumonia, chronic obstructive pulmonary disease (with acute exacerbation), chronic systolic (congestive) heart failure, atrial fibrillation, and hypertension. R3's hospital discharge order documents the following: Albuterol (2.5milligrams/ 3 milliliters) 0.083% nebulizer solution, take 2.5 milligrams by nebulization every six hours.A review of R3's Order Summary Report and Medication Administration Records dated September 2025 document, Albuterol Sulfate Nebulization Solution (2.5 milligrams/ 3 milliliters) 0.083%, 2.5 milligrams inhale orally via nebulizer every six hours as needed for SOB (shortness of breath), does not show staff documentation of medication being administered as ordered.R3 stated that R3 admitted to the facility 9/15/25 from the hospital and he did not receive any nebulizer treatments while residing at facility (1 day). R3 stated that he has been prescribed continuous oxygen therapy and nebulizer treatments for many years. R3 stated that he asked to be discharged on 9/16/25 because he was not getting the medication he needed. V15 (Facility Nurse Practitioner) verified R3's nebulizer treatment orders were not transcribed or administered as ordered.
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.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.