Alden Debes Rehab & Hcc
ALDEN DEBES REHAB & HCC in ROCKFORD, IL — inspection on November 25, 2025.
Found 3 citations. 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
included in the plan of care and the facility must make arrangements to meet residents' needs and choices.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/25/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Alden Debes Rehab & Hcc
550 South Mulford Avenue Rockford, IL 61108
SUMMARY STATEMENT OF DEFICIENCIES
out of her medications; maybe a few days. V3 could not provide the exact dates. V3 said when the nurses chart a code 9 on the MAR it means they are holding the medication due to a number of different reasons.
V9 said she encourages her nurses to put a note in just to make sure they can document what happened.
V3 said there isn't much difference between a code 9 and a code 5 when documenting on the MAR; the medication is being held (not given). V9 said the nurse doesn't always put in a progress note when they hold a medication, but she encourages it. V3 said they wouldn't document a 9 if they administered the medication. V3 said she doesn't know if there is a policy on what to do if a resident isn't receiving their medications from the pharmacy.On 11/24/25 at 12:42 PM, V8, Nurse Practitioner (NP), said the facility contacted her and said they were not getting R1's medications from the pharmacy. V8 said the facility should be providing the essentials to the residents, including medications. V8 said she told the facility they need to figure it out as R1 needs her medications.On 11/24/25 at 2:13 PM, V9, LPN, said during nurse-to-nurse report, she was told that the nurses kept reordering R1's medications and they were not being delivered. V9 said she was told the day shift nurse got a call from the pharmacy and the pharmacy said they weren't going to send R1's medications because she had an outstanding balance. V9 said she works the evening shift (2:00 PM to 10:00 PM) and the medications R1 was went without were Klonopin (also known as clonazepam) and Lyrica (used to treat nerve pain). V9 said she cannot give a medication they don't have.On 11/25/25 at 10:01 AM, V1, Administrator, the facility is ethically and legally responsible to provide the care and medications R1 needs regardless of whether R1 was paying her bill or not.
The facility's Medication Administration: General Guidelines Policy (dated 01/2022) shows all medications shall be administered as prescribed.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/25/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Alden Debes Rehab & Hcc
550 South Mulford Avenue Rockford, IL 61108
SUMMARY STATEMENT OF DEFICIENCIES
scheduled at 8:00 AM.R1's Progress Notes dated 10/20/25 at 11:24 AM, 10/21/25 at 5:21 PM, 10/22/25 at 9:35 AM, and 10/29/25 at 8:45 AM show R1's Diltiazem HCL ER was either on order from pharmacy, on order, or unavailable. R1's Progress Notes dated 10/26/25 at 5:02 PM and 10/31/25 at 12:31 PM show R1's Amlodipine was not available.The facility's Medication Administration Policy (dated 09/2020) shows drugs must be administered in accordance with the written orders of the attending physician.
Facility ID: