Amberwood Care Centre
Inspection Findings
F-Tag F0687
F 0687
Provide appropriate foot care.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview, and record review the facility failed to ensure a resident was seen by a podiatrist.
This applies to 1 of 3 residents (Resident R1) reviewed for foot care in the sample of 4.The findings include:Resident R1's face sheet shows he was admitted to the facility on [DATE REDACTED] with diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side, COPD, type 2 diabetes with diabetic peripheral angiopathy with gangrene, anxiety, and peripheral vascular disease.On 10/27/25 at 10:33 AM, Resident R1 was in his room lying in bed. Resident R1 said he has been at the facility for about six months and has not seen a podiatrist yet. Resident R1 said he has told several staff, and their response is he will get put on the list to be seen. Resident R1's left big toenail was extremely overgrown (approximately 2 inches long), curved, thickened, jagged, with yellowish discoloration. Resident R1 has an amputee to his left 3rd toe digit and the remaining toenails are long and overgrown.On 10/27/25 at 11:12 AM, V5 (Licensed Practical Nurse-LPN) said Resident R1 is alert and oriented, he reported to her a while go wanting to be seen by the podiatrist. V5 said months ago she called the front desk to have Resident R1 put on the list to be seen by the podiatrist. She is not sure if Resident R1 has been seen or not. This surveyor showed V5's toenails and she confirmed Resident R1's toenails were overgrown and long.On 10/27/25 at 1:38 PM, V2 (Director of Nursing-DON) said the facility sends a census to the podiatrist before their bimonthly visit and they notify of new admission so they can be seen on the next visit. V2 confirmed Resident R1 has not been seen by the podiatrist yet. The podiatrist comes every other month, and the last podiatry visit was
on 9/8/25. V2 confirmed Resident R2 should have been seen and is not sure why he was not seen. The facility's Foot Care Policy dated March 2018 states, Residents will receive appropriate care and treatment in order to maintain mobility and foot health. overall foot care will include the care and treatment of medical conditions associated with foot complications (e.g. diabetes, peripheral vascular disease, etc.) .Residents with foot disorders or medical conditions associated with foot complications will be referred to qualified professionals.
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:
AMBERWOOD CARE CENTRE in ROCKFORD, 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 ROCKFORD, 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 AMBERWOOD CARE CENTRE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.