Complaint Investigation

Forest City Rehab & Nrsg Ctr

October 22, 2025 · Rockford, IL · 321 Arnold Avenue

Citations 1

CMS Rating 1/5

Beds 213

Provider ID 145937

Healthcare Facility

Forest City Rehab & Nrsg Ctr

Rockford, IL · View full profile →

Inspection Summary

FOREST CITY REHAB & NRSG CTR in ROCKFORD, IL — inspection on October 22, 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

FF0686

Quality of Life and Care Deficiencies

Potential for More Than Minimal Harm

nurses do the treatments on the weekends. V8 stated if it is not documented then it is not done. V8 stated it is important that residents receive their wound treatments as ordered so they don't get worse or become infected. V8 reviewed the October 2025 TAR for R3 and confirmed that some of the weekend treatments were not signed off as being completed and should have been.R3's Care Plan dated 9/10/25 showed, pressure ulcer to right lateral ankle related to pressure over bony prominences, mechanical factors, and alteration in sensation manifested by hemiplegia affecting right dominant side.

Followed by a sound care provider.

Provide wound care per treatment order.The facility's Pressure Ulcer and Skin Condition Assessment Policy (10/17/20) showed, physician ordered treatments shall be initialed by the staff on the Treatment Administration Record after each administration.

Facility ID:

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 FOREST CITY REHAB & NRSG CTR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

Forest City Rehab & Nrsg Ctr

Inspection Findings

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