River Bluff Nursing Home
RIVER BLUFF NURSING HOME in ROCKFORD, IL — inspection on May 26, 2026.
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
ROM and/or mobility, unless a decline is for a medical reason.
maintenance ambulation plan for 1 of 3 residents (R2) reviewed for maintaining mobility in the sample
hallways on 5/17/26. R2 added he tries to walk daily to maintain his ability to walk and staff should know he needed to be walked daily. R2's Care Plan with an initiated date of 4/23/26 showed R2 had limited mobility and the goal was for a maintenance ambulation plan to maintain the ability to walk.
Floor staff were to offer ambulation assistance with walking the hallway once a day for 5-7 days a week.
The same care plan showed R2 refused to use his call light to be assisted with walking. On 5/26/26 at 10:52 AM, V5 (Restorative Nurse) said R2's goal was to maintain his ability to walk. V5 said on 5/17/26 staff did not offer R2 his maintenance ambulation plan. V5 said V18 (Certified Nursing Assistant - CNA) was taking care of R2 and V18 was under the assumption R2 would ask to be walked. V5 confirmed R2 will not ask to be walked. V5 reviewed R2's Maintenance Ambulation Plan Task Documentation for 5/17/26 and said it showed R2 completed the task however that documentation was not correct. V5 said that it was the expectation for the day shift CNAs to offer to walk R2 daily and that did not happen on 5/17/26. V5 added the reason there was a range of 5-7 days a week in R2's mobility care plan was to account for R2's refusal to walk at times and the maintenance ambulation plan should be offered daily. R2's Task documentation for Day Shift Staff to Offer to Walk with R2 for 5/17/26 had a check mark under not applicable. R2's Mobility Maintenance Audit documentation indicated R2 did not walk on 5/17/26. R2's Progress Notes dated 5/21/26 showed on 5/17/26 R2 did not ask to be walked therefore V18 assumed R2 did not want to walk.
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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
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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.