Rock River Health Care
Inspection Findings
F-Tag F0557
F 0557 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
if someone said anything to them. V5 and V6 were going thru his top drawer, and she was at the end of Resident R1's bed. They removed stuff from his room and placed in a bag. She could not see if there was money in his drawer. Resident R2 was in the room saying something about privacy. If she suspected a concern, she would report it V1 or her nurse. She did not report or notice any concerns prior to V5 and V6 coming upstairs wanting to search his room.On 8/19/25 at 9:22 AM, V4 (LPN) said she is not sure what caused the staff to search his room or what gave them a reason. If she suspected a concern regarding a resident that a room search should be conducted, she would contact V1 and V3 (Social Services) and not have the CNA's conduct a room search without management present.On 8/19/25 at 11:06 AM, V3 said staff are allowed to conduct a room search if they have a suspicion, they will hurt themselves or others. It's their private property and consent is needed to go through their things. If a room search should be conducted, she notifies V1 and she never goes alone during the room search. On 8/13/25, V5 called her and reported a odor on the 2nd floor. She said she could not go in the room because she was with the podiatrist at the time. V3 said she was never in Resident R1's room when his room was searched by the CNA's. Afterwards she went upstairs and saw V5-V6 and told them no one should be going through residents' personal property. Resident R1 has
an independent community pass and has never had any violations.On 8/19/25 at 12:09 PM, V1 (Administrator) said if there's a reasonable cause or safety concern they can search a resident's room without their consent. A CNA reported they smelled marijuana and went in and searched Resident R1's room without him there. He was told Resident R2 was not in the room. V5-V7 (All CNA's) searched Resident R1's room and removed items from his room. V1 showed this surveyor the items removed from his room including one small zip lock baggie with two small buds of weed, two jars of cannabis, vaping devices, two marijuana pipes and there was no scale in the bag. V1 said Resident R1 reported he was missing $40.00, and we are still looking into it. Resident R1 has no history of smoking in the building, he has community pass privileges and had never been reprimanded for violating his privileges. V1 said he did not talk to Resident R1's nurse regarding the circumstance that day and not sure who gave the CNA's consent to conduct a room search.The facility schedule dated 8/13/25 shows V5 and V6 were scheduled as staff on the 1st floor.The facility's roster shows Resident R1 resides on the 2nd floor.Resident R1's current care plan shows he is an independent smoker, with no smoking violations, he has an independent community access pass. There has been no documentation of any pass violations.The facility did not provide a policy on residents' rights and conducting a room search policy upon request.
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ROCK RIVER HEALTH CARE 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 ROCK RIVER HEALTH CARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.