A stairwell alarm had been blaring in the main lobby while a resident and visitor stood nearby, apparently having a conversation through the noise.
Nursing Home News — Page 195
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The incident happened on July 14, 2025.
Inspectors visited the facility on August 19, 2025, following a complaint.
The expiration dates on those boxes ran from April 2025 through August 1, 2025.
The resident, identified in inspection records only as R5, had a physician's order for PreserVision, an eye supplement.
The resident, identified in inspection records only as R2, told a federal surveyor on August 18 that she had never been able to get a shower during her stay.
The 30 missing tablets were part of a larger delivery.
The transfers started January 28, 2025, with $100.
The inspection, completed August 14, 2025, was prompted by a complaint.
Inspectors reviewed the clinical records of both residents and found the same problem in each file.
The August 13 search at Rock River Health Care came to light during a complaint inspection on August 19, 2025.
The missed doses were documented in a nursing note written at 6:03 a.m.