The inspection, conducted January 2, 2026, found that Resident 1 had no call light cord at all.
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That last part is what separates a bad inspection from something worse.
The reason he gave was simple and damning: his other concerns had gone unaddressed, so he hadn't bothered.
The resident, identified in inspection records as Resident 1, said he had asked a male nurse for his pain medication during the night and never received it.
The inspection was triggered by a complaint.
The director of nursing was interviewed at 3:45 p.m.
The inspection, completed January 29, 2026, was triggered by a complaint.
No plan of correction has been filed.
The November 2025 complaint inspection, conducted by the Centers for Medicare and Medicaid Services, resulted in a single citation under tag F0558.
Neurological checks every 15 minutes for the first hour.
Winning Wheels sits at 701 East 3rd Street in Prophetstown, a small city in northwestern Illinois.
It happened again five days later with a second resident.