Colonial Nursing Center Of Rockford
Inspection Findings
F-Tag F0567
F 0567
Honor the resident's right to manage his or her financial affairs.
Level of Harm - Minimal harm or potential for actual harm
Based on observations and staff and resident interviews, the facility failed to have personal funds available
after business hours. This affected three (#15, #9 and #35) out of three residents reviewed for availability of personal funds. The facility census was 33. Findings include: Interview on 12/29/25 at 9:27 A.M. with Resident #15 revealed the resident is unable to obtain money from personal funds after 4:00 P.M. after business office is closed during the week. Personal funds are not available on weekends or holidays.
Interview on 12/30/25 at 1:40 P.M. with Register Nurse (RN) #71 revealed no personal funds are not kept in
the medication cart for withdrawal when business office is closed. Interview on 12/30/25 at 1:50 P.M. with Business Office Manager (BOM) #11 revealed personal funds are not available in the evening or weekends.
Business office has hours of Monday through Friday 8:00 A.M. to 4:00 A.M. BOM #11 stated, Everyone is in
the route of doing that. Interview on 12/31/25 at 9:13 A.M. with Resident #9 revealed the resident did not know how much funds he has available or how to get to his funds. Resident #9 just knows someone comes to him to order clothes or other stuff when he needs to. Interview on 12/31/25 at 9:51 A.M. with Resident #35 revealed the resident is unable to get personal funds out during the evenings and weekends. Personal funds are only available Monday though Friday 8:00 A.M. to 4:00 P.M. if business office manager is working.
Observation of posting outside of business office revealed banking hours of Monday through Friday 8:00 A.M. through 4:00 P.M. Observation of business office during survey revealed business office was closed on
the Monday of survey, opened on Tuesday, and opened at 8:18 A.M., Wednesday then closed at Noon for
the day. This deficiency represents non-compliance investigated under Complaint Number 2626703 and
- 2626706. Residents Affected - Few
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 REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
12/31/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Colonial Nursing Center of Rockford
201 Buckeye Street Rockford, OH 45882
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0812
F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many
FORM CMS-2567 (02/99) Previous Versions Obsolete
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Based on observations, staff interviews and policy review, the facility failed to ensure the dishwasher was adequately sanitizing dishes. This had the potential to affect all 33 residents residing in the facility who receive meals from the kitchen. The facility census was 33. Findings include: Observation with Dietary Aid (DA) #39 of the dishwasher on 12/29/25 at 8:12 A.M. revealed the dishwasher contained a manufactures label that read Minimum Temperature 120 degrees Fahrenheit (F) and sanitizer at 50 parts per million (ppm). The temperature observed during operation was observed three times with the maximum temperature for the wash at 110 degrees F and rinse was 115 degrees F. Testing of the sanitizer did not result in a color change of the strip. Interview with DA #39 at the time of the observation revealed he did not test the temperature of the dishwasher or sanitizer during this shift. Interview on 12/29/25 at 8:28 A.M. with DA #39 revealed he set up the dishwasher that morning and was able to demonstrate how to turn the dishwasher on. DA #39 stated he had not checked the water temperature or the sanitizer and was unsure how. Interview on 12/29/25 at 10:32 A.M. with the Administrator acknowledged she was aware of an issue with the water temperature of the dish machine prior to the survey. The Administrator explained the required part was already ordered and awaiting delivery for repair. Review of the Dishwasher Temperature policy dated 10/01/25 revealed all items cleaned in the dishwasher will be washed in water that is sufficient to sanitize. For low temperature dishwashers (chemical sanitation), the temperature shall be 120 degrees F and the sanitizing solution shall be 50 parts per million (ppm) hypochlorite (chlorine) on dish surface in final rinse. The chemical solution shall be tested on ce per shift and water temperatures shall be checked after each meal and recorded. This deficiency represents non-compliance investigated under Complaint Number 2697542 and 2626706.
Event ID:
Facility ID:
If continuation sheet
COLONIAL NURSING CENTER OF ROCKFORD in ROCKFORD, OH 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, OH, (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 COLONIAL NURSING CENTER OF ROCKFORD or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.