Starfile / Illinois

FOREST CITY REHAB & NRSG CTR

321 ARNOLD AVENUE, ROCKFORD, IL 61108 · CCN 145937

Inspection history vs Illinois & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$192,920

Number of fines

4

Number of penalties

5

Payment denials

1

Chain

Chain

SABA HEALTHCARE

Facilities in chain

11

Chain avg overall

1.50 / 5

Inspection citations (65)3 immediate jeopardy6 actual harm

1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-11-19 · Health · corrected 2025-11-20

   Potential for more than minimal harm

2. DF0558Reasonably accommodate the needs and preferences of each resident.2025-11-19 · Health · corrected 2025-11-20

   Potential for more than minimal harm

3. DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-11-19 · Health · corrected 2025-11-20

   Potential for more than minimal harm

4. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-11-19 · Health · corrected 2025-11-20

   Potential for more than minimal harm

5. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-11-19 · Health · corrected 2025-11-20

   Potential for more than minimal harm

6. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-19 · Health · corrected 2025-11-20

   Potential for more than minimal harm

7. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-11-19 · Health · corrected 2025-11-20

   Potential for more than minimal harm

8. DF0692Provide enough food/fluids to maintain a resident's health.2025-11-19 · Health · corrected 2025-11-20

   Potential for more than minimal harm

9. DF0759Ensure medication error rates are not 5 percent or greater.2025-11-19 · Health · corrected 2025-11-20

   Potential for more than minimal harm

10. FF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2025-11-19 · Health · corrected 2025-11-20

    Potential for more than minimal harm

11. DF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2025-11-19 · Health · corrected 2025-11-20

    Potential for more than minimal harm

12. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-11-19 · Health · corrected 2025-11-20

    Potential for more than minimal harm

13. DF0880Provide and implement an infection prevention and control program.2025-11-19 · Health · corrected 2025-11-20

    Potential for more than minimal harm

14. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-10-22 · Health · corrected 2025-10-23

    Potential for more than minimal harm

15. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-06-23 · Health · corrected 2025-06-24

    Potential for more than minimal harm

16. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-06-23 · Health · corrected 2025-06-24

    Potential for more than minimal harm

17. DF0610Respond appropriately to all alleged violations.2025-06-23 · Health · corrected 2025-06-24

    Potential for more than minimal harm

18. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-06-05 · Health · corrected 2025-06-06

    Potential for more than minimal harm

19. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-02-18 · Health · corrected 2025-02-19

    Potential for more than minimal harm

20. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-02-18 · Health · corrected 2025-02-19

    Potential for more than minimal harm

21. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-01-28 · Health · corrected 2025-01-31

    Actual harm

22. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-12-12 · Health · corrected 2024-12-13

    Potential for more than minimal harm

23. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-10-31 · Health · corrected 2024-11-01

    Potential for more than minimal harm

24. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2024-10-24 · Health · corrected 2024-10-25

    Potential for more than minimal harm

25. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-10-24 · Health · corrected 2024-10-25

    Potential for more than minimal harm

26. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-24 · Health · corrected 2024-10-25

    Potential for more than minimal harm

27. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-10-24 · Health · corrected 2024-10-25

    Actual harm

28. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-10-24 · Health · corrected 2024-10-25

    Potential for more than minimal harm

29. GF0692Provide enough food/fluids to maintain a resident's health.2024-10-24 · Health · corrected 2024-10-25

    Actual harm

30. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-10-24 · Health · corrected 2024-10-25

    Potential for more than minimal harm

31. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-10-24 · Health · corrected 2024-11-13

    Potential for more than minimal harm

32. JF0760Ensure that residents are free from significant medication errors.2024-10-24 · Health · corrected 2024-10-25

    Immediate jeopardy

33. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-10-24 · Health · corrected 2024-10-25

    Potential for more than minimal harm

34. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-24 · Health · corrected 2024-10-25

    Potential for more than minimal harm

35. FF0880Provide and implement an infection prevention and control program.2024-10-24 · Health · corrected 2024-10-25

    Potential for more than minimal harm

36. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-01 · Health · corrected 2024-07-03

    Potential for more than minimal harm

37. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-05-07 · Health · corrected 2024-05-08

    Immediate jeopardy

38. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-07 · Health · corrected 2024-05-08

    Immediate jeopardy

39. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-04-11 · Health · corrected 2024-04-12

    Potential for more than minimal harm

40. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-04-11 · Health · corrected 2024-04-12

    Actual harm

41. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-03-27 · Health · corrected 2024-03-28

    Potential for more than minimal harm

42. DF0760Ensure that residents are free from significant medication errors.2024-03-27 · Health · corrected 2024-03-28

    Potential for more than minimal harm

43. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-03-27 · Health · corrected 2024-03-28

    Potential for more than minimal harm

44. DF0696Provide appropriate care/assistance for a resident with a prosthesis.2024-03-14 · Health · corrected 2024-03-15

    Potential for more than minimal harm

45. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-02-27 · Health · corrected 2024-02-28

    Potential for more than minimal harm

46. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-12-07 · Health · corrected 2023-12-08

    Potential for more than minimal harm

47. DF0558Reasonably accommodate the needs and preferences of each resident.2023-12-07 · Health · corrected 2023-12-08

    Potential for more than minimal harm

48. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-12-07 · Health · corrected 2023-12-08

    Potential for more than minimal harm

49. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-07 · Health · corrected 2023-12-08

    Actual harm

50. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-12-07 · Health · corrected 2023-12-08

    Potential for more than minimal harm

51. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-12-07 · Health · corrected 2023-12-08

    Potential for more than minimal harm

52. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-12-07 · Health · corrected 2023-12-08

    Potential for more than minimal harm

53. FF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2023-12-07 · Health · corrected 2023-12-08

    Potential for more than minimal harm

54. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-12-07 · Health · corrected 2023-12-08

    Potential for more than minimal harm

55. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-12-07 · Health · corrected 2023-12-08

    Potential for more than minimal harm

56. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2023-12-07 · Health · corrected 2023-12-08

    Potential for more than minimal harm

57. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-11-21 · Health · corrected 2023-11-22

    Potential for more than minimal harm

58. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-10-10 · Health · corrected 2023-10-11

    Potential for more than minimal harm

59. DF0610Respond appropriately to all alleged violations.2023-10-10 · Health · corrected 2023-10-11

    Potential for more than minimal harm

60. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-08-22 · Health · corrected 2023-08-23

    Actual harm

61. DF0685Assist a resident in gaining access to vision and hearing services.2023-06-13 · Health · corrected 2023-06-14

    Potential for more than minimal harm

62. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-25 · Health · corrected 2023-04-26

    Potential for more than minimal harm

63. FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-03-27 · Health · corrected 2023-03-28

    Potential for more than minimal harm

64. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-03-20 · Health · corrected 2023-03-21

    Potential for more than minimal harm

65. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-03-20 · Health · corrected 2023-03-21

    Potential for more than minimal harm

Ownership

Other facilities in ROCKFORD

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.