Health inspection·August 22, 2025

F 0563 Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Level of Harm - Minimal harm or potential for actual harm Based on interview and observation, the facility failed to ensure 1 of 4 residents (R1) in the sample of 7 reviewed for visitation rights were allowed to receive their chosen visitors.The findings include:On 8/22/25 at 11:37 AM, V4, Social Services Director, said V13 is R1's significant other/girlfriend. V4 said V13 is not allowed to visit R1 any longer. V4 said V13 calls the facility almost every day trying to come to the facility. V4 said R1's guardians, V9, would go back and forth about allowing V13 to visit R1. V4 said currently the decision to not allow V13 to visit has been made by the facility and the police.On 8/22/25 at 10:32 AM, V3, Receptionist, said V13 is not allowed to visit R1 at all. V3 said V4 came and told all the receptionists not to allow V13 to visit. V3 said she is supposed to ask V13 to leave and if she won't leave, they are supposed to get the police involved. V3 said V13 calls frequently and asks when she can visit again. V3 said she tells V13 to call V9. V3 said the electronic kiosk at the front desk even says, Access denied when V13 tries to check in to visit.On 8/22/25 at 12:35 PM, V1, Administrator, said V13 has not been in the facility since he has been the administrator (eight weeks). V1 said he just got caught up to speed on everything regarding V13 in relation to visiting R1 today since you (IDPH) came in and asked questions. V1 said he would never stop V13 from coming to visit R1. V1 said unless there is an order of protection, they cannot restrict a visitor. V1 said it's the resident's right to have visitors.R1's admission Record dated 8/22/25 shows V13 is his significant other.The facility was unable to provide any legal documents which prohibit V13 from visiting R1.The facility's Visitation Guidelines Policy (reviewed May 2025) shows the facility supports and encourages visitation for all residents in accordance with CMS federal regulations. Residents have the right to receive visitors. Any concerns, incidents, or restriction of visitation must be documented and reported to the Administrator.R1's current care plan provided by the facility does not address any restricted/limited visitation needs. 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 Page 1 of 2 Event ID: 145269 Printed: 05/15/2026 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 145269 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/22/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Hope Creek Nursing & Rehab 4343 Kennedy Drive East Moline, IL 61244 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)