Health inspection·February 27, 2026

F 0600 Level of Harm - Actual harm Residents Affected - Few Note: The nursing home is disputing this citation. to R2's side of the room and got in his face. R2 told R1 to back up. Then R1 threw water at R2. R1 hit the side of his head. He received a black eye because R1 gave him a few swings. Then R1pushed him on the floor and he got on top of him and punched him. R2 stated he had to go to the hospital.R2's face sheet shows the following diagnoses: major depressive disorder, recurrent severe without psychotic features, suicidal ideations, and alcohol abuse, uncomplicated. R2's MDS dated [DATE] shows he is cognitively intact. R2's care plan dated 7/24/25 shows he has a history of criminal behavior. R2's care plan dated 7/25/25 with a focus of abuse/neglect has a goal that he will be treated with respect, dignity and reside in the facility free of mistreatment (abuse/neglect).R2's progress notes show the following: On 2/9/26 at 11:28 PM, Around 8:38 PM, informed by co-nurse that this resident and his roommate had an altercation in the room. Co-nurse separated both residents. This RN immediately assessed the resident. First aid treatment was given to his right arm. 911 was called.(R2) sent to hospital for evaluation via 911. On 2/10/26 at 12:25 AM, (R2) back from the hospital. Bruising on the left temple and dry dressing to the right forearm.On 2/24/16 at 10:16 AM, V2 (DON-Director of Nursing) stated that R1 had said that R2 jumped at him because R1 was talking to himself, which is part of illness. R1 reported that R2 threw an object at him. He couldn't recall what it was. They were the only ones their room. R1 stated he and R2 started tussling and he was defending himself. R2 said that R1 was swearing at him and called him derogatory names. R2 stated he had water in his cup and poured it on R1. R2 then stated R1 then began hitting him. Both R1 and R2 were separated. R1 was removed and placed in a different hallway on the same floor. R2 was sent to the ER (Emergency Room) for evaluation. R1 refused to go to the hospital. V2 stated, We did our investigation, and the allegation of abuse was substantiated. Yes, it's our job to prevent abuse here.On 2/24/26 at 12:05 PM, V1 (Administrator) stated that R1 talks to himself. R2 got annoyed and threw some kind of liquid at him. Both of them were separated. V1 stated, Based on our investigation, abuse occurred. It's our job to prevent abuse.On 2/24/26 at 3:10 PM, V4 (RN-Registered Nurse) stated that he worked on 2/9/26 when the incident between R1 and R2 happened. He said he was not their assigned nurse. V14 (RN-Registered Nurse) was their assigned nurse but she was attending to another resident. V4 stated he saw R2 in the corner of the hallway lying on the floor while R1 was on top of him hitting the face of R2. V14 rushed to them and calmed R1 and told him to stop hitting R2. He stated the rest of the staff came and separated them. When he asked R1 why he was hitting R2. He said it was self-defense. V4 told V14 what happened, and she took care of the rest. R2 was sent to the hospital.On 2/24/26 at 3:42 PM, V12 (CNA-Certified Nursing Assistant) stated he didn't see R1 and R2 in their room. He heard a commotion and saw them yelling at each other in the hallway. He saw R1 yelling at R2, but he didn't see them hitting at that moment. He saw R2 was on the floor. He stated he didn't know what actually happened for them to be fighting. V12 helped R1 move to new room. He stated that R2 had some bleeding above his eye and above his lip. R2 was transferred to the hospital.On 2/24/26 at 3:59 PM, V13 (CNA) said she heard some yelling. She saw R2 on the floor and R1 was on top of him. They were punching and fighting with each other. She stated the nurses and CNA's came and helped separate them. R1 was moved to another room. Facility's abuse policy titled Abuse Prevention and Reporting (Undated) shows: Guidelines: This facility affirms the right our residents to be free from abuse, neglect.and mistreatment of residents. In order to do so, the facility has attempted to establish a resident sensitive and resident secure environment. The purpose of this policy is to assure that the facility is doing all that is within its control to prevent occurrences of abuse.Abuse means any physical or mental injury inflicted upon a resident other than by accidental means. Physical abuse is the infliction of injury on a resident that occurs other than by accidental means and that requires medical attention. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145308 If continuation sheet Page 2 of 3 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 145308 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/27/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE River View Rehab Center 50 North Jane Elgin, IL 60123 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 0600 Physical abuse includes hitting, slapping, pinching, kicking and controlling behavior through corporal punishment. A resident to resident altercation should be reviewed as a potential situation of abuse. Level of Harm - Actual harm Residents Affected - Few Note: The nursing home is disputing this citation. FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145308 If continuation sheet Page 3 of 3