Health inspection·August 19, 2025

F 0557 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation and interview the facility failed to ensure a resident and their personal property was treated with respect. This applies to 1 of 3 residents (R1) reviewed for resident rights in the sample of 3.The findings include:R1's face sheet shows he is a [AGE] year-old male with diagnoses including COPD, asthma, tobacco use, anxiety, hypertension and schizoaffective disorder.On 8/19/25 at 8:53 AM, R1 was in his room wearing oxygen, a laptop and other personal items were on his bedside table. R1's bedside table located next to his bed including his cigarettes, personal hygiene products and personal mail. R1 said on 8/13/25, he went out to the hospital for shortness of breath. When he came back from the hospital, R2 (R1's roommate) told him female staff went through his belongings and took $40.00 and two jars of hemp. R1 showed this surveyor the text to V1 (Administrator) Your people went through my belongings. I'm calling the police. I'm missing $40.00. R1 said he felt violated and disrespected, the staff waited till he left the facility and searched through my things without my permission.On 8/19/25 at 9:07 AM, R2 said after R1 left for the hospital three female staff came into his room. Two were African American. The staff were going through R1's belongings and R2 questioned what they were doing going thru his stuff without him being present. They told him to leave the room. R2 said R1 was not smoking anything in the room and the room did not smell like marijuana. On 8/19/25 at 9:12 AM, V5 (Certified Nursing Assistant-CNA) said if there's a reasonable cause they are allowed to search a resident's room, but we should inform the resident we are conducting a search. V5 said on 8/13/25, she searched R1's belongings because there was a smell of marijuana coming from the hallway. R1 was not in the building he was out in the hospital when she smelt the marijuana. No, she did not ask him for his permission to search his room. V5 and V6 removed several items from his top drawer.On 8/19/26 at 9:35 AM, V6 (CNA) said we should not go through residents' belongings without their permission. She said she did not search R1's property, she searched the facility's property. The drawers are not the residents. We smelt marijuana in his room. R1 was not in the room he had left to go out to the hospital. She said R2 was in the room and later left. V5 (CNA), V7 (CNA) and V3 (Social Services) were in the room during the room search. We removed several contraband items including a scale from his room and several bags of weed.On 8/19/25 at 12:35 PM V8 (LPN) said on 8/13/25, R1 was short of breath, she had been in out of his room to assess him. He agreed to be sent out to the local hospital. There was no smell of marijuana in his room or coming from his room. It's a distinct smell, and I did not smell anything. She heard staff had gone through his things after he left to the hospital and was not sure why.On 8/19/25 at 12:36 PM, V7 (CNA) said she is not sure if they are allowed to search a resident's property without consent or permission. On 8/13/25, she was R1's CNA. R1 was sent out to the hospital for shortness of breath. V5 and V6 (Both CNA's) were working on the first floor. They came up stairs and said they were going to search R1's room. They said R1 was acting suspicious, and they needed to search his room. I'm not sure if they smelt marijuana on him or (continued on next page) 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: 145818 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 145818 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/19/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Rock River Health Care 707 West Riverside Boulevard Rockford, IL 61103 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)