Health inspection·August 2, 2025

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to treat a resident (R1) with dignity. This applies to 1 of 3 residents reviewed for dignity in the sample of 3. The findings include:R1's electronic face sheet printed on 8/2/25 showed R1 has diagnoses including but not limited to acute & chronic respiratory failure with hypoxia, hemiplegia and hemiparesis affecting left non-dominant side, cerebral infarction, dysphagia, and Raynaud's syndrome.R1's facility assessment dated [DATE] showed R1 has no cognitive impairment, is dependent on staff for toileting, and is frequently incontinent of bowel and bladder.On 8/2/25 at 12:27PM, R1 was asked if he has ever had any issues with any staff members and he stated, Oh yes. When I first came back from the hospital I was transferring from the stretcher to the bed and it hit me really fast that I had to have a bowel movement so I asked the aide if she could take me and she said We aren't going to walk you in there today. You just got back from the hospital. You can just go in your depends and we can clean it up. I was shocked because nobody has ever told me that. I was furious because I pay to be taken care of, not to be told to go to the bathroom in my pants. I had to wait until the next shift came on to get changed and the aide that helped me said it was a huge mess, and I never should have been treated like that. The aide that told me to go in my pants was (V4-Certified Nursing Assistant). She's not the normal aide that takes care of me. My regular aide is wonderful. This aide I am not very familiar with, and she hasn't taken care of me since that night. I know it was night shift because I got back to the facility after 11pm .On 8/2/25 at 1:20PM, V4 stated, The last time I worked with (R1) I was helping with cares. He was just coming in from the hospital and had just gotten off the stretcher. I helped him take his clothes off. He was wet and soaked through all of his clothes, so I started changing him. The other aide came in and we got him changed. In between the clothes being changed he said he needed to go to the bathroom, but he was already wet, so I told him he was already wet, so we didn't need to go into the bathroom. When the other aide (V5) came in, I told her he needed to go to the bathroom and then I was just in there for a bit and then I left the room. I don't even know what I did wrong. I didn't think he needed to go into the bathroom because he was already wet. Surveyor attempted to contact (V5-CNA-Certified Nursing Assistant with no return call).On 8/2/25 at 3:16PM, V3 (Director of Nursing) stated, If a resident requests to go to the bathroom, the aides should be honoring that request no matter what the circumstances are. (R1) is a resident who is able to walk and use the restroom so there would be no reason to deny him that right. I'm not sure what happened in this situation but it's definitely a dignity concern. The only reason an aide wouldn't take a resident into the bathroom is if it wasn't safe for the resident to go into the bathroom and then they should be attempting to explain that to the resident. That's not what happened in this situation from what I can tell. She (V4) just didn't want to take (R1) to the bathroom.The Illinois Long-Term Care Ombudsman Program Residents' Rights for People in Long Term Care Facilities dated 11/18 showed, Your facility must treat (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 5 Event ID: 145950 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 145950 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/02/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Generations at Rock Island 2545 24th Street Rock Island, IL 61201 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)