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Inspection visit

Health inspection

LOFT REHAB OF ROCK SPRINGS, THECMS #1460031 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

146003 01/07/2025 Loft Rehab of Rock Springs, The 2530 North Monroe Street Decatur, IL 62526
F 0921 Level of Harm - Potential for minimal harm Residents Affected - Many Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Based on observation and interview the facility failed to ensure utility rooms and nurses stations were clean, in good repair, and free of debris. This failure has the potential to affect all 105 residents residing in the facility. Findings include: On 1/7/25 at 12:30 PM V8, Housekeeping supervisor, stated that housekeeping staff are to clean, sweep and mop the nurses station and clean clean/soiled utility rooms daily. On 1/7/25 at 1:15 PM V8 opened the door to the 3rd floor soiled utility room. The sink and cabinet were falling away from the wall and collapsing in the front. Upon closer inspection, opening the cabinet doors under the sink the floor of the cabinet was covered in a black substance and pulling away from the cabinet. V8 turned on the water at the sink, the water immediately drained into the under sink compartment not down the drain. V8 stated V8 filled out a maintenance request form two weeks ago. On 1/7/25 at 1:18 PM V9 Maintenance Director came to the 3rd floor soiled utility room. V9 confirmed the sink and cabinet are pulling away from the wall, that the sink leaks water under the cabinet, there is a black substance under the sink on the cabinet floor, and the toe kick board is wet and collapsed under the front of the cabinet and covered with the same black substance as inside the cabinet. V9 confirmed knowing the sink/cabinet needed repaired and a maintenance request had been reported. On 1/7/25 at 1:20 PM V8 opened the door to the 3rd floor clean utility room. V8 confirmed the floor had dirt and debris on it and had not been cleaned in a substantial amount of time. On 1/7/25 at 1:23 PM V8 opened the door to the 4th floor soiled utility room. V8 confirmed the sink caulking securing the sink to the counter was in disrepair, missing in some parts and had a black substance on it. V8 confirmed the back splash was in disrepair and coming apart. V8 confirmed the floor under the sink was discolored, contained dirt and debris, and that tile was in disrepair around the edges and had not been cleaned in a substantial amount of time. On 1/7/25 at 1:25 PM V8 opened the door to the 4th floor clean utility room. V8 confirmed the floor had dirt and debris on it and had not been cleaned in a substantial amount of time. On 1/7/25 at 1:28 PM V8 confirmed the baseboards and toe kick boards around the fourth floor nurses station contain dirt and debris and looked like it had not been cleaned in a substantial amount of Page 1 of 2 146003 146003 01/07/2025 Loft Rehab of Rock Springs, The 2530 North Monroe Street Decatur, IL 62526
F 0921 time. Level of Harm - Potential for minimal harm On 1/7/25 at 1:55 PM V5, [NAME] President of Clinical Services opened the door to the 3rd floor soiled utility room. The sink and cabinet were falling away from the wall and collapsing in the front. Upon closer inspection, opening the cabinet doors under the sink the floor of the cabinet was covered in a black substance and pulling away from the cabinet. The front toe kick board was wet, collapsed and covered in the same black substance that was under the sink on the cabinet floor. Residents Affected - Many On 1/7/25 at 2:00 PM V5 opened the door to the 3rd floor clean utility room. V5 confirmed the floor had dirt and debris on it and had not been cleaned in a substantial amount of time. On 1/7/25 at 2:03 PM V5 opened the door to the 4th floor soiled utility room. V5 confirmed the sink caulking securing the sink to the counter was in disrepair, missing in some parts and had a black substance on it. V5 confirmed the back splash was in disrepair and coming apart. V5 confirmed the floor under the sink was discolored, contained dirt and debris, and that tile was in disrepair around the edges and had not been cleaned in a substantial amount of time. On 1/7/25 at 2:10 PM V5 opened the door to the 4th floor clean utility room. V8 confirmed the floor had dirt and debris on it and had not been cleaned in a substantial amount of time. On 1/7/25 at 2:20 PM V5 confirmed the baseboards and toe kick boards around the fourth floor nurses station contain dirt and debris and looked like it had not been cleaned in a substantial amount of time. V5 stated that the facility employed a full time floor person to clean the floors and it appeared that he has not been completing his job and needs some training. On 1/7/25 at 2:55 PM V1 administrator and V5 confirmed staff will be cleaning the areas of concern and maintenance will be fixing the sink and cabinet. The Resident Roster dated 12/24/24 documents 105 residents reside in the facility. 146003 Page 2 of 2

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Citations

1 citation recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0921GeneralS&S Cno actual harm

    F921 - Other Environmental Conditions

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

FAQ · About this visit

Common questions about this visit

What happened during the January 7, 2025 survey of LOFT REHAB OF ROCK SPRINGS, THE?

This was a inspection survey of LOFT REHAB OF ROCK SPRINGS, THE on January 7, 2025. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at LOFT REHAB OF ROCK SPRINGS, THE on January 7, 2025?

Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

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Next steps

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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.