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Inspection visit

Inspection

COLONIAL NURSING CENTER OF ROCKFORDCMS #36623423 citations on this visit
23 citations recorded

Inspector’s narrative

What the inspector wrote

This survey cited 23 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

F 0567 Honor the resident's right to manage his or her financial affairs. Level of Harm - Minimal harm or potential for actual harm Based on observations and staff and resident interviews, the facility failed to have personal funds available after business hours. This affected three (#15, #9 and #35) out of three residents reviewed for availability of personal funds. The facility census was 33. Findings include: Interview on 12/29/25 at 9:27 A.M. with Resident #15 revealed the resident is unable to obtain money from personal funds after 4:00 P.M. after business office is closed during the week. Personal funds are not available on weekends or holidays. Interview on 12/30/25 at 1:40 P.M. with Register Nurse (RN) #71 revealed no personal funds are not kept in the medication cart for withdrawal when business office is closed. Interview on 12/30/25 at 1:50 P.M. with Business Office Manager (BOM) #11 revealed personal funds are not available in the evening or weekends. Business office has hours of Monday through Friday 8:00 A.M. to 4:00 A.M. BOM #11 stated, Everyone is in the route of doing that. Interview on 12/31/25 at 9:13 A.M. with Resident #9 revealed the resident did not know how much funds he has available or how to get to his funds. Resident #9 just knows someone comes to him to order clothes or other stuff when he needs to. Interview on 12/31/25 at 9:51 A.M. with Resident #35 revealed the resident is unable to get personal funds out during the evenings and weekends. Personal funds are only available Monday though Friday 8:00 A.M. to 4:00 P.M. if business office manager is working. Observation of posting outside of business office revealed banking hours of Monday through Friday 8:00 A.M. through 4:00 P.M. Observation of business office during survey revealed business office was closed on the Monday of survey, opened on Tuesday, and opened at 8:18 A.M., Wednesday then closed at Noon for the day. This deficiency represents non-compliance investigated under Complaint Number 2626703 and 2626706. 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: 366234 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 366234 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/31/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Colonial Nursing Center of Rockford 201 Buckeye Street Rockford, OH 45882 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 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many FORM CMS-2567 (02/99) Previous Versions Obsolete Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Based on observations, staff interviews and policy review, the facility failed to ensure the dishwasher was adequately sanitizing dishes. This had the potential to affect all 33 residents residing in the facility who receive meals from the kitchen. The facility census was 33. Findings include: Observation with Dietary Aid (DA) #39 of the dishwasher on 12/29/25 at 8:12 A.M. revealed the dishwasher contained a manufactures label that read Minimum Temperature 120 degrees Fahrenheit (F) and sanitizer at 50 parts per million (ppm). The temperature observed during operation was observed three times with the maximum temperature for the wash at 110 degrees F and rinse was 115 degrees F. Testing of the sanitizer did not result in a color change of the strip. Interview with DA #39 at the time of the observation revealed he did not test the temperature of the dishwasher or sanitizer during this shift. Interview on 12/29/25 at 8:28 A.M. with DA #39 revealed he set up the dishwasher that morning and was able to demonstrate how to turn the dishwasher on. DA #39 stated he had not checked the water temperature or the sanitizer and was unsure how. Interview on 12/29/25 at 10:32 A.M. with the Administrator acknowledged she was aware of an issue with the water temperature of the dish machine prior to the survey. The Administrator explained the required part was already ordered and awaiting delivery for repair. Review of the Dishwasher Temperature policy dated 10/01/25 revealed all items cleaned in the dishwasher will be washed in water that is sufficient to sanitize. For low temperature dishwashers (chemical sanitation), the temperature shall be 120 degrees F and the sanitizing solution shall be 50 parts per million (ppm) hypochlorite (chlorine) on dish surface in final rinse. The chemical solution shall be tested on ce per shift and water temperatures shall be checked after each meal and recorded. This deficiency represents non-compliance investigated under Complaint Number 2697542 and 2626706. Event ID: Facility ID: 366234 If continuation sheet Page 2 of 2

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Citations

23 citations 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.

  • 0684GeneralS&S Dpotential for harm

    F684 - Quality of care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • 0685GeneralS&S Dpotential for harm

    F685 - Vision and hearing

    Assist a resident in gaining access to vision and hearing services.

  • 0689GeneralS&S Dpotential for harm

    F689 - Accidents

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0730GeneralS&S Cno actual harm

    F730 - Regular in-service education

    Observe each nurse aide's job performance and give regular training.

  • 0755GeneralS&S Dpotential for harm

    F755 - Pharmacy Services

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • 0770GeneralS&S Dpotential for harm

    F770 - Laboratory Services

    Provide timely, quality laboratory services/tests to meet the needs of residents.

  • 0880GeneralS&S Fpotential for harm

    F880 - Infection Control

    Provide and implement an infection prevention and control program.

  • 0882GeneralS&S Fpotential for harm

    F882 - Infection preventionist

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

  • 0567GeneralS&S Dpotential for harm

    F567 - The resident has a right to manage his or her financial affairs

    Honor the resident's right to manage his or her financial affairs.

  • 0812GeneralS&S Fpotential for harm

    F812 - Food safety requirements

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0039GeneralS&S Fpotential for harm

    Conduct testing and exercise requirements.

  • 0291GeneralS&S Fpotential for harm

    Install emergency lighting that can last at least 1 1/2 hours.

  • 0321GeneralS&S Fpotential for harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  • 0324GeneralS&S Epotential for harm

    Provide properly protected cooking facilities.

  • 0345GeneralS&S Fpotential for harm

    Have approved installation, maintenance and testing program for fire alarm systems.

  • 0363GeneralS&S Epotential for harm

    Install corridor and hallway doors that block smoke.

  • 0372GeneralS&S Fpotential for harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  • 0712GeneralS&S Fpotential for harm

    F712 - Frequency of physician visits

    Have simulated fire drills held at unexpected times.

  • 0741GeneralS&S Fpotential for harm

    F741 - The facility must have sufficient staff who provide direct services to

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

  • 0781GeneralS&S Epotential for harm

    Have restrictions on the use of portable space heaters.

  • 0914GeneralS&S Fpotential for harm

    F914 - Be designed or equipped to assure full visual privacy for each

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

  • 0920GeneralS&S Epotential for harm

    F920 - Dining and Resident Activities

    Ensure proper usage of power strips and extension cords.

  • 0293GeneralS&S Fpotential for harm

    Have properly located and lighted "Exit" signs.

FAQ · About this visit

Common questions about this visit

What happened during the December 31, 2025 survey of COLONIAL NURSING CENTER OF ROCKFORD?

This was a inspection survey of COLONIAL NURSING CENTER OF ROCKFORD on December 31, 2025. The surveyor cited 23 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at COLONIAL NURSING CENTER OF ROCKFORD on December 31, 2025?

Yes, 23 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."

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.

SourceView on CMS Care Compare

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Next steps

Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.

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