Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

MANOR COURT OF ROCHELLE

ROCHELLE, IL · 92 certified beds · Last Life Safety survey March 5, 2025

CMS Certification Number 146193 · first certified August 2020

Ownership

Operated by RESIDENTIAL ALTERNATIVES OF ILLINOIS · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

12
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within IL

12 citations — more than 42% of the 666 certified nursing homes in IL. Compared within IL rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 6 citations; the earlier surveys in the window averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (January 2026 to April 2026), and past the point by which nine in ten IL facilities have been surveyed. This facility’s last Life Safety survey was March 2025. Facilities in IL are typically surveyed 11–13 months after the last one (median 12), measured over 759 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 12 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

8 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 12 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in IL, and nationally. Surveyors differ markedly between states, so the IL figure is the meaningful one.

This facility12IL median15National median11
Citations on file over three years, compared
MeasureCitations
This facility12
Median facility in IL15
Median facility nationally11

Survey history

Citations at each Life Safety survey
32023-0132024-0262025-03
Citations at each Life Safety survey
Survey dateCitations
January 19, 20233
February 15, 20243
March 5, 20256

Most-cited tags

Most-cited tags at this facility
K-03632K-02931K-09151K-03741K-03451K-09261K-03721K-07121
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0363Install corridor and hallway doors that block smoke.22025-03-05
K-0293Have properly located and lighted "Exit" signs.12025-03-05
K-0915Have proper power supply for life support equipment.12023-01-19
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12024-02-15
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12023-01-19
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.12025-03-05
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12025-03-05
K-0712Have simulated fire drills held at unexpected times.12025-03-05

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Egress Deficiencies 1
  • Emergency Preparedness Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Gas, Vacuum, and Electrical Systems Deficiencies3
Egress Deficiencies1
Emergency Preparedness Deficiencies1
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 5, 2025 — 6 citations

Citations issued on March 5, 2025
TagWhat the surveyor checksStatus
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (March 12, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (March 11, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (March 7, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (March 11, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 7, 2025)
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.Deficient, Provider has date of correction (March 11, 2025)

February 15, 2024 — 3 citations

Citations issued on February 15, 2024
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (February 26, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 28, 2024)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (February 28, 2024)

January 19, 2023 — 3 citations

Citations issued on January 19, 2023
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (March 4, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (March 10, 2023)
K-0915Have proper power supply for life support equipment.Deficient, Provider has date of correction (March 10, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.