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

FOREST CITY REHAB & NRSG CTR

ROCKFORD, IL · 213 certified beds · Last Life Safety survey October 24, 2024

CMS Certification Number 145937 · first certified July 1997

Ownership

Operated by SABA HEALTHCARE · For profit - Limited Liability company

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

40
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
10
Tags cited more than once
Across separate surveys
18
Inspection & testing records
Of the citations on file

Position within IL

40 citations — more than 92% 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 13 citations; the earlier surveys in the window averaged 13.5. 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 (September 2025 to December 2025), and past the point by which nine in ten IL facilities have been surveyed. This facility’s last Life Safety survey was October 2024. 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

7 inspection-and-testing tags have 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

5 of the 40 citations on file are 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)

7 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 40 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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 facility40IL median15National median11
Citations on file over three years, compared
MeasureCitations
This facility40
Median facility in IL15
Median facility nationally11

Survey history

Citations at each Life Safety survey
122023-01152023-12132024-10
Citations at each Life Safety survey
Survey dateCitations
January 11, 202312
December 7, 202315
October 24, 202413

Most-cited tags

Most-cited tags at this facility
K-09203K-03533K-02713K-02813K-03552K-09232K-03632K-03722
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0920Ensure proper usage of power strips and extension cords.32024-10-24
K-0353Inspect, test, and maintain automatic sprinkler systems.32024-10-24
K-0271Have exits that are accessible at all times.32024-10-24
K-0281Install proper backup exit lighting.32024-10-24
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.22023-12-07
K-0923Have proper medical gas storage and administration areas.22024-10-24
K-0363Install corridor and hallway doors that block smoke.22024-10-24
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.22024-10-24

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 13
  • Egress Deficiencies 9
  • Gas, Vacuum, and Electrical Systems Deficiencies 7
  • Emergency Preparedness Deficiencies 5
  • Other 6
Citations by CMS category
CategoryCitations
Smoke Deficiencies13
Egress Deficiencies9
Gas, Vacuum, and Electrical Systems Deficiencies7
Emergency Preparedness Deficiencies5
Services Deficiencies4
Miscellaneous Deficiencies2

Every citation on file

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

October 24, 2024 — 13 citations

Citations issued on October 24, 2024
TagWhat the surveyor checksStatus
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (November 14, 2024)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (November 14, 2024)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (November 14, 2024)
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (November 14, 2024)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (November 14, 2024)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (November 14, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (November 14, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 19, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (November 14, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (November 14, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (November 18, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (November 14, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (November 14, 2024)

December 7, 2023 — 15 citations

Citations issued on December 7, 2023
TagWhat the surveyor checksStatus
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (December 25, 2023)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (December 25, 2023)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (December 25, 2023)
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 (December 25, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (December 25, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 25, 2023)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (December 25, 2023)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (December 25, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (December 25, 2023)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (December 25, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (December 25, 2023)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (December 25, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (December 25, 2023)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (December 25, 2023)
K-0927Have proper fire barriers, ventilation and signs for the transfilling of oxygen.Deficient, Provider has date of correction (December 25, 2023)

January 11, 2023 — 12 citations

Citations issued on January 11, 2023
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (February 27, 2023)
E-0022Establish policies and procedures for sheltering.Deficient, Provider has date of correction (February 27, 2023)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (February 27, 2023)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (February 27, 2023)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (February 27, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 27, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 27, 2023)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (February 27, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 27, 2023)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (February 27, 2023)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (February 27, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (February 27, 2023)

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