Inspection Reports for
Charter Senior Living of Rockford

7130 Crimson Ridge Dr, Rockford, IL 61107, United States, IL, 61107

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6 Reports

2024–2026

Inspection Report — Jul 1, 2026

Annual Inspection
Date: Jul 1, 2026

Visit Reason
Annual Survey Conducted. Violations cited include 295.2040b)5)e)g)h), 295.3000a)b), 295.3030e)1)2), and 295.4010b)1-3)c)d)e)g)1)C)2)5)h).

Findings
The establishment was cited for failure to orient residents to emergency exits and identify residents in fire drills, lack of CPR-certified staff coverage at all times, incomplete tuberculin skin testing for employees, and deficiencies in service plan development, signatures, and content for multiple residents.

Deficiencies (4)
A2040 (295.2040 Disaster Preparedness) - The establishment failed to assist residents in identifying and using emergency exits within 10 days after admission and failed to identify residents participating in fire drills, creating a substantial probability of severe harm or death.
A3000 (295.3000 Personnel Requirements, Qualifications and Training) - The establishment failed to have on duty at all times at least one direct care staff person with current adult CPR certification, including during night shifts on multiple dates.
A3030 (295.3030 Initial Health Evaluation for Direct Care and Food Service Employees) - The establishment failed to ensure that direct care employees have a tuberculin skin test within 90 days prior to or 10 days after employment, involving one employee whose test was outdated.
A4010 (295.4010 Service Plan) - The establishment failed to ensure service plans were signed and developed by required individuals, revised as resident needs changed, addressed hospice and therapy services, and included medication reminders or administration for four of five residents reviewed.
Report Facts
Residents affected: 4 Employees affected: 1 Dates without CPR coverage: 6 Residents without emergency exit orientation: 5

Inspection Report — Jun 6, 2026

Complaint Investigation
Date: Jun 6, 2026

Visit Reason
Facility Reported Incident: IL00202125. For this survey, the establishment is in compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act.

Complaint Details
Facility Reported Incident IL00202125: No violations cited.
Findings
The establishment was found in compliance with all applicable regulations during this facility reported incident investigation.

Inspection Report — Dec 19, 2025

Complaint Investigation
Date: Dec 19, 2025

Visit Reason
Complaint investigation IL00198623 conducted on 12/19/2025, piggybacked to IL198965. 295.400a)b)c) written on 12/2/25.

Findings
No deficiencies were written. The establishment was found in compliance with Part 295 Assisted Living and Shared Housing Establishment Administrative Code and 210 ILCS 9/1 Assisted Living and Shared Housing Act.

Inspection Report — Aug 30, 2025

Complaint Investigation
Date: Aug 30, 2025

Visit Reason
This survey was a Complaint Investigation IL196402 with no findings and Complaint Investigation IL196410 with citations for sections 295.4010 a), d), and e).

Complaint Details
Complaint Investigation IL196402 - No Findings. Complaint Investigation IL196410 - 295.4010 a)d)e) cited.
Findings
The establishment failed to implement adequate service plans to prevent falls for two of three residents reviewed. The facility did not complete fall investigations or update service plans after multiple falls.

Deficiencies (1)
A4010 (295.4010 Service Plan) - The establishment failed to implement a service plan to prevent falls for two of three residents reviewed, and did not complete fall investigations or update service plans after multiple falls.
Report Facts
Residents affected: 2 Residents reviewed: 3 Falls: 14 Falls: 4

Inspection Report — Sep 26, 2024

Annual Inspection
Date: Sep 26, 2024

Visit Reason
Annual Survey conducted on 9/26/2024.

Findings
The facility failed to conduct background checks, employee orientation, initial health evaluations, and ensure service plans addressed required elements and were signed by a registered nurse. These failures involved multiple employees and residents and create a substantial probability of harm to all residents, visitors, and staff.

Deficiencies (6)
A1060 (295.1060 Remedies and Sanctions) - The facility failed to conduct background checks on employees E1 and E4, with E4 found ineligible for employment and working during the survey.
A3020 (295.3020 Employee Orientation and Ongoing Training) - The facility failed to ensure employees E1 and E4 completed orientation within required timeframes.
A3030 (295.3030 Initial Health Evaluation for Direct Care and Food Service Employees) - The facility failed to ensure initial health evaluations and TB skin testing were completed for employees E4, E7, and E8.
A3040 (295.3040 Health Care Worker Background Check) - The facility failed to conduct background checks on employees E1 and E4, with E4 found ineligible for employment and working during the survey.
A4010 (295.4010 Service Plan) - The facility failed to ensure service plans addressed the level of service residents R1, R2, R3, and R4 were receiving and were signed by a registered nurse.
A7010 (295.7010 Establishment Records) - The facility failed to maintain documentation of compliance with health care worker background checks for employees E1 and E4, with E4 found ineligible for employment and working during the survey.
Report Facts
Employees reviewed: 8 Employees affected: 2 Employees affected: 2 Employees affected: 3 Residents reviewed: 4

Inspection Report — Sep 26, 2024

Plan of Correction
Date: Sep 26, 2024

Visit Reason
This plan of correction answers the Annual Survey conducted by IDPH.

Findings
The facility committed to auditing employee orientation, health evaluations, background checks, and resident service plans, with completion dates ranging from November 2024 to May 2025. The Executive Director and department managers are responsible for ensuring compliance and conducting monthly audits.

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