Inspection Reports for
Grand Victorian of Rockford

The facility committed to re-educate non-licensed staff on medication administration policies, conduct audits of medication assistance practices, and ensure ongoing compliance through staff training and quality assurance reviews.

Complaint 2616607/IL00202088: Section 295.5000a)b)1)2)3)d) cited.

The establishment failed to ensure that medications were administered by licensed nurses as required, with unlicensed staff assisting residents with medication administration, including narcotics and topical medications, creating a substantial probability of severe harm or death.

Facility Reported Incident IL00201581: no violations cited.

The establishment was found in compliance with all applicable regulations during this complaint investigation.

Complaint 2515539/ IL196617: Section 295.6000a)13) cited.

The facility failed to ensure a resident was safe from sexual abuse by another resident, resulting in an incident on 7/25/25. The male resident was evicted and the family pressed charges; the facility followed abuse and neglect reporting policies.

Complaint 2513930/IL191549: Complaint cannot be substantiated. No violations cited.

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.

The establishment was found in compliance with all applicable regulations; no violations were cited.

The establishment was found to have multiple deficiencies including failure to report serious incidents, lack of CPR trained staff on duty at all times, incomplete employee orientation documentation, missing annual physician assessments, incomplete and unsigned resident service plans, and failure to conduct required tuberculosis screening for a resident.

The facility committed to providing training and ongoing in-services to staff on incident reporting, personnel requirements, employee orientation, physician assessments, service plans, and tuberculin skin test procedures. Quality Assurance Studies will be conducted for 90 days to ensure compliance with these areas.