Inspection Reports for Charter Senior Living of Rockford
7130 Crimson Ridge Dr, Rockford, IL 61107, United States, IL, 61107
Back to Facility Profile
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 19, 2025
Visit Reason
Complaint investigation IL00198623 was conducted on 12/19/2025, piggybacked to IL198965.
Findings
No deficiencies were written. The establishment was found to be 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
Complaint investigation IL00198623 conducted on 12/19/2025 with no deficiencies written.
Inspection Report
Complaint Investigation
Deficiencies: 3
Aug 30, 2025
Visit Reason
The inspection was conducted as a complaint investigation related to alleged deficiencies in the service plan implementation for residents at risk of falls.
Findings
The facility failed to implement and update service plans adequately to prevent falls for two residents with a history of frequent falls. Multiple incident reports documented numerous falls and injuries, but fall investigations and service plan updates were not completed as required.
Complaint Details
Complaint Investigation IL196410 cited for violations of Section 295.4010 a)d)e). Complaint Investigation IL196402 had no findings.
Deficiencies (3)
| Description |
|---|
| Failure to implement a service plan to prevent falls for residents with a history of frequent falls. |
| Failure to complete fall investigations by the nursing supervisor for residents who experienced falls. |
| Failure to update service plans with new interventions after multiple falls. |
Report Facts
Number of falls: 14
Incident report dates: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E2 | Health and Wellness Director | Provided statements regarding fall prevention policies and procedures. |
| E5 | Caregiver | Provided statements about knowledge of high fall risk residents and fall prevention measures. |
Inspection Report
Annual Inspection
Deficiencies: 5
Sep 26, 2024
Visit Reason
Annual Survey conducted on 9/26/2024 to assess compliance with state regulations for Charter Senior Living of Rockford.
Findings
The facility failed to conduct required background checks, employee orientation, initial health evaluations including TB testing, and maintain compliant service plans for residents. These deficiencies involved multiple employees and residents, creating a substantial probability of harm to residents, visitors, and staff.
Severity Breakdown
Type 3 Violation: 5
Deficiencies (5)
| Description | Severity |
|---|---|
| Failed to conduct background checks on employees E1 and E4, with E4 found ineligible for employment. | Type 3 Violation |
| Failed to ensure employees E1 and E4 completed orientation within required timeframes. | Type 3 Violation |
| Failed to ensure initial health evaluations and TB skin testing were completed for employees E4, E7, and E8. | Type 3 Violation |
| Failed to ensure service plans addressed level of service for activities of daily living and were signed by a registered nurse for residents R1, R2, R3, and R4. | Type 3 Violation |
| Failed to maintain documentation of compliance with Health Care Worker Background Check requirements for employees E1 and E4. | Type 3 Violation |
Report Facts
Employees reviewed for background checks: 8
Employees reviewed for orientation: 8
Employees reviewed for initial health evaluation and TB testing: 8
Residents reviewed for service plan compliance: 4
Fine per offense for background check failure: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E1 | Executive Director | Failed background check, lacked orientation and health evaluation documentation, interviewed regarding deficiencies. |
| E4 | Server | Found ineligible for employment, lacked background check, orientation, and health evaluation documentation, suspended during survey. |
| E3 | Resident Care Coordinator | Interviewed confirming lack of background check on E4. |
| E2 | Director of Nursing | Interviewed regarding service plan deficiencies. |
Loading inspection reports...
