01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-11-19 | 19 | 2024-10-24 | 13 |
| Cycle 2 | 2024-10-24 | 21 | 2023-12-07 | 14 |
| Cycle 3 | 2023-12-07 | 25 | 2023-01-11 | 13 |
CMS CCN 1459372026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Forest City Rehab & Nrsg Ctr
321 Arnold Avenue · Rockford, IL 61108 · Winnebago County
Certified beds213CMS provider file
Recent citation rows105current CMS citation release
Penalty rows5current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
105 rows in the current release
10 rows carry G–L scope/severity codes; 3 carry J–L. 27 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-14 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2026-05-15 · complaint2026-03-09 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-03-10 · complaint2026-02-23 · HEALTHF0602Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Correction field: Deficient, Provider has date of correction · 2026-02-25 · complaint2026-02-06 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2026-02-07 · complaint2026-02-06 · HEALTHF0692Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2026-02-07 · complaint2025-11-19 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-11-202025-11-19 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2025-11-202025-11-19 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2025-11-202025-11-19 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-11-20 · complaint2025-11-19 · HEALTHF0686Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-11-20 · complaint2025-11-19 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-11-20 · complaint2025-11-19 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2025-11-202025-11-19 · HEALTHF0692Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2025-11-20 · complaint2025-11-19 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2025-11-202025-11-19 · HEALTHF0803Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Correction field: Deficient, Provider has date of correction · 2025-11-20 · complaint2025-11-19 · HEALTHF0809Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Correction field: Deficient, Provider has date of correction · 2025-11-202025-11-19 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-11-202025-11-19 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-11-20 · complaint2025-10-22 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-10-23 · complaint2025-06-23 · HEALTHF0607Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2025-06-24 · complaint2025-06-23 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-06-24 · complaint2025-06-23 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2025-06-24 · complaint2025-06-05 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-06-06 · complaint2025-02-18 · HEALTHF0804Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2025-02-19 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-01-28 | Fine | $5,044 | 0 |
| 2024-10-24 | Fine | $136,731 | 0 |
| 2024-04-11 | Fine | $39,965 | 0 |
| 2024-04-11 | Payment Denial | $0 | 5 |
| 2023-12-07 | Fine | $11,180 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- FREDSIGN HOLDINGS I LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST20% · since 05/01/2014
- BLONDER, MOSHEIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST14% · since 08/20/2014
- LEVOVITZ, YERUCHOMIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST8% · since 08/20/2014
- SINGER, AHARONIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST14% · since 05/01/2014
- WEBSTER, SHIMONIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST10% · since 05/01/2014
- MB FINANCIAL BANK NAOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 06/01/2014
- BLONDER, MOSHEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/24/2017
- SINGER, AHARONIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/24/2017
- BLONDER, MOSHEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/24/2017
- LEVOVITZ, YERUCHOMIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/01/2014
- SINGER, AHARONIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/24/2017
- WEBSTER, SHIMONIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/01/2014
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours2.39per resident day
RN hours0.45per resident day
Weekend nurse hours2.00per resident day
Staff turnover41.0%CMS reported field
06 / LOCAL RECORDS
Open the Rockford ledger →Other published facilities nearby
Alden Debes Rehab & Hcc268 beds · CMS overall 1/570 citation rowsAlden Park Strathmoor189 beds · CMS overall 1/549 citation rowsAlpine Fireside Health Center66 beds · CMS overall 3/529 citation rowsAmberwood Care Centre135 beds · CMS overall 3/547 citation rowsFairhaven Christian Ret Center96 beds · CMS overall 3/531 citation rowsMercyhealth Javon Bea Hospital -Snf17 beds · CMS overall 4/52 citation rowsPa Peterson At The Citadel129 beds · CMS overall 1/568 citation rowsRiver Bluff Nursing Home304 beds · CMS overall 2/552 citation rows