Colonial Nursing Center of Rockford

In the surveyor’s words

From the most serious findings on record at Colonial Nursing Center of Rockford, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Dec 31, 2025

  Based on observations, staff interviews and policy review, the facility failed to ensure the dishwasher was adequately sanitizing dishes. This had the potential to affect all 33 residents residing in the facility who receive meals from the kitchen. The facility census was 33. Findings include: Observation with Dietary Aid (DA) #39 of the dishwasher on 12/29/25 at 8:12 A.M. revealed the dishwasher contained a manufactures label that read Minimum Temperature 120 degrees Fahrenheit (F) and sanitizer at 50 parts per million (ppm). The temperature observed during operation was observed three times with the maximum temperature for the wash at 110 degrees F and rinse was 115 degrees F. Testing of the sanitizer did not result in a color change of the strip. […]

• No harm, potential for more than minimal, widespreadF880Dec 31, 2025

  Based on medical record review, observations, staff and resident interviews, review of facility documentation and review of facility policy, the facility failed to implement enhance barrier precautions as required. This affected one (#1) of five residents reviewed for infection control. The facility also failed to document Legionella prevention control measures were documented. This had the ability to affect all 33 residents residing in the facility. The facility failed to ensure a resident's urinary collection bag was stored in a manner to reduce the chance of infection. This affected one (#35) of two residents reviewed for urinary catheters. The census was 33. Findings include: 1.Review of Resident #1's medical revealed an admission date of 04/29/21. […]

• No harm, potential for more than minimal, widespreadF882Dec 31, 2025

  Based on review of infection control documents, staff interview, and review of facility policy, the facility failed to have a qualified infection preventionist. This had the potential to affect all 33 residents residing in the facility. The census was 33. Findings include: Review of the facility's infection control program documentation revealed no evidence of any current staff member being certified infection control and prevention. Interview with the Director of Nursing (DON) on 12/20/25 at 9:50 A.M. revealed she had not received specialized training in infection prevention and had not obtained any infection control and prevention certification. The DON had been responsible for the facility's infection control program since 10/20/25. Interview with Administrator on 12/30/25 at 11:09 A.M. […]

• No harm, potential for more than minimal, widespreadF812Apr 17, 2025

  Based on observation, staff interview, policy review and review of local health department documentation the facility failed to ensure the kitchen was maintained in a safe and sanitary manner. This had the potential to affect all residents residing at the facility. The facility census was 27. Findings include: Observation on 04/17/25 at 7:58 A.M. of the kitchen revealed an uncovered trash can placed to the right side of the steel clean utensil cart. Food was observed splattered along the side of the cart. Food debris was noted encircling the clean utensil holders. A two layered steel cart was noted to have three open soda cans, with food debris and an uncovered plastic container of butter. A hooded sweatshirt was observed wadded up in the corner of the bottom shelf. […]

• No harm, potential for more than minimal, widespreadF583Mar 9, 2023

  Based on observation, staff interview, and review of facility policy, the facility failed to ensure the resident shower room provided adequate privacy. This had the potential to affect all 19 residents residing in the facility. The facility's census was 19. Findings include: Observation on 03/07/23 at 2:20 P.M. of the resident shower room revealed two separate shower suites for residents, with an open doorway to each suite. There were no doors or privacy curtains in place for resident privacy for either suite or near the shower itself. If a resident were to be receiving a shower, and a second resident or staff member entered, the first resident would be easily observed by the second resident and/or staff entering the shower room. Interview on 03/07/23 at 2:27 P.M. […]