Loft Rehab of Rock Springs, the
2530 North Monroe Street · Decatur, IL · 62526 · 2178750920
195 certified beds For profit - Corporation Chain: The Loft Rehabilitation and Nursing
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- 5 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 4 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.19 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
3.00 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.00 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.19 | 0.55–0.75 |
| Weekend hours / resident-day | 2.66 | ≈ weekday level |
| Nursing turnover / year | 32% | median 45% |
| Fines (3-yr window) | 1 · $17,870 |
Inspection citations (96 in the current record)
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Potential for harm · D April 16, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 29, 2026 · Pharmacy Service
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Potential for harm · D March 10, 2026 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected April 3, 2026 · Resident Rights
-
Potential for harm · D December 29, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 15, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E November 17, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected December 2, 2025 · Environmental
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Potential for harm · D April 7, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 28, 2025 · Quality of Life and Care
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Potential for harm · E March 26, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected April 28, 2025 · Resident Rights
-
Potential for harm · D March 26, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected April 28, 2025 · Resident Rights
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Potential for harm · D March 26, 2025
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected April 28, 2025 · Resident Rights
-
Potential for harm · D March 26, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected April 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 26, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 28, 2025 · Quality of Life and Care
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Potential for harm · D March 26, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 28, 2025 · Quality of Life and Care
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Potential for harm · D March 26, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 28, 2025 · Quality of Life and Care
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Potential for harm · D March 26, 2025
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected April 28, 2025 · Quality of Life and Care
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Potential for harm · D March 26, 2025
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected April 28, 2025 · Quality of Life and Care
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Potential for harm · D March 26, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected April 28, 2025 · Pharmacy Service
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Potential for harm · F March 26, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 28, 2025 · Nutrition and Dietary
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Potential for harm · F March 26, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected April 28, 2025 · Administration
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Potential for harm · F March 26, 2025
Provide and implement an infection prevention and control program.
Corrected April 28, 2025 · Infection Control
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Potential for harm · F March 26, 2025
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected April 28, 2025 · Infection Control
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Potential for harm · D March 26, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected April 28, 2025 · Infection Control
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Actual harm · G March 19, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 28, 2025 · Quality of Life and Care
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Actual harm · G March 19, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 28, 2025 · Quality of Life and Care
-
Potential for harm · D March 19, 2025 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected April 28, 2025 · Resident Rights
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Potential for harm · D March 19, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 19, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 28, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 19, 2025 | Payment Denial | 33 days |
| December 20, 2023 | Fine | $17,870 |
| December 20, 2023 | Payment Denial | 43 days |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 146003 · certified since April 4, 2001. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.