Nursing homes › Illinois › Arcadia Care Rock Island
2545 24Th Street, Rock Island, IL 61201 · 3097880458 · 177 certified beds
Per CMS filings, this facility is affiliated with Arcadia Care, a group operating 24 facilities in 2 states. Group record: average rating 1.3/5, 12 abuse citation icons, 6 facilities on the Special Focus list, $4,550,694 in federal fines. This facility rates below its group average (1.3/5).
Total nurse staffing: 4.05 (Illinois median: 3.29). RN hours: 0.50. Weekend total: 3.41. Nursing staff turnover: 46%.
All-time on record: 31 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-23 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | complaint | corrected 2026-03-25 |
| 2025-10-28 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-11-24 |
| 2025-09-21 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-09-25 |
| 2025-08-28 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | complaint | corrected 2025-08-29 |
| 2025-08-28 | Hire a qualified full-time social worker in a facility with more than 120 beds. | F | complaint | corrected 2025-09-02 |
| 2025-08-02 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2025-08-08 |
| 2025-08-02 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | complaint | corrected 2025-08-08 |
| 2025-08-02 | Provide enough food/fluids to maintain a resident's health. | D | complaint | corrected 2025-08-08 |
| 2025-08-02 | 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. | D | complaint | corrected 2025-08-08 |
| 2025-07-22 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2025-07-31 |
| 2025-07-22 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | complaint | corrected 2025-07-31 |
| 2024-08-30 | 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. | D | Health | corrected 2024-09-26 |
| 2024-08-30 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-09-26 |
| 2024-08-30 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2024-09-26 |
| 2024-08-30 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2024-09-26 |
| 2024-08-30 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Health | corrected 2024-09-26 |
| 2024-08-30 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2024-09-26 |
| 2024-08-30 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2024-09-26 |
| 2024-08-30 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Health | corrected 2024-09-26 |
| 2024-06-26 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-07-09 |
| 2024-01-31 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-02-16 |
| 2023-09-19 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2023-10-10 |
| 2023-07-13 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Health | corrected 2023-07-31 |
| 2023-07-13 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2023-07-31 |
| 2023-07-13 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Health | corrected 2023-07-31 |
| 2023-07-13 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Health | corrected 2023-07-31 |
| 2023-07-13 | Provide and implement an infection prevention and control program. | D | Health | corrected 2023-07-31 |
| 2023-07-13 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2023-07-31 |
| 2023-02-10 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Health | corrected 2023-02-22 |
| 2023-02-10 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2023-02-22 |
| 2023-02-10 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2023-02-22 |
| Date | Type | Amount |
|---|---|---|
| 2025-07-22 | Fine | $15,935 |
| 2025-07-22 | Fine | $21,645 |
| 2025-07-22 | Fine | $68,230 |
| 2025-07-22 | Payment Denial | 20 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| BARRISH GROUP LIMITED PARTNERSHIP | 5% Or Greater Direct Ownership Interest | Organization | 9% | since 08/26/2008 |
| BARRISH, BRYAN | 5% Or Greater Direct Ownership Interest | Individual | 9% | since 07/22/2008 |
| GESUALDO, MARY | 5% Or Greater Direct Ownership Interest | Individual | 9% | since 01/01/2021 |
| GESUALDO, RALPH | 5% Or Greater Direct Ownership Interest | Individual | 9% | since 07/22/2008 |
| WINTER, THOMAS | 5% Or Greater Direct Ownership Interest | Individual | 6% | since 07/22/2008 |
| BERGTHOLD, LOUISE | Corporate Officer | Individual | NOT APPLICABLE | since 10/01/2009 |
| WINTER, THOMAS | Corporate Officer | Individual | NOT APPLICABLE | since 07/22/2008 |
| GENERATIONS HC NETWORK | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/22/2008 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 145950. Corrections: data@carerecords.org.