Elgin Nursing And Rehabilitation Center

Penalties

• Apr 25, 2025 — Fine ($36,221)

Inspection findings

1. Apr 17, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected May 1, 2026 · CMS health inspection

2. Dec 4, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0602 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from the wrongful use of the resident's belongings or money.

     Corrected Dec 5, 2025 · CMS health inspection

3. Apr 25, 2025 Health · 7 findings
   • Not serious Scope/severity E

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Apr 28, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Apr 28, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Apr 28, 2025 · CMS health inspection

   • Serious Scope/severity K

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Apr 28, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0804 Nutrition and Dietary Deficiencies

     Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

     Corrected Apr 28, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Apr 28, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Apr 28, 2025 · CMS health inspection

4. Apr 4, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0697 Quality of Life and Care Deficiencies

     Provide safe, appropriate pain management for a resident who requires such services.

     Corrected Apr 5, 2024 · CMS health inspection

5. Mar 21, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0690 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.

     Corrected Apr 10, 2024 · CMS health inspection

6. Mar 5, 2024 Health · 7 findings
   • Not serious Scope/severity E

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Mar 19, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0679 Quality of Life and Care Deficiencies

     Provide activities to meet all resident's needs.

     Corrected Mar 19, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0688 Quality of Life and Care Deficiencies

     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.

     Corrected Mar 19, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0699 Quality of Life and Care Deficiencies

     Provide care or services that was trauma informed and/or culturally competent.

     Corrected Mar 19, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0804 Nutrition and Dietary Deficiencies

     Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

     Corrected Mar 19, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Mar 19, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Mar 19, 2024 · CMS health inspection

7. Oct 9, 2023 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0644 Resident Assessment and Care Planning Deficiencies

     Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

     Corrected Oct 30, 2023 · CMS health inspection

8. Feb 14, 2023 Health · 8 findings
   • Not serious Scope/severity D

     F0584 Resident Rights Deficiencies

     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 Mar 10, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Mar 10, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Mar 10, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0679 Quality of Life and Care Deficiencies

     Provide activities to meet all resident's needs.

     Corrected Mar 10, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0688 Quality of Life and Care Deficiencies

     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.

     Corrected Mar 10, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Mar 10, 2023 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Mar 10, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0223 Egress Deficiencies

     Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

     Corrected Jun 9, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• BAIRD, DANIEL — managing control - governing body, NOT APPLICABLE, since 04/13/2021
• BUNTE, MARK — managing control - governing body, NOT APPLICABLE, since 10/27/2020
• CARVAJAL, ANTONIO — managing control - governing body, NOT APPLICABLE, since 05/16/2024
• CLAPP, BARBARA — managing control - governing body, NOT APPLICABLE, since 06/01/2021
• CORTESE, DAREN — managing control - governing body, NOT APPLICABLE, since 08/10/2021
• DEKOWSKI, DONOVAN — operational/managerial control, NOT APPLICABLE, since 02/01/2015
• DEKOWSKI, DONOVAN — adp of the snf, NOT APPLICABLE, since 02/01/2015
• FULCHER, ANN — managing control - governing body, NOT APPLICABLE, since 01/22/2015
• GIBSON, PATRICIA — managing control - governing body, NOT APPLICABLE, since 08/01/2021
• HURTA, BRAD — corporate officer, NOT APPLICABLE, since 01/16/2025
• KAHANEK, MICHAEL — corporate officer, NOT APPLICABLE, since 07/19/2023
• KAUFMAN, NICOLE — managing control - governing body, NOT APPLICABLE, since 08/10/2021
• MANDELBAUM, ELLIOT — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• MOMIN, ZAHIR — adp of the snf, NOT APPLICABLE, since 01/01/2025
• RINCON, LORETTA — adp of the snf, NOT APPLICABLE, since 01/01/2025
• SCHREINER, ROBERT — corporate officer, NOT APPLICABLE, since 05/09/2019
• TROUSDALE, JAMES — corporate officer, NOT APPLICABLE, since 01/20/2021
• WHEAT, TRAVIS — adp of the snf, NOT APPLICABLE, since 09/30/2022
• WHEAT, TRAVIS — operational/managerial control, NOT APPLICABLE, since 09/30/2022
• WILSON, LINDA — corporate officer, NOT APPLICABLE, since 07/19/2023
• WILSON, LINDA — managing control - governing body, NOT APPLICABLE, since 07/19/2023
• YATES, BRANDON — adp of the snf, NOT APPLICABLE, since 01/01/2025
• 1373 NORTH AVENUE C LLC — adp of the snf, NOT APPLICABLE, since 02/01/2015
• CSV RHEA MANAGEMENT HOLDCO, LLC — operational/managerial control, NOT APPLICABLE, since 02/01/2015
• DWD TX HOLDINGS LLC — indirect ownership interest, NOT APPLICABLE, since 02/01/2015
• JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC — indirect ownership interest, NOT APPLICABLE, since 02/01/2015
• REG LEASED OPCO LLC — indirect ownership interest, NOT APPLICABLE, since 02/01/2015
• REG OPERATOR HOLDCO LLC — indirect ownership interest, NOT APPLICABLE, since 02/01/2015
• REGENCY IHS CLINICAL CONSULTING, LLC — adp of the snf, NOT APPLICABLE, since 04/08/2025
• REGENCY IHS OF ELGIN, LLC — operational/managerial control, NOT APPLICABLE, since 02/01/2015
• REGENCY IHS OF ELGIN, LLC — adp of the snf, NOT APPLICABLE, since 06/17/2025
• REGENCY IHS OF ELGIN, LLC — direct ownership interest, NOT APPLICABLE, since 02/01/2015
• REGENCY IHS REHAB LLC — adp of the snf, NOT APPLICABLE, since 02/01/2015
• REGENCY INTEGRATED HEALTH SERVICES LLC — indirect ownership interest, NOT APPLICABLE, since 02/01/2015
• REGENCY INTEGRATED HEALTH SERVICES LLC — adp of the snf, NOT APPLICABLE, since 06/17/2025
• REGENCY INTEGRATED HEALTH SERVICES LLC — operational/managerial control, NOT APPLICABLE, since 02/01/2015
• REGENCY TEXAS HOLDINGS LLC — indirect ownership interest, NOT APPLICABLE, since 02/01/2015
• SMITHVILLE HOSPITAL AUTHORITY — 5% or greater direct ownership interest, 100%, since 02/01/2015
• SMITHVILLE HOSPITAL AUTHORITY — adp of the snf, NOT APPLICABLE, since 06/17/2025
• SMITHVILLE HOSPITAL AUTHORITY — operational/managerial control, NOT APPLICABLE, since 02/01/2015