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Nursing homeFAID #3360

Arcadia Care Rock Island

2545 24TH STREET, ROCK ISLAND, IL, 61201
(309) 788-0458
www.arcadialtc.com
177 licensed beds
★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo via Google · Arcadia Care at Rock Island

Public record summary

What we can show you for free.
Bed capacity
177
CMS facility ID
145950
Care type
Nursing home
County
Rock Island
Facility name
Arcadia Care Rock Island
Street address
2545 24TH STREET
City / state / ZIP
Rock Island, IL 61201
Phone
(309) 788-0458
Website
www.arcadialtc.com

About this facility — Arcadia Care Rock Island

Arcadia Care Rock Island is a Medicare/Medicaid-certified skilled nursing facility in Rock Island, Illinois. It is licensed for 177 beds — well above the median for skilled nursing facilities in Illinois (112 beds).

It is one of 4 senior care facilities in Rock Island and 667 skilled nursing facilities across Illinois. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Arcadia Care Rock Island 46 times across 15 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $68,777 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Arcadia Care
Ownership type
For profit - Limited Liability company

Registered owners & officers

Barrish Group Limited Partnership
Direct owner — 9% stake — since 2008
Barrish, Bryan
Direct owner — 9% stake — since 2008
Gesualdo, Mary
Direct owner — 9% stake — since 2021
Gesualdo, Ralph
Direct owner — 9% stake — since 2008
Winter, Thomas
Direct owner · Officer — 6% stake — since 2008
Behrens, Amie
Managing employee — since 2021
Bergthold, Louise
Officer — since 2009
Generations Hc Network
Operational control — since 2008

Regulatory standing

Federal court records
4 naming this facility · 2 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1997-06-19
CMS overall rating
1 of 5 stars
Health deficiencies
17 at the last standard inspection
Federal fines
$68,777 total
Last standard inspection
2024-08-30
Nurse staffing
4.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$303 per day (≈ $9,210/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
22% Medicaid · 2% Medicare · 76% private/other
Occupancy
42% (fiscal year 2023)
Vs. state median
11% below the IL median of $342/day — full state cost breakdown

Services & coverage

Licensed beds
177
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2026-03-23Health inspectionComplaint-triggered1 citation
F-0678
D · No harm foundFrom a complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2026-03-25
2025-10-28Health inspectionComplaint-triggered1 citation
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-11-24
13 earlier / fire-safety inspections (44 citations)
2025-09-21Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-25
2025-08-28Health inspectionComplaint-triggered2 citations
F-0689
K · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-29
F-0850
F · No harm foundFrom a complaint
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected 2025-09-02
2025-08-02Health inspectionComplaint-triggered4 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-08-08
F-0585
D · No harm foundFrom a complaint
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.
Corrected 2025-08-08
F-0692
D · No harm foundFrom a complaint
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-08-08
F-0693
D · No harm foundFrom a complaint
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 2025-08-08
2025-07-22Health inspectionComplaint-triggered2 citations
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-07-31
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-31
2024-08-30Health inspection8 citations
F-0625
D · No harm found
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 2024-09-26
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-09-26
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-09-26
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-09-26
F-0688
D · No harm found
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 2024-09-26
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-09-26
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-09-26
F-0887
D · No harm found
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.
Corrected 2024-09-26
2024-06-26Health inspectionComplaint-triggered1 citation
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-07-09
2024-01-31Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-16
2023-09-19Health inspectionComplaint-triggered1 citation
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-10-10
2023-07-13Health inspection5 citations
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-07-31
F-0758
D · No harm found
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.
Corrected 2023-07-31
F-0761
E · No harm found
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.
Corrected 2023-07-31
F-0810
D · No harm foundFood safety
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2023-07-31
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-07-31
2023-02-10Health inspection3 citations
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-02-22
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-02-22
F-0758
E · No harm found
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.
Corrected 2023-02-22
2024-08-30Fire-safety inspection9 citations
K-0293
F · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2024-08-31
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-08-31
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2024-09-27
K-0347
F · No harm found
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-08-31
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-31
K-0531
F · No harm found
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-08-31
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-08-31
K-0913
E · No harm found
Ensure operating rooms are properly protected and written records are maintained and available for inspection.
Corrected 2024-08-31
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-31
2023-07-13Fire-safety inspection4 citations
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-07-17
K-0341
E · No harm found
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-07-17
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-07-17
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-07-17
2023-02-10Fire-safety inspection3 citations
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-15
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-02-24
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2023-02-24

Federal penalties

2025-07-22Fine$10,358
2025-07-22Fine$14,069
2025-07-22Fine$44,350
2025-07-22Medicare payment denial — 20 days
Total fines$68,777
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 145950.

Visitor reviews

What people say on Google.
2.639 ratings on Google
★Sam Fosdick · 2026-04-12 · via Google

“Worst conditions I’ve ever seen. Two malfunctioning elevators. WORSE the staff does NOT REPEAT DOES NOT HAVE THE CODES TO USE THE STAIRS. In the event of a fire there is no egress for patient’s visitors or staff. Fire safety violations and irresponsible behavior from weekend staff. Floor in my sisters room had crap or blood and obviously hasn’t been cleaned. My sister was placed in a bed WIT…”

★Laurie Daley · 2026-01-14 · via Google

“My mom is on 4th floor these nurses are lazy except Sara the assistant they don’t take good care of my mom I’m her power attorney for medical they have run blood test haven’t heard anything about her results I call and don’t get no where today I talked to her because the last 3 days I could not get ahold of her nurse was supposed to let her know and didn’t today she was slurring words dizzy but ye…”

★Amber Bradford · 2025-02-27 · via Google

“Worse place to put a loved one. They did not have anything ready for my husband when he got there. He was there for therapy and we chose this place because he is on dialysis and they have in house treatment there. The dialysis ladies are 100%wonderful. The therapy ladies don't do anything .He was there for 9 days had I had to call meeting with administration,social worker,head of nursing,physical …”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 46 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered