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Friendship Manor

1209 21st Avenue, Rock Island, IL 61201 · Rock Island County · (309) 786-9667

94 certified beds, about 86 residents a day · Non profit - Other · Medicare and Medicaid since 2005

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
1 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 146099 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 4, 2026, inspectors cited 9 health deficiencies (the Illinois average is 12.6, the national average 9.2).

Of 17 health citations since July 2023, 3 were rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $10,519 in the last three years; the largest was $10,519, and the latest is dated April 9, 2025.

Nurses and nurse aides worked 3.91 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.59 of those hours.

37.4% of nursing staff left within the year CMS measured (Illinois average 44.5%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 17 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
9D
1E
3F
Potential for minimal harm
0A
1B
0C
June 4, 2026Standard inspection · 9 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 29, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure food was prepared in a sanitary manner, failed to ensure food in the freezer was covered and labeled, and failed to ensure hot foods were maintained at 135 degrees Fahrenheit or greater on the steam table and cold foods were maintained below 41 degrees Fahrenheit when served. This has the potential to affect all 70 residents residing in the facility.
  2. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 29, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure medications were prepared at the time of administration for 5 of 9 residents (R6, R34, R62, R70, R83) reviewed for medication administration in the sample of 48.
  3. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 29, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure resident dignity was maintained for 1 of 1 resident (R37) reviewed for dignity in the sample of 48.
  4. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 29, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure interventions were in place to reduce leg edema for 1 of 1 resident (R35) reviewed for quality of care in the sample of 48.
  5. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 29, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure gait belts were used during transfers for 2 of 7 residents (R2, R64) reviewed for safety in the sample of 48.
  6. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 29, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to administer medications at ordered times. There were 25 opportunities with 3 errors resulting in a 12% medication error rate. This applies to 1 of 9 residents (R82) observed in the medication pass.
  7. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 29, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure multiuse medications were dated and labeled. The facility also failed to ensure medications were not expired for 3 of 3 residents (R33, R65, and R81) reviewed for medication storage and labeling in the sample of 48.
  8. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 29, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure signage indicating Enhanced Barrier Precautions was posted on a resident's door, and the facility failed to ensure contracted staff wore the appropriate personal protective equipment (PPE) while providing direct care for a resident on enhanced barrier precautions due to having a urinary drainage catheter, and a history of urinary tract infections for 2 of 2 residents (R8, R63) reviewed for catheters in the sample of 48.
  9. B
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · no revisit needed June 29, 2026
    Inspectors wroteBased on interview and record review the facility failed to ensure Resident Assessments were submitted within the 14 day timeframe for 4 or 5 residents (R18, R19, R30, R51) reviewed for Resident Assessments in the sample of 48.
January 30, 2026Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 25, 2026
    Inspectors wroteBased on interview and record review the facility failed to follow their policy and use two staff members to perform a mechanical lift transfer for one of three Residents (R1) reviewed for Falls in a sample of six.
September 12, 2025Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 30, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure 1 of 3 residents (R1) was transferred safely. This failure resulted in R1 falling and fracturing her right femur.
April 9, 2025Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 24, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a resident was safely positioned in bed for 1 of 3 residents (R2) reviewed for safety in the sample of 5. This failure resulted in R2 falling from her bed and sustaining a laceration requiring staples.
July 24, 2024Standard inspection · 2 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) August 14, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to follow the facility's fall program and provide supervision for three (R15, R18, and R60) of six residents reviewed for falls in the sample of 28. These failures resulted in: R15's hospitalization resulting from nasal fractures; R18's hospitalization resulting from a tibial fracture; and R60's hospitalizations resulting from a right hip fracture and then left hip fracture.
  2. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 25, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to implement Enhanced Barrier Precautions throughout the facility to protect vulnerable residents and prevent the spread of multi-drug resistant organisms (MDROs). This failure has the potential to affect all 73 residents residing in the facility.
July 19, 2023Standard inspection · 3 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 11, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to store food items in accordance with professional standards for food service safety in the facility refrigerator by not discarding outdated food items. This failure has the potential to affect all 79 Residents residing in the Facility.
  2. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 9, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to perform catheter care in a clean manner for one resident (R62) of three residents reviewed for catheters in a total sample of 38. This failure resulted in R62 having repeated Urinary Tract Infections. Findings Include: The Facility's undated Catheter Care Policy documents the purpose of this procedure is to prevent urinary catheter-associated complications, including urinary tract infections. General Guidelines: follow aseptic technique. The Center for Disease Control website documents Require healthcare personnel to perform hand hygiene in accordance with Centers for Disease Control and Prevention (CDC) recommendations. Use an alcohol-based hand rub or wash with soap and water for the following clinical indications: Immediately before touching a patient; [...]
  3. D
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 16, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to identify an appropriate indication for use of an antipsychotic medication and failed to identify specific target behaviors in the care plan for one residents (R178) with Dementia diagnosis of five residents reviewed for unnecessary medications in the sample of 38.

Fire safety inspections

17 fire safety citations on file: 6 on June 4, 2026, 8 on July 24, 2024, 3 on July 19, 2023.

Every fire safety citation17 citations
  1. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · June 4, 2026 · Corrected (the home has a date of correction)
  2. F
    Have properly located and lighted "Exit" signs.
    K 293 · June 4, 2026 · Corrected (the home has a date of correction)
  3. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · June 4, 2026 · Corrected (the home has a date of correction)
  4. F
    Have simulated fire drills held at unexpected times.
    K 712 · June 4, 2026 · Corrected (the home has a date of correction)
  5. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · June 4, 2026 · Corrected (the home has a date of correction)
  6. E
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · June 4, 2026 · Corrected (the home has a date of correction)
  7. F
    Address subsistence needs for staff and patients.
    E 15 · July 24, 2024 · Corrected (the home has a date of correction)
  8. F
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · July 24, 2024 · Corrected (the home has a date of correction)
  9. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · July 24, 2024 · Corrected (the home has a date of correction)
  10. F
    Follow proper procedures when the fire alarm was out of service for more than 4 hours.
    K 346 · July 24, 2024 · Corrected (the home has a date of correction)
  11. F
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · July 24, 2024 · Corrected (the home has a date of correction)
  12. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · July 24, 2024 · Corrected (the home has a date of correction)
  13. E
    Have stairways and smokeproof enclosures used as exits that meet safety requirements.
    K 225 · July 24, 2024 · Corrected (the home has a date of correction)
  14. E
    Ensure proper usage of power strips and extension cords.
    K 920 · July 24, 2024 · Corrected (the home has a date of correction)
  15. E
    Install a two-hour-resistant firewall separation.
    K 133 · July 19, 2023 · Corrected (the home has a date of correction)
  16. E
    Have exits that are accessible at all times.
    K 271 · July 19, 2023 · Corrected (the home has a date of correction)
  17. E
    Install an approved automatic sprinkler system.
    K 351 · July 19, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
April 9, 2025Fine $10,519
July 24, 2024Payment Denial 12 days from August 22, 2024

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeIllinoisUnited States
All nursing staff (RN, LPN and aides)3.913.453.86
Registered nurses0.590.720.69
All nursing staff on weekends3.293.073.42
Nurse aides2.43
Licensed practical nurses0.90
Nursing staff turnover (share who left in a year)37.4%44.5%45.8%
Registered nurse turnover35.7%41.8%42.9%
Administrators who left0

CMS expects 3.33 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.16 on weekdays and 3.29 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.18 in April to June 2025 to 3.91 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.910.594.163.29 0.0%0 of 9086
Oct to Dec 20254.270.704.533.59 0.0%0 of 9278
Jul to Sep 20254.400.594.613.85 0.0%0 of 9275
Apr to Jun 20254.180.574.373.69 0.0%0 of 9176
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Illinois, Jan to Mar 20263.260.653.402.925.4%0.6% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeIllinoisUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
24.713.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.70.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
6.31.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.53.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.12.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
33.214.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.34.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
3.221.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
22.626.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
22.713.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.12.01.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.62.21.8

Owners and operators

Legal business name: FRIENDSHIP MANOR INC.

NameRoleTypeShareSince
Austin, AnnManaging control - governing bodyIndividual01/01/2024
Christopher, AdaManaging control - governing bodyIndividual01/01/2023
Colvin, DamonManaging control - governing bodyIndividual01/01/2023
Depauw Elsberg, ChristineManaging control - governing bodyIndividual01/01/2025
Doyle, SheaManaging control - governing bodyIndividual01/01/2025
Foley, MollyManaging control - governing bodyIndividual01/01/2020
Hullon, JesseyManaging control - governing bodyIndividual01/01/2024
Loquist, JonManaging control - governing bodyIndividual02/01/2021
McEvoy, JohnManaging control - governing bodyIndividual01/01/2025
Pappas, TheodosisManaging control - governing bodyIndividual08/08/2005
Rogalski, EdwardManaging control - governing bodyIndividual01/01/2022
Shattuck, MollyManaging control - governing bodyIndividual01/01/2024
Spitzfaden, ThomasManaging control - governing bodyIndividual01/01/2023
Tallman, ElizabethManaging control - governing bodyIndividual01/01/2023
Thorson, JohnManaging control - governing bodyIndividual01/01/2025
Devinney, PatrickCorporate officerIndividual03/31/2008
Pappas, TheodosisCorporate officerIndividual08/08/2005
Devinney, PatrickOperational/managerial controlIndividual03/31/2008
Leverenz, MarkOperational/managerial controlIndividual09/01/2021
Pappas, TheodosisOperational/managerial controlIndividual08/08/2005
Staley, ThomasOperational/managerial controlIndividual05/01/2019
Austin, AnnTrustee of the SNFIndividual01/01/2020
Christopher, AdaTrustee of the SNFIndividual01/01/2023
Colvin, DamonTrustee of the SNFIndividual01/01/2023
Depauw Elsberg, ChristineTrustee of the SNFIndividual01/01/2025
Doyle, SheaTrustee of the SNFIndividual01/01/2023
Foley, MollyTrustee of the SNFIndividual01/01/2020
Hullon, JesseyTrustee of the SNFIndividual04/01/2019
Loquist, JonTrustee of the SNFIndividual02/01/2021
McEvoy, JohnTrustee of the SNFIndividual01/01/2025
Pappas, TheodosisTrustee of the SNFIndividual08/08/2005
Rogalski, EdwardTrustee of the SNFIndividual01/01/2022
Shattuck, MollyTrustee of the SNFIndividual02/01/2021
Spitzfaden, ThomasTrustee of the SNFIndividual01/01/2023
Tallman, ElizabethTrustee of the SNFIndividual01/01/2023
Thorson, JohnTrustee of the SNFIndividual01/01/2025
Devinney, PatrickAdp of the SNFIndividual03/31/2008
Leverenz, MarkAdp of the SNFIndividual09/01/2021
Pappas, TheodosisAdp of the SNFIndividual08/08/2005
Staley, ThomasAdp of the SNFIndividual05/01/2019

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on June 4, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on June 4, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on June 4, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on June 4, 2026: "Provide and implement an infection prevention and control program."

Other nursing homes nearby

Illinois contacts for a concern about a nursing home

These are the official offices in Illinois. NursingHomeClear cannot take or act on complaints.

Common questions

What is Friendship Manor's Medicare star rating?
CMS rates Friendship Manor 3 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Friendship Manor get at its last inspection?
9 health deficiencies at the standard inspection on June 4, 2026. The Illinois average is 12.6.
Has Friendship Manor been fined?
Yes. CMS lists 1 fine totaling $10,519 in the last three years.
Does Friendship Manor accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Friendship Manor?
CMS lists 40 owners and managers. Legal business name: FRIENDSHIP MANOR INC.

Sources

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