The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
AMBERWOOD CARE CENTRE
ROCKFORD, IL · Medicare-certified · 135 beds
In good standing
For-profitChain member
3 of 5 overall
AMBERWOOD CARE CENTRE (Rockford, IL) has an overall rating of 3 out of 5 stars, with staffing rated lower at 2 out of 5 and reported nurse staffing below the federal benchmark (3.23 vs 4.1 hours per resident per day). It has no fines in the last 24 months; recent inspection citations included food handling, menu/nutrition, and resident environment concerns.
Facility ratings
Health inspections
Staffing
3.2323 hrs/resident/day
Quality measures
Last inspection: February 25, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2323.
Staffing detail
- Registered nurses
- 0.40
- Licensed practical nurses
- 0.67
- Nurse aides
- 2.15
- Weekend nursing
- 2.95
Hours per resident per day.
Total staff turnover: 28%
Registered nurse turnover: 27%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
29.7%Worsening
Residents with a fall causing major injury
2%Worsening
Residents with pressure ulcers (bedsores)
5.9%Improving
Residents with a urinary tract infection
0.5%Steady
Residents who lost too much weight
1.1%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
6.7%Improving
Residents whose ability to walk got worse
6.4%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
13%Improving
Short-stay residents newly given an antipsychotic
0.4%Steady
Residents with a long-term catheter
1.7%Improving
Residents with new or worsening incontinence
15.3%Improving
Residents with depressive symptoms
85.2%Worsening
Long-stay residents given the seasonal flu vaccine
87.6%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
62.5%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited June 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: F
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited July 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: E
The home failed to provide appropriate foot care for residents. Cited October 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 687 — 42 CFR §483.25 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CITADEL HEALTHCARE · 13 homes · 3.5 stars avg
- Occupancy
- 125.1 residents on an average day (93% of 135 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 29 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.