The nursing home failed to ensure residents were free from significant medication errors. Cited October 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
Nursing home report
Forest City Rehab & Nursing Center
Registered name: FOREST CITY REHAB & NRSG CTR
ROCKFORD, IL · Medicare-certified · 213 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
Forest City Rehab & Nursing Center in Rockford, IL has a 1-star overall rating, with 1-star health inspection and quality measures scores and 2-star staffing. It reports 2.39 nurse hours per resident per day versus the 4.1 federal benchmark, and had $141,775 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
2.3938 hrs/resident/day
Quality measures
Last inspection: May 14, 2026Penalties, last 24 months: $141,775recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.3938.
Staffing detail
- Registered nurses
- 0.45
- Licensed practical nurses
- 0.49
- Nurse aides
- 1.45
- Weekend nursing
- 2.00
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 21%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Residents with a fall causing major injury
2.4%1.2%Improving
Residents with pressure ulcers (bedsores)
5.1%7.2%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
1.4%2.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
54.5%3.7%Improving
Residents whose ability to walk got worse
14%5%Improving
Long-stay residents on antianxiety or sleep medication
16.7%17.7%Worsening
Short-stay residents newly given an antipsychotic
—5.7%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
9.1%11.6%Worsening
Residents with depressive symptoms
95.4%98.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98.9%—
Long-stay residents given the pneumonia vaccine
100%98.2%Worsening
Short-stay residents given the seasonal flu vaccine
—88.1%—
Short-stay residents given the pneumonia vaccine
97.3%93.5%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited May 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
The home failed to provide enough food and fluids to keep residents healthy. Cited February 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
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
- 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 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $5,044 was recorded.
- PENALTY
A federal fine of $136,731 was recorded.
Penalties & enforcement
On record with Medicare: 4 fines · $192,920 in total fines · 1 payment denial.
- $5,044
Federal fine
Jan 28, 2025
- $136,731
Federal fine
Oct 24, 2024
- 5 days
Medicare/Medicaid payment denial
Apr 11, 2024
- $39,965
Federal fine
Apr 11, 2024
- $11,180
Federal fine
Dec 7, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of SABA HEALTHCARE · 11 homes · 1.7 stars avg
- Occupancy
- 165.8 residents on an average day (78% of 213 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.