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 & NRSG CTR
ROCKFORD, IL · Medicare-certified · 213 beds
Needs attention
Abuse citationFor-profitChain member
1 of 5 overall
Forest City Rehab & Nursing Center in Rockford, IL has a 1-star overall rating, with 1-star health inspections and quality measures, 2-star staffing, and reported nurse staffing below the federal benchmark (2.49 vs 4.1 hours/resident/day). It also has $141,775 in fines in the last 24 months and a recent abuse citation, with cited problems involving medication errors, accident hazards/supervision, and resident abuse protection.
Facility ratings
Health inspections
Staffing
2.4864 hrs/resident/day
Quality measures
Last inspection: March 9, 2026Penalties, last 24 months: $141,775recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.4864.
Staffing detail
- Registered nurses
- 0.47
- Licensed practical nurses
- 0.50
- Nurse aides
- 1.52
- Weekend nursing
- 2.00
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 24%
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
3%1.2%Improving
Residents with pressure ulcers (bedsores)
9.7%6.2%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
1.3%2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.7%5.6%Improving
Residents whose ability to walk got worse
6.3%6.8%Worsening
Long-stay residents on antianxiety or sleep medication
17.4%16.9%Improving
Short-stay residents newly given an antipsychotic
—4.8%—
Residents with a long-term catheter
0.5%0%Improving
Residents with new or worsening incontinence
4.7%11.7%Worsening
Residents with depressive symptoms
99.4%99.3%No change
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%100%No change
Short-stay residents given the seasonal flu vaccine
—88.1%—
Short-stay residents given the pneumonia vaccine
95.2%97.1%Improving
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
- 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 · 1.8 stars avg
- Occupancy
- 163.8 residents on an average day (77% of 213 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 28 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.