The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
RIVER BLUFF NURSING HOME
ROCKFORD, IL · Medicare-certified · 304 beds
Needs attention
For-profit
2 of 5 overall
River Bluff Nursing Home in Rockford has a 2-star overall rating, with strong staffing at 4.35 hours per resident per day above the 4.1 federal benchmark, but weak quality measures at 1 star and recent fines totaling $10,199 with a recent federal penalty. Health inspections are 3 stars and cited concerns about accident hazards, pain management, and pressure ulcer care.
Facility ratings
Health inspections
Staffing
4.3535 hrs/resident/day
Quality measures
Last inspection: February 5, 2026Penalties, last 24 months: $10,199recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.3535.
Staffing detail
- Registered nurses
- 0.81
- Licensed practical nurses
- 0.88
- Nurse aides
- 2.66
- Weekend nursing
- 4.01
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 28%
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).
Long-stay residents on antipsychotic medication
27.5%27.6%No change
Residents with a fall causing major injury
0.7%2.6%Worsening
Residents with pressure ulcers (bedsores)
3.6%3.6%No change
Residents with a urinary tract infection
6%5.4%Improving
Residents who lost too much weight
6.1%13.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
25.5%27.4%Worsening
Residents whose ability to walk got worse
22.3%17.5%Improving
Long-stay residents on antianxiety or sleep medication
8.5%13%Worsening
Short-stay residents newly given an antipsychotic
—5%—
Residents with a long-term catheter
0.5%0.4%No change
Residents with new or worsening incontinence
34.4%29%Improving
Residents with depressive symptoms
4.2%5.7%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
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—95.7%—
Short-stay residents given the pneumonia vaccine
97.7%93.5%Worsening
What the inspectors found
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited February 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to provide enough food and fluids to keep residents healthy. Cited March 2024 — 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 make sure residents and staff were tested for COVID-19. Cited April 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 886 — 42 CFR §483.80 — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $10,199 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $10,199 in total fines · 1 payment denial.
- $10,199
Federal fine
May 14, 2024
- 21 days
Medicare/Medicaid payment denial
Mar 7, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 151.6 residents on an average day (50% of 304 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 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.