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Nursing home report

River Bluff Health & Rehabilitation

Registered name: RIVER BLUFF NURSING HOME

ROCKFORD, IL · Medicare-certified · 304 beds

Needs attention
Government-run
Data as of September 1, 2026
2 of 5 overall

River Bluff Health & Rehabilitation in Rockford, IL has an overall 2-star rating, with 2 stars for health inspections and quality measures, but 4 stars for staffing. Reported staffing is 4.19 hours per resident per day, just above the federal benchmark of 4.1, and the facility has had $38,430 in fines in the last 24 months, including a recent federal penalty.

Facility ratings

Health inspections

Staffing

4.188 hrs/resident/day

Quality measures

Last inspection: June 24, 2026Penalties, last 24 months: $38,430recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.188.

Staffing detail

Registered nurses
0.80
Licensed practical nurses
0.87
Nurse aides
2.52
Weekend nursing
3.86

Hours per resident per day.

Total staff turnover: 44%
Registered nurse turnover: 29%

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

27.8%26.9%Improving

Residents with a fall causing major injury

0.8%5.4%Worsening

Residents with pressure ulcers (bedsores)

4.8%2.8%Improving

Residents with a urinary tract infection

9.3%7.6%Improving

Residents who lost too much weight

2%13.8%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

27.4%13.6%Improving

Residents whose ability to walk got worse

23.2%12%Improving

Long-stay residents on antianxiety or sleep medication

7.8%14.3%Worsening

Short-stay residents newly given an antipsychotic

5%0%Improving

Residents with a long-term catheter

1.1%1%No change

Residents with new or worsening incontinence

27.3%32%Worsening

Residents with depressive symptoms

6.1%5.3%Improving

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

99.2%100%Improving

Short-stay residents given the seasonal flu vaccine

—95.7%—

Short-stay residents given the pneumonia vaccine

95.6%100%Improving

What the inspectors found

The home failed to provide enough food and fluids to keep residents healthy. Cited June 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 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

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 make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

Recent history

  1. PENALTY

    A federal fine of $38,430 was recorded.

  2. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  3. INSPECTION

    Health inspection found 12 health deficiencies.

    See what inspectors found
  4. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  6. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  7. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  8. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  9. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  10. INSPECTION

    Health inspection found 3 health deficiencies.

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  11. INSPECTION

    Health inspection found 1 health deficiency.

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  12. INSPECTION

    Health inspection found 7 health deficiencies.

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  13. PENALTY

    A federal fine of $10,199 was recorded.

Penalties & enforcement

On record with Medicare: 2 fines · $48,629 in total fines · 1 payment denial.

  • Federal fine

    Jun 24, 2026

    $38,430
  • Federal fine

    May 14, 2024

    $10,199
  • Medicare/Medicaid payment denial

    Mar 7, 2024

    21 days

Operator & ownership

Ownership
Government - County
Occupancy
152.2 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.