Rock River Health Care in Rockford, IL has a 2 out of 5 star overall rating, with 2-star scores for health inspections, staffing, and quality measures. Reported nurse staffing is 2.69 hours per resident per day versus the 4.1 federal benchmark, and it had $41,165 in fines in the last 24 months plus a recent federal penalty.
Last inspection: February 9, 2026Penalties, last 24 months: $41,165recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.687.
Staffing detail
Registered nurses
0.45
Licensed practical nurses
0.57
Nurse aides
1.67
Weekend nursing
2.19
Hours per resident per day.
Total staff turnover: 31%
Registered nurse turnover: 14%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
28.6%20.4%Improving
Residents with a fall causing major injury
1.3%4%Worsening
Residents with pressure ulcers (bedsores)
13.2%11.9%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
4.5%11.7%Worsening
Residents whose ability to walk got worse
5.2%8.1%Worsening
Long-stay residents on antianxiety or sleep medication
11.9%12.1%No change
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
18.2%11%Improving
Residents with depressive symptoms
91.2%78.9%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%94.7%Worsening
Short-stay residents given the seasonal flu vaccine
—61.5%—
Short-stay residents given the pneumonia vaccine
—63.3%—
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited September 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The home failed to provide enough food and fluids to keep residents healthy. Cited December 2025 — 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 protect residents from abuse and neglect by others. Cited March 2025 — isolated incident, actual harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited October 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The home failed to make sure feeding tubes were used only when medically needed and that residents with feeding tubes received proper care. Cited February 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 693 — 42 CFR §483.25 — 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 2 health deficiencies.
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PENALTY
A federal fine of $23,625 was recorded.
INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $17,540 was recorded.
Penalties & enforcement
On record with Medicare: 4 fines · $95,885 in total fines · 1 payment denial.
Federal fine
Dec 10, 2025
$23,625
Federal fine
Oct 9, 2024
$17,540
Federal fine
Feb 28, 2024
$12,841
Medicare/Medicaid payment denial
Sep 13, 2023
7 days
Federal fine
Sep 13, 2023
$41,879
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of SABA HEALTHCARE · 11 homes · 1.7 stars avg
Occupancy
74.6 residents on an average day (57% of 130 beds)
Resident voice
Resident council
Medicare history
Certified for 31 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.