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Nursing home report

ROCK RIVER HEALTH CARE

ROCKFORD, IL · Medicare-certified · 130 beds

Needs attention
For-profitChain member
2 of 5 overall

Rock River Health Care in Rockford, IL has a 2-star overall rating, with 2-star scores for health inspections, staffing, and quality measures. Reported nurse staffing is 2.65 hours per resident per day, below the federal benchmark of 4.1, and the facility has had $17,540 in fines in the last 24 months plus a recent federal penalty.

Facility ratings

Health inspections

Staffing

2.6467 hrs/resident/day

Quality measures

Last inspection: March 24, 2026Penalties, last 24 months: $17,540recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.6467.

Staffing detail

Registered nurses
0.47
Licensed practical nurses
0.54
Nurse aides
1.64
Weekend nursing
2.07

Hours per resident per day.

Total staff turnover: 31%
Registered nurse turnover: 0%

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

24.3%22.2%Improving

Residents with a fall causing major injury

1.3%5.1%Worsening

Residents with pressure ulcers (bedsores)

10.2%10.6%No change

Residents with a urinary tract infection

1.3%0%Improving

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

9.2%13.8%Worsening

Residents whose ability to walk got worse

5.5%5.4%No change

Long-stay residents on antianxiety or sleep medication

16.7%11.9%Improving

Short-stay residents newly given an antipsychotic

0%

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

9.5%15.6%Worsening

Residents with depressive symptoms

70.4%87.9%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%98.7%Worsening

Short-stay residents given the seasonal flu vaccine

61.5%

Short-stay residents given the pneumonia vaccine

56%

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2026 — 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 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.

View the original federal record

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

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 10 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $17,540 was recorded.

Penalties & enforcement

On record with Medicare: 3 fines · $72,260 in total fines · 1 payment denial.

  • 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 · 1.8 stars avg
Occupancy
77.3 residents on an average day (59% 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.