The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
STEPHENSON NURSING CENTER
FREEPORT, IL · Medicare-certified · 148 beds
Needs attention
Government-run
Data as of July 1, 2026
3 of 5 overall
Stephenson Nursing Center in Freeport, IL has a 3-star overall rating, with weaker staffing and quality scores at 2 stars each. It has had a recent federal penalty and $18,450 in fines in the last 24 months, and reported nurse staffing is 3.06 hours per resident per day versus the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.0607 hrs/resident/day
Quality measures
Last inspection: March 17, 2026Penalties, last 24 months: $18,450recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0607.
Staffing detail
- Registered nurses
- 0.89
- Licensed practical nurses
- 0.36
- Nurse aides
- 1.81
- Weekend nursing
- 2.74
Hours per resident per day.
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
40.9%26.1%Improving
Residents with a fall causing major injury
0%5.6%Worsening
Residents with pressure ulcers (bedsores)
5.4%11.4%Worsening
Residents with a urinary tract infection
7.3%1.9%Improving
Residents who lost too much weight
0%2.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.5%22.2%Worsening
Residents whose ability to walk got worse
—27.9%—
Long-stay residents on antianxiety or sleep medication
22.2%20.4%Improving
Short-stay residents newly given an antipsychotic
0%4.3%Worsening
Residents with a long-term catheter
0%4.1%Worsening
Residents with new or worsening incontinence
8.7%21.1%Worsening
Residents with depressive symptoms
6.7%37.5%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
—86.7%—
Short-stay residents given the pneumonia vaccine
93%89.7%Worsening
What the inspectors found
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited February 2025 — 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 food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure nurse aides had the skills and training needed to care for residents safely, including dementia care and abuse prevention. Cited February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 947 — 42 CFR §483.95 — S/S: F
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
- PENALTY
A federal fine of $18,450 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $18,450 in total fines · 1 payment denial.
- $18,450
Federal fine
Feb 26, 2026
- 114 days
Medicare/Medicaid payment denial
Feb 4, 2025
Operator & ownership
- Ownership
- Government - County
- Occupancy
- 70.8 residents on an average day (48% of 148 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 29 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.