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
In good standing
Government-run
2 of 5 overall
Stephenson Nursing Center in Freeport, IL has a 2-star overall rating, with 2-star health inspection and staffing ratings and a 3-star quality measures rating. Reported nurse staffing is 3.38 hours per resident per day, below the federal benchmark of 4.1, with no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.3834 hrs/resident/day
Quality measures
Last inspection: March 17, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3834.
Staffing detail
- Registered nurses
- 0.87
- Licensed practical nurses
- 0.40
- Nurse aides
- 2.11
- Weekend nursing
- 2.99
Hours per resident per day.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
36.3%Improving
Residents with a fall causing major injury
1.2%Steady
Residents with pressure ulcers (bedsores)
11.7%Improving
Residents with a urinary tract infection
4.3%Improving
Residents who lost too much weight
3.6%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
15.6%Worsening
Residents whose ability to walk got worse
22.8%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
21%Worsening
Short-stay residents newly given an antipsychotic
2%Improving
Residents with a long-term catheter
1.9%Worsening
Residents with new or worsening incontinence
13.8%Steady
Residents with depressive symptoms
4.2%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.4%Worsening
Short-stay residents given the seasonal flu vaccine
86.7%Steady
Short-stay residents given the pneumonia vaccine
89.9%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
- 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 payment denial.
- 114 days
Medicare/Medicaid payment denial
Feb 4, 2025
Operator & ownership
- Ownership
- Government - County
- Occupancy
- 56.5 residents on an average day (38% 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.