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
Nursing home report
SYMPHONY NORTHWOODS
BELVIDERE, IL · Medicare-certified · 113 beds
Needs attention
For-profitChain member
1 of 5 overall
SYMPHONY NORTHWOODS in Belvidere, IL has a 1-star overall rating, with 1-star staffing and 2-star health inspection ratings; reported nurse staffing is 2.52 hours per resident per day versus the 4.1-hour federal benchmark. It also has $48,338 in fines in the last 24 months and a recent federal penalty, with recent inspection citations for accident hazards/supervision, following care orders, and providing enough food/fluids.
Facility ratings
Health inspections
Staffing
2.5153 hrs/resident/day
Quality measures
Last inspection: February 18, 2026Penalties, last 24 months: $48,338recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.5153.
Staffing detail
- Registered nurses
- 0.35
- Licensed practical nurses
- 0.72
- Nurse aides
- 1.44
- Weekend nursing
- 1.94
Hours per resident per day.
Total staff turnover: 64%
Registered nurse turnover: 50%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
21.7%Improving
Residents with a fall causing major injury
2.4%Worsening
Residents with pressure ulcers (bedsores)
4.3%Improving
Residents with a urinary tract infection
0.3%Steady
Residents who lost too much weight
0%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
8.2%Worsening
Residents whose ability to walk got worse
7.4%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
11.8%Worsening
Short-stay residents newly given an antipsychotic
0.9%Improving
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
15.6%Worsening
Residents with depressive symptoms
1%Improving
Long-stay residents given the seasonal flu vaccine
94.2%Steady
Long-stay residents given the pneumonia vaccine
94.3%Worsening
Short-stay residents given the seasonal flu vaccine
52.6%Steady
Short-stay residents given the pneumonia vaccine
58.4%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited September 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to provide enough food and fluids to keep residents healthy. Cited October 2024 — 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 provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited October 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 January 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — 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 11 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $22,165 was recorded.
- PENALTY
A federal fine of $12,048 was recorded.
- PENALTY
A federal fine of $14,125 was recorded.
- PENALTY
A federal payment denial was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $48,338 in total fines · 1 payment denial.
- $22,165
Federal fine
Sep 10, 2025
- $12,048
Federal fine
Jan 2, 2025
- $14,125
Federal fine
Oct 23, 2024
- 3 days
Medicare/Medicaid payment denial
Jun 3, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of SYMPHONY CARE NETWORK · 7 homes · 1.9 stars avg
- Occupancy
- 87.5 residents on an average day (77% of 113 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 50 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.