Illinois › Winnebago County › Rockford
Forest City Rehab & Nrsg Ctr
321 Arnold Avenue, Rockford, IL 61108
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Forest City Rehab & Nrsg Ctr is a For-profit, limited liability company nursing home in Rockford, Illinois, certified for 213 beds and caring for about 166 residents a day.
CMS gives it 1 of 5 stars overall, below the Illinois median of 2; the health inspection rating is 1, staffing 2 and quality measures 1.
Inspectors recorded 65 health deficiencies across the three most recent survey cycles (19, 21, 25 by cycle, most recent first), 10 of them at the actual-harm or immediate-jeopardy level. That is 30.5 per 100 beds, about the same as the state median of 28.4.
CMS lists 5 penalties in the period covered: fines totalling $193K and 1 payment denial.
Reported nurse staffing is 2.4 hours per resident per day (0.5 RN), below the Illinois median of 3.3; nursing staff turnover is 41.0%.
Compared with county, state and nation
| Measure | This facility | Winnebago Co. median | Illinois median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 2 | 3.0 |
| Health citations, 3 cycles | 65 | 38 | 34 | 28.7 |
| Citations per 100 beds | 30.5 | 30.5 | 28.4 | 26.8 |
| Total nurse hours per resident day | 2.4 | 3.7 | 3.3 | 3.9 |
| RN hours per resident day | 0.5 | 0.8 | 0.6 | 0.7 |
| Nursing staff turnover | 41.0% | 53.1% | 43.4% | 45.8% |
| Fines listed | $192,920 | $80,559 | $45,123 | — |
County and state figures are medians across facilities (15 in the county, 666 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Illinois average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Nov 2025, 24 Oct 2024.
Severity mix: J ×3 G ×7 D ×42 E ×6 F ×7
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 14 May 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 15 May 2026 |
| 9 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 10 Mar 2026 |
| 23 Feb 2026 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 25 Feb 2026 |
| 6 Feb 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Complaint investigation | 7 Feb 2026 |
| 6 Feb 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 7 Feb 2026 |
| 19 Nov 2025 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | Complaint investigation | 20 Nov 2025 |
| 19 Nov 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 20 Nov 2025 |
| 19 Nov 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Complaint investigation | 20 Nov 2025 |
| 19 Nov 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 20 Nov 2025 |
| 19 Nov 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 20 Nov 2025 |
| 19 Nov 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 20 Nov 2025 |
| 19 Nov 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 20 Nov 2025 |
| 19 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 20 Nov 2025 |
| 19 Nov 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 20 Nov 2025 |
| 19 Nov 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 20 Nov 2025 |
| 19 Nov 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 20 Nov 2025 |
| 19 Nov 2025 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | D | Standard survey | 20 Nov 2025 |
| 19 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 20 Nov 2025 |
| 22 Oct 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 23 Oct 2025 |
| 23 Jun 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 24 Jun 2025 |
| 23 Jun 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 24 Jun 2025 |
| 23 Jun 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 24 Jun 2025 |
| 5 Jun 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 6 Jun 2025 |
| 18 Feb 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 19 Feb 2025 |
| 18 Feb 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 19 Feb 2025 |
| 28 Jan 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 31 Jan 2025 |
| 12 Dec 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 13 Dec 2024 |
| 31 Oct 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 1 Nov 2024 |
| 24 Oct 2024 | F0760 | Ensure that residents are free from significant medication errors. | J | Complaint investigation | 25 Oct 2024 |
| 24 Oct 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 25 Oct 2024 |
| 24 Oct 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Complaint investigation | 25 Oct 2024 |
| 24 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 25 Oct 2024 |
| 24 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 25 Oct 2024 |
| 24 Oct 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 25 Oct 2024 |
| 24 Oct 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 25 Oct 2024 |
| 24 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 25 Oct 2024 |
| 24 Oct 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 25 Oct 2024 |
| 24 Oct 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 25 Oct 2024 |
| 24 Oct 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 13 Nov 2024 |
| 24 Oct 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 25 Oct 2024 |
| 1 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 3 Jul 2024 |
| 7 May 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 8 May 2024 |
| 7 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 8 May 2024 |
| 11 Apr 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 12 Apr 2024 |
| 11 Apr 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 12 Apr 2024 |
| 27 Mar 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Complaint investigation | 28 Mar 2024 |
| 27 Mar 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 28 Mar 2024 |
| 27 Mar 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 28 Mar 2024 |
| 14 Mar 2024 | F0696 | Provide appropriate care/assistance for a resident with a prosthesis. | D | Complaint investigation | 15 Mar 2024 |
| 27 Feb 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 28 Feb 2024 |
| 7 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 8 Dec 2023 |
| 7 Dec 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint investigation | 8 Dec 2023 |
| 7 Dec 2023 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | F | Standard survey | 8 Dec 2023 |
| 7 Dec 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 8 Dec 2023 |
| 7 Dec 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 8 Dec 2023 |
| 7 Dec 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 8 Dec 2023 |
| 7 Dec 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 8 Dec 2023 |
| 7 Dec 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 8 Dec 2023 |
| 7 Dec 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 8 Dec 2023 |
| 7 Dec 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 8 Dec 2023 |
| 7 Dec 2023 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 8 Dec 2023 |
| 21 Nov 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 22 Nov 2023 |
| 10 Oct 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 11 Oct 2023 |
| 10 Oct 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 11 Oct 2023 |
| 22 Aug 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 23 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 28 Jan 2025 | Fine | $5,044 | |
| 24 Oct 2024 | Fine | $136,731 | |
| 11 Apr 2024 | Payment denial | — | 5 days |
| 11 Apr 2024 | Fine | $39,965 | |
| 7 Dec 2023 | Fine | $11,180 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Illinois average. Turnover: nursing staff 41.0%, RNs 21.1%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Illinois median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 19.1% | 11.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.8% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 5.7% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.5% | 12.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.1% | 4.3% | 4.2% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Forest City Rehab And Nursing Center Llc. Chain: Saba Healthcare (11 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Fredsign Holdings I LLC | 5% or greater direct ownership interest | 20% | 05/01/2014 |
| Mb Financial Bank Na | 5% or greater security interest | NOT APPLICABLE | 06/01/2014 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Winnebago County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avira Health Pavilion | Loves Park | 54 | 4 | 4 | 4 | 24 | 44.4 | — | 17 Mar 2026 |
| Mercyhealth Javon Bea Hospital -SNF | Rockford | 17 | 4 | 5 | 1 | 0 | 0.0 | — | — |
| Alpine Fireside Health Center | Rockford | 66 | 3 | 3 | 5 | 22 | 33.3 | $85K | 31 Mar 2026 |
| Amberwood Care Centre | Rockford | 135 | 3 | 4 | 1 | 41 | 30.4 | — | 25 Feb 2026 |
| Fairhaven Christian Ret Center | Rockford | 96 | 3 | 3 | 4 | 21 | 21.9 | $120K | 26 Feb 2026 |
| Rock River Health Care | Rockford | 130 | 3 | 3 | 2 | 46 | 35.4 | $96K | 2 Jun 2026 |
| Willows Health Center | Rockford | 50 | 3 | 3 | 4 | 26 | 52.0 | $13K | 26 Jan 2026 |
| Medina Nursing Centerabuse icon | Durand | 89 | 2 | 2 | 3 | 38 | 42.7 | $81K | 29 Jun 2026 |
All 15 facilities in Winnebago County
Questions and answers
How many deficiencies has Forest City Rehab & Nrsg Ctr been cited for?
65 health deficiencies across the three most recent survey cycles, 10 at the actual-harm or immediate-jeopardy level. The Illinois median is 34 per facility.
Has Forest City Rehab & Nrsg Ctr been fined?
Yes. CMS lists fines totalling $193K in the period covered, plus 1 payment denial.
How does staffing at Forest City Rehab & Nrsg Ctr compare?
Reported total nurse staffing is 2.4 hours per resident per day against a Illinois median of 3.3 and a national average of 3.9.
Who operates Forest City Rehab & Nrsg Ctr?
It is part of the Saba Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Fredsign Holdings I LLC. Individual owners and managers are not listed on this site.
When was Forest City Rehab & Nrsg Ctr last inspected?
The most recent survey or investigation in the CMS record is dated 14 May 2026; the most recent standard health survey was 19 Nov 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.