Illinois › Winnebago County › Rockford
River Bluff Nursing Home
4401 North Main Street, Rockford, IL 61103
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.
Certified for 304 beds, River Bluff Nursing Home serves Rockford in Winnebago County, Illinois and has taken Medicare and Medicaid residents since 1993.
CMS gives it 2 of 5 stars overall, equal to the Illinois median; the health inspection rating is 2, staffing 4 and quality measures 2.
Inspectors recorded 38 health deficiencies across the three most recent survey cycles (18, 10, 10 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 12.5 per 100 beds, fewer than the state median of 28.4.
CMS lists 2 penalties in the period covered: fines totalling $10K and 1 payment denial.
Reported nurse staffing is 4.2 hours per resident per day (0.8 RN), above the Illinois median of 3.3; nursing staff turnover is 44.4%.
Compared with county, state and nation
| Measure | This facility | Winnebago Co. median | Illinois median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 2 | 3.0 |
| Health citations, 3 cycles | 38 | 38 | 34 | 28.7 |
| Citations per 100 beds | 12.5 | 30.5 | 28.4 | 26.8 |
| Total nurse hours per resident day | 4.2 | 3.7 | 3.3 | 3.9 |
| RN hours per resident day | 0.8 | 0.8 | 0.6 | 0.7 |
| Nursing staff turnover | 44.4% | 53.1% | 43.4% | 45.8% |
| Fines listed | $10,199 | $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: 24 Jun 2026, 10 Apr 2025.
Severity mix: G ×6 D ×28 E ×3 F ×1
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 |
|---|---|---|---|---|---|
| 24 Jun 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 10 Jul 2026 |
| 24 Jun 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 10 Jul 2026 |
| 24 Jun 2026 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 10 Jul 2026 |
| 24 Jun 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 10 Jul 2026 |
| 24 Jun 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 10 Jul 2026 |
| 24 Jun 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 10 Jul 2026 |
| 24 Jun 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 10 Jul 2026 |
| 24 Jun 2026 | 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 | 10 Jul 2026 |
| 24 Jun 2026 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint investigation | 10 Jul 2026 |
| 24 Jun 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 10 Jul 2026 |
| 24 Jun 2026 | 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 | 10 Jul 2026 |
| 24 Jun 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 10 Jul 2026 |
| 26 May 2026 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Complaint investigation | 1 Jun 2026 |
| 13 May 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 22 May 2026 |
| 22 Apr 2026 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Complaint investigation | 4 May 2026 |
| 5 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 20 Feb 2026 |
| 5 Feb 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 20 Feb 2026 |
| 5 Feb 2026 | F0776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | Complaint investigation | 20 Feb 2026 |
| 17 Jul 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Complaint investigation | 29 Jul 2025 |
| 10 Apr 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 25 Apr 2025 |
| 10 Apr 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 25 Apr 2025 |
| 10 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 25 Apr 2025 |
| 10 Apr 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 | 25 Apr 2025 |
| 10 Apr 2025 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 25 Apr 2025 |
| 10 Apr 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 25 Apr 2025 |
| 10 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 25 Apr 2025 |
| 23 Dec 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 9 Jan 2025 |
| 13 Nov 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 6 Dec 2024 |
| 20 Jun 2024 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 2 Jul 2024 |
| 14 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 31 May 2024 |
| 14 May 2024 | F0776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | Complaint investigation | 31 May 2024 |
| 7 Mar 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 29 Mar 2024 |
| 7 Mar 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 29 Mar 2024 |
| 7 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 26 Apr 2024 |
| 7 Mar 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. | E | Standard survey | 29 Mar 2024 |
| 7 Mar 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 29 Mar 2024 |
| 7 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 29 Mar 2024 |
| 16 Oct 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 6 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 14 May 2024 | Fine | $10,199 | |
| 7 Mar 2024 | Payment denial | — | 21 days |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Illinois average. Turnover: nursing staff 44.4%, RNs 29.2%; 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 | 20.5% | 11.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 6.4% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.4% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.4% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.2% | 12.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.6% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 28.0% | 17.8% | 13.4% |
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: government, county. Legal business name: County Of Winnebago.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| County of Winnebago | Operational/managerial control | NOT APPLICABLE | 11/01/2008 |
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 River Bluff Nursing Home been cited for?
38 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Illinois median is 34 per facility.
Has River Bluff Nursing Home been fined?
Yes. CMS lists fines totalling $10K in the period covered, plus 1 payment denial.
How does staffing at River Bluff Nursing Home compare?
Reported total nurse staffing is 4.2 hours per resident per day against a Illinois median of 3.3 and a national average of 3.9.
Who operates River Bluff Nursing Home?
Ownership type is government, county. Organisations in the CMS ownership record include County of Winnebago. Individual owners and managers are not listed on this site.
When was River Bluff Nursing Home last inspected?
The most recent survey or investigation in the CMS record is dated 24 Jun 2026; the most recent standard health survey was 24 Jun 2026.
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.