Elder Care Record

Illinois › Stephenson County › Freeport

Stephenson Nursing Center

2946 South Walnut Road, Freeport, IL 61032

CCN 145895 · Government, county · 148 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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 148 beds, Stephenson Nursing Center serves Freeport in Stephenson County, Illinois and has taken Medicare and Medicaid residents since 1996.

CMS gives it 3 of 5 stars overall, above the Illinois median of 2; the health inspection rating is 3, staffing 2 and quality measures 2.

Inspectors recorded 40 health deficiencies across the three most recent survey cycles (9, 15, 16 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 27.0 per 100 beds, about the same as the state median of 28.4.

CMS lists 2 penalties in the period covered: fines totalling $18K and 1 payment denial.

Reported nurse staffing is 3.1 hours per resident per day (0.9 RN), close to the Illinois median of 3.3.

40health deficiencies, 3 survey cycles5 at actual harm or worse
$18Kfines listed by CMS2 penalties in period
3.1nurse hours per resident per daystate median 3.3
48%occupancy (residents ÷ beds)71 residents a day

Compared with county, state and nation

MeasureThis facilityStephenson Co. medianIllinois medianUS average
Overall star rating3223.0
Health citations, 3 cycles40513428.7
Citations per 100 beds27.042.728.426.8
Total nurse hours per resident day3.13.23.33.9
RN hours per resident day0.90.70.60.7
Nursing staff turnover—43.8%43.4%45.8%
Fines listed$18,450$124,331$45,123—

County and state figures are medians across facilities (5 in the county, 666 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)9
Cycle 215
Cycle 316

Dark bar: this facility. Grey bar: Illinois average per facility for the same cycle, as published by CMS. Standard health survey dates: 26 Feb 2026, 4 Feb 2025.

Severity mix: G ×5 D ×27 E ×3 F ×5

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
17 Mar 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation27 Feb 2026
26 Feb 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey6 Mar 2026
26 Feb 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey6 Mar 2026
26 Feb 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey6 Mar 2026
26 Feb 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey6 Mar 2026
26 Feb 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey6 Mar 2026
26 Feb 2026F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey6 Mar 2026
26 Feb 2026F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey6 Mar 2026
26 Feb 2026F0880Provide and implement an infection prevention and control program.DStandard survey6 Mar 2026
4 Jun 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.GComplaint investigation20 Jun 2025
27 May 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation2 Jun 2025
3 Apr 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation11 Apr 2025
4 Feb 2025F0697Provide safe, appropriate pain management for a resident who requires such services.GStandard survey28 Feb 2025
4 Feb 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey7 Feb 2025
4 Feb 2025F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FStandard survey28 Feb 2025
4 Feb 2025F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.EStandard survey7 Mar 2025
4 Feb 2025F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation28 Feb 2025
4 Feb 2025F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation28 Feb 2025
4 Feb 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation28 Feb 2025
4 Feb 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey28 Feb 2025
4 Feb 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey28 Feb 2025
4 Feb 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey28 Feb 2025
4 Feb 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey28 Feb 2025
4 Feb 2025F0803Ensure 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.DStandard survey7 Feb 2025
2 Jul 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation19 Jul 2024
2 Jul 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation19 Jul 2024
30 Apr 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation13 May 2024
30 Apr 2024F0610Respond appropriately to all alleged violations.DComplaint investigation13 May 2024
18 Jan 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey10 Feb 2024
18 Jan 2024F0880Provide and implement an infection prevention and control program.FStandard survey10 Feb 2024
18 Jan 2024F0761Ensure 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.EStandard survey10 Feb 2024
18 Jan 2024F0803Ensure 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.EStandard survey10 Feb 2024
18 Jan 2024F0583Keep residents' personal and medical records private and confidential.DStandard survey10 Feb 2024
18 Jan 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey7 Mar 2024
18 Jan 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey10 Feb 2024
9 Jan 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation21 Jan 2024
9 Jan 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation21 Jan 2024
9 Jan 2024F0610Respond appropriately to all alleged violations.DComplaint investigation21 Jan 2024
9 Jan 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation21 Jan 2024
12 Dec 2023F0760Ensure that residents are free from significant medication errors.DComplaint investigation19 Dec 2023

Penalties

DateTypeAmountDetail
26 Feb 2026Fine$18,450
4 Feb 2025Payment denial—114 days

Staffing

Total nursing3.06 h
Nurse aides1.81 h
LPN0.36 h
RN0.89 h
Weekend total2.74 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Illinois average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityIllinois medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay17.7%11.5%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay3.0%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay4.0%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.2%2.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.4%1.5%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay24.6%12.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay9.8%4.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay32.0%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 Stephenson.

OrganisationRole in the CMS recordInterestSince
County of Stephenson5% or greater direct ownership interest100%07/21/2014

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 Stephenson County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Serenity Estates of LenaLena923413639.1—25 Feb 2026
Manor Court of FreeportFreeport1172235143.6$124K30 Jun 2026
Pearl Pointe Nursing Rehab & CareFreeport1091116761.5$155K30 Jun 2026
The Citadel At Saint Joseph VillageFreeport1241215342.7$126K22 Apr 2026

All 5 facilities in Stephenson County

Questions and answers

How many deficiencies has Stephenson Nursing Center been cited for?

40 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Illinois median is 34 per facility.

Has Stephenson Nursing Center been fined?

Yes. CMS lists fines totalling $18K in the period covered, plus 1 payment denial.

How does staffing at Stephenson Nursing Center compare?

Reported total nurse staffing is 3.1 hours per resident per day against a Illinois median of 3.3 and a national average of 3.9.

Who operates Stephenson Nursing Center?

Ownership type is government, county. Organisations in the CMS ownership record include County of Stephenson. Individual owners and managers are not listed on this site.

When was Stephenson Nursing Center last inspected?

The most recent survey or investigation in the CMS record is dated 17 Mar 2026; the most recent standard health survey was 26 Feb 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.