Illinois › Boone County › Belvidere
Symphony Northwoods
2250 Pearl Street, Belvidere, IL 61008
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.
Symphony Northwoods, in Belvidere, Illinois, is certified for 113 beds under for-profit, corporation ownership and belongs to the Symphony Care Network chain.
CMS gives it 1 of 5 stars overall, below the Illinois median of 2; the health inspection rating is 2, staffing 1 and quality measures 4.
Inspectors recorded 37 health deficiencies across the three most recent survey cycles (17, 11, 9 by cycle, most recent first), 8 of them at the actual-harm or immediate-jeopardy level. That is 32.7 per 100 beds, about the same as the state median of 28.4.
CMS lists 6 penalties in the period covered: fines totalling $118K and 2 payment denials.
Reported nurse staffing is 3.0 hours per resident per day (0.3 RN), close to the Illinois median of 3.3; nursing staff turnover is 63.0%.
Compared with county, state and nation
| Measure | This facility | Boone Co. median | Illinois median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 2 | 3.0 |
| Health citations, 3 cycles | 37 | 37 | 34 | 28.7 |
| Citations per 100 beds | 32.7 | 32.7 | 28.4 | 26.8 |
| Total nurse hours per resident day | 3.0 | 2.9 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.4 | 0.6 | 0.7 |
| Nursing staff turnover | 63.0% | 53.4% | 43.4% | 45.8% |
| Fines listed | $118,435 | $118,435 | $45,123 | — |
County and state figures are medians across facilities (3 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: 7 Jan 2026, 23 Oct 2024.
Severity mix: G ×8 D ×21 E ×3 F ×4 C ×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 |
|---|---|---|---|---|---|
| 14 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 27 May 2026 |
| 18 Feb 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 | 27 Feb 2026 |
| 4 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 13 Feb 2026 |
| 7 Jan 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 | 22 Jan 2026 |
| 7 Jan 2026 | 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. | F | Standard survey | 22 Jan 2026 |
| 7 Jan 2026 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 22 Jan 2026 |
| 7 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 22 Jan 2026 |
| 7 Jan 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 22 Jan 2026 |
| 7 Jan 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 | 22 Jan 2026 |
| 7 Jan 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 22 Jan 2026 |
| 7 Jan 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 22 Jan 2026 |
| 7 Jan 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 | 22 Jan 2026 |
| 7 Jan 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 22 Jan 2026 |
| 7 Jan 2026 | F0732 | Post nurse staffing information every day. | C | Standard survey | 22 Jan 2026 |
| 10 Sep 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 23 Sep 2025 |
| 10 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 23 Sep 2025 |
| 10 Sep 2025 | 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 | 23 Sep 2025 |
| 21 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 31 Jul 2025 |
| 11 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 18 Jun 2025 |
| 13 Mar 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 24 Mar 2025 |
| 2 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 9 Jan 2025 |
| 7 Nov 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 | 14 Nov 2024 |
| 23 Oct 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 7 Nov 2024 |
| 23 Oct 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 7 Nov 2024 |
| 23 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 7 Nov 2024 |
| 23 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 7 Nov 2024 |
| 23 Oct 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 7 Nov 2024 |
| 23 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 7 Nov 2024 |
| 3 Jun 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 24 Jun 2024 |
| 19 Sep 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 | 25 Sep 2023 |
| 19 Sep 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 25 Sep 2023 |
| 19 Sep 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 25 Sep 2023 |
| 19 Sep 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 25 Sep 2023 |
| 19 Sep 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 25 Sep 2023 |
| 19 Sep 2023 | 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 Sep 2023 |
| 19 Sep 2023 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Standard survey | 25 Sep 2023 |
| 16 Aug 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 23 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 7 Jan 2026 | Payment denial | — | 2 days |
| 7 Jan 2026 | Fine | $77,855 | |
| 10 Sep 2025 | Fine | $14,407 | |
| 2 Jan 2025 | Fine | $12,048 | |
| 23 Oct 2024 | Fine | $14,125 | |
| 3 Jun 2024 | Payment denial | — | 3 days |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Illinois average. Turnover: nursing staff 63.0%, RNs 45.5%; 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 | 7.9% | 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 | 0.3% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.7% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.3% | 12.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.8% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 22.0% | 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: for-profit, corporation. Legal business name: Symphony Northwoods Llc. Chain: Symphony Care Network (7 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Symphony Healthcare LLC | 5% or greater direct ownership interest | 100% | 11/22/2011 |
| Symag Holdings LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 11/22/2011 |
| Symphony Ml LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 11/22/2011 |
| Symphony Monarch Holdings, LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 11/22/2011 |
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 Boone County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Belvidere Health and Rehab | Belvidere | 80 | 4 | 4 | 3 | 17 | 21.3 | — | 18 Nov 2025 |
| Symphony Maple Crestabuse icon | Belvidere | 86 | 1 | 1 | 1 | 43 | 50.0 | $410K | 8 Jun 2026 |
All 3 facilities in Boone County
Questions and answers
How many deficiencies has Symphony Northwoods been cited for?
37 health deficiencies across the three most recent survey cycles, 8 at the actual-harm or immediate-jeopardy level. The Illinois median is 34 per facility.
Has Symphony Northwoods been fined?
Yes. CMS lists fines totalling $118K in the period covered, plus 2 payment denials.
How does staffing at Symphony Northwoods compare?
Reported total nurse staffing is 3.0 hours per resident per day against a Illinois median of 3.3 and a national average of 3.9.
Who operates Symphony Northwoods?
It is part of the Symphony Care Network chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Symphony Healthcare LLC, Symag Holdings LLC and Symphony Ml LLC. Individual owners and managers are not listed on this site.
When was Symphony Northwoods last inspected?
The most recent survey or investigation in the CMS record is dated 14 May 2026; the most recent standard health survey was 7 Jan 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.