Elder Care Record

Illinois › Winnebago County › Rockford

Willows Health Center

4054 Albright Lane, Rockford, IL 61103

CCN 146101 · Non-profit, corporation · 50 certified beds

Continuing care retirement community
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.

Willows Health Center, in Rockford, Illinois, is certified for 50 beds under non-profit, corporation ownership.

CMS gives it 3 of 5 stars overall, above the Illinois median of 2; the health inspection rating is 3, staffing 4 and quality measures 4.

Inspectors recorded 26 health deficiencies across the three most recent survey cycles (13, 7, 6 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 52.0 per 100 beds, more than the state median of 28.4.

CMS lists 2 penalties in the period covered: fines totalling $13K and 1 payment denial.

Reported nurse staffing is 5.2 hours per resident per day (1.6 RN), above the Illinois median of 3.3.

26health deficiencies, 3 survey cycles1 at actual harm or worse
$13Kfines listed by CMS2 penalties in period
5.2nurse hours per resident per daystate median 3.3
61%occupancy (residents ÷ beds)30 residents a day

Compared with county, state and nation

MeasureThis facilityWinnebago Co. medianIllinois medianUS average
Overall star rating3223.0
Health citations, 3 cycles26383428.7
Citations per 100 beds52.030.528.426.8
Total nurse hours per resident day5.23.73.33.9
RN hours per resident day1.60.80.60.7
Nursing staff turnover—53.1%43.4%45.8%
Fines listed$12,909$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

Cycle 1 (latest)13
Cycle 27
Cycle 36

Dark bar: this facility. Grey bar: Illinois average per facility for the same cycle, as published by CMS. Standard health survey dates: 25 Nov 2025, 22 Aug 2024.

Severity mix: G ×1 D ×20 E ×2 F ×3

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
26 Jan 2026F0839Employ staff that are licensed, certified, or registered in accordance with state laws.FComplaint investigation2 Feb 2026
16 Dec 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation2 Jan 2026
25 Nov 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey12 Dec 2025
25 Nov 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey17 Dec 2025
25 Nov 2025F0679Provide activities to meet all resident's needs.EStandard survey11 Dec 2025
25 Nov 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey12 Dec 2025
25 Nov 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey12 Dec 2025
25 Nov 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey12 Dec 2025
25 Nov 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey12 Dec 2025
25 Nov 2025F0880Provide and implement an infection prevention and control program.DStandard survey12 Dec 2025
25 Nov 2025F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey12 Dec 2025
15 Nov 2025F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation26 Nov 2025
15 Nov 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation12 Dec 2025
28 Jan 2025F0610Respond appropriately to all alleged violations.DComplaint investigation10 Mar 2025
28 Jan 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation10 Mar 2025
24 Sep 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation10 Oct 2024
22 Aug 2024F0880Provide and implement an infection prevention and control program.FStandard survey6 Oct 2024
22 Aug 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey13 Sep 2024
22 Aug 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey6 Oct 2024
22 Aug 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey13 Sep 2024
21 Sep 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey4 Oct 2023
21 Sep 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey4 Oct 2023
21 Sep 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey4 Oct 2023
21 Sep 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey4 Oct 2023
21 Sep 2023F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey4 Oct 2023
21 Sep 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey4 Oct 2023

Penalties

DateTypeAmountDetail
15 Nov 2025Payment denial—15 days
11 Dec 2023Fine$12,909

Staffing

Total nursing5.21 h
Nurse aides2.92 h
LPN0.69 h
RN1.6 h
Weekend total4.31 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 Stay19.2%11.5%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.4%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.7%2.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.4%1.5%1.0%
Percentage of long-stay residents with pressure ulcersLong Stay2.7%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: non-profit, corporation.

No organisations are listed in the CMS ownership record for this facility.

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

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Avira Health PavilionLoves Park544442444.4—17 Mar 2026
Mercyhealth Javon Bea Hospital -SNFRockford1745100.0——
Alpine Fireside Health CenterRockford663352233.3$85K31 Mar 2026
Amberwood Care CentreRockford1353414130.4—25 Feb 2026
Fairhaven Christian Ret CenterRockford963342121.9$120K26 Feb 2026
Rock River Health CareRockford1303324635.4$96K2 Jun 2026
Medina Nursing Centerabuse iconDurand892233842.7$81K29 Jun 2026
River Bluff Nursing HomeRockford3042243812.5$10K24 Jun 2026

All 15 facilities in Winnebago County

Questions and answers

How many deficiencies has Willows Health Center been cited for?

26 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Illinois median is 34 per facility.

Has Willows Health Center been fined?

Yes. CMS lists fines totalling $13K in the period covered, plus 1 payment denial.

How does staffing at Willows Health Center compare?

Reported total nurse staffing is 5.2 hours per resident per day against a Illinois median of 3.3 and a national average of 3.9.

Who operates Willows Health Center?

Ownership type is non-profit, corporation. Individual owners and managers are not listed on this site.

When was Willows Health Center last inspected?

The most recent survey or investigation in the CMS record is dated 26 Jan 2026; the most recent standard health survey was 25 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.