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ROCK RIVER HEALTH CARE

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ROCK RIVER HEALTH CARE is a for profit - limited liability company facility in ROCKFORD, IL with 130 certified beds and a 2-star overall CMS rating. The facility has 38 deficiency records on file. Total penalties: $72K.

707 WEST RIVERSIDE BOULEVARD, ROCKFORD, IL 61103

Phone: 8158775752

Overall Rating

2/5

Health Inspection

2/5

Staffing

2/5

Quality Measures

2/5

Long-Stay Quality

3/5

Facility Information

Provider Number
145818
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
130
Residents
76
In Hospital
No
County
Winnebago
Last Inspection
Oct 9, 2024
Abuse citation on record

Staffing Data

RN Hours
0.47 (nat'l avg: 0.68)
LPN Hours
0.53
CNA Hours
1.66
Total Nursing Hours
2.66 (nat'l avg: 3.89)
PT Hours
0.03
Nursing Turnover
30.6%
RN Turnover
16.7%

What the CMS Record Reveals About ROCK RIVER HEALTH CARE

ROCK RIVER HEALTH CARE operates 130 certified beds in ROCKFORD, IL with approximately 76 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (2★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 38 deficiency records from recent surveys, of which 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 3 penalties totaling $72K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 2.66 total nursing hours per resident day (national average 3.89), with RN coverage at 0.47 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, ROCK RIVER HEALTH CARE falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 30.6%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (38 most recent)

D — Isolated - Minimal harm Aug 19, 2025 Tag: 0557

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Category: Resident Rights Deficiencies

Corrected: Aug 27, 2025

D — Isolated - Minimal harm Jul 28, 2025 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: Aug 20, 2025

D — Isolated - Minimal harm Jul 21, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Aug 20, 2025

D — Isolated - Minimal harm Jul 1, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 7, 2025

E — Pattern - Minimal harm Jun 4, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 16, 2025

G — Isolated - Actual harm Mar 24, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 4, 2025

D — Isolated - Minimal harm Mar 5, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 5, 2025

D — Isolated - Minimal harm Mar 5, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Mar 5, 2025

D — Isolated - Minimal harm Oct 9, 2024 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Oct 28, 2024

E — Pattern - Minimal harm Oct 9, 2024 Tag: 0807

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 28, 2024

E — Pattern - Minimal harm Oct 9, 2024 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 28, 2024

F — Widespread - Minimal harm Oct 9, 2024 Tag: 0803

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 28, 2024

E — Pattern - Minimal harm Oct 9, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Oct 28, 2024

D — Isolated - Minimal harm Oct 9, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Oct 28, 2024

F — Widespread - Minimal harm Oct 9, 2024 Tag: 0727

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 28, 2024

G — Isolated - Actual harm Oct 9, 2024 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 28, 2024

D — Isolated - Minimal harm Oct 9, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 28, 2024

D — Isolated - Minimal harm Oct 9, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 28, 2024

D — Isolated - Minimal harm Oct 9, 2024 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: Oct 28, 2024

D — Isolated - Minimal harm Oct 9, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Oct 28, 2024

D — Isolated - Minimal harm Jun 4, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jun 12, 2024

E — Pattern - Minimal harm May 22, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jun 5, 2024

D — Isolated - Minimal harm Mar 7, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 8, 2024

G — Isolated - Actual harm Feb 28, 2024 Tag: 0693

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.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 29, 2024

D — Isolated - Minimal harm Sep 19, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 26, 2023

D — Isolated - Minimal harm Sep 13, 2023 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Sep 26, 2023

F — Widespread - Minimal harm Sep 13, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 26, 2023

D — Isolated - Minimal harm Sep 13, 2023 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Sep 26, 2023

D — Isolated - Minimal harm Sep 13, 2023 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 26, 2023

D — Isolated - Minimal harm Sep 13, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 26, 2023

D — Isolated - Minimal harm Sep 13, 2023 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 26, 2023

J — Isolated - Jeopardy Sep 13, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 26, 2023

D — Isolated - Minimal harm Sep 13, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 26, 2023

D — Isolated - Minimal harm Feb 8, 2023 Tag: 0742

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 16, 2023

E — Pattern - Minimal harm Aug 10, 2022 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 25, 2022

D — Isolated - Minimal harm Aug 10, 2022 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Aug 25, 2022

D — Isolated - Minimal harm Aug 10, 2022 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 25, 2022

D — Isolated - Minimal harm Aug 10, 2022 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 25, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 13.4% Yes
Percentage of long-stay residents who lose too much weight Long Stay 0.8% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.7% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 88.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.7% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 59.1% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 6.7% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 12.3% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 61.5% No
Percentage of long-stay residents with pressure ulcers Long Stay 11.3% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 15.0% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 28.9% Yes

Penalty History 3 penalties totaling $72K

Date Type Amount
Oct 9, 2024 Fine $18K
Feb 28, 2024 Fine $13K
Sep 13, 2023 Fine $42K
Sep 13, 2023 Payment Denial -

Frequently Asked Questions

What is the overall CMS rating for ROCK RIVER HEALTH CARE?
ROCK RIVER HEALTH CARE has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (2★), and quality measures (2★).
What are the staffing levels at ROCK RIVER HEALTH CARE?
ROCK RIVER HEALTH CARE reports 2.66 total nursing hours per resident day (national average: 3.89). RN hours are 0.47 per resident day (national average: 0.68). Nursing staff turnover is 30.6%.
How many beds does ROCK RIVER HEALTH CARE have?
ROCK RIVER HEALTH CARE has 130 certified beds with approximately 76 residents. The facility is located at 707 WEST RIVERSIDE BOULEVARD, ROCKFORD, IL 61103.
Does ROCK RIVER HEALTH CARE have any deficiencies on record?
Yes, ROCK RIVER HEALTH CARE has 38 deficiencies on record from recent inspections. Of these, 4 are classified as causing actual harm or jeopardy.
Has ROCK RIVER HEALTH CARE received any fines or penalties?
Yes, ROCK RIVER HEALTH CARE has received 3 penalties totaling $72K.
Who owns ROCK RIVER HEALTH CARE?
ROCK RIVER HEALTH CARE is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was ROCK RIVER HEALTH CARE last inspected?
The most recent health inspection for ROCK RIVER HEALTH CARE was on Oct 9, 2024. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for ROCK RIVER HEALTH CARE?
ROCK RIVER HEALTH CARE is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial