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Medicare-certifiedSkilled Nursing

River Bluff Nursing Home

Rockford, IllinoisMedicare inspection record
(815) 921-9200

About River Bluff Nursing Home

RIVER BLUFF NURSING HOME is a for profit - corporation nursing home in ROCKFORD, IL with 304 certified beds.

Community at a glance

Capacity

304 residents

Location

Rockford, IL

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

4401 NORTH MAIN STREET, Rockford, Illinois 61103

(815) 921-9200

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

At its most recent standard inspection, on June 24, 2026, state inspectors cited 18 health deficiencies (the Illinois average is 12.5).

Nurses and nurse aides spend 4 hours 11 minutes with each resident a day, above the Illinois average of 3 hours 27 minutes.

Medicare fined River Bluff Nursing Home 2 times in the last three years, $48,629 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day4 hours 11 minutesAbove the Illinois average
Registered nurse time per resident, per day48 minutesAbove the Illinois average
Nursing staff who left in the past year44%

Inspections

37 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

June 24, 2026 · Standard inspection · 12 citations

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

    Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Jul 10, 2026
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Jul 10, 2026
  • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jul 10, 2026
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 10, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jul 10, 2026
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jul 10, 2026
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jul 10, 2026
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jul 10, 2026
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 10, 2026
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 10, 2026
  • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 10, 2026
  • Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Jul 10, 2026

May 26, 2026 · Complaint investigation · 1 citation

  • 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jun 1, 2026
May 13, 2026 · Complaint investigation · 1 citation+
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected May 22, 2026
April 22, 2026 · Complaint investigation · 1 citation+
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected May 4, 2026
February 5, 2026 · Complaint investigation · 3 citations+
  • Provide safe, appropriate pain management for a resident who requires such services.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Feb 20, 2026
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Feb 20, 2026
  • Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

    Risk of harm, no one hurt, a few residents (level D)AdministrationFrom a complaintCorrected Feb 20, 2026
July 17, 2025 · Complaint investigation · 1 citation+
  • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintCorrected Jul 29, 2025
April 10, 2025 · Standard inspection · 7 citations+
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 25, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Apr 25, 2025
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 25, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 25, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 25, 2025
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 25, 2025
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Apr 25, 2025
December 23, 2024 · Complaint investigation · 1 citation+
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jan 9, 2025
November 13, 2024 · Complaint investigation · 1 citation+
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Dec 6, 2024
June 20, 2024 · Complaint investigation · 1 citation+
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 2, 2024
May 14, 2024 · Complaint investigation · 2 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected May 31, 2024
  • Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

    Risk of harm, no one hurt, a few residents (level D)AdministrationFrom a complaintCorrected May 31, 2024
March 7, 2024 · Standard inspection · 6 citations+
  • Provide enough food/fluids to maintain a resident's health.

    Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Mar 29, 2024
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Mar 29, 2024
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Apr 26, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Mar 29, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Mar 29, 2024
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 29, 2024

Fines and payment denials

2 fines totaling $48,629 and 1 Medicare payment denial in the last three years.

  • June 24, 2026Fine: $38,430
  • May 14, 2024Fine: $10,199
  • March 7, 2024Payment denial, 21 days

About the home, per Medicare

Ownership
Government - County
Legal business name
County of Winnebago
Medicare-certified beds
304
Average residents per day
152
Accepts
Medicare and Medicaid
First certified
April 8, 1993
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
145771

Location

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4401 NORTH MAIN STREETRockford, IL 61103

12 other communities within 10 miles

Senior living near Rockford

Questions about River Bluff Nursing Home

How did River Bluff Nursing Home do on its last inspection?+

State inspectors visited on June 24, 2026 and cited 18 health deficiencies, 7 of them from complaint investigations. The Illinois average is 12.5.

How much nursing care does each resident get at River Bluff Nursing Home?+

Nurses and aides spend 4 hours 11 minutes with each resident per day, including 48 minutes from registered nurses. 44% of nursing staff left over the past year.

Has River Bluff Nursing Home been fined by Medicare?+

Yes. Medicare fined River Bluff Nursing Home 2 times in the last three years, totaling $48,629.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Rockford Skilled Nursing in Illinois Skilled Nursing guide Information last updated October 2026