nursing home in Belvidere, IL

The Sapphire at Northwoods

2250 Pearl Street, Belvidere, IL 61008 · (815) 544-0358

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★1
  • Quality measures★★★★★4

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

The Sapphire at Northwoods at a glance

The Sapphire at Northwoods is a 113-bed for-profit nursing home in Belvidere, Illinois (Boone County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Illinois average of 2.5.

Residents receive about 3 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.4 hours.

Its most recent standard health inspection (January 7, 2026) found 17 health citations. The Illinois average is 12.5.

Federal regulators fined it 4 times in the past three years, totaling $91,186.

Nursing staff turnover is 63% per year (state average 44.5%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
113
Certified for
Medicare and Medicaid
Chain / affiliated entity
Symphony Care Network
Medicare-certified since
March 1, 1976
Resident/family council
Resident
County
Boone County
CMS Certification Number
145312

Ratings

MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 52.5 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)2 / 52.7 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)1 / 52.1 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)4 / 53 / 53.6 / 5Average
Long-stay quality rating (higher is better)5 / 53.4 / 53.8 / 5Better
Short-stay (rehab) quality rating (higher is better)3 / 52.5 / 53.3 / 5Average

Staffing

This facility2.97 hrsIllinois average3.45 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Illinois and U.S. averages
MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)2.97 hrs3.45 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.32 hrs0.72 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)1.71 hrs2.09 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)2.63 hrs3.07 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)63%44.5%45.8%Worse
Registered nurse turnover (yearly) (lower is better)45.5%41.8%42.9%Worse
Administrators who left in the past year (lower is better)001Better

Inspections

This facility17Illinois average12U.S. average9
Health citations in the most recent inspection: this facility vs. Illinois and U.S. averages
MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)17129Worse
Citations from complaint investigations (latest cycle) (lower is better)653Worse
Weighted health inspection score ⓘ (lower is better)14914380.6Worse

Penalties

This facility4Illinois average2U.S. average1
Fines in the past 3 years: this facility vs. Illinois and U.S. averages
MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)421Worse
Total fines in the past 3 years (lower is better)$91,186$111,013$30,972Worse
All federal penalties in the past 3 years (lower is better)631Worse

Size

MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Certified beds113128107
Average residents per day859586
Occupancy74.9%75%80.9%

Long-stay residents

This facility2.7%Illinois average3.1%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Illinois and U.S. averages
MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)2.7%3.1%3.2%Better
Long-stay residents with pressure ulcers (lower is better)3.8%4.8%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)22%21.7%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)0.3%1.5%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0%0.9%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)7.9%13.4%13.9%Better
Long-stay residents whose walking worsened (lower is better)9.3%14.3%14.1%Better
Long-stay residents who lose too much weight (lower is better)0%6.3%5.2%Better
Long-stay residents with depressive symptoms (lower is better)0.6%54.2%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0.1%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)13.9%18.3%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)17.8%20.6%19%Better
Long-stay residents given a flu vaccine (higher is better)94.2%91.8%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)95.2%90.3%93.6%Average

Short-stay residents

This facility0%Illinois average2.2%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Illinois and U.S. averages
MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0%2.2%1.6%Better
Short-stay residents given a flu vaccine (higher is better)52.6%63.1%79.8%Worse
Short-stay residents given a pneumonia vaccine (higher is better)59.4%69.7%82%Worse

Inspection citations

State inspectors cited this home for 36 health deficiencies and 34 fire safety deficiencies in the inspection records CMS currently publishes. 8 citations involved actual harm.

DateCitationSeverityStatus
May 14, 2026
Complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected May 27, 2026
February 18, 2026
Complaint
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.
Quality of Life and Care Deficiencies · Tag F0688
D
Potential harm, isolated
Corrected February 27, 2026
February 4, 2026
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
G
Actual harm, isolated
Corrected February 13, 2026
January 7, 2026
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected January 22, 2026
January 7, 2026
Standard
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.
Infection Control Deficiencies · Tag F0887
F
Potential harm, widespread
Corrected January 22, 2026
January 7, 2026
Standard
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Tag F0679
E
Potential harm, pattern
Corrected January 22, 2026
January 7, 2026
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected January 22, 2026
January 7, 2026
Standard
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Tag F0645
D
Potential harm, isolated
Corrected January 22, 2026
January 7, 2026
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected January 22, 2026
January 7, 2026
Standard
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected January 22, 2026
January 7, 2026
Standard
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
D
Potential harm, isolated
Corrected January 22, 2026
January 7, 2026
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected January 22, 2026
January 7, 2026
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected January 22, 2026
January 7, 2026
Standard
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Tag F0732
C
No harm, widespread
Corrected January 22, 2026
September 10, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
G
Actual harm, isolated
Corrected September 23, 2025
September 10, 2025
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
G
Actual harm, isolated
Corrected September 23, 2025
September 10, 2025
Complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected September 23, 2025
July 21, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
G
Actual harm, isolated
Corrected July 31, 2025
June 11, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected June 18, 2025
March 13, 2025
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
D
Potential harm, isolated
Corrected March 24, 2025
January 2, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
G
Actual harm, isolated
Corrected January 9, 2025
November 7, 2024
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
D
Potential harm, isolated
Corrected November 14, 2024
October 23, 2024
Fire safety
Establish staff and initial training requirements.
Emergency Preparedness Deficiencies · Tag E0037
F
Potential harm, widespread
Corrected November 22, 2024
October 23, 2024
Fire safety
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies · Tag E0039
F
Potential harm, widespread
Corrected November 27, 2024
October 23, 2024
Fire safety
Install proper backup exit lighting.
Egress Deficiencies · Tag K0281
F
Potential harm, widespread
Corrected November 22, 2024
October 23, 2024
Fire safety
Establish policies and procedures for sheltering.
Emergency Preparedness Deficiencies · Tag E0022
F
Potential harm, widespread
Corrected November 22, 2024
October 23, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected November 22, 2024
October 23, 2024
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected November 22, 2024
October 23, 2024
Fire safety
Address subsistence needs for staff and patients.
Emergency Preparedness Deficiencies · Tag E0015
F
Potential harm, widespread
Corrected November 22, 2024
October 23, 2024
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
E
Potential harm, pattern
Corrected November 29, 2024
October 23, 2024
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
E
Potential harm, pattern
Corrected November 22, 2024
October 23, 2024
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
E
Potential harm, pattern
Corrected November 22, 2024
October 23, 2024
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
E
Potential harm, pattern
Corrected November 22, 2024
October 23, 2024
Fire safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Egress Deficiencies · Tag K0225
E
Potential harm, pattern
Corrected November 22, 2024
October 23, 2024
Fire safety
Have exits that are accessible at all times.
Egress Deficiencies · Tag K0271
E
Potential harm, pattern
Corrected November 22, 2024
October 23, 2024
Fire safety
Meet other general requirements.
Construction Deficiencies · Tag K0100
E
Potential harm, pattern
Corrected November 15, 2024
October 23, 2024
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
G
Actual harm, isolated
Corrected November 7, 2024
October 23, 2024
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
G
Actual harm, isolated
Corrected November 7, 2024
October 23, 2024
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected November 7, 2024
October 23, 2024
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected November 7, 2024
October 23, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected November 7, 2024
October 23, 2024
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected November 7, 2024
June 3, 2024
Complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
G
Actual harm, isolated
Corrected June 24, 2024
September 19, 2023
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected October 9, 2023
September 19, 2023
Fire safety
Establish roles under a Waiver declared by secretary.
Emergency Preparedness Deficiencies · Tag E0026
F
Potential harm, widespread
Corrected October 9, 2023
September 19, 2023
Fire safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914
F
Potential harm, widespread
Corrected October 9, 2023
September 19, 2023
Fire safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies · Tag K0223
E
Potential harm, pattern
Corrected October 9, 2023
September 19, 2023
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
E
Potential harm, pattern
Corrected October 9, 2023
September 19, 2023
Fire safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Egress Deficiencies · Tag K0225
E
Potential harm, pattern
Corrected October 9, 2023
September 19, 2023
Fire safety
Have properly located and lighted "Exit" signs.
Egress Deficiencies · Tag K0293
E
Potential harm, pattern
Corrected October 9, 2023
September 19, 2023
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
E
Potential harm, pattern
Corrected October 9, 2023
September 19, 2023
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected October 9, 2023
September 19, 2023
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected October 9, 2023
September 19, 2023
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
E
Potential harm, pattern
Corrected October 9, 2023
September 19, 2023
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
D
Potential harm, isolated
Corrected October 9, 2023
September 19, 2023
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected September 25, 2023
September 19, 2023
Standard
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Tag F0921
E
Potential harm, pattern
Corrected September 25, 2023
September 19, 2023
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected September 25, 2023
September 19, 2023
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected September 25, 2023
September 19, 2023
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected September 25, 2023
September 19, 2023
Standard
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration Deficiencies · Tag F0847
D
Potential harm, isolated
Corrected September 25, 2023
September 19, 2023
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected September 25, 2023
August 11, 2022
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected September 7, 2022
August 11, 2022
Fire safety
Have restrictions on the use of portable space heaters.
Miscellaneous Deficiencies · Tag K0781
E
Potential harm, pattern
Corrected September 7, 2022
August 11, 2022
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected September 7, 2022
August 11, 2022
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
E
Potential harm, pattern
Corrected September 7, 2022
August 11, 2022
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected September 7, 2022
August 11, 2022
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
E
Potential harm, pattern
Corrected September 7, 2022
August 11, 2022
Fire safety
Install proper backup exit lighting.
Egress Deficiencies · Tag K0281
E
Potential harm, pattern
Corrected September 7, 2022
August 11, 2022
Fire safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Egress Deficiencies · Tag K0225
E
Potential harm, pattern
Corrected September 7, 2022

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 6 federal penalties in the past three years, including $91,186 in fines.

DatePenaltyAmount / length
January 7, 2026Payment Denial2 days from February 25, 2026
January 7, 2026Fine$50,606
September 10, 2025Fine$14,407
January 2, 2025Fine$12,048
October 23, 2024Fine$14,125
June 3, 2024Payment Denial3 days from June 21, 2024

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
SYMPHONY HEALTHCARE LLC
Organization
5% or greater direct ownership interest100%11/22/2011
HARTMAN, DEBRA
Individual
5% or greater indirect ownership interest—11/22/2011
SYMAG HOLDINGS LLC
Organization
5% or greater indirect ownership interest—11/22/2011
SYMPHONY ML LLC
Organization
5% or greater indirect ownership interest—11/22/2011
SYMPHONY MONARCH HOLDINGS, LLC
Organization
5% or greater indirect ownership interest—11/22/2011
WILLOW DELTA TRUST
Organization
5% or greater indirect ownership interest—01/01/2019
MIDCAP FUNDING IV TRUST
Organization
5% or greater security interestNOT APPLICABLE08/21/2018
JESSEN, CARRIE
Individual
w-2 managing employeeNOT APPLICABLE03/20/2017

Other nursing homes near The Sapphire at Northwoods

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    1701 5th Avenue, Belvidere, IL 61008 · under 1 mi

    For-profit · 80 beds

    ★★★★★5Much above average
  2. The Sapphire at Maple Crest

    4452 Squaw Prairie Road, Belvidere, IL 61008 · 3.8 mi

    For-profit · 86 beds · Part of Symphony Care Network

    • Abuse citation
    ★★★★★1Much below average
  3. Alden Debes Rehab & Hcc

    550 South Mulford Avenue, Rockford, IL 61108 · 8.3 mi

    For-profit · 268 beds · Part of The Alden Network

    • Abuse citation
    ★★★★★1Much below average
  4. Alden Park Strathmoor

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    For-profit · 189 beds · Part of The Alden Network

    ★★★★★1Much below average
  5. Forest City Rehab & Nrsg Ctr

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  6. The Citadel at Saint Anne Place

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Frequently asked questions

What is The Sapphire at Northwoods's rating?

The Sapphire at Northwoods has 1 out of 5 stars on the CMS overall star rating. The average for Illinois nursing homes is 2.5 stars.

How many inspection citations did The Sapphire at Northwoods receive?

Its most recent standard health inspection found 17 citations, compared with a Illinois average of 12.5. Every citation is listed on this page with its severity.

Does The Sapphire at Northwoods accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns The Sapphire at Northwoods?

It is for profit - corporation and part of Symphony Care Network. The ownership section on this page lists the owners and managers reported to CMS.

Where is The Sapphire at Northwoods and how do I contact it?

The Sapphire at Northwoods is at 2250 Pearl Street, Belvidere, IL 61008. Phone: (815) 544-0358.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.