nursing home in Rockford, IL
River Bluff Nursing Home
4401 North Main Street, Rockford, IL 61103 · (815) 921-9200
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★4
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
River Bluff Nursing Home at a glance
River Bluff Nursing Home is a 304-bed government nursing home in Rockford, Illinois (Winnebago County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Illinois average of 2.5.
Residents receive about 4.2 hours of nursing care per day (0.8 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (June 24, 2026) found 18 health citations. The Illinois average is 12.5.
Federal regulators fined it 2 times in the past three years, totaling $48,629.
Nursing staff turnover is 44.4% per year (state average 44.5%).
Facility details
- Type
- Nursing home
- Ownership
- Government - County
- Beds
- 304
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- April 8, 1993
- Resident/family council
- Resident
- County
- Winnebago County
- CMS Certification Number
- 145771
Ratings
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.5 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 2.1 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 2.5 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.19 hrs | 3.45 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.80 hrs | 0.72 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.52 hrs | 2.09 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.86 hrs | 3.07 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 44.4% | 44.5% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 29.2% | 41.8% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 18 | 12 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 7 | 5 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 122 | 143 | 80.6 | Worse |
Penalties
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $48,629 | $111,013 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 3 | 3 | 1 | Worse |
Size
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 304 | 128 | 107 | |
| Average residents per day | 152 | 95 | 86 | |
| Occupancy | 50.1% | 75% | 80.9% |
Long-stay residents
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.4% | 3.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3.6% | 4.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 28% | 21.7% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 6.4% | 1.5% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.7% | 0.9% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 20.5% | 13.4% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 14.2% | 14.3% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 9.4% | 6.3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 5.6% | 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) | 11.8% | 18.3% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 28.2% | 20.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 91.8% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.7% | 90.3% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.4% | 2.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 95.7% | 63.1% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 96.8% | 69.7% | 82% | Better |
Inspection citations
State inspectors cited this home for 38 health deficiencies and 14 fire safety deficiencies in the inspection records CMS currently publishes. 6 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 24, 2026 Fire safety | Install a two-hour-resistant firewall separation. Construction Deficiencies · Tag K0133 | F Potential harm, widespread | Corrected July 7, 2026 |
| June 24, 2026 Fire safety | Provide properly sized and located linen or trash receptacles. Miscellaneous Deficiencies · Tag K0754 | F Potential harm, widespread | Corrected July 7, 2026 |
| June 24, 2026 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected July 7, 2026 |
| June 24, 2026 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected July 7, 2026 |
| June 24, 2026 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected July 7, 2026 |
| June 24, 2026 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 July 1, 2026 |
| June 24, 2026 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | G Actual harm, isolated | Corrected July 10, 2026 |
| June 24, 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 July 10, 2026 |
| June 24, 2026 Standard | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | E Potential harm, pattern | Corrected July 10, 2026 |
| June 24, 2026 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected July 10, 2026 |
| June 24, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected July 10, 2026 |
| June 24, 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 July 10, 2026 |
| June 24, 2026 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected July 10, 2026 |
| June 24, 2026 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected July 10, 2026 |
| June 24, 2026 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 July 10, 2026 |
| June 24, 2026 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected July 10, 2026 |
| June 24, 2026 Complaint | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | D Potential harm, isolated | Corrected July 10, 2026 |
| June 24, 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 July 10, 2026 |
| May 26, 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 June 1, 2026 |
| May 13, 2026 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected May 22, 2026 |
| April 22, 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 May 4, 2026 |
| February 5, 2026 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | G Actual harm, isolated | Corrected February 20, 2026 |
| February 5, 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 20, 2026 |
| February 5, 2026 Complaint | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. Administration Deficiencies · Tag F0776 | D Potential harm, isolated | Corrected February 20, 2026 |
| July 17, 2025 Complaint | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | D Potential harm, isolated | Corrected July 29, 2025 |
| April 10, 2025 Fire safety | Have proper power supply for life support equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0915 | F Potential harm, widespread | Corrected June 9, 2025 |
| April 10, 2025 Fire safety | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Tag E0032 | F Potential harm, widespread | Corrected May 15, 2025 |
| April 10, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected May 15, 2025 |
| April 10, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected May 15, 2025 |
| April 10, 2025 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 May 15, 2025 |
| April 10, 2025 Fire safety | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Tag K0311 | E Potential harm, pattern | Corrected May 15, 2025 |
| April 10, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected April 25, 2025 |
| April 10, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 25, 2025 |
| April 10, 2025 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected April 25, 2025 |
| April 10, 2025 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 April 25, 2025 |
| April 10, 2025 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 April 25, 2025 |
| April 10, 2025 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 April 25, 2025 |
| April 10, 2025 Standard | 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. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected April 25, 2025 |
| December 23, 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 January 9, 2025 |
| November 13, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected December 6, 2024 |
| June 20, 2024 Complaint | 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. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected July 2, 2024 |
| May 14, 2024 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 May 31, 2024 |
| May 14, 2024 Complaint | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. Administration Deficiencies · Tag F0776 | D Potential harm, isolated | Corrected May 31, 2024 |
| March 7, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected April 22, 2024 |
| March 7, 2024 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | E Potential harm, pattern | Corrected April 5, 2024 |
| March 7, 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 March 29, 2024 |
| March 7, 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 March 29, 2024 |
| March 7, 2024 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 | E Potential harm, pattern | Corrected April 26, 2024 |
| March 7, 2024 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 | E Potential harm, pattern | Corrected March 29, 2024 |
| March 7, 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 March 29, 2024 |
| March 7, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 29, 2024 |
| October 16, 2023 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected November 6, 2023 |
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 3 federal penalties in the past three years, including $48,629 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| June 24, 2026 | Fine | $38,430 |
| May 14, 2024 | Fine | $10,199 |
| March 7, 2024 | Payment Denial | 21 days from April 5, 2024 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| LOFGREN, MARK Individual | corporate director | NOT APPLICABLE | 06/10/2020 |
| MCDIARMID, PATRICIA Individual | corporate director | NOT APPLICABLE | 04/01/2019 |
| COUNTY OF WINNEBAGO Organization | operational/managerial control | NOT APPLICABLE | 11/01/2008 |
| LOFGREN, MARK Individual | w-2 managing employee | NOT APPLICABLE | 06/10/2020 |
Other nursing homes near River Bluff Nursing Home
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Rock River Health Care
707 West Riverside Boulevard, Rockford, IL 61103 · under 1 mi
For-profit · 130 beds · Part of Saba Healthcare
★★★★★3Average- ★★★★★3Average
Mercyhealth Javon Bea Hospital -SNF
2400 N Rockton Ave, Rockford, IL 61103 · 2.1 mi
Non-profit · 17 beds · Part of Mercyhealth System
★★★★★4Above averageAmberwood Care Centre
2313 North Rockton Avenue, Rockford, IL 61103 · 2.1 mi
For-profit · 135 beds · Part of Citadel Healthcare
★★★★★3AverageAlpine Fireside Health Center
3650 North Alpine Road, Rockford, IL 61114 · 2.5 mi
For-profit · 66 beds
★★★★★3Average
Frequently asked questions
What is River Bluff Nursing Home's rating?
River Bluff Nursing Home has 2 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 River Bluff Nursing Home receive?
Its most recent standard health inspection found 18 citations, compared with a Illinois average of 12.5. Every citation is listed on this page with its severity.
Does River Bluff Nursing Home 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 River Bluff Nursing Home?
It is government - county. The ownership section on this page lists the owners and managers reported to CMS.
Where is River Bluff Nursing Home and how do I contact it?
River Bluff Nursing Home is at 4401 North Main Street, Rockford, IL 61103. Phone: (815) 921-9200.
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.