Home›Browse›Illinois›Rockford›River Bluff Nursing Home

Nursing homeFAID #3236

River Bluff Nursing Home

4401 NORTH MAIN STREET, ROCKFORD, IL, 61103

(815) 921-9200

304 licensed beds

CMS rates River Bluff Nursing Home 1 out of 5 overall. Federal inspectors issued 52 citations across 18 inspections in the last three years, with $48,629 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall2/5 health inspections4/5 staffing1/5 quality measuresSource: CMS Care Compare

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Photo via Google · Teresa Dianne Shadden

Address

4401 North Main Street

Rockford, IL 61103

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Public record summary

What we can show you for free.

Bed capacity

304

CMS facility ID

145771

Care type

Nursing home

County

Winnebago

Facility name

River Bluff Nursing Home

Street address

4401 NORTH MAIN STREET

City / state / ZIP

Rockford, IL 61103

Phone

(815) 921-9200

Website

riverbluffhealth.com

About this facility — River Bluff Nursing Home

River Bluff Nursing Home is a Medicare/Medicaid-certified skilled nursing facility in Rockford, Illinois. It is licensed for 304 beds — well above the median for skilled nursing facilities in Illinois (112 beds).

It is one of 23 senior care facilities in Rockford and 667 skilled nursing facilities across Illinois. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited River Bluff Nursing Home 52 times across 18 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $48,629 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

Government - County

Registered owners & officers

County of Winnebago

Operational control — since 2008

Lofgren, Mark

Managing employee · Director — since 2020

Mcdiarmid, Patricia

Director — since 2019

Regulatory standing

Licensed / certified since

1993-04-08

CMS overall rating

1 of 5 stars

Health deficiencies

18 at the last standard inspection

Federal fines

$48,629 total

Last standard inspection

2026-06-24

Nurse staffing

4.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$302 per day (≈ $9,180/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

81% Medicaid · 3% Medicare · 16% private/other

Occupancy

46% (fiscal year 2023)

Vs. state median

12% below the IL median of $342/day — full state cost breakdown

Services & coverage

Licensed beds

304

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.

2026-06-24Health inspectionComplaint-triggered12 citations

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2026-07-10

F-0605

D · No harm found

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2026-07-10

F-0684

D · No harm found

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

Corrected 2026-07-10

F-0686

D · No harm found

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

Corrected 2026-07-10

F-0690

D · No harm found

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

Corrected 2026-07-10

F-0692

G · Actual harm

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

Corrected 2026-07-10

F-0744

D · No harm foundFrom a complaint

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2026-07-10

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2026-07-10

F-0761

D · No harm found

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.

Corrected 2026-07-10

F-0805

E · No harm foundFood safety

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

Corrected 2026-07-10

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-07-10

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-07-10

2026-05-26Health inspectionComplaint-triggered1 citation

F-0688

D · No harm foundFrom a 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.

Corrected 2026-06-01

14 earlier / fire-safety inspections (39 citations)

2026-05-13Health inspectionComplaint-triggered1 citation

F-0755

D · No harm foundFrom a complaint

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

Corrected 2026-05-22

2026-04-22Health inspectionComplaint-triggered1 citation

F-0688

D · No harm foundFrom a 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.

Corrected 2026-05-04

2026-02-05Health inspectionComplaint-triggered3 citations

F-0689

G · Actual harmFrom a complaint

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

Corrected 2026-02-20

F-0697

G · Actual harmFrom a complaint

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

Corrected 2026-02-20

F-0776

D · No harm foundFrom a complaint

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Corrected 2026-02-20

2025-07-17Health inspectionComplaint-triggered1 citation

F-0925

D · No harm foundFrom a complaint

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

Corrected 2025-07-29

2025-04-10Health inspection7 citations

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-04-25

F-0686

D · No harm found

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

Corrected 2025-04-25

F-0689

D · No harm found

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

Corrected 2025-04-25

F-0690

D · No harm found

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

Corrected 2025-04-25

F-0693

D · No harm found

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.

Corrected 2025-04-25

F-0755

D · No harm found

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

Corrected 2025-04-25

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-04-25

2024-12-23Health inspectionComplaint-triggered1 citation

F-0600

D · No harm foundFrom a complaint

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

Corrected 2025-01-09

2024-11-13Health inspectionComplaint-triggered1 citation

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-12-06

2024-06-20Health inspectionComplaint-triggered1 citation

F-0585

D · No harm foundFrom a 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.

Corrected 2024-07-02

2024-05-14Health inspectionComplaint-triggered2 citations

F-0689

G · Actual harmFrom a complaint

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

Corrected 2024-05-31

F-0776

D · No harm foundFrom a complaint

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Corrected 2024-05-31

2024-03-07Health inspectionComplaint-triggered6 citations

F-0686

G · Actual harm

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

Corrected 2024-03-29

F-0689

E · No harm foundFrom a complaint

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

Corrected 2024-04-26

F-0692

G · Actual harm

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

Corrected 2024-03-29

F-0695

D · No harm found

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

Corrected 2024-03-29

F-0761

E · No harm found

Corrected 2024-03-29

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-03-29

2023-10-16Health inspectionComplaint-triggered1 citation

F-0686

D · No harm foundFrom a complaint

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

Corrected 2023-11-06

2026-06-24Fire-safety inspection6 citations

K-0133

F · No harm found

Install a two-hour-resistant firewall separation.

Corrected 2026-07-07

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2026-07-07

K-0222

E · No harm found

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.

Corrected 2026-07-01

K-0291

F · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2026-07-07

K-0521

F · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2026-07-07

K-0754

F · No harm found

Provide properly sized and located linen or trash receptacles.

Corrected 2026-07-07

2025-04-10Fire-safety inspection6 citations

E-0032

F · No harm found

Provide primary/alternate means for communication.

Corrected 2025-05-15

K-0223

E · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2025-05-15

K-0311

E · No harm found

Have an enclosure around a vertical opening shaft.

Corrected 2025-05-15

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-05-15

K-0915

F · No harm found

Have proper power supply for life support equipment.

Corrected 2025-06-09

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2025-05-15

2024-03-07Fire-safety inspection2 citations

K-0281

E · No harm found

Install proper backup exit lighting.

Corrected 2024-04-05

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-22

Federal penalties

2026-06-24Fine$38,430

2024-05-14Fine$10,199

2024-03-07Medicare payment denial — 21 days

Total fines$48,629

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 145771.

Quality of care & staffing

How it compares in Illinois.

Inspection citations, 3 years

More than 52% of nursing homes in the state

State median: 50

Federal fines, 3 years

$48,629

More than 51% of nursing homes in the state

State median: $45,080

Nurse staffing, hours per resident per day

4.1

Higher than 84% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

39%

Higher than 37% of nursing homes in the state

State median: 44%

Resident outcomes

On 21 federal quality measures, this facility does better than the Illinois average on 13 and worse on 6. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	17.1%	13.0%	13.5%	Worse than state
Lose too much weight	11.7%	6.1%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.7%	0.8%	0.7%	Better than state
With a urinary tract infection	4.5%	1.5%	1.5%	Worse than state
Have depressive symptoms	5.4%	55.9%	13.5%	Better than state
Were physically restrained	0.0%	0.1%	0.1%	Better than state
Experiencing one or more falls with major injury	3.4%	3.0%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	99.8%	90.5%	93.7%	Better than state
Ability to walk independently worsened	11.4%	12.8%	12.7%	Better than state
Received an antianxiety or hypnotic medication	13.3%	18.4%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	91.7%	95.3%	Near state average
With pressure ulcers	4.0%	4.8%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	28.3%	19.8%	18.3%	Worse than state
Received an antipsychotic medication	27.2%	21.7%	15.4%	Worse than state
Hospitalizations per 1000 long-stay resident days	1.65	1.96	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	1.71	2.10	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	98.0%	70.0%	82.3%	Better than state
Newly received an antipsychotic medication	1.4%	2.2%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	93.0%	63.2%	80.1%	Better than state
Were rehospitalized after a nursing home admission	24.0%	25.6%	23.4%	Near state average
Had an outpatient emergency department visit	10.5%	13.5%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0686 4 inspections. Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F-0689 4 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 3 inspections. Provide and implement an infection prevention and control program.
F-0690 2 inspections. Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F-0692 2 inspections. Provide enough food/fluids to maintain a resident's health.
F-0761 2 inspections. 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.

Verify & compare

Where to check, and what's nearby.

Who to contact in Illinois

Licensing: Illinois Department of Public Health, Division of Assisted Living
File a complaint: 800-252-4343 · Online
Long-Term Care Ombudsman: 800-252-8966. A free advocate for residents and families.
Adult Protective Services: 866-800-1409. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Javon Bea Hospital, about 2.1 miles. CMS rating 3 of 5.
Uw Health, about 3.9 miles. CMS rating 3 of 5.
Saint Anthony Medical Center, about 5.4 miles. CMS rating 2 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Avira Health Pavilion, Loves Park, about 0.6 miles. CMS rating 4 of 5.
Rock River Health Care, Rockford, about 0.6 miles. CMS rating 3 of 5.
Willows Health Center, Rockford, about 0.9 miles. CMS rating 3 of 5.
Mercyhealth Javon Bea Hospital - Snf, Rockford, about 2.1 miles. CMS rating 4 of 5.
Amberwood Care Centre, Rockford, about 2.1 miles. CMS rating 4 of 5.

Visitor reviews

What people say on Google.

3.676 ratings on Google

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 52 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

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