Home›Browse›Illinois›Belvidere›Symphony Northwoods

Nursing homeFAID #2976

Symphony Northwoods

2250 PEARL STREET, BELVIDERE, IL, 61008

(815) 544-0358

sapphirenorthwoods.com

113 licensed beds

★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo via Google · Sapphire at Northwoods

Address

2250 Pearl Street

Belvidere, IL 61008

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Public record summary

What we can show you for free.

Bed capacity

113

CMS facility ID

145312

Care type

Nursing home

County

Boone

Facility name

Symphony Northwoods

Street address

2250 PEARL STREET

City / state / ZIP

Belvidere, IL 61008

Phone

(815) 544-0358

Website

sapphirenorthwoods.com

About this facility — Symphony Northwoods

Symphony Northwoods is a Medicare/Medicaid-certified skilled nursing facility in Belvidere, Illinois. It is licensed for 113 beds — close to the median for skilled nursing facilities in Illinois (112 beds).

It is one of 4 senior care facilities in Belvidere 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 Symphony Northwoods 71 times across 17 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $118,435 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 August 31, 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

Parent company

Symphony Care Network

Ownership type

For profit - Corporation

Registered owners & officers

Symphony Healthcare Llc

Direct owner — 100% stake — since 2011

Hartman, Debra

Indirect owner — since 2011

Jessen, Carrie

Managing employee — since 2017

Midcap Funding Iv Trust

Security-interest holder — since 2018

Symag Holdings Llc

Indirect owner — since 2011

Symphony Ml Llc

Indirect owner — since 2011

Symphony Monarch Holdings, Llc

Indirect owner — since 2011

Willow Delta Trust

Indirect owner — since 2019

Regulatory standing

Licensed / certified since

1976-03-01

CMS overall rating

1 of 5 stars

Health deficiencies

17 at the last standard inspection

Federal fines

$118,435 total

Last standard inspection

2026-01-07

Nurse staffing

3.0 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$287 per day (≈ $8,720/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

66% Medicaid · 9% Medicare · 25% private/other

Occupancy

68% (fiscal year 2023)

Vs. state median

16% below the IL median of $342/day — full state cost breakdown

Services & coverage

Licensed beds

113

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. 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 3 food-safety citations on its three-year record — flagged below among the inspections.

2026-05-14Health inspectionComplaint-triggered1 citation

F-0812

F · No harm foundFood safetyFrom a complaint

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

Corrected 2026-05-27

2026-02-18Health 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 2026-02-27

15 earlier / fire-safety inspections (69 citations)

2026-02-04Health inspectionComplaint-triggered1 citation

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 2026-02-13

2026-01-07Health inspection11 citations

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2026-01-22

F-0679

E · No harm found

Provide activities to meet all resident's needs.

Corrected 2026-01-22

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 2026-01-22

F-0692

D · No harm found

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

Corrected 2026-01-22

F-0732

C · No harm found

Post nurse staffing information every day.

Corrected 2026-01-22

F-0760

D · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2026-01-22

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 2026-01-22

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 2026-01-22

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-01-22

F-0883

D · No harm found

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

Corrected 2026-01-22

F-0887

F · No harm found

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.

Corrected 2026-01-22

2025-09-10Health inspectionComplaint-triggered3 citations

F-0580

D · No harm foundFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-09-23

F-0684

G · Actual harmFrom a complaint

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

Corrected 2025-09-23

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 2025-09-23

2025-07-21Health inspectionComplaint-triggered1 citation

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 2025-07-31

2025-06-11Health inspectionComplaint-triggered1 citation

F-0689

D · No harm foundFrom a complaint

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

Corrected 2025-06-18

2025-03-13Health 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 2025-03-24

2025-01-02Health inspectionComplaint-triggered1 citation

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 2025-01-09

2024-11-07Health 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 2024-11-14

2024-10-23Health inspection6 citations

F-0684

D · No harm found

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

Corrected 2024-11-07

F-0686

G · Actual harm

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

Corrected 2024-11-07

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 2024-11-07

F-0692

G · Actual harm

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

Corrected 2024-11-07

F-0695

D · No harm found

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

Corrected 2024-11-07

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-11-07

2024-06-03Health inspectionComplaint-triggered1 citation

F-0686

G · Actual harmFrom a complaint

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

Corrected 2024-06-24

2023-09-19Health inspection7 citations

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2023-09-25

F-0677

D · No harm found

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

Corrected 2023-09-25

F-0684

D · No harm found

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

Corrected 2023-09-25

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 2023-09-25

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 2023-09-25

F-0847

D · No harm found

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2023-09-25

F-0921

E · No harm found

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2023-09-25

2023-08-16Health inspectionComplaint-triggered1 citation

F-0677

D · No harm foundFrom a complaint

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

Corrected 2023-08-23

2024-10-23Fire-safety inspection14 citations

E-0015

F · No harm found

Address subsistence needs for staff and patients.

Corrected 2024-11-22

E-0022

F · No harm found

Establish policies and procedures for sheltering.

Corrected 2024-11-22

E-0037

F · No harm found

Establish staff and initial training requirements.

Corrected 2024-11-22

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2024-11-27

K-0100

E · No harm found

Meet other general requirements.

Corrected 2024-11-15

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 2024-11-22

K-0225

E · No harm found

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2024-11-22

K-0271

E · No harm found

Have exits that are accessible at all times.

Corrected 2024-11-22

K-0281

F · No harm found

Install proper backup exit lighting.

Corrected 2024-11-22

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2024-11-29

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-22

K-0521

E · No harm found

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

Corrected 2024-11-22

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-11-22

K-0923

E · No harm found

Have proper medical gas storage and administration areas.

Corrected 2024-11-22

2023-09-19Fire-safety inspection12 citations

E-0026

F · No harm found

Establish roles under a Waiver declared by secretary.

Corrected 2023-10-09

K-0211

D · No harm found

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

Corrected 2023-10-09

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 2023-10-09

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 2023-10-09

K-0225

E · No harm found

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2023-10-09

K-0293

E · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2023-10-09

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2023-10-09

K-0345

F · No harm found

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

Corrected 2023-10-09

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2023-10-09

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-10-09

K-0914

F · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-10-09

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2023-10-09

2022-08-11Fire-safety inspection8 citations

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 2022-09-07

K-0225

E · No harm found

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2022-09-07

K-0281

E · No harm found

Install proper backup exit lighting.

Corrected 2022-09-07

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2022-09-07

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2022-09-07

K-0345

F · No harm found

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

Corrected 2022-09-07

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2022-09-07

K-0781

E · No harm found

Have restrictions on the use of portable space heaters.

Corrected 2022-09-07

Federal penalties

2026-01-07Fine$77,855

2025-09-10Fine$14,407

2025-01-02Fine$12,048

2024-10-23Fine$14,125

2026-01-07Medicare payment denial — 2 days

2024-06-03Medicare payment denial — 3 days

Total fines$118,435

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 145312.

Visitor reviews

What people say on Google.

4.2126 ratings on Google

★Barb Mccoy · 2026-03-02 · via Google
“My mom was in here.. WORST place ever... I've seen doggie day cares treat animals better. They don't care about anyone or anything, to them it's just a job... also my moms wedding ring was stolen right off her finger. Never to be returned.. if you care about your loved one's find another place to put them!!!”

★Christine Sobers · 2026-01-28 · via Google
“My dad had a stroke and it affected his left side so he needed to go for rehab to learn how to do everything with right hand since he was left handed. Well after he got transferred there i went there and everyone seemed nice and polite. After a week of going you get to see the real people and how they work. It took them forever to come in and change him. But when they did come in they had an attit…”

★★★★Miguel Goyathle Dominguez · 2025-02-22 · via Google
“Since I have new experience with Northwoods Symphony. I find that when I walked in, it was really pleasant and well lit. All the windows were open. All the doors were open, and everybody was hustling and bustling and it seems really patient and in so that even the residence were quiet. At or about 11am lunch being served seemingly a pleasant atmosphere. Music 60’s, in the background. I communica…”

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 71 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 2026-08-31

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

Pulled when a report is ordered