Nursing HomeInspections

The Sapphire at Northwoods

Nursing home in Belvidere, IL

Medicare & Medicaid certified1★ overall (CMS)

Call (815) 544-0358Send a messageMap ↗
Thanks, we got your message.

We send it to The Sapphire at Northwoods if we can reach them by email, and we have no way to update you at a phone number. To be sure, call them: (815) 544-0358.

Public-record details

Address
2250 Pearl Street, Belvidere, IL 61008
Phone
(815) 544-0358
Listed under
For-profit
Medicare CCN
145312
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
113
Average residents per day
88
Ownership
For-profit, corporation
Legal business name
Symphony Northwoods LLC
Chain
Symphony Care Network (7 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 1, 1976
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 145312. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jan 7, 2026. CMS lists 36 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 19, 2023 to May 14, 2026): 12 from complaint inspections, 8 at the “actual harm” level or higher.

InspectionCitationSeverity
May 14, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection		F
Potential for more than minimal harm, widespread
Feb 18, 2026Provide 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 4, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Jan 7, 2026Post nurse staffing information every day.
Nursing and Physician Services		C
Potential for minimal harm, widespread
Jan 7, 2026PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jan 7, 2026Provide 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		D
Potential for more than minimal harm, isolated
Jan 7, 2026Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jan 7, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Jan 7, 2026Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Jan 7, 2026Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control		D
Potential for more than minimal harm, isolated
Jan 7, 2026Provide activities to meet all resident's needs.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Jan 7, 2026Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 36. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 5 fines totalling $103,871 and 2 denials of Medicare payment for new admissions in the last three years.

Jan 7, 2026Fine: $50,606
Jan 7, 2026Payment denial for 2 days from Feb 25, 2026
Sep 10, 2025Fine: $14,654
Jul 21, 2025Fine: $12,438
Jan 2, 2025Fine: $12,048
Oct 23, 2024Fine: $14,125
Jun 3, 2024Payment denial for 3 days from Jun 21, 2024

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.92 hours
Registered nurse (RN) time per resident per day
0.37 hours
Nurse aide time per resident per day
1.73 hours
Total nurse staffing on weekends
2.49 hours
Nursing staff turnover (yearly)
60%
RN turnover (yearly)
40%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Belvidere

Belvidere Health and Rehab1701 5th Avenue · Belvidere, IL 61008 · (815) 547-5451 · For-profit18 health citations in 3 inspection cycles · last standard inspection Jul 8, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)
The Sapphire at Maple Crest4452 Squaw Prairie Road · Belvidere, IL 61008 · (815) 547-6377 · For-profit44 health citations in 3 inspection cycles · last standard inspection Sep 25, 2025 · $415,675 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

All 3 in Belvidere →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error