River Bluff Nursing Home

Nursing home in Rockford, IL

Medicare & Medicaid certified2★ overall (CMS)

Call (815) 921-9200 Send a message Map ↗

Public-record details

Address: 4401 North Main Street, Rockford, IL 61103
Phone: (815) 921-9200
Listed under: Government-owned
Medicare CCN: 145771
Overall star rating: 2 of 5 ★★☆☆☆
Health inspection rating: 2 of 5
Staffing rating: 4 of 5
Quality measures rating: 2 of 5
Certified beds: 304
Average residents per day: 152
Ownership: Government, county
Legal business name: County of Winnebago
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Apr 8, 1993
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 145771. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 24, 2026. CMS lists 38 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 16, 2023 to Jun 24, 2026): 15 from complaint inspections, 6 at the “actual harm” level or higher.

Inspection	Citation	Severity
Jun 24, 2026	Reasonably accommodate the needs and preferences of each resident. Resident Rights	D Potential for more than minimal harm, isolated
Jun 24, 2026	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	D Potential for more than minimal harm, isolated
Jun 24, 2026	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care	D Potential for more than minimal harm, isolated
Jun 24, 2026	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care	D Potential for more than minimal harm, isolated
Jun 24, 2026	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	D Potential for more than minimal harm, isolated
Jun 24, 2026	Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Jun 24, 2026	Ensure medication error rates are not 5 percent or greater. Pharmacy Service	D Potential for more than minimal harm, isolated
Jun 24, 2026	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… Pharmacy Service	D Potential for more than minimal harm, isolated
Jun 24, 2026	Provide and implement an infection prevention and control program. Infection Control	D Potential for more than minimal harm, isolated
Jun 24, 2026	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary	E Potential for more than minimal harm, pattern
Jun 24, 2026	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary	F Potential for more than minimal harm, widespread
Jun 24, 2026	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care	G Actual harm, isolated

Showing the 12 most recent of 38. 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 Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $10,199 and 1 denial of Medicare payment for new admissions in the last three years.

May 14, 2024	Fine: $10,199
Mar 7, 2024	Payment denial for 21 days from Apr 5, 2024

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

Staffing

Total nurse staffing per resident per day: 4.19 hours
Registered nurse (RN) time per resident per day: 0.80 hours
Nurse aide time per resident per day: 2.52 hours
Total nurse staffing on weekends: 3.86 hours
Nursing staff turnover (yearly): 44%
RN turnover (yearly): 29%
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 Rockford

All 12 in Rockford →