Nursing HomeInspections

Stephenson Nursing Center

Nursing home in Freeport, IL

Medicare & Medicaid certified3★ overall (CMS)

Call (815) 235-6173Send a messageMap ↗

Public-record details

Address
2946 South Walnut Road, Freeport, IL 61032
Phone
(815) 235-6173
Listed under
Government-owned
Medicare CCN
145895
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
2 of 5
Quality measures rating
2 of 5
Certified beds
148
Average residents per day
71
Ownership
Government, county
Legal business name
County of Stephenson
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Nov 1, 1996
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 145895. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Feb 26, 2026. CMS lists 40 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 12, 2023 to Mar 17, 2026): 16 from complaint inspections, 5 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 17, 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
Feb 26, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights
D
Potential for more than minimal harm, isolated
Feb 26, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Feb 26, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Feb 26, 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
Feb 26, 2026Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Feb 26, 2026Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Feb 26, 2026Procure 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
Feb 26, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care
G
Actual harm, isolated
Jun 4, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · complaint inspection
G
Actual harm, isolated
May 27, 2025Ensure 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
Apr 3, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 40. 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 $18,450 and 1 denial of Medicare payment for new admissions in the last three years.

Feb 26, 2026Fine: $18,450
Feb 4, 2025Payment denial for 114 days from Feb 26, 2025

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
3.06 hours
Registered nurse (RN) time per resident per day
0.89 hours
Nurse aide time per resident per day
1.81 hours
Total nurse staffing on weekends
2.74 hours

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.

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