Rock River Health Care
707 West Riverside Boulevard · Rockford, IL · 61103 · 8158775752
130 certified beds For profit - Limited Liability company Chain: Saba Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $41,165 in fines in the last 24 months.
- 4 citations involved actual harm to residents.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Total nurse staffing below 3.0 hours per resident-day
2.65 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 2.65 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.47 | 0.55–0.75 |
| Weekend hours / resident-day | 2.07 | ≈ weekday level |
| Nursing turnover / year | 31% | median 45% |
| Fines (3-yr window) | 4 · $95,885 |
Inspection citations (45 in the current record)
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Potential for harm · D February 9, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 11, 2026 · Quality of Life and Care
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Potential for harm · D February 9, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 11, 2026 · Quality of Life and Care
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Actual harm · G December 10, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected December 23, 2025 · Quality of Life and Care
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Potential for harm · D December 10, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected December 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 10, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected December 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 10, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 23, 2025 · Quality of Life and Care
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Potential for harm · D December 10, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 23, 2025 · Quality of Life and Care
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Potential for harm · D December 10, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected December 23, 2025 · Pharmacy Service
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Potential for harm · D December 10, 2025
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 December 23, 2025 · Pharmacy Service
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Potential for harm · F December 10, 2025
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected December 23, 2025 · Nutrition and Dietary
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Potential for harm · E December 10, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected December 23, 2025 · Nutrition and Dietary
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Potential for harm · F December 10, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 23, 2025 · Nutrition and Dietary
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Potential for harm · D August 19, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected August 27, 2025 · Resident Rights
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Potential for harm · D July 28, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected August 20, 2025 · Resident Rights
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Potential for harm · D July 21, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected August 20, 2025 · Pharmacy Service
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Potential for harm · D July 1, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 7, 2025 · Quality of Life and Care
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Potential for harm · E June 4, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 16, 2025 · Quality of Life and Care
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Actual harm · G March 24, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 5, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 5, 2025 · Pharmacy Service
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Potential for harm · D March 5, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 5, 2025 · Infection Control
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Actual harm · G October 9, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected October 28, 2024 · Quality of Life and Care
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Potential for harm · D October 9, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 28, 2024 · Resident Rights
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Potential for harm · D October 9, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected October 28, 2024 · Resident Rights
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Potential for harm · D October 9, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 28, 2024 · Quality of Life and Care
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Potential for harm · D October 9, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 28, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 10, 2025 | Fine | $23,625 |
| October 9, 2024 | Fine | $17,540 |
| February 28, 2024 | Fine | $12,841 |
| September 13, 2023 | Fine | $41,879 |
| September 13, 2023 | Payment Denial | 7 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145818 · certified since January 1, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.