Symphony Northwoods
2250 Pearl Street · Belvidere, IL · 61008 · 8155440358
113 certified beds For profit - Corporation Chain: Symphony Care Network
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Federal penalties on record: $126,193 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
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
Cited under the freedom-from-abuse rule
Cited 3 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
4 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$126,193 in federal fines in the last 24 months
4 fines — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
2.52 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
64% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.52 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.35 | 0.55–0.75 |
| Weekend hours / resident-day | 1.94 | ≈ weekday level |
| Nursing turnover / year | 64% | median 45% |
| Fines (3-yr window) | 4 · $126,193 |
Inspection citations (37 in the current record)
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Potential for harm · D February 18, 2026 · found via 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 February 27, 2026 · Quality of Life and Care
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Actual harm · G February 4, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 13, 2026 · Quality of Life and Care
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Potential for harm · D January 7, 2026
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected January 22, 2026 · Resident Assessment and Care Planning
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Potential for harm · E January 7, 2026
Provide activities to meet all resident's needs.
Corrected January 22, 2026 · Quality of Life and Care
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Potential for harm · D January 7, 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.
Corrected January 22, 2026 · Quality of Life and Care
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Potential for harm · D January 7, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected January 22, 2026 · Quality of Life and Care
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Potential for harm · D January 7, 2026
Ensure that residents are free from significant medication errors.
Corrected January 22, 2026 · Pharmacy Service
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Potential for harm · D January 7, 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 locked compartments, separately locked, compartments for controlled drugs.
Corrected January 22, 2026 · Pharmacy Service
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Potential for harm · F January 7, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 22, 2026 · Nutrition and Dietary
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Potential for harm · E January 7, 2026
Provide and implement an infection prevention and control program.
Corrected January 22, 2026 · Infection Control
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Potential for harm · D January 7, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected January 22, 2026 · Infection Control
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Potential for harm · F January 7, 2026
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 January 22, 2026 · Infection Control
-
No harm found · C January 7, 2026
Post nurse staffing information every day.
Corrected January 22, 2026 · Nursing and Physician Services
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Actual harm · G September 10, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 23, 2025 · Quality of Life and Care
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Actual harm · G September 10, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 23, 2025 · Quality of Life and Care
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Potential for harm · D September 10, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected September 23, 2025 · Resident Rights
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Actual harm · G July 21, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 31, 2025 · Quality of Life and Care
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Potential for harm · D June 11, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 18, 2025 · Quality of Life and Care
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Potential for harm · D March 13, 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 March 24, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G January 2, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 9, 2025 · Quality of Life and Care
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Potential for harm · D November 7, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 14, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G October 23, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 7, 2024 · Quality of Life and Care
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Actual harm · G October 23, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected November 7, 2024 · Quality of Life and Care
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Potential for harm · D October 23, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 7, 2024 · Quality of Life and Care
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Potential for harm · D October 23, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 7, 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 |
|---|---|---|
| January 7, 2026 | Fine | $77,855 |
| January 7, 2026 | Payment Denial | 2 days |
| September 10, 2025 | Fine | $22,165 |
| January 2, 2025 | Fine | $12,048 |
| October 23, 2024 | Fine | $14,125 |
| June 3, 2024 | Payment Denial | 3 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 145312 · certified since March 1, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.