# River Bluff Nursing Home

River Bluff Nursing Home is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Rockford, IL, CMS Certification Number 145771, with 304 certified beds and about 148 residents per day. CMS rates it 1/5 overall (health inspections 2/5, staffing 4/5, quality measures 1/5).

## Key facts
- Status: Active CMS certification
- Address: 4401 North Main Street, Rockford, IL 61103 (Winnebago County)
- Ownership type: Government - County

- Operator (legal business name): [County of Winnebago](https://carefield.site/operator/op-county-of-winnebago)
- CMS chain: not part of a CMS-reported chain

- Phone: 8159219200
- Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/145771

## Inspection record
16 inspections in the CMS window (latest 2026-06-24); 52 citations (38 health, 14 fire safety); 6 at actual harm and 0 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history.
- 2026-06-24 — [F-0692](https://carefield.site/deficiency/cms-f0692) Provide enough food/fluids to maintain a resident's health. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected
- 2026-02-05 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected; complaint survey
- 2026-02-05 — [F-0697](https://carefield.site/deficiency/cms-f0697) Provide safe, appropriate pain management for a resident who requires such services. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected; complaint survey
- 2024-05-14 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected; complaint survey
- 2024-03-07 — [F-0686](https://carefield.site/deficiency/cms-f0686) Provide appropriate pressure ulcer care and prevent new ulcers from developing. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected
- 2024-03-07 — [F-0692](https://carefield.site/deficiency/cms-f0692) Provide enough food/fluids to maintain a resident's health. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected
- 2026-06-24 — [K-0133](https://carefield.site/deficiency/cms-k0133) Install a two-hour-resistant firewall separation. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2026-06-24 — [K-0211](https://carefield.site/deficiency/cms-k0211) Keep aisles, corridors, and exits free of obstruction in case of emergency. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2026-06-24 — [K-0222](https://carefield.site/deficiency/cms-k0222) Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2026-06-24 — [K-0291](https://carefield.site/deficiency/cms-k0291) Install emergency lighting that can last at least 1 1/2 hours. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2026-06-24 — [K-0521](https://carefield.site/deficiency/cms-k0521) Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2026-06-24 — [K-0754](https://carefield.site/deficiency/cms-k0754) Provide properly sized and located linen or trash receptacles. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2026-06-24 — [F-0558](https://carefield.site/deficiency/cms-f0558) Reasonably accommodate the needs and preferences of each resident. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-06-24 — [F-0605](https://carefield.site/deficiency/cms-f0605) Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-06-24 — [F-0684](https://carefield.site/deficiency/cms-f0684) Provide appropriate treatment and care according to orders, resident’s preferences and goals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-06-24 — [F-0686](https://carefield.site/deficiency/cms-f0686) Provide appropriate pressure ulcer care and prevent new ulcers from developing. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-06-24 — [F-0690](https://carefield.site/deficiency/cms-f0690) Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care,  and appropriate care  to prevent urinary tract infections. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-06-24 — [F-0744](https://carefield.site/deficiency/cms-f0744) Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-06-24 — [F-0759](https://carefield.site/deficiency/cms-f0759) Ensure medication error rates are not 5 percent or greater. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-06-24 — [F-0761](https://carefield.site/deficiency/cms-f0761) 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- …and 32 more on the source page.

## Penalties
- 2026-06-24 — Civil money penalty (fine): $38,430
- 2024-05-14 — Civil money penalty (fine): $10,199
- 2024-03-07 — Denial of payment for new admissions (21 days)

## Staffing (PBJ, hours per resident per day)
- Total nurse: 4.13666 (state avg 3.47099, US 3.90085)
- RN: 0.85863
- Nursing staff turnover: 38.9%

## Owners and managers of record (CMS disclosures)
- [County of Winnebago](https://carefield.site/owner/org-county-of-winnebago) — Operational / managerial control, since 2008-11-01

## Nearby nursing homes
- [Avira Health Pavilion](https://carefield.site/facility/cms-146069) — 1 km, CMS overall 4/5
- [Rock River Health Care](https://carefield.site/facility/cms-145818) — 1 km, CMS overall 3/5
- [Willows Health Center](https://carefield.site/facility/cms-146101) — 1.5 km, CMS overall 3/5
- [Mercyhealth Javon Bea Hospital -SNF](https://carefield.site/facility/cms-146196) — 3.3 km, CMS overall 4/5
- [Amberwood Care Centre](https://carefield.site/facility/cms-145908) — 3.3 km, CMS overall 4/5
- [Alpine Fireside Health Center](https://carefield.site/facility/cms-146066) — 4.1 km, CMS overall 2/5
- [Fairhaven Christian Ret Center](https://carefield.site/facility/cms-14e345) — 4.2 km, CMS overall 3/5
- [Pa Peterson at the Citadel](https://carefield.site/facility/cms-145751) — 5 km, CMS overall 2/5

## Sources
- cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=145771&conditions%5B0%5D%5Boperator%5D=%3D
- cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=145771&conditions%5B0%5D%5Boperator%5D=%3D
- cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=145771&conditions%5B0%5D%5Boperator%5D=%3D
- cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=145771&conditions%5B0%5D%5Boperator%5D=%3D
- cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=145771&conditions%5B0%5D%5Boperator%5D=%3D
- cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=145771&conditions%5B0%5D%5Boperator%5D=%3D

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Source page: https://carefield.site/facility/cms-145771 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.