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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K2 | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D28 | E7 | F5 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 16, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 8, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 26, 2026 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Mar 26, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 25, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Sep 25, 2025 | Health | Health Standard | 9 | Actual harm | — | Open → |
| Sep 16, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Mar 17, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 20, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Nov 20, 2024 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Nov 4, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Oct 2, 2024 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Jul 10, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 17, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 22, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Feb 28, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 6, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 25, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Oct 25, 2023 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Sep 1, 2026 | Civil money penalty (fine) | $16,350 | — | 145990|Fine|145144 |
| May 26, 2026 | Civil money penalty (fine) | $195,340 | — | 145990|Fine|140312 |
| Sep 16, 2025 | Denial of payment for new admissions | — | Oct 10, 2025 · 36 days | 145990|Payment Denial|2025-10-10 |
| Sep 16, 2025 | Civil money penalty (fine) | $36,517 | — | 145990|Fine|135123 |
| Nov 4, 2024 | Denial of payment for new admissions | — | Nov 29, 2024 · 12 days | 145990|Payment Denial|2024-11-29 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K2 | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D28 | E7 | F5 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 16, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 24, 2026 | Complaint |
| Jul 16, 2026 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 24, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
7 facilities in 2 states. CMS chain ID 501.
Chain average overall rating (CMS): 2.1
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Symphony Healthcare LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 99% | Nov 22, 2011 |
| Symag Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Nov 22, 2011 |
| Symphony Ml LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Nov 22, 2011 |
| Symphony Monarch Holdings, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Nov 22, 2011 |
| Willow Delta Trust | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2019 |
| Debra Hartman | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Nov 22, 2011 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Symphony Healthcare LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 99% | Nov 22, 2011 |
| Symag Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Nov 22, 2011 |
| Symphony Ml LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Nov 22, 2011 |
| Symphony Monarch Holdings, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| The Sapphire at Northwoods 2250 Pearl Street, Belvidere, IL 61008 CCN 145312 | 113 | May 14, 2026 | 708 harm | $104k |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Belvidere Health and Rehab 1701 5th Avenue, Belvidere, IL 61008 CCN 146071 | 5.3 km | 80 | Jul 8, 2026 | 18 | — | |
| The Sapphire at Northwoods 2250 Pearl Street, Belvidere, IL 61008 CCN 145312 | 6.2 km | 113 | May 14, 2026 | 708 harm | $104k | |
| Alden Debes Rehab & Hcc 550 South Mulford Avenue, Rockford, IL 61108 CCN 145142Abuse icon | 12.4 km | 268 | Jul 24, 2026 | 721 IJ4 harm | $130k | |
| Alden Park Strathmoor 5668 Strathmoor Drive, Rockford, IL 61107 CCN 145259 | 12.7 km | 189 | Mar 4, 2026 | 491 IJ4 harm1 open | $115k | |
| Forest City Rehab & Nrsg Ctr 321 Arnold Avenue, Rockford, IL 61108 CCN 145937 | 13 km | 213 | Aug 14, 2026 | 1053 IJ7 harm | $193k | |
| Fairhaven Christian Ret Center 3470 North Alpine Road, Rockford, IL 61114 CCN 14E345 | 14.5 km | 96 | Feb 26, 2026 | 291 IJ3 harm | $120k | |
| The Citadel at Saint Anne Place 4405 Highcrest Road, Rockford, IL 61107 CCN 145563 | 14.6 km | 179 | Jun 23, 2026 | 769 harm | $124k | |
| Alpine Fireside Health Center 3650 North Alpine Road, Rockford, IL 61114 CCN 146066 | 14.6 km | 66 | Mar 31, 2026 | 293 harm | $55k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 145990 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 145990 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Nov 4, 2024 | Civil money penalty (fine) | $39,683 | — | 145990|Fine|70162 |
| Oct 2, 2024 | Civil money penalty (fine) | $127,785 | — | 145990|Fine|70093 |
| Jun 8, 2026 | F-0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 9, 2026 | Complaint |
| May 26, 2026 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | K · Immediate jeopardy Pattern | Corrected May 29, 2026 | Complaint |
| Mar 26, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 2, 2026 | Complaint |
| Sep 25, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Oct 3, 2025 |
| Sep 25, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 2, 2025 |
| Sep 25, 2025 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 6, 2025 |
| Sep 25, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 3, 2025 |
| Sep 25, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 1, 2025 |
| Sep 25, 2025 | F-0690 | 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 Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 1, 2025 |
| Sep 25, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Nov 15, 2025 |
| Sep 25, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Oct 4, 2025 |
| Sep 25, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Nov 15, 2025 |
| Sep 16, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Oct 1, 2025 | Complaint |
| Mar 17, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 24, 2025 | Complaint |
| Nov 20, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 11, 2024 |
| Nov 20, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 11, 2024 |
| Nov 20, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 11, 2024 |
| Nov 20, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 11, 2024 |
| Nov 20, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 11, 2024 |
| Nov 20, 2024 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Dec 11, 2024 |
| Nov 20, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 11, 2024 |
| Nov 20, 2024 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Dec 11, 2024 |
| Nov 20, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 11, 2024 |
| Nov 4, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Nov 22, 2024 | Complaint |
| Oct 2, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | K · Immediate jeopardy Pattern | Corrected Oct 14, 2024 | Complaint |
| Jul 10, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 26, 2024 | Complaint |
| Jul 10, 2024 | F-0690 | 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 Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 26, 2024 | Complaint |
| Jun 17, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 28, 2024 | Complaint |
| Apr 22, 2024 | F-0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 10, 2024 | Complaint |
| Apr 22, 2024 | F-0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected May 10, 2024 | Complaint |
| Feb 28, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 12, 2024 | Complaint |
| Feb 6, 2024 | F-0776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Feb 20, 2024 | Complaint |
| Oct 25, 2023 | E-0026 | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Dec 8, 2023 |
| Oct 25, 2023 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 3, 2023 |
| Oct 25, 2023 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 3, 2023 |
| Oct 25, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 3, 2023 |
| Oct 25, 2023 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 3, 2023 |
| Oct 25, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 3, 2023 |
| Oct 25, 2023 | F-0690 | 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 Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 3, 2023 |
| Oct 25, 2023 | F-0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Nov 3, 2023 |
| Oct 25, 2023 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Nov 3, 2023 |
| Oct 25, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Nov 3, 2023 |
| Oct 25, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Nov 3, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.74 (case-mix index 1.46).
| not provided |
| Nov 22, 2011 |
| Willow Delta Trust | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2019 |
| Debra Hartman | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Nov 22, 2011 |
| John Mcafee | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jan 1, 2017 |
| Renee Woods | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jan 1, 2017 |
| Midcap Funding IV Trust | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Aug 21, 2018 |