Nursing HomeMedicaid Investigative

River Bluff Nursing Home

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

4401 North Main Street, Rockford, IL 61103|304 beds|Licensed & Active

2/5

Medicare

Inspection

Quality

Staffing

Google rating

4.0/5

based on 1 Google review

(815) 921-9200 Directions

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0/ 10

none Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Above average in IL · Meets national RN staffing standard · Above recommended total nurse staffing · $10,199 in fines

Source: Medicare data

What this means for your family

This facility has areas of concern that warrant careful consideration. The facility has 11 deficiencies, which is above the state average. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.81hrs

Registered nurses for medical care

Total Nursing

4.35hrs

All nurses + aides combined

Staff Turnover

41%

Lower is better (< 30% = good)

RN Turnover

28%

Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

1/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

😔

Residents with depression symptoms

↓ Lower is better

This Facility5.4%

Better than Avg

Here

5.4%

12.1%

52.5%

Winnebago

16.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility28.2%

Worse than Avg

Here

28.2%

15.4%

21.8%

Winnebago

18.5%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility99.6%

Better than Avg

Here

99.6%

93.4%

90.0%

Winnebago

95.4%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility28.7%

Worse than Avg

Here

28.7%

19.4%

21.1%

Winnebago

24.8%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility23.5%

Worse than Avg

Here

23.5%

14.4%

14.2%

Winnebago

16.2%

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility10.3%

Better than Avg

Here

10.3%

19.5%

18.3%

Winnebago

19.1%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility95.7%

Better than Avg

Here

95.7%

79.7%

63.1%

Winnebago

80.2%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility96.2%

Better than Avg

Here

96.2%

81.8%

69.0%

Winnebago

86.9%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility1.4%

Better than Avg

Here

1.4%

1.6%

2.4%

Winnebago

1.4%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

11deficiencies

2penalties

Near state avg (12.0)

12 complaint-triggered

$10,199 in fines

River Bluff Nursing Home shows concerning patterns with 9 complaint-triggered deficiencies, indicating families have filed reports about care issues. Recurring problems include accident prevention and safety hazards, pressure ulcer care, and infection control measures. While the facility corrects deficiencies when cited, the same safety and wound care issues persist across multiple surveys, suggesting ongoing challenges in maintaining consistent care standards.

Feb 5, 2026Complaint3 findings

0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0776Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Jul 17, 2025Complaint1 finding

0925Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Apr 10, 2025Routine13 findings

0032Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide primary/alternate means for communication.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0915Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper power supply for life support equipment.

0223Potential for harm · PatternCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0311Potential for harm · PatternCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Dec 23, 2024Complaint1 finding

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Nov 13, 2024Complaint1 finding

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Jun 20, 2024Complaint1 finding

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Federal Penalties

Fine

May 14, 2024

$10,199

Payment Denial

Mar 7, 2024

21-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

River Bluff Nursing Home

Organization Type

for profit

Ownership & Management

Key personnel

Lofgren, MarkW-2 Managing EmployeeLofgren, MarkOfficer / DirectorMcdiarmid, PatriciaOfficer / DirectorCounty of WinnebagoManager

Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

(815) 921-9200

4401 North Main Street

Rockford, IL 61103

Get Directions View on Google Maps

References & Resources

Medicare Care Compare

Official Medicare quality ratings, inspections & staffing data

Google Maps

Photos, directions & neighborhood info

Google Reviews

1 reviews from families & visitors

Medicare data downloads

Original nursing home datasets

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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