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Nursing HomeMedicaid Investigative

Rock River Health Care

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

707 West Riverside Boulevard, Rockford, IL 61103130 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
2.9/5

based on 28 Google reviews

5
4
3
2
1
Rock River Health Care Nursing Home in Rockford, IL — Street View
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6/ 10
high Risk

Quality Concerns Identified

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

  • Abuse citation on record
  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (20 vs median 11.0)

Below average in IL · Below recommended RN staffing · Chain outperformer · $72,260 in fines · Abuse citation

Source: Medicare data

What this means for your family

While some families report successful rehabilitation outcomes, the recent surge in reports regarding neglect, hygiene, and medication management is deeply concerning. If you consider this facility, perform an unannounced visit to observe the cleanliness of the hallways and the responsiveness of the staff during non-peak hours.

Google Reviews

Google Reviews

28 reviews on Google
Rock River Health Care receives highly polarized feedback, with some families praising the rehabilitation and nursing staff for successful recoveries, while others report severe concerns regarding neglect and facility maintenance. Recurring complaints highlight issues with cleanliness, responsiveness, and the quality of basic care, suggesting inconsistent standards across the facility.

Quality Themes

Tap a score for details
Food4.0Staff4.0Clean2.0Activities5.0Meds3.0MemoryN/AComms3.0ValueN/A

Strengths

  • Effective rehabilitation and wound care
  • Compassionate individual nursing staff
  • Successful recovery outcomes for some residents

Concerns

  • Neglect of basic care needs (hygiene, hydration, nutrition) (mentioned by 4 reviewers)
  • Facility cleanliness and maintenance issues (mentioned by 4 reviewers)
  • Slow or unresponsive nursing and CNA staff (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'17(3)'19(3)'21(2)'23(1)'25(6)'26(2)

Distribution · 30 analyzed

5
10
4
3
3
1
2
1
1
15

How They Respond to Reviews

18%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given the recent focus on facility maintenance, what specific improvements or cleaning protocols have been implemented to ensure a comfortable living environment for residents?
  • 2I noticed that some families have had concerns regarding assistance with daily hygiene and hydration; could you walk me through your process for monitoring these essential needs for each resident?
  • 3With the current staffing ratings, how do you ensure that residents receive timely responses when they use their call lights or require urgent assistance?
  • 4I see that your team has occasionally engaged with feedback online; how do you utilize family input to improve the quality of care and communication within the facility?
  • 5Since your rehabilitation and wound care services are noted as a strength, how do you integrate that clinical expertise into the daily support provided to long-term residents?
  • 6What does the daily activity schedule look like to ensure residents remain engaged and socially connected throughout the week?

Personalized based on this facility's data


Key Review Excerpts

This nursing home has taken fantastic care of my brother Josh. He was given a hospice diagnosis in Nov 2022 and has been nursed back to health!

Long-term resident's family · 2024★★★★★

Medications were dropped and kicked under the bed, oxygen was also kicked under the bed, and asks for help were ignored (request for water, repositioning, etc.)

Family member · 2025☆☆☆☆

My brother was a resident here, and what I discovered was deeply disturbing. He suffered from severe neglect, including painful bed sores, extreme weight loss, dehydration, and clear signs that his basic care needs were not being met.

Long-term resident's family · 2026☆☆☆☆
Source: 28 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.47hrs
62%
Registered nurses for medical care
Total Nursing
2.65hrs
65%
All nurses + aides combined
Staff Turnover
31%
Lower is better (< 30% = good)
RN Turnover
0%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

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

Medicare Rating
2/ 5
Better Than Avg

12

measures

Worse Than Avg

5

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility86.6%
Worse than Avg
Here
86.6%
US
12.1%
IL
52.5%
Winnebago
13.6%

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

🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.2%
Better than Avg
Here
7.2%
US
15.3%
IL
15.9%
Winnebago
19.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility14.3%
Better than Avg
Here
14.3%
US
19.4%
IL
21.1%
Winnebago
25.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.7%
Better than Avg
Here
99.7%
US
93.4%
IL
90.0%
Winnebago
95.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility24.8%
Worse than Avg
Here
24.8%
US
15.4%
IL
21.8%
Winnebago
18.6%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
IL
91.8%
Winnebago
94.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility53.9%
Worse than Avg
Here
53.9%
US
81.8%
IL
69.0%
Winnebago
88.2%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility61.5%
Worse than Avg
Here
61.5%
US
79.7%
IL
63.1%
Winnebago
81.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
IL
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

17deficiencies
4penalties
Above state avg (12.0)
16 complaint-triggered
$72,260 in fines

Rock River Health Care has faced significant inspection challenges, with families filing multiple complaints about medication management, pressure ulcer care, and safety hazards. While all 100 deficiencies across recent surveys have been corrected, serious concerns persist including abuse protection failures and medication errors, with complaint-triggered issues recurring as recently as 2025 indicating ongoing problems that prompt family concerns.

Mar 24, 2026Complaint
1
0689Immediate jeopardy · 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.

Feb 9, 2026Complaint
2
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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.

Dec 10, 2025Routine
10
0692Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0801Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0805Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Aug 19, 2025Complaint
1
0557Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Jul 28, 2025Complaint
1
0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

Jul 21, 2025Complaint
1
0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Federal Penalties

Fine

Oct 9, 2024

$17,540

Fine

Feb 28, 2024

$12,841

Fine

Sep 13, 2023

$41,879

Payment Denial

Sep 13, 2023

7-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Rock River Health Care

Organization Type

for profit

Chain Affiliation

Chain Name

Saba Healthcare

Chain Size

11 facilities nationwide

Chain avg rating: 1.4/5 · Rank 3 of 11

Ownership & Management

Owners

Smf Healthcare LLC

Owner · Organization

15%

Blonder, Moshe

Owner

13%

Levovitz, Yeruchom

Owner

14%

Singer, Aharon

Owner

13%

Webster, Shimon

Owner

18%

Key personnel

Mb Financial Bank Na5% or Greater Security InterestRock River Health Care Realty LLC5% or Greater Security InterestArreguin, RolandW-2 Managing EmployeeLevovitz, YeruchomManagerWebster, ShimonManager
Source: Medicare provider data

Contact

Get in Touch

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

References & Resources

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.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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