Rock River Health Care
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 28 Google reviews
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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
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 detailsStrengths
- 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
Distribution · 30 analyzed
How They Respond to Reviews
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!”
“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.)”
“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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
12
measures
5
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2026Complaint1
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, 2026Complaint2
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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, 2025Routine10
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
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, 2025Complaint1
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Jul 28, 2025Complaint1
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, 2025Complaint1
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
Rock River Health Care
for profit
Chain Affiliation
Saba Healthcare
11 facilities nationwide
Chain avg rating: 1.4/5 · Rank 3 of 11
Ownership & Management
Owners
Smf Healthcare LLC
Owner · Organization
Blonder, Moshe
Owner
Levovitz, Yeruchom
Owner
Singer, Aharon
Owner
Webster, Shimon
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
28 reviews from families & visitors
Official Website
Visit rockriverhc.com
Medicare data downloads
Original nursing home datasets
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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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Alpine Fireside Health Center
2.1 miNursing Home · Rockford, IL