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Nursing HomeMedicaid Investigative

Stephenson Nursing Center

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

2946 South Walnut Road, Freeport, IL 61032148 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Stephenson Nursing Center Nursing Home in Freeport, IL — Street View
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1/ 10
low Risk

Quality Concerns Identified

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

  • Above-median deficiencies (15 vs median 11.0)

Above average in IL · Meets national RN staffing standard · Above recommended total nurse staffing

Source: Medicare data

What this means for your family

This facility has areas of concern that warrant careful consideration. The facility has 14 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
0.87hrs
OK
Registered nurses for medical care
Total Nursing
3.38hrs
83%
All nurses + aides combined

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

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

Medicare Rating
3/ 5
Better Than Avg

9

measures

Worse Than Avg

7

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility4.2%
Better than Avg
Here
4.2%
US
12.1%
IL
52.5%
Stephenson
26.6%

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 Facility36.3%
Worse than Avg
Here
36.3%
US
15.5%
IL
21.8%
Stephenson
17.2%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
IL
91.8%
Stephenson
82.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.4%
Better than Avg
Here
99.4%
US
93.4%
IL
90.0%
Stephenson
90.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility22.8%
Worse than Avg
Here
22.8%
US
15.3%
IL
15.9%
Stephenson
17.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility13.8%
Better than Avg
Here
13.8%
US
19.4%
IL
21.1%
Stephenson
19.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility86.7%
Better than Avg
Here
86.7%
US
79.8%
IL
63.1%
Stephenson
49.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility89.9%
Better than Avg
Here
89.9%
US
81.8%
IL
69.0%
Stephenson
56.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.0%
Mixed vs Avgs
Here
2.0%
US
1.6%
IL
2.4%
Stephenson
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies
1penalties
Above state avg (12.0)
16 complaint-triggered

Stephenson Nursing Center has a concerning pattern of repeated complaints from families, with 15 complaint-triggered deficiencies across recent surveys. The facility shows persistent problems in abuse/neglect reporting and prevention, accident prevention and safety, and medication management. While all deficiencies appear to have correction dates, the recurring nature of issues like failure to properly investigate and report suspected incidents suggests systemic challenges that may not be fully resolved.

Mar 17, 2026Complaint
1
0689Actual harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

Jun 4, 2025Complaint
1
0628Actual harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

May 27, 2025Complaint
1
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.

Apr 3, 2025Complaint
1
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.

Feb 4, 2025Complaint
3
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.

0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Feb 4, 2025Routine
18
0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

0947Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0013Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop Emergency Preparedness policies and procedures.

0026Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0604Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0222Potential for harm · PatternCorrected

Egress Deficiencies

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.

0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

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.

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.

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.

0803Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Federal Penalties

Payment Denial

Feb 4, 2025

114-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Stephenson Nursing Center

Organization Type

government

Ownership & Management

Owners

County of Stephenson

Owner · Organization

100%

Key personnel

Mcglynn, SuzanneW-2 Managing Employee
Source: Medicare provider data

Contact

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References & Resources

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Safer Alternatives Nearby

Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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