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Nursing HomeMedicaid Investigative

Symphony Northwoods

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

2250 Pearl Street, Belvidere, IL 61008113 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 123 Google reviews

5
4
3
2
1
Symphony Northwoods Nursing Home in Belvidere, IL — Street View
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7/ 10
critical 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 (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (12 vs median 11.0)
  • High staff turnover (64%)

Bottom 25% in IL · Critically understaffed (RN) · Worst in SYMPHONY CARE NETWORK chain · $25,932 in fines · Abuse citation

Source: Medicare data

What this means for your family

While many families report positive experiences with the therapy team, the recent cluster of severe complaints regarding neglect and lack of specialized dementia training is concerning. If you choose this facility, ensure you have a clear, direct line of communication with the nursing supervisor and monitor your loved one's care closely, especially during weekends and off-hours.

Google Reviews

Google Reviews

123 reviews on Google
Symphony Northwoods receives highly polarized feedback, with many families praising the facility for its attentive nursing staff and successful rehabilitation outcomes. However, a significant number of reviewers report critical failures in basic care, including slow call-light response times, poor communication, and instances of neglect. Prospective families should be aware of these inconsistencies and conduct a thorough tour before making a decision.

Quality Themes

Tap a score for details
Food3.0Staff6.0Clean7.0ActivitiesN/AMeds2.0Memory2.0Comms3.0Value2.0

Strengths

  • Attentive and caring nursing staff
  • Effective physical therapy programs
  • Clean and well-maintained facility
  • Proactive communication with families

Concerns

  • Slow or non-existent response to call lights (mentioned by 6 reviewers)
  • Poor communication and difficulty reaching staff by phone (mentioned by 4 reviewers)
  • Inadequate care for dementia and high-needs patients (mentioned by 3 reviewers)
  • Staff attitude and lack of empathy when assisting with hygiene (mentioned by 3 reviewers)
  • Poor food quality and tasteless meals (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(11)'20(2)'22(13)'24(23)'26(8)

Distribution · 125 analyzed

5
86
4
12
3
4
2
1
1
22

How They Respond to Reviews

97%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1Given the current staffing levels, what is your specific protocol for ensuring call lights are answered promptly, especially during evening and weekend shifts?
  • 2I noticed that communication can sometimes be a challenge; what is the best way for our family to reach the nursing team to get timely updates on our loved one's care?
  • 3How does your team provide specialized support for residents with high-needs or memory care requirements to ensure they receive consistent, empathetic attention?
  • 4We see that you engage with some online feedback; how do you use that family input to improve the daily dining experience and meal quality for residents?
  • 5What steps are taken to ensure that staff members maintain a high standard of dignity and patience when assisting residents with personal hygiene and daily routines?
  • 6With 12 recent state violations on record, what specific internal changes or training programs have you implemented to improve your health inspection outcomes and overall quality of care?

Personalized based on this facility's data


Key Review Excerpts

Physical therapy was especially caring and got me back on my feet! Northwoods should be proud of the great people that are employed there.

Rehab patient · 2021★★★★★

When I hit the call button I would be waiting for more than an hour sometimes. Then when I had to be changed I would get an attitude from the workers.

Rehab patient · 2018☆☆☆☆

The staff is always so professional and friendly. It adds a lot to our families peace of mind.

Family member · 2023★★★★★
Source: 123 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.35hrs
47%
Registered nurses for medical care
Total Nursing
2.52hrs
61%
All nurses + aides combined
Staff Turnover
64%
Lower is better (< 30% = good)
RN Turnover
50%
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
3/ 5
Better Than Avg

12

measures

Worse Than Avg

2

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.0%
Better than Avg
Here
1.0%
US
12.1%
IL
52.5%
Boone
16.2%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.8%
Better than Avg
Here
11.8%
US
19.5%
IL
18.3%
Boone
22.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.4%
Better than Avg
Here
7.4%
US
15.3%
IL
15.9%
Boone
14.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility15.6%
Better than Avg
Here
15.6%
US
19.4%
IL
21.1%
Boone
23.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility8.2%
Better than Avg
Here
8.2%
US
14.4%
IL
14.2%
Boone
15.8%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
5.3%
IL
6.6%
Boone
4.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility52.6%
Worse than Avg
Here
52.6%
US
79.8%
IL
63.1%
Boone
73.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility58.4%
Worse than Avg
Here
58.4%
US
81.8%
IL
69.0%
Boone
78.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.9%
Better than Avg
Here
0.9%
US
1.6%
IL
2.4%
Boone
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

18deficiencies
6penalties
Above state avg (12.0)
13 complaint-triggered
$25,932 in fines

Symphony Northwoods shows a concerning pattern with families filing 11 complaints that triggered inspections, revealing recurring issues with accident prevention and safety supervision, resident abuse and neglect protection, and proper treatment and care delivery. While all 63 deficiencies across safety, care quality, and facility infrastructure have been corrected, the repeated complaints about fundamental care areas suggest ongoing challenges families should carefully evaluate before choosing this facility.

Feb 18, 2026Complaint
1
0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Feb 4, 2026Complaint
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.

Jan 7, 2026Routine
11
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.

0887Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

0679Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

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.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

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.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Sep 10, 2025Complaint
3
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Jul 21, 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.

Jun 11, 2025Complaint
1
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.

Federal Penalties

Fine

Jan 7, 2026

$77,855

Payment Denial

Jan 7, 2026

2-day denial

Fine

Sep 10, 2025

$22,165

Fine

Jan 2, 2025

$12,048

Fine

Oct 23, 2024

$14,125

Payment Denial

Jun 3, 2024

3-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Symphony Northwoods

Organization Type

for profit

Chain Affiliation

Chain Name

Symphony Care Network

Chain Size

7 facilities nationwide

Chain avg rating: 1.9/5 · Rank 7 of 7 (Worst)

Ownership & Management

Owners

Symphony Healthcare LLC

Owner · Organization

100%

Symag Holdings LLC

Owner (parent company) · Organization

Symphony Ml LLC

Owner (parent company) · Organization

Symphony Monarch Holdings, LLC

Owner (parent company) · Organization

Willow Delta Trust

Owner (parent company) · Organization

Hartman, Debra

Owner (parent company)

Key personnel

Midcap Funding IV Trust5% or Greater Security InterestJessen, CarrieW-2 Managing Employee
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 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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