STEPHENSON NURSING CENTER

πŸ“ 2946 SOUTH WALNUT ROAD, freeport, IL 61032 πŸ“ž 8152356173 πŸ›οΈ 148 beds

Overall Rating

⭐
1/5

Health Inspection

⭐
1/5

Staffing

⭐⭐⭐⭐
4/5

Quality Measures

⭐
1/5

Inspection History Overview

106
Total Violations
9 years of data
$218,205
Total Fines
13 penalties
13
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 14 violations

Tag 0689 G May 27, 2025

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

βœ“ Corrected: Jun 2, 2025
Tag 0755 D Apr 3, 2025

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

βœ“ Corrected: Apr 11, 2025
Tag 0602 D Feb 4, 2025

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

βœ“ Corrected: Feb 28, 2025
Tag 0604 E Feb 4, 2025

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

βœ“ Corrected: Mar 7, 2025
Tag 0607 D Feb 4, 2025

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

βœ“ Corrected: Feb 28, 2025
Tag 0609 D Feb 4, 2025

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

βœ“ Corrected: Feb 28, 2025
Tag 0677 D Feb 4, 2025

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

βœ“ Corrected: Feb 28, 2025
Tag 0684 D Feb 4, 2025

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

βœ“ Corrected: Feb 28, 2025
Tag 0686 D Feb 4, 2025

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

βœ“ Corrected: Feb 28, 2025
Tag 0690 D Feb 4, 2025

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

βœ“ Corrected: Feb 28, 2025
Tag 0697 G Feb 4, 2025

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

βœ“ Corrected: Feb 28, 2025
Tag 0803 D Feb 4, 2025

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.

βœ“ Corrected: Feb 7, 2025
Tag 0812 F Feb 4, 2025

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

βœ“ Corrected: Feb 7, 2025
Tag 0947 F Feb 4, 2025

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

βœ“ Corrected: Feb 28, 2025

2024 15 violations

Tag 0609 D Jul 2, 2024

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

βœ“ Corrected: Jul 19, 2024
Tag 0689 D Jul 2, 2024

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

βœ“ Corrected: Jul 19, 2024
Tag 0609 D Apr 30, 2024

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

βœ“ Corrected: May 13, 2024
Tag 0610 D Apr 30, 2024

Respond appropriately to all alleged violations.

βœ“ Corrected: May 13, 2024
Tag 0583 D Jan 18, 2024

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Feb 10, 2024
Tag 0684 D Jan 18, 2024

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

βœ“ Corrected: Feb 10, 2024
Tag 0686 D Jan 18, 2024

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

βœ“ Corrected: Feb 10, 2024
Tag 0761 E Jan 18, 2024

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.

βœ“ Corrected: Feb 10, 2024
Tag 0803 E Jan 18, 2024

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.

βœ“ Corrected: Feb 10, 2024
Tag 0812 F Jan 18, 2024

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

βœ“ Corrected: Feb 10, 2024
Tag 0880 F Jan 18, 2024

Provide and implement an infection prevention and control program.

βœ“ Corrected: Feb 10, 2024
Tag 0580 D Jan 9, 2024

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

βœ“ Corrected: Jan 21, 2024
Tag 0609 D Jan 9, 2024

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

βœ“ Corrected: Jan 21, 2024
Tag 0610 D Jan 9, 2024

Respond appropriately to all alleged violations.

βœ“ Corrected: Jan 21, 2024
Tag 0689 D Jan 9, 2024

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

βœ“ Corrected: Jan 21, 2024

2023 3 violations

Tag 0760 D Dec 12, 2023

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Dec 19, 2023
Tag 0689 G Jan 23, 2023

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

βœ“ Corrected: Feb 8, 2023
Tag 0744 G Jan 23, 2023

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

βœ“ Corrected: Feb 8, 2023

2022 20 violations

Tag 0580 D Dec 22, 2022

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

βœ“ Corrected: Dec 31, 2022
Tag 0689 D Dec 22, 2022

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

βœ“ Corrected: Jan 1, 2023
Tag 0578 D Dec 8, 2022

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

βœ“ Corrected: Dec 31, 2022
Tag 0686 D Dec 8, 2022

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

βœ“ Corrected: Dec 31, 2022
Tag 0755 D Dec 8, 2022

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

βœ“ Corrected: Dec 31, 2022
Tag 0761 E Dec 8, 2022

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.

βœ“ Corrected: Dec 31, 2022
Tag 0880 D Dec 8, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Dec 31, 2022
Tag 0584 E Apr 7, 2022

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.

βœ“ Corrected: Apr 8, 2022
Tag 0561 E Mar 3, 2022

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

βœ“ Corrected: Mar 23, 2022
Tag 0684 D Mar 3, 2022

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

βœ“ Corrected: Mar 23, 2022
Tag 0686 D Mar 3, 2022

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

βœ“ Corrected: Mar 23, 2022
Tag 0689 G Mar 3, 2022

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

βœ“ Corrected: Mar 23, 2022
Tag 0695 D Mar 3, 2022

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Mar 23, 2022
Tag 0759 D Mar 3, 2022

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Mar 23, 2022
Tag 0761 D Mar 3, 2022

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.

βœ“ Corrected: Mar 23, 2022
Tag 0808 E Mar 3, 2022

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

βœ“ Corrected: Mar 23, 2022
Tag 0812 F Mar 3, 2022

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

βœ“ Corrected: Mar 23, 2022
Tag 0880 D Mar 3, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Mar 23, 2022
Tag 0888 F Mar 3, 2022

Ensure staff are vaccinated for COVID-19

βœ“ Corrected: Apr 1, 2022
Tag 0880 F Jan 31, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Feb 21, 2022

2021 6 violations

Tag 0600 D Sep 30, 2021

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

βœ“ Corrected: Oct 15, 2021
Tag 0609 D Sep 30, 2021

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

βœ“ Corrected: Oct 15, 2021
Tag 0755 D May 12, 2021

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

βœ“ Corrected: May 27, 2021
Tag 0761 D May 12, 2021

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.

βœ“ Corrected: May 27, 2021
Tag 0812 F May 12, 2021

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

βœ“ Corrected: May 27, 2021
Tag 0880 L May 12, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jun 8, 2021

2020 8 violations

Tag 0689 D Dec 22, 2020

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

βœ“ Corrected: Jan 8, 2021
Tag 0580 D Dec 1, 2020

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

βœ“ Corrected: Dec 17, 2020
Tag 0686 D Dec 1, 2020

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

βœ“ Corrected: Dec 17, 2020
Tag 0686 G Oct 26, 2020

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

βœ“ Corrected: Dec 17, 2020
Tag 0692 D Oct 26, 2020

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

βœ“ Corrected: Dec 1, 2020
Tag 0880 L Oct 26, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Dec 1, 2020
Tag 0689 D Sep 24, 2020

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

βœ“ Corrected: Dec 1, 2020
Tag 0744 D Mar 11, 2020

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

βœ“ Corrected: Apr 3, 2020

2019 16 violations

Tag 0600 D Nov 8, 2019

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

βœ“ Corrected: Nov 26, 2019
Tag 0609 D Nov 8, 2019

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

βœ“ Corrected: Nov 26, 2019
Tag 0610 D Nov 8, 2019

Respond appropriately to all alleged violations.

βœ“ Corrected: Nov 26, 2019
Tag 0744 D Nov 8, 2019

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

βœ“ Corrected: Nov 26, 2019
Tag 0755 D Nov 8, 2019

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

βœ“ Corrected: Nov 26, 2019
Tag 0761 E Nov 8, 2019

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.

βœ“ Corrected: Nov 26, 2019
Tag 0812 F Nov 8, 2019

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

βœ“ Corrected: Nov 26, 2019
Tag 0865 F Nov 8, 2019

Have a plan that describes the process for conducting QAPI and QAA activities.

βœ“ Corrected: Nov 26, 2019
Tag 0880 F Nov 8, 2019

Provide and implement an infection prevention and control program.

βœ“ Corrected: Nov 26, 2019
Tag 0881 F Nov 8, 2019

Implement a program that monitors antibiotic use.

βœ“ Corrected: Nov 26, 2019
Tag 0600 J Apr 25, 2019

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

βœ“ Corrected: May 1, 2019
Tag 0608 D Apr 25, 2019

Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.

βœ“ Corrected: May 7, 2019
Tag 0609 D Apr 25, 2019

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

βœ“ Corrected: May 13, 2019
Tag 0610 J Apr 25, 2019

Respond appropriately to all alleged violations.

βœ“ Corrected: May 13, 2019
Tag 0835 L Apr 25, 2019

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

βœ“ Corrected: May 13, 2019
Tag 0686 D Feb 6, 2019

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

βœ“ Corrected: Feb 26, 2019

2018 23 violations

Tag 0656 D Dec 14, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Jan 9, 2019
Tag 0686 D Dec 14, 2018

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

βœ“ Corrected: Jan 7, 2019
Tag 0688 D Dec 14, 2018

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.

βœ“ Corrected: Dec 28, 2018
Tag 0689 G Dec 14, 2018

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

βœ“ Corrected: Jan 8, 2019
Tag 0744 G Dec 14, 2018

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

βœ“ Corrected: Jan 8, 2019
Tag 0812 E Dec 14, 2018

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

βœ“ Corrected: Jan 8, 2019
Tag 0838 C Dec 14, 2018

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

βœ“ Corrected: Jan 11, 2019
Tag 0880 D Dec 14, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Dec 19, 2018
Tag 0607 D May 9, 2018

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

βœ“ Corrected: May 25, 2018
Tag 0610 D May 9, 2018

Respond appropriately to all alleged violations.

βœ“ Corrected: May 25, 2018
Tag 0687 E May 9, 2018

Provide appropriate foot care.

βœ“ Corrected: May 25, 2018
Tag 0880 E May 9, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: May 25, 2018
Tag 0677 D Jan 31, 2018

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

βœ“ Corrected: Feb 20, 2018
Tag 0686 D Jan 31, 2018

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

βœ“ Corrected: Feb 20, 2018
Tag 0689 D Jan 31, 2018

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

βœ“ Corrected: Feb 20, 2018
Tag 0693 D Jan 31, 2018

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.

βœ“ Corrected: Feb 20, 2018
Tag 0695 D Jan 31, 2018

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Feb 20, 2018
Tag 0755 D Jan 31, 2018

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

βœ“ Corrected: Feb 20, 2018
Tag 0759 D Jan 31, 2018

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Feb 20, 2018
Tag 0761 E Jan 31, 2018

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.

βœ“ Corrected: Feb 20, 2018

2017 1 violations

Tag 0312 D Nov 21, 2017

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

βœ“ Corrected: Dec 8, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2023 1 penalties totaling $0

$0
Payment Denial
January 12, 2023
Average: $0 | Range: $0 - $0

2022 5 penalties totaling $44,750

$15,000
Fine
December 8, 2022
$15,000
Fine
March 3, 2022
$9,750
Fine
March 3, 2022
$0
Payment Denial
March 3, 2022
$20,000
Fine
January 31, 2022
Average: $11,188 | Range: $0 - $20,000

2021 4 penalties totaling $19,029

$1,310
Fine
July 5, 2021
$16,094
Fine
May 12, 2021
$975
Fine
March 29, 2021
$650
Fine
March 22, 2021
Average: $4,757 | Range: $650 - $16,094

2020 2 penalties totaling $135,000

$135,000
Fine
September 24, 2020
$0
Payment Denial
September 24, 2020
Average: $67,500 | Range: $0 - $135,000

2019 1 penalties totaling $19,426

$19,426
Fine
April 25, 2019
Average: $19,426 | Range: $19,426 - $19,426

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

July 2, 2024
0.00

Health

April 30, 2024
0.00

Health

January 18, 2024
0.00

Health

January 9, 2024
0.00

Health

December 12, 2023
0.00

Health

January 23, 2023
0.00

Health

December 22, 2022
0.00

Health

December 8, 2022
0.00

Health

April 7, 2022
0.00

Health

March 3, 2022
0.00

Health

January 31, 2022
0.00

Health

September 30, 2021
0.00

Health

May 12, 2021
0.00

Quality Measures

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Short Stay

Ownership Information

Government - County
Independent (Not part of a chain)
145895
145895
8152356173
Stephenson

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Individual