RIVER BLUFF NURSING HOME

πŸ“ 4401 NORTH MAIN STREET, rockford, IL 61103 πŸ“ž 8159219200 πŸ›οΈ 304 beds

Overall Rating

⭐
1/5

Health Inspection

⭐
1/5

Staffing

⭐⭐⭐⭐
4/5

Quality Measures

⭐
1/5

Inspection History Overview

112
Total Violations
8 years of data
$75,711
Total Fines
10 penalties
17
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2024 9 violations

Tag 0585 D Jun 20, 2024

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

βœ“ Corrected: Jul 2, 2024
Tag 0689 G May 14, 2024

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

βœ“ Corrected: May 31, 2024
Tag 0776 D May 14, 2024

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

βœ“ Corrected: May 31, 2024
Tag 0686 G Mar 7, 2024

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

βœ“ Corrected: Mar 29, 2024
Tag 0689 E Mar 7, 2024

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

βœ“ Corrected: Mar 29, 2024
Tag 0692 G Mar 7, 2024

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

βœ“ Corrected: Mar 29, 2024
Tag 0695 D Mar 7, 2024

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

βœ“ Corrected: Mar 29, 2024
Tag 0761 E Mar 7, 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: Mar 29, 2024
Tag 0880 D Mar 7, 2024

Provide and implement an infection prevention and control program.

βœ“ Corrected: Mar 29, 2024

2023 13 violations

Tag 0686 D Oct 16, 2023

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

βœ“ Corrected: Nov 6, 2023
Tag 0584 D Jun 8, 2023

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: Jun 22, 2023
Tag 0604 D Apr 27, 2023

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

βœ“ Corrected: May 22, 2023
Tag 0676 D Apr 27, 2023

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

βœ“ Corrected: May 22, 2023
Tag 0677 D Apr 27, 2023

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

βœ“ Corrected: May 22, 2023
Tag 0686 D Apr 27, 2023

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

βœ“ Corrected: May 22, 2023
Tag 0689 E Apr 27, 2023

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

βœ“ Corrected: May 22, 2023
Tag 0755 D Apr 27, 2023

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

βœ“ Corrected: May 22, 2023
Tag 0812 E Apr 27, 2023

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

βœ“ Corrected: May 22, 2023
Tag 0880 D Apr 27, 2023

Provide and implement an infection prevention and control program.

βœ“ Corrected: May 22, 2023
Tag 0886 F Apr 27, 2023

Perform COVID19 testing on residents and staff.

βœ“ Corrected: May 22, 2023
Tag 0888 C Apr 27, 2023

Ensure staff are vaccinated for COVID-19

βœ“ Corrected: May 22, 2023
Tag 0760 D Jan 17, 2023

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Feb 2, 2023

2022 14 violations

Tag 0684 G Nov 22, 2022

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

βœ“ Corrected: Dec 14, 2022
Tag 0689 G Sep 26, 2022

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

βœ“ Corrected: Oct 14, 2022
Tag 0677 D May 18, 2022

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

βœ“ Corrected: Jun 8, 2022
Tag 0684 D May 18, 2022

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

βœ“ Corrected: Jun 8, 2022
Tag 0689 G May 18, 2022

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

βœ“ Corrected: Jun 8, 2022
Tag 0692 D May 18, 2022

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

βœ“ Corrected: Jun 8, 2022
Tag 0758 D May 18, 2022

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Jun 8, 2022
Tag 0803 D May 18, 2022

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: Jun 8, 2022
Tag 0880 E May 18, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jun 8, 2022
Tag 0744 D Apr 22, 2022

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

βœ“ Corrected: May 10, 2022
Tag 0677 D Mar 1, 2022

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

βœ“ Corrected: Mar 17, 2022
Tag 0552 D Feb 15, 2022

Ensure that residents are fully informed and understand their health status, care and treatments.

βœ“ Corrected: Feb 28, 2022
Tag 0686 D Feb 15, 2022

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

βœ“ Corrected: Feb 28, 2022
Tag 0689 D Feb 15, 2022

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

βœ“ Corrected: Feb 28, 2022

2021 13 violations

Tag 0880 F Sep 30, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Oct 14, 2021
Tag 0583 D Jul 22, 2021

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Aug 4, 2021
Tag 0609 D Jul 22, 2021

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

βœ“ Corrected: Aug 4, 2021
Tag 0684 E Jul 22, 2021

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

βœ“ Corrected: Aug 4, 2021
Tag 0686 D Jul 22, 2021

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

βœ“ Corrected: Aug 4, 2021
Tag 0689 D Jul 22, 2021

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

βœ“ Corrected: Aug 4, 2021
Tag 0690 D Jul 22, 2021

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: Aug 4, 2021
Tag 0692 D Jul 22, 2021

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

βœ“ Corrected: Aug 4, 2021
Tag 0755 D Jul 22, 2021

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

βœ“ Corrected: Aug 4, 2021
Tag 0759 D Jul 22, 2021

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Aug 4, 2021
Tag 0812 E Jul 22, 2021

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

βœ“ Corrected: Aug 4, 2021
Tag 0689 D Feb 18, 2021

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

βœ“ Corrected: Mar 11, 2021
Tag 0578 D Jan 19, 2021

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: Jan 19, 2021

2020 10 violations

Tag 0551 D Aug 27, 2020

Give the resident's representative the ability to exercise the resident's rights.

βœ“ Corrected: Sep 24, 2020
Tag 0689 G Aug 27, 2020

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

βœ“ Corrected: Sep 24, 2020
Tag 0558 D Mar 12, 2020

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Apr 10, 2020
Tag 0677 E Mar 12, 2020

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

βœ“ Corrected: Apr 10, 2020
Tag 0686 D Mar 12, 2020

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

βœ“ Corrected: Apr 10, 2020
Tag 0689 E Mar 12, 2020

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

βœ“ Corrected: Apr 10, 2020
Tag 0692 D Mar 12, 2020

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

βœ“ Corrected: Apr 10, 2020
Tag 0758 E Mar 12, 2020

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Apr 10, 2020
Tag 0880 F Mar 12, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Apr 10, 2020
Tag 0883 C Mar 12, 2020

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

βœ“ Corrected: Apr 10, 2020

2019 11 violations

Tag 0600 D Nov 26, 2019

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

βœ“ Corrected: Dec 11, 2019
Tag 0808 D Nov 14, 2019

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: Nov 29, 2019
Tag 0805 D May 23, 2019

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

βœ“ Corrected: Jun 10, 2019
Tag 0805 J May 17, 2019

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

βœ“ Corrected: May 17, 2019
Tag 0725 D Apr 9, 2019

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: May 1, 2019
Tag 0689 D Mar 26, 2019

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

βœ“ Corrected: Apr 2, 2019
Tag 0677 D Feb 21, 2019

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

βœ“ Corrected: Apr 8, 2019
Tag 0686 D Feb 21, 2019

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

βœ“ Corrected: Apr 8, 2019
Tag 0690 D Feb 21, 2019

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: Apr 8, 2019
Tag 0693 D Feb 21, 2019

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: Apr 8, 2019
Tag 0812 F Feb 21, 2019

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

βœ“ Corrected: Apr 8, 2019

2018 20 violations

Tag 0658 D Sep 25, 2018

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Oct 11, 2018
Tag 0689 D Sep 25, 2018

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

βœ“ Corrected: Oct 11, 2018
Tag 0580 D Jun 19, 2018

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

βœ“ Corrected: Jul 2, 2018
Tag 0580 D May 22, 2018

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

βœ“ Corrected: Jun 8, 2018
Tag 0689 D May 22, 2018

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

βœ“ Corrected: Jun 8, 2018
Tag 0686 D May 3, 2018

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

βœ“ Corrected: May 24, 2018
Tag 0689 D Mar 30, 2018

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

βœ“ Corrected: Apr 27, 2018
Tag 0725 F Mar 30, 2018

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Apr 27, 2018
Tag 0641 D Mar 9, 2018

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Apr 8, 2018
Tag 0658 D Mar 9, 2018

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Apr 8, 2018
Tag 0686 E Mar 9, 2018

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

βœ“ Corrected: Apr 8, 2018
Tag 0689 D Mar 9, 2018

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

βœ“ Corrected: Apr 8, 2018
Tag 0690 D Mar 9, 2018

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: Apr 8, 2018
Tag 0725 F Mar 9, 2018

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Apr 8, 2018
Tag 0756 D Mar 9, 2018

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Apr 8, 2018
Tag 0812 F Mar 9, 2018

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

βœ“ Corrected: Apr 8, 2018
Tag 0880 E Mar 9, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Apr 8, 2018
Tag 0677 D Feb 20, 2018

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

βœ“ Corrected: Mar 9, 2018
Tag 0679 D Feb 20, 2018

Provide activities to meet all resident's needs.

βœ“ Corrected: Mar 9, 2018
Tag 0688 D Feb 20, 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: Mar 9, 2018

2017 22 violations

Tag 0164 D Sep 29, 2017

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Oct 20, 2017
Tag 0312 D Sep 29, 2017

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

βœ“ Corrected: Oct 20, 2017
Tag 0441 D Sep 29, 2017

Have a program that investigates, controls and keeps infection from spreading.

βœ“ Corrected: Oct 20, 2017
Tag 0225 D Aug 3, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

βœ“ Corrected: Sep 2, 2017
Tag 0226 D Aug 3, 2017

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

βœ“ Corrected: Sep 2, 2017
Tag 0312 E Aug 3, 2017

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

βœ“ Corrected: Sep 2, 2017
Tag 0353 F Aug 3, 2017

Have enough nurses to care for every resident in a way that maximizes the resident's well being.

βœ“ Corrected: Sep 2, 2017
Tag 0312 D Jul 5, 2017

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

βœ“ Corrected: Jul 28, 2017
Tag 0353 E Jul 5, 2017

Have enough nurses to care for every resident in a way that maximizes the resident's well being.

βœ“ Corrected: Jul 28, 2017
Tag 0223 D Jun 13, 2017

Protect each resident from all abuse, physical punishment, and involuntary separation from others.

βœ“ Corrected: Jul 10, 2017
Tag 0223 D May 16, 2017

Protect each resident from all abuse, physical punishment, and involuntary separation from others.

βœ“ Corrected: Jun 2, 2017
Tag 0225 D May 16, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

βœ“ Corrected: Jun 2, 2017
Tag 0226 D May 16, 2017

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

βœ“ Corrected: Jun 2, 2017
Tag 0225 D Apr 5, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

βœ“ Corrected: May 4, 2017
Tag 0226 D Apr 5, 2017

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

βœ“ Corrected: May 4, 2017
Tag 0312 D Apr 5, 2017

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

βœ“ Corrected: May 4, 2017
Tag 0314 D Apr 5, 2017

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

βœ“ Corrected: May 4, 2017
Tag 0315 D Apr 5, 2017

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

βœ“ Corrected: May 4, 2017
Tag 0323 D Apr 5, 2017

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

βœ“ Corrected: May 4, 2017
Tag 0325 D Apr 5, 2017

Ensure residents maintain acceptable nutritional status.

βœ“ Corrected: May 4, 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

2022 7 penalties totaling $74,073

$33,660
Fine
November 22, 2022
$18,150
Fine
September 26, 2022
$15,000
Fine
May 18, 2022
$2,302
Fine
February 28, 2022
$1,988
Fine
February 21, 2022
$1,657
Fine
January 24, 2022
$1,316
Fine
January 17, 2022
Average: $10,582 | Range: $1,316 - $33,660

2021 1 penalties totaling $983

$983
Fine
July 26, 2021
Average: $983 | Range: $983 - $983

2020 1 penalties totaling $655

$655
Fine
September 7, 2020
Average: $655 | Range: $655 - $655

2018 1 penalties totaling $0

$0
Payment Denial
February 20, 2018
Average: $0 | Range: $0 - $0

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

June 20, 2024
0.00

Health

May 14, 2024
0.00

Health

March 7, 2024
0.00

Health

October 16, 2023
0.00

Health

June 8, 2023
0.00

Health

April 27, 2023
0.00

Health

January 17, 2023
0.00

Health

November 22, 2022
0.00

Health

September 26, 2022
0.00

Health

May 18, 2022
0.00

Health

April 22, 2022
0.00

Health

March 1, 2022
0.00

Health

February 15, 2022
0.00

Health

September 30, 2021
0.00

Health

July 22, 2021
0.00

Health

February 18, 2021
0.00

Health

January 19, 2021
0.00

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Ownership Information

Government - County
Independent (Not part of a chain)
145771
145771
8159219200
Winnebago

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Individual
August 25, 2025
Individual