River Bluff Nursing Home
River Bluff Nursing Home
3.6 (76 reviews)
Skilled Nursing Facility • 304 Licensed Beds
4401 North Main Street, Rockford, IL
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
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River Bluff Nursing Home

Skilled Nursing Facility • 304 Licensed Beds
4401 North Main Street,
Rockford, IL
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
About

River Bluff Nursing Home – Medicare Certified Since 1993

River Bluff Serving the community since 1883, River Bluff proudly provides a continuum of intermediate and skilled nursing services including short-term rehabilitation stays, Alzheimer’s and dementia care, long term intermediate care and palliative and hospice care. River Bluff does this by following the nationally recognized Person-Centered Care philosophy, creating an environment that promotes dignity, choice, independence and purpose for each resident. We have a high standard of care that includes low resident to staff ratios, consistent staffing and ongoing staff education. Our facility is Medicare and Medicaid certified and serves all counties residents regardless of their payer source. We put no limit on the number of residents who are receiving Medicaid or public aid assistance. River Bluff is a community committed to a holistic culture of dignity, respect, and choice for all. Our Philosophy Our community seeks to be a place where quality of care and quality of life are inseparable. Where all are empowered to thrive and everyone feels at home. Our team strives to celebrate the spirit of each individual by affirming their strengths and uniqueness, while honoring their preferences and values.
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Local Comparison Snapshot

How River Bluff Nursing Home compares to 19 facilities in Rockford, IL

Click a measure name to jump to details • Hover over for definitions

Measure
This Facility
Area Avg
Comparison
Overall Rating
Medicare 5-star rating
3
2.5
Quality Measures
Clinical outcomes & safety
1
2.5
Health Inspections
State survey results
4
2.9
Staffing
Nurse-to-resident ratio
4
2
Staffing Hours (per resident/day)
RN Hours
Registered nurses
0.79 hrs
0.64 hrs
LPN/LVN Hours
Licensed practical nurses
0.96 hrs
0.65 hrs
CNA Hours
Certified nursing assistants
2.85 hrs
2.05 hrs
Total Nursing Hours
CNA + LPN + RN combined
4.60 hrs
3.34 hrs
Agency/Contractor Usage
Lower agency use often indicates more stable, consistent care
RN Agency Use
% of RN hours from contractors
11.7 %
11.2 %
LPN/LVN Agency Use
% of LPN hours from contractors
14.4 %
10.1 %
CNA Agency Use
% of CNA hours from contractors
21.4 %
12.3 %
Staff Stability & Occupancy
Staff Turnover
Annual nursing staff turnover
50 %
37 %
Occupancy Rate
Percentage of beds filled
48 %
67 %
Financial Estimate
Based on CMS Cost Report data (for reference only)
Est. Daily Rate
Average cost per day
$302
$349
Estimate Only: This figure is calculated from cost reports and is for informational purposes only. Actual rates vary significantly. See details or contact the facility.
Better than Area
Near Average
Below Area Average

Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 19 facilities in Rockford, IL.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.

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Medicare Star Ratings

Official CMS ratings based on health inspections, staffing, and quality measures

Data as of December 2025

What do Medicare star ratings measure?
Medicare rates nursing homes on a 1-5 star scale based on three key areas: health inspection results, staffing levels, and quality measures like falls and infections.
How often are ratings updated?
CMS updates nursing home ratings monthly. Ratings can change based on new inspection results, staffing data from payroll records, and clinical quality outcomes.
Overall Rating
3/5
Quality Measures
1/5
Health Inspections
4/5
Staffing
4/5

Star Ratings History

Quarterly performance from 2013-2026

View on Medicare.gov
Overall
Health Inspections
Quality
Staffing
Source: Centers for Medicare & Medicaid Services

How Does This Facility Compare?

Compared to 19 other nursing homes in Rockford, IL

Why compare to local facilities?
Local comparisons account for regional staffing markets and demographics. A facility performing above local averages often indicates strong management and quality care relative to area standards.
River Bluff Nursing Home
Rockford, IL Average

Based on CMS Medicare star ratings. Higher ratings indicate better performance.

Staffing Hours per Resident Day

River Bluff Nursing Home
Rockford, IL Average

Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.

Staff Turnover Rate

River Bluff Nursing Home
Rockford, IL Average

Lower turnover rates generally indicate a more stable workforce and better continuity of care.

Agency/Contract Staff Usage

River Bluff Nursing Home
Rockford, IL Average

Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.

Agency Staff Trends

Historical agency/contract staff usage by role

What does agency usage indicate?
Agency/contract staff fill temporary staffing gaps. Lower percentages typically indicate a stable, permanent workforce. Facilities with consistently high agency usage (>30%) may face staff retention challenges, though temporary spikes can occur during seasonal illness or transitions.
CNA
LPN
RN

Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.

Direct Care Staffing

Average minutes of direct nursing care per resident per day

Data as of December 2025

Understanding staffing levels: Higher staffing is associated with better quality outcomes. Research suggests around 4.1 hours of total nursing care per resident per day as a quality benchmark. Compare this facility's staffing to local averages to assess relative care levels.
171
minutes/day
CNAs
Certified Nursing Assistants
57
minutes/day
LPNs
Licensed Practical Nurses
48
minutes/day
RNs
Registered Nurses
2
minutes/day
PTs
Physical Therapists

Staffing Trends

Direct care minutes per resident per day

CNAs
LPNs
RNs
PTs
Source: Centers for Medicare & Medicaid Services

Occupancy Rate History

Average daily residents as a percentage of certified beds

Understanding occupancy: Higher occupancy can indicate strong community reputation and demand. Very low occupancy may affect financial stability, while extremely high occupancy could mean limited bed availability.
River Bluff Nursing Home
Rockford, IL Average (66.7%)

Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.

Staff Turnover History

Annual percentage of nursing staff who left the facility

Data as of December 2025

Understanding turnover: Lower turnover rates generally indicate a more stable workforce and better continuity of care. High turnover can affect care quality and resident relationships. The national average for nursing homes is around 50-60%.
All Nursing Staff
Registered Nurses (RN)
Area Average

Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.

Average Daily Rate

Average daily charge for care at this facility

Based on CMS Cost Report data (inpatient revenue ÷ total patient days)

FY 2023 Daily Rate
$302
per resident per day
Compared to 19 facilities in your area
Below local median ($349)
Daily Rate Trend (2018-2023)
Contact Facility for Actual Rates
This figure is an average calculated from cost reports and is for informational purposes only. Actual rates vary significantly based on level of care needed, room type, payer source (Medicare, Medicaid, private pay), and other factors. Please contact the facility directly for current pricing and availability.
How This Is Calculated
This average daily rate is calculated from CMS Cost Reports by dividing total inpatient revenue by total patient days. It represents an average across all payers and care levels. Higher rates may indicate more intensive care, specialized services, or regional cost factors.

Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.

Financial Health

Comprehensive financial indicators from CMS Cost Reports

Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)

Government Facility

Financial Summary

Metric This Facility Local Median Comparison
Operating Margin
Profitability ratio
-49% -8% Below
Net Income
Annual profit or loss
$-1,837,951 $-362,836 Below
Staff Cost per Resident
Daily salary expense per resident
$143/day $128/day Higher
Occupancy Rate
Bed utilization percentage
48% 63% Lower
Est. Daily Rate
Average revenue per patient day
$302/day $349/day Lower
Total Beds
Licensed bed capacity
304 130 Larger

Local comparisons based on 19 skilled nursing facilities in the Rockford, IL metro area

Revenue & Expenses

Net Patient Revenue
After adjustments & allowances
$12,733,065
Operating Expenses
Total operating costs
$19,008,625
Total Salaries
Staff compensation
$7,244,415
Contract Labor
Agency & temp staff
$5,423,284

Payer Mix

Medicare
3%
Medicaid
81%
Private Pay & Other
16%

Operating Margin Trend (2018-2023)

Understanding Financial Health
Operating Margin: Percentage of revenue remaining after operating costs. Positive = profitable operations.
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.

Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.

Who Stays Here

Breakdown of residents by payment type

Based on fiscal year 2023 cost report data

Total Days
50,619
Medicare
Short-term skilled nursing
3%
Medicaid
Long-term care residents
81%
Private Pay / Other
Self-pay, insurance, VA
16%
Higher Medicare %
Indicates more short-term rehabilitation residents. Medicare typically covers up to 100 days of skilled nursing care after a hospital stay.
Higher Medicaid %
Indicates more long-term care residents. Medicaid covers nursing home care for those who qualify financially.

Average Length of Stay

How long residents typically stay at this facility

Based on fiscal year 2023 cost report data

Overall Average
78.79
days
Medicare Stays
63.69
days
Medicaid Stays
365.00
days
Total Admissions
61
Total Discharges
206
Medicare (Short-Term)
Medicare covers skilled nursing for rehabilitation after a hospital stay. Typical stays are 20-30 days for recovery from surgery, stroke, or illness.
Medicaid (Long-Term)
Medicaid covers long-term nursing home care for those who qualify. Many residents stay months or years, receiving ongoing daily care and support.

Services

Comprehensive skilled nursing services, rehabilitation programs, and medical care in ROCKFORD

Specialties

Specialized care programs tailored to unique health needs

Join Our Caring Team

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Reviews

3.6 (76 reviews)
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T L C's profile photo
T L C 8 months ago

My mother was there from 2010 to 2017. At the beginning she had pretty good care the last year was extremely difficult. My mother’s CNA Renee sent me a message a month or so before my mother passed, she told me my mother was like in a coma state and that she had told Pam her nurse but Pam would not go and check on my mother. By the time I got there Pam had finally went and checked on her and when she saw me she rushed up to tell me about my mother’s condition ( like she really cared) I asked if she had notified the doctor and she had not I demanded that she do so right away . No one was monitoring her medication and she went into a diabetic state coma like condition. Because of her nurse Renee contacting me when she did we probably would have lost her then. Her CNA on 2nd shift had issues when my mother used the N word (which I know upset her). I know when my mother used the N word she did so because she was being mistreated and I knew who was not nice to her because of the way my mother acted when certain CNA or nurses came into her room when I was there. I tried to reassure the CNA that my mother never used the N word that I can remember, and if my mother was in her right mind (she suffered was Alzheimer) she would be appalled with herself for using that word. My mother was not and never was a prejudice woman and her best friend was a black woman. I reported a large bruise on my mother’s leg to management and was told she would look into it. They never did get to the bottom of it. We regularly visited my mother weekly, had family get togethers a few times a year. The last year of my mother’s life we made sure one of us would visit every day so that the staff new she had a family who cared and loved her. My first job 1979 was there at River Bluff and one thing I remember in training was that the residents would sometimes use the N word along with other insulting s word and for those who have issues with that probably should not be in that line of work. That is still true 47 years later.

Sarah Merlo's profile photo
Sarah Merlo 11 months ago

There have been changes in administration and nursing management recently. I must say I have always loved River Bluff but I am very impressed with the newly formed leadership & am looking forward to all the good things coming. Keep up the great work River Bluff, the people of our community depend on your care and we thank you.

Jean Dzielak's profile photo
Jean Dzielak 2 years ago

I had to put my step Dad in there last year when he couldn't walk anymore. He is happy there which I didn't think he would be. It is always clean, the floors are spotless and never any urine smell like other places I've been. Everyone seems to care Ltcaralways seem s

Great Outdoors's profile photo
Great Outdoors 3 years ago

I went into this facility as a CNA and have never seen more neglect in my life at any nursing home. This place needs new management for sure. A lot of medical professionals from other facilities talk amongst each other about the cruelty of this facility. Do not send your loved ones here and if you have a loved one there please find somewhere else.

Linda Bice's profile photo
Linda Bice 5 years ago

My dad has been there since November. The food is good, the staff is friendly with him and family. But they have lost his glasses, most of his clothes which everything has his name on them. Today his partial is missing. What's next his hearing aides? Well they finally found his teeth the next day. Eye doctor was in this am and he will have new glasses in 2 weeks. Not sure how well he will see since he cant answer questions correctly most of the time.

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