Belvidere Health and Rehab
1701 5th Avenue, Belvidere, IL 61008 · Boone County · (815) 547-5451
80 certified beds, about 51 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2004
Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 146071 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 8, 2026, inspectors cited 4 health deficiencies (the Illinois average is 12.6, the national average 9.2).
None of its 18 health citations since June 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 2.89 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.99 of those hours.
19.4% of nursing staff left within the year CMS measured (Illinois average 44.5%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
706/24
110/24
406/25
211/25
407/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 18 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
14D
3E
1F
Potential for minimal harm
0A
0B
0C
July 8, 2026Standard inspection · 4 citations
- E Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the pureed macaroni and cheese was a smooth consistency, not requiring chewing. This applies to 4 of 4 residents (R30, R17, R38, R44) reviewed for puree diets in the sample of 23.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased observation, interview and record review, the facility failed to implement the recommendations from the criminal history analysis report for a convicted sex offender, and failed to invite residents to their quarterly care plan meetings for 2 of 12 (R7and R39), reviewed for care plans in the sample of 23.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure the prescribed treatment was provided for a resident with a venous ulcer and failed to assess an open wound and obtain treatment orders. This applies to 2 of 12 residents (R2, R7) reviewed for quality of care in the sample of 23.
- D 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.
Inspectors wroteBased on observation, interview and record review the facility failed to provide the prescribed therapeutic diet for 1 resident (R14) of 12 residents reviewed for therapeutic diets in the sample of 23.
November 18, 2025Complaint inspection · 2 citations
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, and record review, the facility failed to assess and implement prevention interventions for 1 of 3 residents (R2) reviewed for pressure wounds in the sample of 3.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement Enhanced Barrier Precautions (EBP) for 2 of 3 residents (R2 and R3) reviewed for infection control in the sample of 3.
June 25, 2025Standard inspection · 4 citations
- E 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.
Inspectors wrote2. R41's Physician Order Sheet dated 6/25 show R41 has diagnosis of cerebral infarction hemiplegia and hemiparesis following stroke affecting right side. On 6/24/25 at 8:45 AM, during the initial tour, R41 was in bed with his right contracted arm towards his chest, his right hand with closed tight fist. There was no device noted to R41's right hand. On 6/24/25 at 10:17 AM, R41 was in bed. There was no device noted to R41's right contracted hand. V3 (Registered Nurse) who was with this surveyor said R41 was admitted with contracted right hand and had not noticed the resident with a splint. On 6/25/25 at 8:53 AM, V7 (R41's Niece) during a family interview said her main concerns were R41 being in bed most of the time, his contracted right hand, and that she wants R41 to have exercises or therapy. [...]
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review the facility failed to identify a change in condition in a timely manner. This applies to 1 of 16 residents (R23) reviewed for quality of care in the sample of 16.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on interview and record review the facility failed to ensure a resident wasn't prescribed an unnecessary antibiotic. This applies to 1 of 6 residents (R23) reviewed for unnecessary medications in the sample of 16.
- D Implement a program that monitors antibiotic use.
Inspectors wroteBased on interview and record review the facility failed to follow their antibiotic stewardship program to ensure residents weren't prescribed unnecessary antibiotics. This applies to 1 of 6 residents (R23) reviewed for unnecessary medications in the sample of 16.
October 24, 2024Complaint inspection · 1 citation
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview and record review, the facility failed to protect a resident (R2) from abuse. This applies to 1 of 3 residents reviewed for abuse in the sample of 9.
June 13, 2024Standard inspection · 7 citations
- F Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on interview and record review the facility failed to ensure sufficient Certified Nursing Staffing from October through December of 2023. This has the potential to affect all residents residing in the facility.
- E 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.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure multi-dose insulin pens were dated when opened and failed to dispose of an expired medication for 3 of 5 residents (R9, R22, R156) in the sample of 17 and 2 residents (R13, R33) out of the sample.
- D 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.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a resident had an order or care plan for advance directives for 1 of 1 residents (R156) reviewed for advance directives in the sample of 17.
- D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a resident was free of restraints for 1 of 1 residents (R156) reviewed for restraints in the sample of 17.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure physician orders and interventions were in place for oxygen administration for 1 of 1 resident (R28) reviewed for oxygen in the sample of 17.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure monitoring a resident on dialysis treatment, failed to ensure emergency equipment for dialysis was at bedside, and failed to care plan treatment for a dialysis patient for 1 of 1 resident (R3) reviewed for dialysis in the sample of 17.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, and record review the facility failed to document the administration of a narcotic on the count sheet and failed to reconcile the count between shifts for 1 of 1 resident (R158) reviewed for pharmacy services outside the sample.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Illinois | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.89 | 3.45 | 3.86 |
| Registered nurses | 0.99 | 0.72 | 0.69 |
| All nursing staff on weekends | 2.42 | 3.07 | 3.42 |
| Nurse aides | 1.78 | ||
| Licensed practical nurses | 0.13 | ||
| Nursing staff turnover (share who left in a year) | 19.4% | 44.5% | 45.8% |
| Registered nurse turnover | 0.0% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.09 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.09 on weekdays and 2.42 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.54 in April to June 2025 to 2.89 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 2.89 | 0.99 | 3.09 | 2.42 | 0.0% | 0 of 90 | 51 |
| Oct to Dec 2025 | 2.74 | 0.90 | 2.92 | 2.27 | 0.0% | 0 of 92 | 55 |
| Jul to Sep 2025 | 2.77 | 0.91 | 2.92 | 2.40 | 0.0% | 0 of 92 | 53 |
| Apr to Jun 2025 | 2.54 | 0.86 | 2.70 | 2.12 | 0.0% | 0 of 91 | 57 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Illinois, Jan to Mar 2026 | 3.26 | 0.65 | 3.40 | 2.92 | 5.4% | 0.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Illinois | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 10.5 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.4 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.5 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.5 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 5.9 | 14.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.5 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 24.6 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 31.9 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.7 | 13.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 2.2 | 1.8 |
Owners and operators
Legal business name: GARDENS OF BELVIDERE LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Marlee Associates | Direct ownership interest | Organization | 07/19/2021 | |
| Tepper, Joseph | Direct ownership interest | Individual | 07/19/2021 | |
| Topper, Aaron | Managing control - governing body | Individual | 07/19/2021 | |
| Michalsen, Thomas | Operational/managerial control | Individual | 08/01/2015 | |
| Ryan, Margaret | Operational/managerial control | Individual | 06/01/2013 | |
| Topper, Aaron | Operational/managerial control | Individual | 07/19/2021 | |
| Michalsen, Thomas | Adp of the SNF | Individual | 08/01/2015 | |
| Ryan, Margaret | Adp of the SNF | Individual | 06/01/2013 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on July 8, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on June 25, 2025: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on July 8, 2026: "Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on November 18, 2025: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.42 hours per resident per day, below the Illinois average of 3.07.
Other nursing homes nearby
- The Sapphire at Northwoods Belvidere, 0.5 mi · 1 of 5 stars · 36 citations
- The Sapphire at Maple Crest Belvidere, 3.3 mi · 1 of 5 stars · 44 citations
- Alden Debes Rehab & HCC Rockford, 7.9 mi · 1 of 5 stars · 46 citations
- Alden Park Strathmoor Rockford, 8.3 mi · 1 of 5 stars · 31 citations
- Forest City Rehab & Nrsg Ctr Rockford, 8.3 mi · 1 of 5 stars · 64 citations
- The Citadel at Saint Anne Place Rockford, 9.8 mi · 1 of 5 stars · 44 citations
- Fairhaven Christian Ret Center Rockford, 10.4 mi · 3 of 5 stars · 19 citations
- Alpine Fireside Health Center Rockford, 10.5 mi · 3 of 5 stars · 22 citations
Illinois contacts for a concern about a nursing home
These are the official offices in Illinois. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Illinois Department of Public Health, Nursing Homes, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Illinois Long-Term Care Ombudsman Program, Illinois Department on Aging, 1-800-252-8966. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: IDPH Quarterly Reports of Nursing Home Violators, where Illinois publishes its own records on licensed homes.
Common questions
- What is Belvidere Health and Rehab's Medicare star rating?
- CMS rates Belvidere Health and Rehab 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Belvidere Health and Rehab get at its last inspection?
- 4 health deficiencies at the standard inspection on July 8, 2026. The Illinois average is 12.6.
- Has Belvidere Health and Rehab been fined?
- CMS lists no fines in the last three years.
- Does Belvidere Health and Rehab accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Belvidere Health and Rehab?
- CMS lists 8 owners and managers. Legal business name: GARDENS OF BELVIDERE LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.