Fairhaven Christian Ret Center
3470 North Alpine Road, Rockford, IL 61114 · Winnebago County · (815) 877-1441
96 certified beds, about 67 residents a day · Non profit - Church related · Medicaid since 1976
Part of a continuing care retirement community Certified for Medicaid
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 14E345 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 26, 2026, inspectors cited 5 health deficiencies (the Illinois average is 12.6, the national average 9.2).
Of 19 health citations since February 2024, 4 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $120,225 in the last three years; the largest was $120,225, and the latest is dated March 26, 2025.
Nurses and nurse aides worked 5.13 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.75 of those hours.
94.7% 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.
402/24
103/24
208/24
501/25
102/25
103/25
502/26
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 19 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
11D
1E
3F
Potential for minimal harm
0A
0B
0C
February 26, 2026Standard inspection · 5 citations
- G Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on interview and record review, the facility failed to identify a significant weight loss for a resident (R4), failed to notify a resident's physician, dietician, and power of attorney for a significant weight loss and failed to obtain consistent meal intakes. These failures resulted in R4 experiencing a significant weight loss with no nutritional interventions for 22 days. This applies to 1 of 6 residents reviewed for nutrition in the sample of 28.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review the facility failed to check the temperatures of food before serving and failed to use utensils to stir and remove food. These failures apply to all residents in the facility.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure an indwelling catheter was secured and failed to ensure catheter tubing was kept off the floor for 1 of 2 residents (R11) reviewed for indwelling catheters in the sample of 28.
- D Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure hot food was served at palatable temperatures for 3 of 3 residents (R3, R54, & R60) reviewed for dining in the sample of 28.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to wear personal protective equipment (PPE) in a manner to prevent the spread of COVID-19. This applies to 1 of 2 (R19) residents reviewed for isolation precautions in the sample of 28.
March 26, 2025Complaint inspection · 1 citation
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and record review, the facility failed toensure R1 was supervised while eating and food items were present within R1's reach. This failure resulted in R1 choking on R1's food and expiring. This applies to 1 of 3 residents (R1) reviewed for safety and supervision in the sample of 3. This failure resulted in an Immediate Jeopardy. The Immediate Jeopardy began on 3/20/25 at 6:00 PM, when facility staff failed to ensure R1 was supervised at the dining room table when food was present. R1 impulsively grabbed food, put it in her mouth, choked, and died. The facility was notified of the Immediate Jeopardy on 3/26/25 at 9:28 AM. V1 (Administrator) was informed of the Immediate Jeopardy on 3/26/25 at 9:28 AM. The surveyor confirmed by observation, interview, and record review that the Immediate Jeopardy was removed on 3/26/25; [...]
February 26, 2025Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident was transferred and ambulated in a safe manner for 1 of 4 residents (R1) reviewed for safety and supervision in the sample of 4 residents. This failure resulted in R1 falling and sustaining a right clavicle fracture.
January 8, 2025Standard inspection · 5 citations
- F 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 a multidose vial was labeled and dated when opened. This failure has the potential to affect all residents at the facility.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure staff used the required personal protective equipment (PPE) when entering COVID-19 isolation rooms and failed to ensure N95 masks were not worn over a surgical mask. The facility also failed to ensure gloves were changed to prevent cross contamination. This applies to 5 of 16 residents (R12, R10, R45, R54, and R27) reviewed for infection control in the sample of 16.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure ADL (Activities of Daily Living) assistance was provided for two of 16 residents (R54, R27) reviewed for ADL care in the sample of 16.
- D 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 wroteBased on observation, interview, and record review the facility failed to ensure a splint was placed for a resident with limited range of motion for 1 of 2 residents (R51) reviewed for range of motion in the sample of 16.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on interview and record review, the facility failed to ensure a significant medication error did not occur for one of one resident (R28) reviewed for significant medication error in the sample of 16.
August 13, 2024Complaint inspection · 2 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on interview and record review, the facility failed to allow a resident (R1) choices regarding their care for 1 of 3 residents reviewed for resident rights in the sample of 10.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on interview and record review, the facility failed to assess, report and treat a resident's pain for 1 of 3 residents (R1) reviewed for pain management in the sample of 10.
March 27, 2024Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a safe transfer was provided for 1 of 3 residents (R1) reviewed for risk for falls on the sample list of 3. This failure resulted in R1 sustaining a clavicle fracture during a stand lift transfer on 3/20/24.
February 15, 2024Standard inspection · 4 citations
- F 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 monitor temperatures in two medication refrigerators, failed to ensure a refrigerator with a controlled drug was double locked, failed to administer a medication when prepared, failed to label an insulin vial when opened, and failed to discard an open insulin pen after 28 days. These failures have the potential to affect all 70 facility residents.
- 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 follow orders written by the Nurse Practitoner regarding a resident's skin condition. This applies to 1 of 3 residents (R22) reviewed for skin conditions in a sample of 19.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on Interview and Record Review the facility failed to ensure a resident's side rail was working properly for 1 of 4 residents (R64) reviewed for safety and supervision in the sample of 19.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review the facility failed to follow infection control practices while administering medication to 1 of 5 residents (R18) in the sample of 19.
Fire safety inspections
10 fire safety citations on file: 3 on January 8, 2025, 2 on February 15, 2024, 5 on April 20, 2023.
Every fire safety citation10 citations
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Install a two-hour-resistant firewall separation.
- E Provide properly protected cooking facilities.
- E Ensure proper usage of power strips and extension cords.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F Install an approved automatic sprinkler system.
- F Have elevators that firefighters can control in the event of a fire.
- E Install a two-hour-resistant firewall separation.
- E Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E Have proper medical gas storage and administration areas.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| March 26, 2025 | Fine | $120,225 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 5.13 | 3.45 | 3.86 |
| Registered nurses | 0.75 | 0.72 | 0.69 |
| All nursing staff on weekends | 4.50 | 3.07 | 3.42 |
| Nurse aides | 3.51 | ||
| Licensed practical nurses | 0.87 | ||
| Nursing staff turnover (share who left in a year) | 94.7% | 44.5% | 45.8% |
| Registered nurse turnover | 84.6% | 41.8% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.14 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 5.39 on weekdays and 4.50 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.52 in April to June 2025 to 5.13 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 | 5.13 | 0.75 | 5.39 | 4.50 | 1.8% | 0 of 90 | 67 |
| Oct to Dec 2025 | 4.77 | 0.64 | 4.93 | 4.36 | 1.5% | 0 of 92 | 72 |
| Jul to Sep 2025 | 4.91 | 0.73 | 5.13 | 4.35 | 2.4% | 0 of 92 | 70 |
| Apr to Jun 2025 | 4.52 | 0.71 | 4.78 | 3.85 | 2.1% | 0 of 91 | 68 |
| 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 | 13.8 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.9 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.9 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.9 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.4 | 14.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.9 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 31.8 | 21.7 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 2.2 | 1.8 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
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 10 problems in this area, most recently on February 26, 2026: "Provide enough food/fluids to maintain a resident's health."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on February 26, 2026: "Provide and implement an infection prevention and control program."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on January 8, 2025: "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."
- 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 February 26, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Other nursing homes nearby
- Alpine Fireside Health Center Rockford, 0.2 mi · 3 of 5 stars · 22 citations
- The Citadel at Saint Anne Place Rockford, 1.7 mi · 1 of 5 stars · 44 citations
- Avira Health Pavilion Loves Park, 2.1 mi · 4 of 5 stars · 23 citations
- Rock River Health Care Rockford, 2.2 mi · 3 of 5 stars · 46 citations
- Pa Peterson at the Citadel Rockford, 2.5 mi · 1 of 5 stars · 65 citations
- River Bluff Nursing Home Rockford, 2.6 mi · 2 of 5 stars · 38 citations
- Alden Park Strathmoor Rockford, 3.1 mi · 1 of 5 stars · 31 citations
- Willows Health Center Rockford, 3.4 mi · 3 of 5 stars · 26 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 Fairhaven Christian Ret Center's Medicare star rating?
- CMS rates Fairhaven Christian Ret Center 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Fairhaven Christian Ret Center get at its last inspection?
- 5 health deficiencies at the standard inspection on February 26, 2026. The Illinois average is 12.6.
- Has Fairhaven Christian Ret Center been fined?
- Yes. CMS lists 1 fine totaling $120,225 in the last three years.
- Does Fairhaven Christian Ret Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Fairhaven Christian Ret Center?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
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.