Neighbors Health Center
811 West 2nd, Byron, IL 61010 · Ogle County · (815) 234-2511
131 certified beds, about 99 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1982
Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 145440 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 7, 2026, inspectors cited 4 health deficiencies (the Illinois average is 12.6, the national average 9.2).
Of 25 health citations since September 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.33 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.
43.3% of nursing staff left within the year CMS measured (Illinois average 44.5%).
CMS links it to Generations Healthcare Network, an affiliated group of 4 nursing homes.
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.
209/23
310/23
509/24
705/25
105/25
106/25
103/26
104/26
405/26
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 25 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
18D
6E
0F
Potential for minimal harm
0A
0B
0C
May 7, 2026Standard inspection · 4 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure resident dignity was maintained during personal care for 1 of 2 residents (R53) reviewed for dignity in the sample of 43.
- 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 a urinary drainage bag was off the floor, failed to use a dignity cover, and failed to use personal protective equipment (PPE) during direct catheter care for 1 of 3 residents (R22) reviewed for catheters in the sample of 43.
- D Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Inspectors wroteBased on observation, interview and record review the facility failed to follow their policy for food brought in by family or visitors for 1 of 1 resident (R80) reviewed for food safety in the sample of 43.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review the facility failed to have enhanced barrier precautions in place for residents with pressure wounds. This applies to three of three residents (R2, R47, R105) reviewed for infection control in the sample of 43.
April 9, 2026Complaint inspection · 1 citation
- D Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Inspectors wroteBased on interview and record review the facility failed to assess a resident for return from an acute care hospitalization and failed to document specific resident needs that cannot be met by the facility upon a resident's proposed return from an acute care stay for 1 of 1 resident (R1) reviewed for involuntary discharge in the sample of 3.
March 24, 2026Complaint inspection · 1 citation
- E 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.
Inspectors wroteBased on interview and record review, the facility failed to ensure a comfortable temperature range of 71 degrees Fahrenheit to 81 degrees Fahrenheit was maintained for 10 of 11 residents (R1, R3-R11) reviewed for a comfortable environment in the sample of 11.
June 30, 2025Complaint inspection · 1 citation
- E 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 provide water to residents in a sanitary manner. This applies to 5 of 8 (R1, R2, R3, R4, R5) in the sample of 11 reviewed for dietary services.
May 27, 2025Complaint inspection · 1 citation
- 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 ensure a resident was assessed for a change of condition of 1 of 3 residents (R3) reviewed for change of condition in the sample of 6.
May 20, 2025Complaint inspection · 7 citations
- G 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 keep a resident free from physical abuse. This applies to 4 of 6 residents (R1, R2, R3 & R4) reviewed for abuse in the sample of 41. This failure resulted in R1 being sent to the local hospital and diagnosed with a posterior head laceration and initial CTH with acute SDH (computed tomography with acute subdural hematoma) of the left frontal, parietal, and temporal lobes.
- E Keep all essential equipment working safely.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure mechanical lift equipment was in good working order for 5 of 5 residents (R8, R19, R36, R40, R41) reviewed for mechanical lifts in the sample of 41.
- 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 ensure residents were treated in a dignified manner. This applies to 1 of 41 residents (R33) reviewed for dignity in the sample of 41.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review the failed to ensure an allegation of abuse was reported to the state surveying agency in a timely manner. This applies to 2 of 6 residents (R3 & R4) reviewed for abuse in sample of 41.
- 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 assess and treat a resident after the resident hit their head when their wheelchair flipped backwards. This applies to 1 of 3 residents (R34) reviewed for quality of care in the sample of 41.
- D 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 residents were transferred in safe manner with properly working equipment for 3 of 41 residents (R8, R36, R40) reviewed for safety in the sample of 41.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents records were up to date and accurate. This applies to 3 of 12 residents (R34, R35 & R36) reviewed for resident records in the sample of 41.
September 5, 2024Standard inspection · 5 citations
- E Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on interview and record review, the facility failed to ensure accurate weights were obtained and recorded for 5 of 5 residents (R13, R47, R86, R95, R98) reviewed for nutrition in the sample of 20.
- 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 securely store medications. This applies to 1 of 6 medication carts reviewed for medication storage.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to perform glove changes and hand hygiene during incontinence care for 1 resident (R61). The facility also failed to transport linens in a manner to prevent cross contamination on 1 of 5 units. These failures apply to 14 of 14 residents reviewed for infection control in the sample of 20.
- 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 provide activities of daily living (ADL) assistance to 2 of 3 residents (R63,R86) reviewed for activities of daily living in the sample of 20.
- 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 urinary drainage bag remained below the bladder level for 1 of 2 residents (R61) reviewed for catheters in the sample of 20.
October 18, 2023Standard inspection · 3 citations
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, interview, and record review the facility failed to re-evaluate a resident's ability to safely self-administer medications for 1 of 1 resident (R46) reviewed for self-administering of medications in the sample of 20.
- D 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 fall prevention intervention was in place and failed to safely transfer a resident by not using a gait belt for 2 of 20 residents (R92 and R3) reviewed for safety in the sample of 20.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide incontinence care for dependent residents in a manner to prevent cross contamination for 2 of 20 residents (R43 and R58) reviewed for infection control in the sample of 20.
September 18, 2023Complaint inspection · 2 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interview and record review the facility failed to ensure a resident's representative was notified of a resident's increase in behaviors, a new skin tear, and bruising for 1 of 3 residents (R1) reviewed for notification in the sample of 9.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide incontinence care in a manner to prevent cross contamination for 2 of 4 residents (R2, R4) reviewed for incontinence care in the sample of 9.
Fire safety inspections
24 fire safety citations on file: 10 on May 7, 2026, 10 on September 5, 2024, 4 on October 18, 2023.
Every fire safety citation24 citations
- F Conduct risk assessment and an All-Hazards approach.
- F Install a fire alarm system that can be heard throughout the facility.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Provide properly protected cooking facilities.
- E Install corridor and hallway doors that block smoke.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Ensure proper usage of power strips and extension cords.
- F Have properly located and lighted "Exit" signs.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- F Have simulated fire drills held at unexpected times.
- E Install a two-hour-resistant firewall separation.
- E Install emergency lighting that can last at least 1 1/2 hours.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Provide properly protected cooking facilities.
- E Install corridor and hallway doors that block smoke.
- F Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Install properly constructed windows in hallway walls or doors.
- E Have properly installed electrical wiring and gas equipment.
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) | 3.33 | 3.45 | 3.86 |
| Registered nurses | 0.49 | 0.72 | 0.69 |
| All nursing staff on weekends | 2.84 | 3.07 | 3.42 |
| Nurse aides | 2.08 | ||
| Licensed practical nurses | 0.76 | ||
| Nursing staff turnover (share who left in a year) | 43.3% | 44.5% | 45.8% |
| Registered nurse turnover | 42.9% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.07 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 3.53 on weekdays and 2.84 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.41 in April to June 2025 to 3.33 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 | 3.33 | 0.49 | 3.53 | 2.84 | 3.1% | 0 of 90 | 99 |
| Oct to Dec 2025 | 3.23 | 0.69 | 3.45 | 2.67 | 3.5% | 0 of 92 | 104 |
| Jul to Sep 2025 | 3.18 | 0.73 | 3.39 | 2.65 | 4.1% | 0 of 92 | 108 |
| Apr to Jun 2025 | 3.41 | 0.87 | 3.62 | 2.89 | 0.0% | 0 of 91 | 108 |
| 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 | 8.0 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.4 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.8 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.4 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.5 | 14.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.3 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 21.0 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.4 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 3.3 | 13.8 | 12.0 |
| 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 | 0.3 | 2.2 | 1.8 |
Owners and operators
Legal business name: NEIGHBORS CARE CENTER LLC. CMS links this home to Generations Healthcare Network, a group of 4 nursing homes averaging 2.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Everest Byron Holdings LLC | Direct ownership interest | Organization | 07/01/2025 | |
| Heinemann, Bert | Direct ownership interest | Individual | 07/01/2025 | |
| Aronin, Nechama | Indirect ownership interest | Individual | 07/01/2025 | |
| Heinemann, Bert | Indirect ownership interest | Individual | 07/01/2025 | |
| Neighbors Property LLC | 5% or greater security interest | Organization | 07/01/2025 | |
| Heinemann, Bert | Managing control - governing body | Individual | 07/01/2025 | |
| Neighbors Property LLC | Operational/managerial control | Organization | 07/01/2025 | |
| Aronin, Nechama | Operational/managerial control | Individual | 07/01/2025 | |
| Heinemann, Bert | Operational/managerial control | Individual | 07/01/2025 | |
| Michalsen, Thomas | Operational/managerial control | Individual | 07/01/2025 | |
| Plymale, Monica | Operational/managerial control | Individual | 07/01/2025 | |
| Wantrobski, Hannah | Operational/managerial control | Individual | 07/01/2025 | |
| Heinemann, Bert | Trustee of the SNF | Individual | 07/01/2025 | |
| Neighbors Property LLC | Adp of the SNF | Organization | 07/01/2025 | |
| Michalsen, Thomas | Adp of the SNF | Individual | 07/01/2025 | |
| Plymale, Monica | Adp of the SNF | Individual | 07/01/2025 | |
| Wantrobski, Hannah | Adp of the SNF | Individual | 07/01/2025 |
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 8 problems in this area, most recently on May 7, 2026: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on May 7, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on May 7, 2026: "Provide and implement an infection prevention and control program."
- 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 May 7, 2026: "Have a policy regarding use and storage of foods brought to residents by family and other visitors."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.84 hours per resident per day, below the Illinois average of 3.07.
Other nursing homes nearby
- Oregon Living and Rehabilitation Center Oregon, 9.1 mi · 2 of 5 stars · 39 citations
- Allure of Pinecrest Mount Morris, 10.2 mi · 2 of 5 stars · 38 citations
- Manor Court of Rochelle Rochelle, 14.1 mi · 3 of 5 stars · 31 citations
- Amberwood Care Centre Rockford, 14.6 mi · 3 of 5 stars · 42 citations
- Mercyhealth Javon Bea Hospital -SNF Rockford, 14.7 mi · 4 of 5 stars · 0 citations
- Pa Peterson at the Citadel Rockford, 15.1 mi · 1 of 5 stars · 65 citations
- Willows Health Center Rockford, 15.9 mi · 3 of 5 stars · 26 citations
- Forest City Rehab & Nrsg Ctr Rockford, 16.3 mi · 1 of 5 stars · 64 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 Neighbors Health Center's Medicare star rating?
- CMS rates Neighbors Health Center 5 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Neighbors Health Center get at its last inspection?
- 4 health deficiencies at the standard inspection on May 7, 2026. The Illinois average is 12.6.
- Has Neighbors Health Center been fined?
- CMS lists no fines in the last three years.
- Does Neighbors Health Center 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 Neighbors Health Center?
- CMS lists 17 owners and managers, and links the home to Generations Healthcare Network. Legal business name: NEIGHBORS CARE CENTER 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.