Find a nursing home

Home / Illinois / Freeport

Stephenson Nursing Center

2946 South Walnut Road, Freeport, IL 61032 · Stephenson County · (815) 235-6173

148 certified beds, about 71 residents a day · Government - County · Medicare and Medicaid since 1996

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 145895 · 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 8 health deficiencies (the Illinois average is 12.6, the national average 9.2).

Of 42 health citations since December 2023, 5 were rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $18,450 in the last three years; the largest was $18,450, and the latest is dated February 26, 2026.

Nurses and nurse aides worked 3.06 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.89 of those hours.

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.

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 42 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
5G
0H
0I
Potential for more than minimal harm
28D
4E
5F
Potential for minimal harm
0A
0B
0C
July 7, 2026Complaint inspection · 2 citations
  1. E
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 13, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure pressure relieving interventions were in place for 3 of 4 residents (R1, R2, R4); failed to perform and document a wound assessment for a resident (R3); and failed to identify pressure ulcers prior to advancing to a stage 2 for 2 residents (R1,R3). These failures apply to 4 of 4 residents reviewed for pressure ulcers in the sample of 4.
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 13, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to wear personal protective equipment (PPE) for a resident (R1) on Enhanced Barrier Precautions. This applies to 1 of 3 residents reviewed for infections in the sample of 4.
March 17, 2026Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview and record review the facility failed to supervise a resident at risk for falls. This applies to 1 of 3 residents (R1) reviewed for falls in the sample of 6. This failure resulted in R1 sustaining a left hip fracture. This past compliance occurred from 2/22/26 to 2/23/26. Past noncompliance-no plan of correction required.
February 26, 2026Standard inspection · 8 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) March 6, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a safe mechanical lift transfer for a resident (R11) dependent upon staff for transfers. This failure resulted in R11 sustaining a right fracture. The facility also failed to ensure a stable chair was provided for a resident (R16) to prevent falls. These failures apply to 2 of 5 residents reviewed for safety and supervision in the sample of 38.
  2. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 6, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure dietary staff covered their facial hair while preparing food for the residents, and while cleaning dishes. The facility failed to ensure staff used chemical sanitation to disinfect a food preparation table and equipment; failed to ensure staff were knowledgeable about the concentration level that was needed when testing the chemical sanitation; and failed to ensure cold desserts were maintained below 41 degrees Fahrenheit. This failure has the potential to affect all the residents in the facility.
  3. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 6, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure resident dignity was maintained during personal care for 2 of 2 residents (R13, R48) reviewed for dignity in the sample of 38.
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 6, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to develop a care plan for a resident with a diagnosis of post-traumatic stress disorder (PTSD) for 1 of 1 resident (R79) reviewed for PTSD in the sample of 38.
  5. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 6, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure pressure relieving interventions were in place for 1 of 5 residents (R26) reviewed for pressure ulcers in the sample of 38.
  6. 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.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 6, 2026
    Inspectors wroteBased on observations, interview and record review, the facility failed to ensure catheter tubing was positioned in a manner to prevent it from dragging across the floor as a resident was propelling his wheelchair for 1 of 1 resident (R46) reviewed for catheters in the sample of 38.
  7. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 6, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a gradual dosage reduction was attempted for a resident prescribed multiple psychotropic medications. This applies to 1 of 5 residents (R16) reviewed for unnecessary medications in the sample of 38.
  8. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 6, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff wore the required personal protective equipment when providing high-contact resident care activities for 1 of 7 residents (R9) reviewed for infection control in the sample of 38.
June 4, 2025Complaint inspection · 1 citation
  1. G
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on interview and record review the facility failed to ensure discharge services were in place prior to discharging a resident to independent senior housing who requires assistance with activities of daily living. This failure resulted in R1 being found in her apartment soiled in urine and feces and unable to get out of bed. This applies to 1 of 3 (R1) residents reviewed for discharge in the sample of 3.
May 27, 2025Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 2, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure staff applied a gait belt for a resident who is high risk for falls. This failure resulted in R1 falling on the floor while ambulating without a gait belt and sustained a left femur fracture requiring surgical repair. This applies to 1 of 3 (R1) residents reviewed for falls in the sample of 3.
April 3, 2025Complaint inspection · 1 citation
  1. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 11, 2025
    Inspectors wroteBased on interview and record review the facility failed to apply a narcotic pain patch in an inaccessible location for a resident with a history of removing narcotic pain patches. This applies to 1 of 3 residents reviewed for medications in the sample of 5.
February 4, 2025Standard inspection, Complaint inspection · 12 citations
  1. G
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) February 28, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a residents' pain regimen was adequate to relieve her pain for one of 13 residents (R14) reviewed for pain in the sample of 13. This failure resulted in R14 experiencing unrelieved pain for three days.
  2. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 7, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to maintain their kitchen in a clean and sanitary manner. The facility failed to ensure staff handled kitchen utensils in a manner to prevent cross contamination. These failures have the potential to affect all 46 residents in the facility.
  3. F
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 28, 2025
    Inspectors wroteBased on interview and record review the facility failed to ensure certified nursing assistants (CNA) working in the facility received their annual abuse and dementia care training/education. This failure has the potential to affect all 46 residents in the facility.
  4. E
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 7, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents were not restrained from being able to exit their beds for 4 of 13 residents (R5, R11, R19 and R35) reviewed for restraints in the sample of 13.
  5. D
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 28, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure misappropriation of residents' property did not occur for two of four residents (R41, R11) reviewed for misappropriation in the sample of 13.
  6. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 28, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure their abuse policy was implemented for one of four residents (R11) reviewed for abuse policy and procedures in the sample of four.
  7. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 28, 2025
    Inspectors wroteBased on interview and record review, the facility failed to report a missing controlled substance for one of four residents (R11) reviewed for reporting abuse in the sample of four.
  8. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 28, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure a resident who is dependent on staff for Activities of Daily Living (ADLs) was provided incontinence care in a timely manner for 1 of 13 residents (R5) reviewed for ADLs in the sample of 13.
  9. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 28, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure protective arm sleeves were applied to a resident with fragile skin and a history of skin tears for 1 of 13 residents (R11) reviewed for quality of care in the sample of 13.
  10. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 28, 2025
    Inspectors wroteBased on observation, interview, and record review the facility to ensure pressure ulcer prevention interventions were implemented for a resident at risk for pressure ulcers and failed to ensure dietary recommendations were implemented for a resident with a stage 3 pressure ulcer. This applies to 2 of 4 residents (R5 and R11) reviewed for pressure ulcers in the sample of 13.
  11. 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.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 28, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident did not wear a urinary drainage leg bag while in bed for one of two residents (R35) reviewed for catheters in the sample of 32.
  12. D
    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.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 7, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to follow the facility's posted menu for residents on a pureed diet for 3 of 7 residents (R5, R12, R19) reviewed for pureed diets in the sample of 13.
July 2, 2024Complaint inspection · 2 citations
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 19, 2024
    Inspectors wroteBased on interview and record review, the facility failed to report an injury of unknown origin to the abuse coordinator for one of three residents (R2) reviewed for abuse in the sample of eight.
  2. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 19, 2024
    Inspectors wroteBased on interview and record review the facility failed to ensure a resident was repositioned in bed in a safe manner for one of three residents (R1) reviewed for safety in the sample of eight.
April 30, 2024Complaint inspection · 2 citations
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 13, 2024
    Inspectors wroteBased on interview and record review, the facility failed to submit a final investigation report to IDPH (Illinois Department of Public Health) within 5 days. This applies to 3 of 3 residents (R1, R2, R3) reviewed for abuse in the sample of 7.
  2. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 13, 2024
    Inspectors wroteBased on interview and record review, the facility failed to perform a thorough investigation of alleged abuse, failed to maintain records of an abuse investigation. These failures apply to 3 of 7 residents (R1, R2, R3) reviewed for abuse in the sample of 7.
January 18, 2024Standard inspection · 7 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 10, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure dishwasher temperatures were at the proper level for sanitation, and failed to ensure food temperatures were maintained at 135 degrees Fahrenheit prior to serving. This failure has the potential to affect the 37 of 39 residents who receive food and beverages from the facility's kitchen.
  2. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 10, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to identify, implement, and document control measures to prevent the growth of opportunistic waterborne pathogens (such as Legionella); failed to establish acceptable ranges for control measures; and failed to identify corrective actions for when control limits are not met. This applies to all residents residing in the facility.
  3. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 10, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a medication cart was locked when not in sight of the nurse. This has the potential to affect 5 of 5 residents (R9, R12, R30, R31, R34) reviewed for medication storage in the sample of 12, and 14 residents (R1, R4, R6, R7, R11, R13, R14, R15, R18, R22, R24, R26, R28, and R193) outside the sample.
  4. E
    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.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 10, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents receiving a pureed diet received a dinner roll during the lunch meal for 2 of 2 residents (R31, R39) reviewed for pureed diets in the sample of 12 and 3 residents (R7, R19, R37) outside the sample.
  5. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 10, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to protect the confidential health information for 1 of 1 resident (R30) reviewed for privacy in the sample of 12.
  6. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 7, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to follow a physician's order for calling a resident's physician when blood glucose levels are out of a specified range for 1 of 2 residents (R30) reviewed for quality of care in the sample of 12.
  7. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 10, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide wound care in a manner to prevent cross-contamination, failed to wash hands during wound care, and failed to provide weekly wound assessments for 1 of 3 residents (R34) reviewed for pressure injuries in the sample of 12.
January 9, 2024Complaint inspection · 4 citations
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 21, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to notify a resident's Power of Attorney (POA) after an incident occurred for 1 of 3 residents (R1) reviewed for notifications in the sample of 7.
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 21, 2024
    Inspectors wroteBased on interview and record review the facility failed report a resident-to-resident physical altercation to the state agency for 1 of 3 residents (R3) reviewed for resident-to-resident abuse in the sample of 7.
  3. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 21, 2024
    Inspectors wroteBased on interview and record review the facility failed to conduct a thorough investigation of a resident-to-resident physical altercation for 1 of 3 residents (R3) in the sample of 7.
  4. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 21, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to safely weigh a resident (R1) and failed to provide adequate supervision for residents involved in a resident-to-resident physical altercations (R3, R7) for 3 of 4 residents (R1, R3, R7) reviewed for safety and supervision in the sample of 7.
December 12, 2023Complaint inspection · 1 citation
  1. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 19, 2023
    Inspectors wroteBased on interview and record review the facility failed to ensure a resident received the correct dose of long-lasting insulin resulting in a significant medication error. This applies to 1 of 3 residents (R1) reviewed for medications in the sample of 3.

Fire safety inspections

35 fire safety citations on file: 9 on February 4, 2025, 14 on January 18, 2024, 12 on December 8, 2022.

Every fire safety citation35 citations
  1. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · February 4, 2025 · Corrected (the home has a date of correction)
  2. F
    Develop Emergency Preparedness policies and procedures.
    E 13 · February 4, 2025 · Corrected (the home has a date of correction)
  3. F
    Establish roles under a Waiver declared by secretary.
    E 26 · February 4, 2025 · Corrected (the home has a date of correction)
  4. F
    Establish staff and initial training requirements.
    E 37 · February 4, 2025 · Corrected (the home has a date of correction)
  5. F
    Conduct testing and exercise requirements.
    E 39 · February 4, 2025 · Corrected (the home has a date of correction)
  6. 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.
    K 222 · February 4, 2025 · Corrected (the home has a date of correction)
  7. E
    Have properly located and lighted "Exit" signs.
    K 293 · February 4, 2025 · Corrected (the home has a date of correction)
  8. E
    Install an approved automatic sprinkler system.
    K 351 · February 4, 2025 · Corrected (the home has a date of correction)
  9. E
    Ensure proper usage of power strips and extension cords.
    K 920 · February 4, 2025 · Corrected (the home has a date of correction)
  10. F
    Address subsistence needs for staff and patients.
    E 15 · January 18, 2024 · Corrected (the home has a date of correction)
  11. F
    Establish policies and procedures for volunteers.
    E 24 · January 18, 2024 · Corrected (the home has a date of correction)
  12. F
    Provide primary/alternate means for communication.
    E 32 · January 18, 2024 · Corrected (the home has a date of correction)
  13. F
    Conduct testing and exercise requirements.
    E 39 · January 18, 2024 · Corrected (the home has a date of correction)
  14. F
    Implement emergency and standby power systems.
    E 41 · January 18, 2024 · Corrected (the home has a date of correction)
  15. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 18, 2024 · Corrected (the home has a date of correction)
  16. F
    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
    K 926 · January 18, 2024 · Corrected (the home has a date of correction)
  17. E
    Install proper backup exit lighting.
    K 281 · January 18, 2024 · Corrected (the home has a date of correction)
  18. E
    Install corridor and hallway doors that block smoke.
    K 363 · January 18, 2024 · Corrected (the home has a date of correction)
  19. E
    Have a battery powered remote alarm panel in a location accessible by operating personnel.
    K 916 · January 18, 2024 · Corrected (the home has a date of correction)
  20. E
    Have proper medical gas storage and administration areas.
    K 923 · January 18, 2024 · Corrected (the home has a date of correction)
  21. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · January 18, 2024 · Corrected (the home has a date of correction)
  22. F
    Conduct risk assessment and an All-Hazards approach.
    E 6 · January 18, 2024 · Corrected (the home has a date of correction)
  23. F
    Establish staff and initial training requirements.
    E 37 · January 18, 2024 · Corrected (the home has a date of correction)
  24. F
    Provide primary/alternate means for communication.
    E 32 · December 8, 2022 · Corrected (the home has a date of correction)
  25. F
    Establish staff and initial training requirements.
    E 37 · December 8, 2022 · Corrected (the home has a date of correction)
  26. F
    Conduct testing and exercise requirements.
    E 39 · December 8, 2022 · Corrected (the home has a date of correction)
  27. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · December 8, 2022 · Corrected (the home has a date of correction)
  28. F
    Properly install and monitor supervisory attachments on automatic sprinkler systems.
    K 352 · December 8, 2022 · Corrected (the home has a date of correction)
  29. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 8, 2022 · Corrected (the home has a date of correction)
  30. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · December 8, 2022 · Corrected (the home has a date of correction)
  31. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · December 8, 2022 · Corrected (the home has a date of correction)
  32. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · December 8, 2022 · Corrected (the home has a date of correction)
  33. E
    Ensure proper usage of power strips and extension cords.
    K 920 · December 8, 2022 · Corrected (the home has a date of correction)
  34. C
    Follow proper procedures when the fire alarm was out of service for more than 4 hours.
    K 346 · December 8, 2022 · Corrected (the home has a date of correction)
  35. C
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · December 8, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
February 26, 2026Fine $18,450
February 4, 2025Payment Denial 114 days from February 26, 2025

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.

MeasureThis homeIllinoisUnited States
All nursing staff (RN, LPN and aides)3.063.453.86
Registered nurses0.890.720.69
All nursing staff on weekends2.743.073.42
Nurse aides1.81
Licensed practical nurses0.36
Nursing staff turnover (share who left in a year)not reported44.5%45.8%
Registered nurse turnovernot reported41.8%42.9%
Administrators who leftnot reported

CMS expects 3.52 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 3.19 on weekdays and 2.74 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 6.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.02 in April to June 2025 to 3.06 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.060.893.192.74 6.3%0 of 9071
Oct to Dec 20253.380.873.542.99 23.1%0 of 9257
Jul to Sep 20254.340.884.533.85 26.0%0 of 9248
Apr to Jun 20254.020.854.233.48 32.8%0 of 9149
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Illinois, Jan to Mar 20263.260.653.402.925.4%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.

MeasureThis homeIllinoisUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
17.713.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
3.00.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
4.01.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.23.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.42.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
24.614.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
9.84.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
32.021.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.526.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
6.113.812.0

Owners and operators

Legal business name: COUNTY OF STEPHENSON.

NameRoleTypeShareSince
County of Stephenson5% or greater direct ownership interestOrganization100%07/21/2014
McGlynn, SuzanneW-2 managing employeeIndividual10/12/2012

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 15 problems in this area, most recently on July 7, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
  2. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 9 problems in this area, most recently on February 4, 2025: "Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 5 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."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on February 26, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.74 hours per resident per day, below the Illinois average of 3.07.

Other nursing homes nearby

Illinois contacts for a concern about a nursing home

These are the official offices in Illinois. NursingHomeClear cannot take or act on complaints.

Common questions

What is Stephenson Nursing Center's Medicare star rating?
CMS rates Stephenson Nursing Center 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Stephenson Nursing Center get at its last inspection?
8 health deficiencies at the standard inspection on February 26, 2026. The Illinois average is 12.6.
Has Stephenson Nursing Center been fined?
Yes. CMS lists 1 fine totaling $18,450 in the last three years.
Does Stephenson Nursing 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 Stephenson Nursing Center?
CMS lists 2 owners and managers. Legal business name: COUNTY OF STEPHENSON.

Sources

Find a nursing home Read an inspection