Rockford, IL

Amberwood Care Centre

4-star overall rating with 4-star inspections with 11 recent health deficiencies

2313 North Rockton Avenue, Rockford, IL

(815) 964-2200

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

135

Certified beds

Average residents

126

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Citadel Healthcare

Operator or chain grouping

Approved since

1996-11-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

13 facilities

Chain averages 3 overall / 4 health / 2 staffing / 3 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.39

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.65

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.23

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

3.27

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.04

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

2.99

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.32

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.30

CMS adjusted RN staffing hours

Adjusted total hours

2.50

CMS adjusted total nurse staffing hours

Case-mix index

1.79

Higher values indicate more complex resident acuity

RN turnover

23%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

33%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,374

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

23.84

Composite VBP score used to determine payment impact.

Payment multiplier

0.9833

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 18.15% · Performance 22.73% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

3.28

Baseline 8.44% · Performance 7.13% · Measure score 3.28 · Achievement 2.34 · Improvement 3.28

Total nurse turnover

5.83

Baseline 40.16% · Performance 39.83% · Measure score 5.83 · Achievement 5.83 · Improvement 0

Adjusted total nurse staffing

0.42

Baseline 2.85 hours · Performance 3.12 hours · Measure score 0.42 · Achievement 0 · Improvement 0.42

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.27%	10.72% 0.5 pts worse	No Different than the National Rate · Eligible stays 75 · Observed rate 13.33% · Lower 95% interval 7.71%
Discharge to community	36.62%	50.57% 14 pts worse	Worse than the National Rate · Eligible stays 68 · Observed rate 27.94% · Lower 95% interval 27.16%
Medicare spending per beneficiary	1.08	1.02 0.1 pts worse
Drug regimen review with follow-up	84.44%	95.27% 10.8 pts worse	Numerator 38 · Denominator 45
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 45
Discharge self-care score	63.33%	53.69% 9.6 pts better	Numerator 19 · Denominator 30
Discharge mobility score	50%	50.94% 0.9 pts worse	Numerator 15 · Denominator 30
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 45 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.13%	7.12% About the same	No Different than the National Rate · Eligible stays 42 · Observed rate 7.14% · Lower 95% interval 4%
Staff COVID-19 vaccination coverage	9.09%	8.2% 0.9 pts better	Numerator 14 · Denominator 154
Staff flu vaccination coverage	29.09%	42% 12.9 pts worse	Numerator 48 · Denominator 165
Discharge function score	53.33%	56.45% 3.1 pts worse	Numerator 16 · Denominator 30
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	56.52%	25.2% 31.3 pts better	Numerator 13 · Denominator 23

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.4	2.0 0.6 pts better	1.9 0.5 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.1 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.7	2.3 1.6 pts better	1.8 1.1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.5 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	89.6% 10.4 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	87.6%	91.6% 4 pts worse	95.5% 7.9 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 87.6%
Percentage of long-stay residents experiencing one or more falls with major injury	1.4%	3.3% 1.9 pts better	3.3% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 0.9% · Q4 3.7% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	82.4%	50.3% 32.1 pts worse	11.4% 71 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 82.4% · Q2 81.0% · Q3 71.6% · Q4 94.3% · 4Q avg 82.4%
Percentage of long-stay residents who lose too much weight	1.1%	6.5% 5.4 pts better	5.4% 4.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.1% · Q4 3.2% · 4Q avg 1.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	13.4%	18.5% 5.1 pts better	19.6% 6.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 15.3% · Q3 14.9% · Q4 11.7% · 4Q avg 13.4%
Percentage of long-stay residents who received an antipsychotic medication	27.5%	22.8% 4.7 pts worse	16.7% 10.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.4% · Q2 23.4% · Q3 27.8% · Q4 31.6% · 4Q avg 27.5% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	9.7%	17.2% 7.5 pts better	16.3% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.7% · Q2 5.3% · Q3 6.1% · Q4 14.1% · 4Q avg 9.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	8.1%	15.0% 6.9 pts better	14.9% 6.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 8.5% · Q3 3.3% · Q4 7.6% · 4Q avg 8.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.3%	1.1% 0.2 pts worse	1.0% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 3.6% · Q3 0.0% · Q4 0.8% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.7%	1.7% 1 pts better	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 1.9% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	17.5%	21.3% 3.8 pts better	19.8% 2.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.3% · Q2 21.5% · Q3 12.1% · Q4 17.0% · 4Q avg 17.5%
Percentage of long-stay residents with pressure ulcers	5.8%	5.2% 0.6 pts worse	5.1% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 7.5% · Q3 3.5% · Q4 6.8% · 4Q avg 5.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.8%	68.8% 31 pts better	81.7% 18.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 98.9% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.8%
Percentage of short-stay residents who had an outpatient emergency department visit	11.8%	14.0% 2.2 pts better	12.0% 0.2 pts better	Short Stay · 20240701-20250630 · Adjusted 11.8% · Observed 12.8% · Expected 12.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.4%	2.3% 1.9 pts better	1.6% 1.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.3% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	62.5%	63.0% 0.5 pts worse	79.7% 17.2 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 62.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.2%	26.2% 1 pts worse	23.9% 3.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.2% · Observed 27.7% · Expected 24.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-09-11 · Fire 2024-09-11

11 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-06-29 · Fire 2023-06-29

11 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2022-04-06 · Fire 2022-04-06

18 health deficiencies

Top issue: Quality of Life and Care (9 deficiencies)

5 fire-safety deficiencies

Top issue: Emergency Preparedness (5 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-06-29

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2023-08-15

F · Potential for more than minimal harm 2022-04-06

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2022-04-29

F · Potential for more than minimal harm 2022-04-06

E22 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for sheltering.

Corrected 2022-04-29

F · Potential for more than minimal harm 2022-04-06

E34 · Emergency Preparedness Deficiencies

Fire Safety

Provide a means of sharing information on occupancy/needs.

Corrected 2022-04-29

F · Potential for more than minimal harm 2022-04-06

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2022-04-29

F · Potential for more than minimal harm 2022-04-06

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2022-04-29

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-10-27

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2025-11-03

E · Potential for more than minimal harm 2025-07-03

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2025-07-07

F · Potential for more than minimal harm 2025-07-01

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-07-05

D · Potential for more than minimal harm 2025-05-14

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-05-30

D · Potential for more than minimal harm 2025-01-10

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-01-15

E · Potential for more than minimal harm 2024-09-11

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-09-20

D · Potential for more than minimal harm 2024-09-11

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-09-20

D · Potential for more than minimal harm 2024-09-11

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-09-20

D · Potential for more than minimal harm 2024-09-11

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2024-09-20

D · Potential for more than minimal harm 2024-09-11

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-09-20

D · Potential for more than minimal harm 2024-09-11

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-09-20

D · Potential for more than minimal harm 2024-09-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-20

F · Potential for more than minimal harm 2024-06-15

F803 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2024-06-24

D · Potential for more than minimal harm 2024-01-11

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-01-17

D · Potential for more than minimal harm 2023-11-16

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-11-22

D · Potential for more than minimal harm 2023-11-16

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-11-22

D · Potential for more than minimal harm 2023-09-16

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-09-23

D · Potential for more than minimal harm 2023-08-30

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2023-09-08

E · Potential for more than minimal harm 2023-06-29

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-07-13

D · Potential for more than minimal harm 2023-06-29

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-07-13

D · Potential for more than minimal harm 2023-06-29

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-07-13

D · Potential for more than minimal harm 2023-06-29

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-07-13

D · Potential for more than minimal harm 2023-06-29

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-07-13

D · Potential for more than minimal harm 2023-06-29

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2023-07-13

D · Potential for more than minimal harm 2023-06-29

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-07-13

D · Potential for more than minimal harm 2023-06-29

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-07-13

D · Potential for more than minimal harm 2023-06-29