Federal inspection record · CMS data as of October 1, 2026
The Sapphire at Northwoods
2250 Pearl Street, Belvidere, IL · (815) 544-0358
- Certified beds
- 113
- Residents per day
- 88
- Ownership
- For-Profit
- Chain
- Symphony Care Network
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 1, 1976
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Illinois.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Illinois homes
The Sapphire at Northwoods carries 127 inspection points. That is fewer than 39% of Illinois's 659 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Illinois: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–31 pts
- 4★ 31–73 pts
- 3★ 73–120.25 pts
- 2★ 120.25–219 pts
- 1★ over 219 pts
Bars show every rated home in Illinois by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
36 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (8)
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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G
Provide enough food/fluids to maintain a resident's health.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Quality of Life and Care11E
- 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.
- E
Provide activities to meet all resident's needs.
- 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.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 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.
Infection Control4F
- F
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- E
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning2D
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Ensure each resident receives an accurate assessment.
Pharmacy Service2D
- D
Ensure that residents are free from significant medication errors.
- D
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.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Resident Rights1D
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Environmental1E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Administration1D
- D
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Inspection history
2026-01-07
14 health deficiencies · 12 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-10-23
14 health deficiencies · 14 fire-safety deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
2023-09-19
8 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 55 min of nursing staff time a day, 22 min of it from a registered nurse.
This home
2 h 55 min
Illinois average
3 h 28 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 60% of nursing staff and 40% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$103,871 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-01-07 | Fine | $50,606 |
| 2026-01-07 | Payment Denial · 2 day denial | $0 |
| 2025-09-10 | Fine | $14,654 |
| 2025-07-21 | Fine | $12,438 |
| 2025-01-02 | Fine | $12,048 |
| 2024-10-23 | Fine | $14,125 |
| 2024-06-03 | Payment Denial · 3 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts better | 1.4 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts better | 1.1 | 2.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts better | 96.3% | 90.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.7 pts better | 95.4% | 91.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts worse | 3.4% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms55.6 pts better | 0.3% | 55.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight6.1 pts better | 0.0% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.4 pts better | 16.0% | 18.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.6 pts worse | 22.3% | 21.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6 pts better | 6.8% | 12.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.1 pts better | 6.9% | 13.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better | 0.0% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.5 pts better | 0.0% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.3 pts better | 18.5% | 19.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.1 pts better | 3.7% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.3 pts worse | 57.7% | 70.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1 pts worse | 14.5% | 13.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.2 pts better | 0.0% | 2.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.6 pts better | 63.8% | 63.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.9 pts worse | 26.5% | 25.6% | 23.4% |
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Who owns and runs it
8 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Symphony Healthcare LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 2 facilities |
| Hartman, Debra | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 2 facilities |
| Jessen, Carrie | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Midcap Funding Iv Trust | 5% Or Greater Security Interest · Organization | 0% | 26 facilities |
| Symag Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Symphony Ml LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Symphony Monarch Holdings, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Willow Delta Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
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Fire safety
34 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress12F
- F
Install proper backup exit lighting.
- 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
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E
Have exits that are accessible at all times.
- 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 exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E
Have properly located and lighted "Exit" signs.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 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
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E
Install proper backup exit lighting.
Smoke10F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- 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.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- 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.
Emergency Preparedness5F
- F
Address subsistence needs for staff and patients.
- F
Establish policies and procedures for sheltering.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Establish roles under a Waiver declared by secretary.
Gas, Vacuum, and Electrical Systems3F
- E
Have proper medical gas storage and administration areas.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E
Ensure proper usage of power strips and extension cords.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- E
Have restrictions on the use of portable space heaters.
Construction1E
- E
Meet other general requirements.
Services1E
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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Other homes nearby
-
Belvidere Health And Rehab
Belvidere, IL
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 54 min
- Fines
- $0
-
The Sapphire at Maple Crest
Belvidere, IL · Symphony Care Network · Abuse icon
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 2 h 52 min
- Fines
- $415,675
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Alden Debes Rehab & Hcc
Rockford, IL · The Alden Network · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 30 min
- Fines
- $129,985