D

FAIRHAVEN CHRISTIAN RET CENTER

3470 NORTH ALPINE ROAD, ROCKFORD, IL 61114
Score: 49 / 100

CMS data shows Fairhaven Christian Ret Center earning a D grade with a score of 49/100, placing it below most facilities in Illinois. Prospective residents and families should carefully review the specific areas of concern detailed below.

Staffing levels at Fairhaven Christian Ret Center exceed national averages, with 4.91 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.73 hours per resident per day also exceeds the national average of 0.7 hours.

Recent CMS inspections identified 23 deficiencies at Fairhaven Christian Ret Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.91 3.8 Above Average
Registered Nurses (RN) 0.73 0.7 Average
Licensed Practical Nurses (LPN) 0.95 0.7 Above Average
Certified Nursing Assistants (CNA) 3.24 2.4 Above Average
Weekend Total Nursing 4.35 3.8 Above Average
Weekend RN Hours 0.62 0.7 Below Average

🔍 Inspection & Deficiency History

23
Total Deficiencies
Mar 25, 2025
Most Recent Inspection
🟠 22 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0689 Severity J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Mar 25, 2025 · Quality of Life and Care Deficiencies
  • Tag 0689 Severity G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Feb 25, 2025 · Quality of Life and Care Deficiencies
  • Tag 0761 Severity F
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Jan 7, 2025 · Pharmacy Service Deficiencies
  • Tag 0880 Severity E
    Provide and implement an infection prevention and control program.
    Jan 7, 2025 · Infection Control Deficiencies
  • Tag 0677 Severity D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    Jan 7, 2025 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 3.3% 4.5% Better
Falls with major injury 2.4% 3.0% Better
On antipsychotic medication 31.3% 14.5% Worse
Urinary tract infections 2.8% 2.5% Worse
ADL decline (daily activities) 14.3% 14.0% Average
Excessive weight loss 7.4% 7.5% Average
New/worsened incontinence 20.4% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $120,225

How This Grade Was Calculated

This facility's grade of D is based on a score of 49 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Church related
Certified Beds
96
Provider Type
Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jan 7, 2025
Deficiencies (Cycle 1)
6