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Data / Nursing homes / Illinois / The Sapphire at Northwoods

The Sapphire at Northwoods, Belvidere, IL: 1 star rating, fined $103,871 across 5 fines and had 2 payment denials

The Sapphire at Northwoods in Belvidere, IL is owned by Symphony Healthcare LLC, is rated 1 of 5 stars by Medicare, and was fined $103,871 across 5 fines and had 2 payment denials in the three years to October 1, 2026. CMS lists 29 health citations from inspections in that time, the latest survey on May 14, 2026, and 8 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Illinois
Address
2250 Pearl Street, Belvidere, IL 61008
Overall rating
1 of 5 stars
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measure rating
4 of 5
Certified beds
113
Residents per day
88 on average
Ownership type
For profit, corporation
Legal business name
Symphony Northwoods LLC
Chain
Symphony Care Network, 7 facilities
Fines
$103,871 across 5 fines, three years to October 1, 2026
Payment denials
2
Health citations
29, of which 8 with actual harm or immediate jeopardy
Latest survey
May 14, 2026
CMS Certification Number
145312
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
January 7, 2026Fine$50,606Not listeddata.cms.gov
January 7, 2026Payment denialNot listedFebruary 25, 20262data.cms.gov
September 10, 2025Fine$14,654Not listeddata.cms.gov
July 21, 2025Fine$12,438Not listeddata.cms.gov
January 2, 2025Fine$12,048Not listeddata.cms.gov
October 23, 2024Fine$14,125Not listeddata.cms.gov
June 3, 2024Payment denialNot listedJune 21, 20243data.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
May 14, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 27, 2026data.cms.gov
February 18, 2026F688Provide 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 27, 2026data.cms.gov
February 4, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedFebruary 13, 2026data.cms.gov
January 7, 2026F887Educate 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 22, 2026data.cms.gov
January 7, 2026F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 22, 2026data.cms.gov
January 7, 2026F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 22, 2026data.cms.gov
January 7, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 22, 2026data.cms.gov
January 7, 2026F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 22, 2026data.cms.gov
January 7, 2026F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 22, 2026data.cms.gov
January 7, 2026F732Post nurse staffing information every day.C: widespread, minimal harm potentialCorrectedJanuary 22, 2026data.cms.gov
January 7, 2026F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 22, 2026data.cms.gov
January 7, 2026F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 22, 2026data.cms.gov
January 7, 2026F679Provide activities to meet all resident's needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 22, 2026data.cms.gov
January 7, 2026F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 22, 2026data.cms.gov
September 10, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedSeptember 23, 2025data.cms.gov
September 10, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedSeptember 23, 2025data.cms.gov
September 10, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 23, 2025data.cms.gov
July 21, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedJuly 31, 2025data.cms.gov
June 11, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 18, 2025data.cms.gov
March 13, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 24, 2025data.cms.gov
January 2, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedJanuary 9, 2025data.cms.gov
November 7, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 14, 2024data.cms.gov
October 23, 2024F692Provide enough food/fluids to maintain a resident's health.G: isolated, actual harmCorrectedNovember 7, 2024data.cms.gov
October 23, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedNovember 7, 2024data.cms.gov
October 23, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 7, 2024data.cms.gov
October 23, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 7, 2024data.cms.gov
October 23, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 7, 2024data.cms.gov
October 23, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 7, 2024data.cms.gov
June 3, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedJune 24, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 2 individual or personal trusts (1 owners, 1 managers). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Symphony Healthcare LLCDirect owner100%November 22, 2011data.cms.gov
Symag Holdings LLCIndirect ownerNot listedNovember 22, 2011data.cms.gov
Symphony ML LLCIndirect ownerNot listedNovember 22, 2011data.cms.gov
Symphony Monarch Holdings, LLCIndirect ownerNot listedNovember 22, 2011data.cms.gov
Willow Delta TrustIndirect ownerNot listedJanuary 1, 2019data.cms.gov
Midcap Funding IV TrustSecurity interestNot listedAugust 21, 2018data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.