Skokie, IL

Citadel Of Skokie, The

2-star overall rating with 2-star inspections with abuse icon flag with $27,891 in total fines with 6 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

9615 North Knox Avenue, Skokie, IL

(847) 679-4161

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

113

Certified beds

Average residents

104

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Citadel Healthcare

Operator or chain grouping

Approved since

1983-08-10

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

0.55

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.59

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

1.59

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

2.73

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.14

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

2.58

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.47

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.41

CMS adjusted RN staffing hours

Adjusted total hours

2.07

CMS adjusted total nurse staffing hours

Case-mix index

1.80

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover · state 44% · national 45%

Total nurse turnover

22%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,232

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

Performance score

24.34

Composite VBP score used to determine payment impact.

Payment multiplier

0.9834

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.58

Baseline 20.48% · Performance 20.23% · Measure score 2.58 · Achievement 2.58 · Improvement 0.22

Healthcare-associated infections

1.01

Baseline 7.35% · Performance 7.53% · Measure score 1.01 · Achievement 1.01 · Improvement 0

Total nurse turnover

6.14

Baseline 53.42% · Performance 38.57% · Measure score 6.14 · Achievement 6.14 · Improvement 4.70

Adjusted total nurse staffing

Baseline 2.37 hours · Performance 1.92 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.98%	10.72% 0.7 pts better	No Different than the National Rate · Eligible stays 108 · Observed rate 9.26% · Lower 95% interval 6.93%
Discharge to community	39.93%	50.57% 10.6 pts worse	Worse than the National Rate · Eligible stays 69 · Observed rate 28.99% · Lower 95% interval 28.05%
Medicare spending per beneficiary	1.51	1.02 0.5 pts worse
Drug regimen review with follow-up	98.73%	95.27% 3.5 pts better	Numerator 78 · Denominator 79
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 79
Discharge self-care score	45.45%	53.69% 8.2 pts worse	Numerator 20 · Denominator 44
Discharge mobility score	36.36%	50.94% 14.6 pts worse	Numerator 16 · Denominator 44
Pressure ulcers or injuries, new or worsened	1.27%	2.29% 1 pts better	Numerator 1 · Denominator 79 · Adjusted rate 1.15%
Healthcare-associated infections requiring hospitalization	7.53%	7.12% 0.4 pts worse	No Different than the National Rate · Eligible stays 63 · Observed rate 7.94% · Lower 95% interval 4.46%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 123
Staff flu vaccination coverage	54.25%	42% 12.2 pts better	Numerator 83 · Denominator 153
Discharge function score	47.73%	56.45% 8.7 pts worse	Numerator 21 · Denominator 44
Transfer of health information to provider	96.88%	95.95% 0.9 pts better	Numerator 31 · Denominator 32
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	78.38%	25.2% 53.2 pts better	Numerator 29 · Denominator 37

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.6	2.0 0.4 pts better	1.9 0.3 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.5 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.8	2.3 1.5 pts better	1.8 1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.7 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.7%	89.6% 8.1 pts better	93.4% 4.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 93.9% · Q2 99.0% · Q3 99.0% · Q4 99.0% · 4Q avg 97.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	91.6% 8.4 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	1.8%	3.3% 1.5 pts better	3.3% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 2.0% · Q3 2.1% · Q4 2.0% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	80.0%	50.3% 29.7 pts worse	11.4% 68.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 82.8% · Q2 74.2% · Q3 80.7% · Q4 82.3% · 4Q avg 80.0%
Percentage of long-stay residents who lose too much weight	5.1%	6.5% 1.4 pts better	5.4% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 7.5% · Q3 4.3% · Q4 4.3% · 4Q avg 5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	13.0%	18.5% 5.5 pts better	19.6% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 12.6% · Q3 13.8% · Q4 12.6% · 4Q avg 13.0%
Percentage of long-stay residents who received an antipsychotic medication	34.8%	22.8% 12 pts worse	16.7% 18.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 39.1% · Q2 34.0% · Q3 38.5% · Q4 27.9% · 4Q avg 34.8% · 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	8.4%	17.2% 8.8 pts better	16.3% 7.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.8% · Q2 7.5% · Q3 3.5% · Q4 5.2% · 4Q avg 8.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.8%	15.0% 9.2 pts better	14.9% 9.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 9.2% · Q3 2.4% · Q4 4.7% · 4Q avg 5.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.1% 1.1 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.7% 1.7 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	14.9%	21.3% 6.4 pts better	19.8% 4.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 19.5% · Q3 17.2% · Q4 5.9% · 4Q avg 14.9%
Percentage of long-stay residents with pressure ulcers	1.2%	5.2% 4 pts better	5.1% 3.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.3% · Q3 0.0% · Q4 2.3% · 4Q avg 1.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	61.4%	68.8% 7.4 pts worse	81.7% 20.3 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 38.6% · Q2 73.2% · Q3 66.0% · Q4 71.2% · 4Q avg 61.4%
Percentage of short-stay residents who had an outpatient emergency department visit	12.7%	14.0% 1.3 pts better	12.0% 0.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 12.7% · Observed 13.8% · Expected 12.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.4%	2.3% 0.1 pts worse	1.6% 0.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q3 0.0% · Q4 3.8% · 4Q avg 2.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	73.8%	63.0% 10.8 pts better	79.7% 5.9 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 73.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	26.2%	26.2% About the same	23.9% 2.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 26.2% · Observed 27.6% · Expected 25.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-31 · Fire 2024-10-31

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

5 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Cycle 2 Health 2023-11-22 · Fire 2023-11-22

8 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

10 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)

Cycle 3 Health 2022-12-21 · Fire 2022-12-21

27 health deficiencies

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

8 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-10-31

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-11-26

E · Potential for more than minimal harm 2024-10-31

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2024-11-26

E · Potential for more than minimal harm 2024-10-31

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2024-11-26

E · Potential for more than minimal harm 2024-10-31

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2024-11-26

E · Potential for more than minimal harm 2024-10-31

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-11-26

F · Potential for more than minimal harm 2023-11-22

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-12-29

F · Potential for more than minimal harm 2023-11-22

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-12-29

F · Potential for more than minimal harm 2023-11-22

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-12-29

E · Potential for more than minimal harm 2023-11-22

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2023-12-29

E · Potential for more than minimal harm 2023-11-22

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-12-29

E · Potential for more than minimal harm 2023-11-22

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2023-12-29

E · Potential for more than minimal harm 2023-11-22

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2023-12-29

E · Potential for more than minimal harm 2023-11-22

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-12-29

E · Potential for more than minimal harm 2023-11-22

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-12-29

D · Potential for more than minimal harm 2023-11-22

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-12-29

F · Potential for more than minimal harm 2022-12-21

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2023-01-25

F · Potential for more than minimal harm 2022-12-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-01-25

F · Potential for more than minimal harm 2022-12-21

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-01-25

E · Potential for more than minimal harm 2022-12-21

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-01-25

E · Potential for more than minimal harm 2022-12-21

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-01-25

E · Potential for more than minimal harm 2022-12-21

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-01-25

E · Potential for more than minimal harm 2022-12-21

K522 · Services Deficiencies

Fire Safety

Have an externally vented heating system.

Corrected 2023-01-25

C · Minimal harm 2022-12-21

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-01-25

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-24

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2026-01-29

G · Actual harm 2025-04-17

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 2025-04-29

D · Potential for more than minimal harm 2025-04-17

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-04-29

D · Potential for more than minimal harm 2024-10-31

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-11-14

D · Potential for more than minimal harm 2024-10-31

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 2024-11-14

D · Potential for more than minimal harm 2024-10-31

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 2024-11-14

J · Immediate jeopardy 2024-04-26

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-04-27

J · Immediate jeopardy 2024-04-05

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 2024-04-06

G · Actual harm 2024-04-05

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-06

D · Potential for more than minimal harm 2024-02-29

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 2024-03-11

F · Potential for more than minimal harm 2023-11-22

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 2023-12-13

D · Potential for more than minimal harm 2023-11-22

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-12-13

D · Potential for more than minimal harm 2023-11-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-12-13

C · Minimal harm 2023-11-22

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2023-12-13

C · Minimal harm 2023-11-22

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2023-12-13

D · Potential for more than minimal harm 2023-08-10

F622 · Resident Rights Deficiencies

Health

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2023-08-31

D · Potential for more than minimal harm 2023-05-26

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2023-06-01

D · Potential for more than minimal harm 2023-05-26

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-06-01

G · Actual harm 2023-03-01

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-03-21

D · Potential for more than minimal harm 2023-03-01

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2023-03-21

D · Potential for more than minimal harm 2023-03-01

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-03-21

D · Potential for more than minimal harm 2023-03-01

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-03-21

D · Potential for more than minimal harm 2023-03-01

F773 · Administration Deficiencies

Health

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Corrected 2023-03-21

F · Potential for more than minimal harm 2022-12-21

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 2023-01-06

E · Potential for more than minimal harm 2022-12-21

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2023-01-06

E · Potential for more than minimal harm 2022-12-21

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-01-06

E · Potential for more than minimal harm 2022-12-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-01-06

E · Potential for more than minimal harm 2022-12-21