Federal inspection record · CMS data as of October 1, 2026
Citadel Of Sterling,the
105 East 23rd Street, Sterling, IL · (815) 626-4264
- Certified beds
- 121
- Residents per day
- 88
- Ownership
- For-Profit
- Chain
- Citadel Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 1, 1974
1
How this home got 3 stars
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
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Illinois homes
Citadel Of Sterling,the carries 55 inspection points. That is fewer than 75% 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
25 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 (2)
-
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 Care11D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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
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
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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 safe and appropriate respiratory care for a resident when needed.
- D
Provide or get specialized rehabilitative services as required for a resident.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Rights4E
- D
Give the resident's representative the ability to exercise the resident's rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Keep residents' personal and medical records private and confidential.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nutrition and Dietary4F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Pharmacy Service1D
- D
Ensure that residents are free from significant medication errors.
Inspection history
2026-04-30
6 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2025-05-22
13 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2024-06-12
6 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 11 min of nursing staff time a day, 30 min of it from a registered nurse.
This home
3 h 11 min
Illinois average
3 h 28 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 34% of nursing staff and 53% 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
$11,213 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-06-12 | Fine | $11,213 |
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 days0.4 pts better | 1.6 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts worse | 3.1 | 2.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.5 pts better | 96.0% | 90.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6 pts better | 97.7% | 91.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts better | 1.8% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms28.5 pts worse | 84.4% | 55.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.3 pts better | 3.8% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.9 pts worse | 25.3% | 18.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.5 pts better | 12.2% | 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 worsened0.6 pts worse | 13.4% | 12.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.5 pts better | 8.5% | 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 infection1.2 pts better | 0.3% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.5 pts better | 17.3% | 19.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.7 pts worse | 5.5% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.1 pts better | 85.1% | 70.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit15.3 pts worse | 28.8% | 13.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts worse | 2.6% | 2.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine29 pts better | 92.2% | 63.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.6 pts better | 24.0% | 25.6% | 23.4% |
·
Who owns and runs it
17 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 |
|---|---|---|---|
| Aaron, Adina | Direct Ownership Interest · Individual | 0% | 1 facilities |
| Aaron, Fred | Direct Ownership Interest · Individual | 0% | 7 facilities |
| Aaron, Jonathan | Direct Ownership Interest · Individual | 0% | 37 facilities |
| Aaron, Jonathan | Operational/Managerial Control · Individual | 0% | 37 facilities |
| Graf, Marcella | Direct Ownership Interest · Individual | 0% | 42 facilities |
| Graf, Marcella | Operational/Managerial Control · Individual | 0% | 42 facilities |
| Graf, Marcella | Adp Of The SNF · Individual | 0% | 42 facilities |
| Gross, Shoshana | Direct Ownership Interest · Individual | 0% | 11 facilities |
| Kohen, Yakov | Direct Ownership Interest · Individual | 0% | 5 facilities |
| Mcmahon, Michael | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Mcmahon, Michael | Adp Of The SNF · Individual | 0% | 6 facilities |
| Omnia Healthcare Group LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Proctor, Katherine | Direct Ownership Interest · Individual | 0% | 11 facilities |
| Robin, Jason | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Robin, Jason | Adp Of The SNF · Individual | 0% | 13 facilities |
| Stern Family Investment Tr | Direct Ownership Interest · Organization | 0% | 17 facilities |
| Stern, Raphaela | Direct Ownership Interest · Individual | 0% | 3 facilities |
·
Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Install a fire alarm system that can be heard throughout the facility.
- E
Install an approved automatic sprinkler system.
Miscellaneous2F
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have simulated fire drills held at unexpected times.
Emergency Preparedness1F
- F
Address subsistence needs for staff and patients.
Gas, Vacuum, and Electrical Systems1E
- E
Have proper medical gas storage and administration areas.
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Other homes nearby
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- J
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-
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-
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