Rockford, IL

The Citadel at Saint Anne Place

1-star overall rating with 1-star inspections with $126,951 in total fines with 19 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

4405 Highcrest Road, Rockford, IL

(815) 229-1999

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

179

Certified beds

Average residents

117

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1986-10-29

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

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

1.14

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.72

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

1.88

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

3.73

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.86

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

3.45

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.93

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.09

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

1.18

CMS adjusted RN staffing hours

Adjusted total hours

3.87

CMS adjusted total nurse staffing hours

Case-mix index

1.32

Higher values indicate more complex resident acuity

RN turnover

55%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

51%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,602

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

Performance score

23.15

Composite VBP score used to determine payment impact.

Payment multiplier

0.9831

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 16.71% · Performance 21.98% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

3.67

Baseline 5.92% · Performance 6.74% · Measure score 3.67 · Achievement 3.67 · Improvement 0

Total nurse turnover

3.53

Baseline 56.88% · Performance 49.25% · Measure score 3.53 · Achievement 3.53 · Improvement 1.88

Adjusted total nurse staffing

2.06

Baseline 3.96 hours · Performance 3.66 hours · Measure score 2.06 · Achievement 2.06 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 14.88%
10.72%
4.2 pts worse
Worse than the National Rate · Eligible stays 180 · Observed rate 18.33% · Lower 95% interval 11.17%
Discharge to community 45.38%
50.57%
5.2 pts worse
No Different than the National Rate · Eligible stays 186 · Observed rate 41.4% · Lower 95% interval 39.14%
Medicare spending per beneficiary 0.99
1.02
About the same
Drug regimen review with follow-up 99.29%
95.27%
4 pts better
Numerator 140 · Denominator 141
Falls with major injury 1.42%
0.77%
0.6 pts worse
Numerator 2 · Denominator 141
Discharge self-care score 26.73%
53.69%
27 pts worse
Numerator 27 · Denominator 101
Discharge mobility score 41.58%
50.94%
9.4 pts worse
Numerator 42 · Denominator 101
Pressure ulcers or injuries, new or worsened 1.42%
2.29%
0.9 pts better
Numerator 2 · Denominator 141 · Adjusted rate 1.71%
Healthcare-associated infections requiring hospitalization 6.74%
7.12%
0.4 pts better
No Different than the National Rate · Eligible stays 124 · Observed rate 5.65% · Lower 95% interval 4.31%
Staff COVID-19 vaccination coverage 1.9%
8.2%
6.3 pts worse
Numerator 2 · Denominator 105
Staff flu vaccination coverage 91.78%
42%
49.8 pts better
Numerator 134 · Denominator 146
Discharge function score 42.57%
56.45%
13.9 pts worse
Numerator 43 · Denominator 101
Transfer of health information to provider 93.18%
95.95%
2.8 pts worse
Numerator 41 · Denominator 44
Transfer of health information to patient 88.16%
96.28%
8.1 pts worse
Numerator 67 · Denominator 76
Resident COVID-19 vaccinations up to date 16.28%
25.2%
8.9 pts worse
Numerator 14 · Denominator 86

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 3.0
2.0
1 pts worse
1.9
1.1 pts worse
Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 3.8 · Expected 2.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.1
2.3
1.2 pts better
1.8
0.7 pts better
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.2 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 92.1%
89.6%
2.5 pts better
93.4%
1.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 95.8% · Q2 91.0% · Q3 94.8% · Q4 86.6% · 4Q avg 92.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.0%
91.6%
4.4 pts better
95.5%
0.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.0%
Percentage of long-stay residents experiencing one or more falls with major injury 5.0%
3.3%
1.7 pts worse
3.3%
1.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 4.5% · Q3 9.3% · Q4 5.2% · 4Q avg 5.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 4.7%
50.3%
45.6 pts better
11.4%
6.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 4.5% · Q3 7.5% · Q4 3.8% · 4Q avg 4.7%
Percentage of long-stay residents who lose too much weight 4.2%
6.5%
2.3 pts better
5.4%
1.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.4% · Q3 8.8% · Q4 5.7% · 4Q avg 4.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 19.3%
18.5%
0.8 pts worse
19.6%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 19.3% · Q3 22.9% · Q4 18.4% · 4Q avg 19.3%
Percentage of long-stay residents who received an antipsychotic medication 18.4%
22.8%
4.4 pts better
16.7%
1.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 20.0% · Q3 23.3% · Q4 18.2% · 4Q avg 18.4% · 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 38.0%
17.2%
20.8 pts worse
16.3%
21.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 55.1% · 4Q avg 38.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 21.0%
15.0%
6 pts worse
14.9%
6.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 34.6% · Q2 25.0% · Q3 14.1% · Q4 10.8% · 4Q avg 21.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.0%
1.1%
0.1 pts better
1.0%
About the same
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 3.3% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 2.1%
1.7%
0.4 pts worse
1.7%
0.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 3.4% · Q3 1.1% · Q4 0.0% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 13.7%
21.3%
7.6 pts better
19.8%
6.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 23.9% · Q2 13.2% · Q3 8.7% · Q4 9.3% · 4Q avg 13.7%
Percentage of long-stay residents with pressure ulcers 9.2%
5.2%
4 pts worse
5.1%
4.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 11.6% · Q3 7.0% · Q4 10.8% · 4Q avg 9.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 79.6%
68.8%
10.8 pts better
81.7%
2.1 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 87.5% · Q2 82.4% · Q3 79.1% · Q4 68.6% · 4Q avg 79.6%
Percentage of short-stay residents who had an outpatient emergency department visit 16.1%
14.0%
2.1 pts worse
12.0%
4.1 pts worse
Short Stay · 20240701-20250630 · Adjusted 16.1% · Observed 15.9% · Expected 11.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.5%
2.3%
0.8 pts better
1.6%
0.1 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 1.2% · Q3 1.8% · Q4 2.2% · 4Q avg 1.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 72.5%
63.0%
9.5 pts better
79.7%
7.2 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 72.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 27.7%
26.2%
1.5 pts worse
23.9%
3.8 pts worse
Short Stay · 20240701-20250630 · Adjusted 27.7% · Observed 27.4% · Expected 23.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-05 · Fire 2025-06-05

19 health deficiencies

Top issue: Quality of Life and Care (11 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2024-08-07 · Fire 2024-08-07

11 health deficiencies

Top issue: Pharmacy Service (6 deficiencies)

13 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Cycle 3 Health 2023-07-13 · Fire 2023-07-13

11 health deficiencies

Top issue: Quality of Life and Care (10 deficiencies)

11 fire-safety deficiencies

Top issue: Smoke (7 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-06-19

E · Potential for more than minimal harm 2025-06-05

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2025-06-19

E · Potential for more than minimal harm 2025-06-05

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2025-06-19

E · Potential for more than minimal harm 2025-06-05

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 2025-06-19

E · Potential for more than minimal harm 2025-06-05

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-06-19

E · Potential for more than minimal harm 2025-06-05

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-06-19

E · Potential for more than minimal harm 2025-06-05

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-06-19

E · Potential for more than minimal harm 2025-06-05

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-06-19

F · Potential for more than minimal harm 2024-08-07

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2024-09-11

F · Potential for more than minimal harm 2024-08-07

E22 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for sheltering.

Corrected 2024-09-11

F · Potential for more than minimal harm 2024-08-07

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-09-12

F · Potential for more than minimal harm 2024-08-07

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-09-11

F · Potential for more than minimal harm 2024-08-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-11

F · Potential for more than minimal harm 2024-08-07

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-09-11

E · Potential for more than minimal harm 2024-08-07

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-09-11

E · Potential for more than minimal harm 2024-08-07

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 2024-09-11

E · Potential for more than minimal harm 2024-08-07

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2024-09-11

E · Potential for more than minimal harm 2024-08-07

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-09-11

E · Potential for more than minimal harm 2024-08-07

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-09-11

E · Potential for more than minimal harm 2024-08-07

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-09-11

E · Potential for more than minimal harm 2024-08-07

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-09-11

F · Potential for more than minimal harm 2023-07-13

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-08-09

F · Potential for more than minimal harm 2023-07-13

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2023-08-03

F · Potential for more than minimal harm 2023-07-13

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2023-08-03

F · Potential for more than minimal harm 2023-07-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-08-07

F · Potential for more than minimal harm 2023-07-13

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2023-08-02

F · Potential for more than minimal harm 2023-07-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-09-01

E · Potential for more than minimal harm 2023-07-13

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 2023-08-07

E · Potential for more than minimal harm 2023-07-13

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-08-04

E · Potential for more than minimal harm 2023-07-13

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-08-07

E · Potential for more than minimal harm 2023-07-13

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-07-30

E · Potential for more than minimal harm 2023-07-13

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-08-02

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-16

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 2025-12-18

G · Actual harm 2025-11-25

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-12-05

E · Potential for more than minimal harm 2025-11-25

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-12-05

D · Potential for more than minimal harm 2025-11-25

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-12-05

D · Potential for more than minimal harm 2025-11-25

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2025-12-05

D · Potential for more than minimal harm 2025-11-25

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 2025-11-26

G · Actual harm 2025-07-08

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-10

G · Actual harm 2025-06-05

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-03

G · Actual harm 2025-06-05

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 2025-06-17

G · Actual harm 2025-06-05

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-17

F · Potential for more than minimal harm 2025-06-05

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 2025-06-19

E · Potential for more than minimal harm 2025-06-05

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 2025-06-17

E · Potential for more than minimal harm 2025-06-05

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2025-07-01

D · Potential for more than minimal harm 2025-06-05

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-06-17

D · Potential for more than minimal harm 2025-06-05

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-20

D · Potential for more than minimal harm 2025-06-05

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-06-17

D · Potential for more than minimal harm 2025-06-05

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-06-17

D · Potential for more than minimal harm 2025-06-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-02

D · Potential for more than minimal harm 2025-04-29

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 2025-04-30

G · Actual harm 2024-08-07

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-08-14

D · Potential for more than minimal harm 2024-08-07

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 2024-08-14

D · Potential for more than minimal harm 2024-08-07

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 2024-08-14

D · Potential for more than minimal harm 2024-08-07

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2024-08-14

D · Potential for more than minimal harm 2024-08-07

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-08-08

D · Potential for more than minimal harm 2024-08-07

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 2024-08-08

D · Potential for more than minimal harm 2024-08-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-08-14

D · Potential for more than minimal harm 2024-07-17

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 2024-07-22

D · Potential for more than minimal harm 2024-04-03

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-04-10

D · Potential for more than minimal harm 2024-03-13

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-03-21

D · Potential for more than minimal harm 2024-03-13

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 2024-03-21

G · Actual harm 2024-02-21

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 2024-02-22

G · Actual harm 2023-11-15

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 2023-11-16

D · Potential for more than minimal harm 2023-11-15

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-11-17

G · Actual harm 2023-07-13

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-07-28

D · Potential for more than minimal harm 2023-07-13

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-07-28

D · Potential for more than minimal harm 2023-07-13

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-07-28

D · Potential for more than minimal harm 2023-07-13

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-07-28

D · Potential for more than minimal harm 2023-07-13

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2023-07-28

D · Potential for more than minimal harm 2023-07-13

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 2023-07-28

D · Potential for more than minimal harm 2023-07-13

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 2023-07-28

D · Potential for more than minimal harm 2023-07-13

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2023-07-28

Penalties and ownership

What sits behind the stars

$68,265 2025-06-05

Fine

Fine · fine $68,265

Fine

$0 2025-06-05

Payment Denial

Payment Denial · denial start 2025-06-28 · 12 days

12 day denial

$13,309 2024-08-07

Fine

Fine · fine $13,309

Fine

$14,050 2024-02-21

Fine

Fine · fine $14,050

Fine

$13,039 2023-11-15

Fine

Fine · fine $13,039

Fine

$18,288 2023-07-13

Fine

Fine · fine $18,288

Fine

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Other facilities in reach

#1

Pa Peterson At The Citadel

Rockford, IL

2-star overall rating with 3-star inspections with $21,212 in total fines with 15 recent health deficiencies

Overall
2 / 5
Health
3 / 5
Staffing
1 / 5
Fines
$21,212
#2

Alden Park Strathmoor

Rockford, IL

2-star overall rating with 2-star inspections with $115,265 in total fines with 12 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
1 / 5
Fines
$115,265
#3

Fairhaven Christian Ret Center

Rockford, IL

3-star overall rating with 3-star inspections with $120,225 in total fines with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
3 / 5
Staffing
4 / 5
Fines
$120,225

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