Federal inspection record · CMS data as of October 1, 2026
The Citadel at Saint Anne Place
4405 Highcrest Road, Rockford, IL · (815) 229-1999
- Certified beds
- 179
- Residents per day
- 133
- Ownership
- Non-Profit
- Chain
- Citadel Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 29, 1986
1
How this home got 1 star
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Illinois.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Illinois homes
The Citadel at Saint Anne Place carries 221 inspection points. That is fewer than 19% 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
44 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 (9)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide enough food/fluids to maintain a resident's health.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide enough food/fluids to maintain a resident's health.
Everything else, by area of care
Quality of Life and Care17D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 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
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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
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.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service9E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- D
Ensure medication error rates are not 5 percent or greater.
- D
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.
- D
Ensure that residents are free from significant medication errors.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Rights4E
- D
Ensure residents have reasonable access to and privacy in their use of communication methods.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services1D
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspection history
2025-06-05
20 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
2024-08-07
9 health deficiencies · 13 fire-safety deficiencies
Top issue: Pharmacy Service (4 deficiencies)
2023-07-13
15 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (12 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 21 min of nursing staff time a day, 51 min of it from a registered nurse.
This home
3 h 21 min
Illinois average
3 h 28 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 64% of nursing staff and 67% 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
$123,556 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-11-25 | Fine | $38,786 |
| 2025-06-05 | Fine | $44,372 |
| 2025-06-05 | Payment Denial · 12 day denial | $0 |
| 2024-08-07 | Fine | $13,309 |
| 2024-02-21 | Fine | $14,050 |
| 2023-11-15 | Fine | $13,039 |
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 days0.1 pts worse | 2.1 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts better | 1.2 | 2.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine20.1 pts worse | 70.4% | 90.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.5 pts better | 94.2% | 91.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts worse | 5.0% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms33.1 pts better | 22.8% | 55.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.9 pts worse | 7.0% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.4 pts worse | 22.8% | 18.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.1 pts better | 15.6% | 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 worsened5.3 pts worse | 18.1% | 12.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.8 pts worse | 14.8% | 13.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.2% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts better | 1.3% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.3 pts worse | 23.1% | 19.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.9 pts worse | 8.7% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.8 pts worse | 56.2% | 70.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.7 pts worse | 14.2% | 13.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1 pts better | 1.2% | 2.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15 pts worse | 48.2% | 63.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.2 pts worse | 31.8% | 25.6% | 23.4% |
·
Who owns and runs it
26 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, Jonathan | Managing Control - Governing Body · Individual | 0% | 37 facilities |
| Aaron, Jonathan | Operational/Managerial Control · Individual | 0% | 37 facilities |
| Aaron, Jonathan | Adp Of The SNF · Individual | 0% | 37 facilities |
| Berger Fam Tr Ua 06252014 | Direct Ownership Interest · Organization | 0% | 16 facilities |
| Berger Fam Tr Ua 06252014 | Adp Of The SNF · Organization | 0% | 16 facilities |
| Cibc Bank Usa | 5% Or Greater Security Interest · Organization | 0% | 208 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 |
| Israel Family Investment Trust | Direct Ownership Interest · Organization | 0% | 20 facilities |
| Israel Family Investment Trust | Adp Of The SNF · Organization | 0% | 20 facilities |
| Israel Investment Tr | Adp Of The SNF · Organization | 0% | 20 facilities |
| Kroll, Gabriel | Direct Ownership Interest · Individual | 0% | 25 facilities |
| Kroll, Gabriel | Adp Of The SNF · Individual | 0% | 25 facilities |
| Nagel, Steven | Direct Ownership Interest · Individual | 0% | 24 facilities |
| Nagel, Steven | Adp Of The SNF · Individual | 0% | 24 facilities |
| Nika, Vasil | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Nika, Vasil | Adp Of The SNF · Individual | 0% | 3 facilities |
| Ripstein, Kenneth | Managing Control - Governing Body · Individual | 0% | 8 facilities |
| Ripstein, Kenneth | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Ripstein, Kenneth | Adp Of The SNF · Individual | 0% | 8 facilities |
| Stern Family Investment Tr | Direct Ownership Interest · Organization | 0% | 17 facilities |
| Stern Family Investment Tr | Adp Of The SNF · Organization | 0% | 17 facilities |
| Teller, Chananel | Adp Of The SNF · Individual | 0% | 6 facilities |
| Thor, Brian | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Thor, Brian | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
32 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke15F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- E
Install corridor and hallway doors that block smoke.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Provide properly protected cooking facilities.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Egress6E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
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.
- E
Have exits that are accessible at all times.
- E
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.
Emergency Preparedness5F
- F
Address subsistence needs for staff and patients.
- F
Establish policies and procedures for sheltering.
- F
Conduct testing and exercise requirements.
- F
Implement emergency and standby power systems.
- F
Conduct testing and exercise requirements.
Gas, Vacuum, and Electrical Systems3F
- E
Ensure proper usage of power strips and extension cords.
- E
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Construction2F
- E
Use approved construction type or materials.
- F
Use approved construction type or materials.
Miscellaneous1F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
·
Other homes nearby
-
Pa Peterson At The Citadel
Rockford, IL · Citadel Healthcare · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 39 min
- Fines
- $21,212
-
Alden Park Strathmoor
Rockford, IL · The Alden Network
★★★★★- Worst citation, 3 yrs
- L
- Nursing / resident / day
- 3 h 16 min
- Fines
- $115,265
-
Fairhaven Christian Ret Center
Rockford, IL
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 5 h 4 min
- Fines
- $120,225