Federal inspection record · CMS data as of October 1, 2026
The Citadel at Saint Joseph Village
659 East Jefferson Street, Freeport, IL · (815) 232-6181
- Certified beds
- 124
- Residents per day
- 95
- Ownership
- For-Profit
- Chain
- Citadel Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 14, 1997
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.
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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.
-
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.
-
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
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Illinois homes
The Citadel at Saint Joseph Village carries 132 inspection points. That is fewer than 38% 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
53 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 (6)
-
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 for the safe, appropriate administration of IV fluids for a resident when needed.
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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 appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Quality of Life and Care17E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 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 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 for the safe, appropriate administration of IV fluids for a resident when needed.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 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.
- E
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 the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 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.
Pharmacy Service9E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
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
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
Ensure medication error rates are not 5 percent or greater.
- 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.
- D
Ensure that residents are free from significant medication errors.
Resident Rights8E
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- 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.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nutrition and Dietary7F
- D
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- 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.
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control3D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Educate 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.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning1D
- D
Plan the resident's discharge to meet the resident's goals and needs.
Inspection history
2026-03-05
18 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2024-12-11
18 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
2024-02-08
17 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 59 min of nursing staff time a day, 21 min of it from a registered nurse.
This home
2 h 59 min
Illinois average
3 h 28 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 66% of nursing staff and 71% 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
$125,824 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-09-02 | Fine | $15,015 |
| 2025-03-18 | Fine | $14,731 |
| 2024-12-11 | Fine | $15,004 |
| 2024-09-13 | Fine | $12,581 |
| 2024-08-01 | Fine | $12,248 |
| 2024-02-08 | Fine | $56,245 |
| 2024-02-08 | Payment Denial · 4 day denial | $0 |
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 days0.6 pts better | 1.4 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts worse | 2.6 | 2.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.1 pts better | 93.6% | 90.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.6 pts better | 97.3% | 91.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts worse | 4.9% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms22.8 pts better | 33.1% | 55.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.5 pts worse | 6.6% | 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 medication11.1 pts better | 10.6% | 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 worsened7.6 pts worse | 20.4% | 12.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.3 pts worse | 17.3% | 13.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.5% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts better | 0.4% | 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 ulcers1.3 pts better | 3.5% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.9 pts better | 82.9% | 70.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit15 pts worse | 28.5% | 13.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.8% | 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 admission2.1 pts better | 23.5% | 25.6% | 23.4% |
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Who owns and runs it
18 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 Family Investment Trust | 5% Or Greater Direct Ownership Interest · Organization | 31% | 11 facilities |
| 659 East Jefferson Street LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Aaron, Jonathan | Operational/Managerial Control · Individual | 0% | 37 facilities |
| Berger, Menachem | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 40 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 |
| Gross, Shoshana | Direct Ownership Interest · Individual | 0% | 11 facilities |
| Israel, Benjamin | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 41 facilities |
| Kroll, Gabriel | Direct Ownership Interest · Individual | 0% | 25 facilities |
| Nagel, Steven | Direct Ownership Interest · Individual | 0% | 24 facilities |
| Parent, Georgette | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Parent, Georgette | Adp Of The SNF · Individual | 0% | 1 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, Todd | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 46 facilities |
| Teller, Chananel | Operational/Managerial Control · Individual | 0% | 6 facilities |
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Fire safety
3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness3F
- F
Address subsistence needs for staff and patients.
- F
Establish policies and procedures for sheltering.
- F
Conduct testing and exercise requirements.
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Other homes nearby
-
Stephenson Nursing Center
Freeport, IL
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 16 min
- Fines
- $18,450
-
Pearl Pointe Nursing Rehab & Care
Freeport, IL · Saba Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 2 h 45 min
- Fines
- $155,187
-
Manor Court Of Freeport
Freeport, IL · Residential Alternatives Of Illinois
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 58 min
- Fines
- $107,314