Nursing homes › Illinois › Rockford › Pa Peterson at the Citadel
1311 Parkview Avenue, Rockford, IL 61107 · (815) 399-8832 · 129 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 661 providers with a published value in the same state and provider category: 2/5.
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Per CMS filings, this facility is affiliated with Citadel Healthcare, a group operating 14 facilities in 2 states. Group record: average rating 3.2/5, 1 abuse citation icon, 0 facilities on the Special Focus list, $321,961 in federal fines. This facility rates below its group average (3.2/5).
Total nurse staffing: 3.70 (Illinois median: 3.29). RN hours: 0.62. Weekend total: 3.47. Nursing staff turnover: 60%.
In the downloaded CMS dataset: 65 deficiency citations. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-06-25 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2026-07-02 |
| 2026-06-25 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2026-07-02 |
| 2026-04-03 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2026-04-08 |
| 2026-03-02 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2026-03-05 |
| 2025-12-02 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-12-05 |
| 2025-11-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-12-04 |
| 2025-05-21 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Health | corrected 2025-05-30 |
| 2025-05-21 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Health | corrected 2025-05-30 |
| 2025-05-21 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-05-30 |
| 2025-05-21 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2025-05-30 |
| 2025-05-21 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Health | corrected 2025-05-30 |
| 2025-05-21 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-05-30 |
| 2025-05-21 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2025-05-30 |
| 2025-05-21 | 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 | Health | corrected 2025-05-30 |
| 2025-05-21 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-05-30 |
| 2025-05-21 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-05-30 |
| 2025-05-21 | 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 | Health | corrected 2025-05-30 |
| 2025-05-21 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2025-05-30 |
| 2025-05-21 | Respond appropriately to all alleged violations. | D | complaint | corrected 2025-05-30 |
| 2024-12-13 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2024-12-19 |
| 2024-12-10 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | complaint | corrected 2024-12-17 |
| 2024-11-19 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2024-11-29 |
| 2024-11-19 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2024-11-29 |
| 2024-11-19 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-11-29 |
| 2024-11-19 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-11-29 |
| 2024-11-19 | 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 | complaint | corrected 2024-11-29 |
| 2024-10-18 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2024-10-29 |
| 2024-10-18 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-10-29 |
| 2024-10-16 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2024-10-29 |
| 2024-10-07 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-10-29 |
| 2024-10-07 | Provide enough food/fluids to maintain a resident's health. | D | complaint | corrected 2024-10-29 |
| 2024-09-24 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-10-07 |
| 2024-09-12 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-09-18 |
| 2024-09-12 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2024-09-18 |
| 2024-09-12 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-09-18 |
| 2024-08-30 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | complaint | corrected 2024-09-10 |
| 2024-08-20 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-09-04 |
| 2024-07-18 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2024-07-29 |
| 2024-07-10 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Health | corrected 2024-07-25 |
| 2024-07-10 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Health | corrected 2024-07-25 |
| Date | Type | Amount |
|---|---|---|
| 2024-07-10 | Fine | $21,212 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| KOHEN, TSIPPORAH | 5% Or Greater Direct Ownership Interest | Individual | 5% | since 06/30/2017 |
| RIPSTEIN, KENNETH | Corporate Officer | Individual | NOT APPLICABLE | since 06/30/2017 |
| AARON, JONATHAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/06/2025 |
| GRAF, MARCELLA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/30/2017 |
| MICHALSEN, THOMAS | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/10/2025 |
| RHOE, MICHAEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/31/1999 |
| RIPSTEIN, KENNETH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/30/2017 |
How to cite this page: CareRecords, “Pa Peterson at the Citadel — compliance, penalty and ownership record” (CCN 145751), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/pa-peterson-at-the-citadel-rockford-il/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 145751. Corrections: data@carerecords.org.