Nursing homes › Illinois › The Citadel at Saint Anne Place
4405 Highcrest Road, Rockford, IL 61107 · 8152291999 · 179 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: Non profit - Church related.
Total nurse staffing: 3.42 (Illinois median: 3.29). RN hours: 0.85. Weekend total: 2.94. Nursing staff turnover: 62%.
All-time on record: 43 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-21 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | complaint | corrected 2026-04-23 |
| 2026-04-14 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2026-04-17 |
| 2025-12-16 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-12-18 |
| 2025-11-25 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | complaint | corrected 2025-12-05 |
| 2025-11-25 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | complaint | corrected 2025-12-05 |
| 2025-11-25 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2025-12-05 |
| 2025-11-25 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | complaint | corrected 2025-12-05 |
| 2025-11-25 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-11-26 |
| 2025-07-08 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | complaint | corrected 2025-07-10 |
| 2025-06-05 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Health | corrected 2025-07-03 |
| 2025-06-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2025-06-17 |
| 2025-06-05 | Provide enough food/fluids to maintain a resident's health. | G | Health | corrected 2025-06-17 |
| 2025-06-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-06-19 |
| 2025-06-05 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2025-06-17 |
| 2025-06-05 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Health | corrected 2025-07-01 |
| 2025-06-05 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2025-06-17 |
| 2025-06-05 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-06-20 |
| 2025-06-05 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-06-17 |
| 2025-06-05 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Health | corrected 2025-06-17 |
| 2025-06-05 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-07-02 |
| 2025-04-29 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-04-30 |
| 2024-08-07 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Health | corrected 2024-08-14 |
| 2024-08-07 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2024-08-14 |
| 2024-08-07 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2024-08-14 |
| 2024-08-07 | 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 | Health | corrected 2024-08-14 |
| 2024-08-07 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2024-08-08 |
| 2024-08-07 | 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 2024-08-08 |
| 2024-08-07 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-08-14 |
| 2024-07-17 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-07-22 |
| 2024-04-03 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2024-04-10 |
| 2024-03-13 | Provide safe, appropriate pain management for a resident who requires such services. | D | complaint | corrected 2024-03-21 |
| 2024-03-13 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-03-21 |
| 2024-02-21 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-02-22 |
| 2023-11-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2023-11-16 |
| 2023-11-15 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2023-11-17 |
| 2023-07-13 | Provide enough food/fluids to maintain a resident's health. | G | Health | corrected 2023-07-28 |
| 2023-07-13 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2023-07-28 |
| 2023-07-13 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2023-07-28 |
| 2023-07-13 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2023-07-28 |
| 2023-07-13 | 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 2023-07-28 |
| Date | Type | Amount |
|---|---|---|
| 2025-11-25 | Fine | $59,670 |
| 2025-06-05 | Fine | $44,372 |
| 2025-06-05 | Payment Denial | 12 days payment denial |
| 2024-08-07 | Fine | $13,309 |
| 2024-02-21 | Fine | $14,050 |
| 2023-11-15 | Fine | $13,039 |
No detailed ownership records on file.
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 145563. Corrections: data@carerecords.org.