Pa Peterson at the Citadel
Rockford · 1.5 mi · 129 beds
Citations0Substantiated0
The Citadel at Saint Anne Place
4405 HIGHCREST ROAD, Rockford, IL, 61107
Nursing home179 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 20 deficiencies against The Citadel at Saint Anne Place in Rockford, Illinois at its most recent standard inspection on 2025-06-05, 10 of them arising from complaints. 9 findings have been recorded at the actual-harm level. Medicare has fined it 5 times, totalling $144,440. Medicare rates it 1 out of 5 overall.
1 / 5Medicare overall rating
179certified beds
20deficiencies at the last inspection
0immediate-jeopardy findings on record
9actual-harm findings on record
5federal fines, $144,440
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.9
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.34
Potential for minimal harmThe least serious band.0
Most recentDDDGEDDDGGGGFEEDDDDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · F0576 · 2026-04-21 · from a complaint · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2026-04-14 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-12-16 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-11-25 · from a complaint · Actual harm to a resident
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2025-11-25 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2025-11-25 · from a complaint · No actual harm, potential for more than minimal harm
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · F0694 · 2025-11-25 · from a complaint · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2025-11-25 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-07-08 · from a complaint · Actual harm to a resident
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2025-06-05 · standard survey · Actual harm to a resident
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-06-05 · from a complaint · Actual harm to a resident
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · F0692 · 2025-06-05 · standard survey · Actual harm to a resident
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-06-05 · standard survey · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2025-06-05 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · F0805 · 2025-06-05 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2025-06-05 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-06-05 · standard survey · No actual harm, potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · F0695 · 2025-06-05 · standard survey · No actual harm, potential for more than minimal harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · F0725 · 2025-06-05 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-06-05 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are2 of 5
Quality measuresResident outcomes reported by the home1 of 5
Nurse hours per resident per dayReported by the home to CMS3.42492
Nursing staff turnoverShare of nursing staff who left in a year62.2%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS5
Total fined$144,440
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one6
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Fairhaven Christian Ret Center
Rockford · 1.7 mi · 96 beds
Citations0Substantiated0
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Citations0Substantiated0
Alpine Fireside Health Center
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Forest City Rehab & NRSG CTR
Rockford · 2.0 mi · 213 beds
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Alden Debes Rehab & HCC
Rockford · 2.4 mi · 268 beds
Citations0Substantiated0
Contact
Ask The Citadel at Saint Anne Place a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 145563.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction