Illinois › Winnebago County › Rockford
Pa Peterson At the Citadel
1311 Parkview Avenue, Rockford, IL 61107
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 129 beds, Pa Peterson At the Citadel serves Rockford in Winnebago County, Illinois and has taken Medicare and Medicaid residents since 1993.
CMS gives it 1 of 5 stars overall, below the Illinois median of 2; the health inspection rating is 2, staffing 1 and quality measures 4.
Inspectors recorded 65 health deficiencies across the three most recent survey cycles (18, 32, 15 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 50.4 per 100 beds, more than the state median of 28.4.
CMS lists 1 penalty in the period covered: fines totalling $21K.
Reported nurse staffing is 3.7 hours per resident per day (0.6 RN), close to the Illinois median of 3.3; nursing staff turnover is 59.6%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Winnebago Co. median | Illinois median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 2 | 3.0 |
| Health citations, 3 cycles | 65 | 38 | 34 | 28.7 |
| Citations per 100 beds | 50.4 | 30.5 | 28.4 | 26.8 |
| Total nurse hours per resident day | 3.7 | 3.7 | 3.3 | 3.9 |
| RN hours per resident day | 0.6 | 0.8 | 0.6 | 0.7 |
| Nursing staff turnover | 59.6% | 53.1% | 43.4% | 45.8% |
| Fines listed | $21,212 | $80,559 | $45,123 | — |
County and state figures are medians across facilities (15 in the county, 666 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Illinois average per facility for the same cycle, as published by CMS. Standard health survey dates: 21 May 2025, 10 Jul 2024.
Severity mix: G ×3 D ×51 E ×8 F ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 25 Jun 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 2 Jul 2026 |
| 25 Jun 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 2 Jul 2026 |
| 3 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 8 Apr 2026 |
| 2 Mar 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 5 Mar 2026 |
| 2 Dec 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 5 Dec 2025 |
| 24 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 4 Dec 2025 |
| 21 May 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 30 May 2025 |
| 21 May 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 30 May 2025 |
| 21 May 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 30 May 2025 |
| 21 May 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 30 May 2025 |
| 21 May 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 30 May 2025 |
| 21 May 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 30 May 2025 |
| 21 May 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 30 May 2025 |
| 21 May 2025 | F0688 | 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 | Standard survey | 30 May 2025 |
| 21 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 30 May 2025 |
| 21 May 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 30 May 2025 |
| 21 May 2025 | F0761 | 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 | Standard survey | 30 May 2025 |
| 21 May 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 30 May 2025 |
| 21 May 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 30 May 2025 |
| 13 Dec 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 19 Dec 2024 |
| 10 Dec 2024 | F0584 | 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 investigation | 17 Dec 2024 |
| 19 Nov 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 29 Nov 2024 |
| 19 Nov 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 29 Nov 2024 |
| 19 Nov 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 29 Nov 2024 |
| 19 Nov 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 29 Nov 2024 |
| 19 Nov 2024 | F0761 | 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 investigation | 29 Nov 2024 |
| 18 Oct 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 29 Oct 2024 |
| 18 Oct 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 29 Oct 2024 |
| 16 Oct 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 29 Oct 2024 |
| 7 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 29 Oct 2024 |
| 7 Oct 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 29 Oct 2024 |
| 24 Sep 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 7 Oct 2024 |
| 12 Sep 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 18 Sep 2024 |
| 12 Sep 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 18 Sep 2024 |
| 12 Sep 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 18 Sep 2024 |
| 30 Aug 2024 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint investigation | 10 Sep 2024 |
| 20 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 4 Sep 2024 |
| 18 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 29 Jul 2024 |
| 10 Jul 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard survey | 25 Jul 2024 |
| 10 Jul 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 25 Jul 2024 |
| 10 Jul 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 25 Jul 2024 |
| 10 Jul 2024 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | Standard survey | 25 Jul 2024 |
| 10 Jul 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 25 Jul 2024 |
| 10 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 29 Jul 2024 |
| 10 Jul 2024 | F0887 | 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. | E | Standard survey | 25 Jul 2024 |
| 10 Jul 2024 | F0688 | 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 | Standard survey | 25 Jul 2024 |
| 10 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 25 Jul 2024 |
| 10 Jul 2024 | F0690 | 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 | Standard survey | 25 Jul 2024 |
| 10 Jul 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 25 Jul 2024 |
| 10 Jul 2024 | F0761 | 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 | Standard survey | 25 Jul 2024 |
| 10 Jul 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 25 Jul 2024 |
| 10 Jun 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 20 Jun 2024 |
| 10 Jun 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 20 Jun 2024 |
| 10 Jun 2024 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint investigation | 20 Jun 2024 |
| 31 Jan 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 7 Feb 2024 |
| 31 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 3 Nov 2023 |
| 11 Oct 2023 | F0584 | 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 investigation | 20 Oct 2023 |
| 11 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 20 Oct 2023 |
| 9 Aug 2023 | F0584 | 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 investigation | 21 Aug 2023 |
| 13 Jun 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | Standard survey | 27 Jun 2023 |
| 13 Jun 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 27 Jun 2023 |
| 13 Jun 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 27 Jun 2023 |
| 13 Jun 2023 | F0690 | 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 | Standard survey | 27 Jun 2023 |
| 13 Jun 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 27 Jun 2023 |
| 13 Jun 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 27 Jun 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 10 Jul 2024 | Fine | $21,212 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Illinois average. Turnover: nursing staff 59.6%, RNs 53.8%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Illinois median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.7% | 11.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.7% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.6% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 19.1% | 12.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.7% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 31.0% | 17.8% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, partnership. Legal business name: Pa Peterson At The Citadel Llc. Chain: Citadel Healthcare (14 facilities).
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Winnebago County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avira Health Pavilion | Loves Park | 54 | 4 | 4 | 4 | 24 | 44.4 | — | 17 Mar 2026 |
| Mercyhealth Javon Bea Hospital -SNF | Rockford | 17 | 4 | 5 | 1 | 0 | 0.0 | — | — |
| Alpine Fireside Health Center | Rockford | 66 | 3 | 3 | 5 | 22 | 33.3 | $85K | 31 Mar 2026 |
| Amberwood Care Centre | Rockford | 135 | 3 | 4 | 1 | 41 | 30.4 | — | 25 Feb 2026 |
| Fairhaven Christian Ret Center | Rockford | 96 | 3 | 3 | 4 | 21 | 21.9 | $120K | 26 Feb 2026 |
| Rock River Health Care | Rockford | 130 | 3 | 3 | 2 | 46 | 35.4 | $96K | 2 Jun 2026 |
| Willows Health Center | Rockford | 50 | 3 | 3 | 4 | 26 | 52.0 | $13K | 26 Jan 2026 |
| Medina Nursing Centerabuse icon | Durand | 89 | 2 | 2 | 3 | 38 | 42.7 | $81K | 29 Jun 2026 |
All 15 facilities in Winnebago County
Questions and answers
How many deficiencies has Pa Peterson At the Citadel been cited for?
65 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Illinois median is 34 per facility.
Has Pa Peterson At the Citadel been fined?
Yes. CMS lists fines totalling $21K in the period covered.
How does staffing at Pa Peterson At the Citadel compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Illinois median of 3.3 and a national average of 3.9.
Who operates Pa Peterson At the Citadel?
It is part of the Citadel Healthcare chain. Ownership type is for-profit, partnership. Individual owners and managers are not listed on this site.
When was Pa Peterson At the Citadel last inspected?
The most recent survey or investigation in the CMS record is dated 25 Jun 2026; the most recent standard health survey was 21 May 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.