Elder Care Record

Illinois › Winnebago County › Rockford

The Citadel At Saint Anne Place

4405 Highcrest Road, Rockford, IL 61107

CCN 145563 · Non-profit, church related · 179 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

The Citadel At Saint Anne Place, in Rockford, Illinois, is certified for 179 beds under non-profit, church related ownership.

CMS gives it 1 of 5 stars overall, below the Illinois median of 2; the health inspection rating is 1, staffing 2 and quality measures 1.

Inspectors recorded 44 health deficiencies across the three most recent survey cycles (20, 9, 15 by cycle, most recent first), 9 of them at the actual-harm or immediate-jeopardy level. That is 24.6 per 100 beds, about the same as the state median of 28.4.

CMS lists 6 penalties in the period covered: fines totalling $124K and 1 payment denial.

Reported nurse staffing is 3.4 hours per resident per day (0.9 RN), close to the Illinois median of 3.3; nursing staff turnover is 62.2%.

44health deficiencies, 3 survey cycles9 at actual harm or worse
$124Kfines listed by CMS6 penalties in period
3.4nurse hours per resident per daystate median 3.3
70%occupancy (residents ÷ beds)125 residents a day

Compared with county, state and nation

MeasureThis facilityWinnebago Co. medianIllinois medianUS average
Overall star rating1223.0
Health citations, 3 cycles44383428.7
Citations per 100 beds24.630.528.426.8
Total nurse hours per resident day3.43.73.33.9
RN hours per resident day0.90.80.60.7
Nursing staff turnover62.2%53.1%43.4%45.8%
Fines listed$123,556$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

Cycle 1 (latest)20
Cycle 29
Cycle 315

Dark bar: this facility. Grey bar: Illinois average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Jun 2025, 7 Aug 2024.

Severity mix: G ×9 D ×31 E ×3 F ×1

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
23 Jun 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation26 Jun 2026
21 Apr 2026F0576Ensure residents have reasonable access to and privacy in their use of communication methods.DComplaint investigation23 Apr 2026
14 Apr 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation17 Apr 2026
16 Dec 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation18 Dec 2025
25 Nov 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation5 Dec 2025
25 Nov 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint investigation5 Dec 2025
25 Nov 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation5 Dec 2025
25 Nov 2025F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DComplaint investigation5 Dec 2025
25 Nov 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation26 Nov 2025
8 Jul 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation10 Jul 2025
5 Jun 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard survey3 Jul 2025
5 Jun 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation17 Jun 2025
5 Jun 2025F0692Provide enough food/fluids to maintain a resident's health.GStandard survey17 Jun 2025
5 Jun 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey19 Jun 2025
5 Jun 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey17 Jun 2025
5 Jun 2025F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.EStandard survey1 Jul 2025
5 Jun 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey17 Jun 2025
5 Jun 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey20 Jun 2025
5 Jun 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey17 Jun 2025
5 Jun 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DStandard survey17 Jun 2025
5 Jun 2025F0880Provide and implement an infection prevention and control program.DStandard survey2 Jul 2025
29 Apr 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation30 Apr 2025
7 Aug 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard survey14 Aug 2024
7 Aug 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey14 Aug 2024
7 Aug 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey14 Aug 2024
7 Aug 2024F0758Implement 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.DStandard survey14 Aug 2024
7 Aug 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey8 Aug 2024
7 Aug 2024F0761Ensure 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.DStandard survey8 Aug 2024
7 Aug 2024F0880Provide and implement an infection prevention and control program.DStandard survey14 Aug 2024
17 Jul 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation22 Jul 2024
3 Apr 2024F0760Ensure that residents are free from significant medication errors.DComplaint investigation10 Apr 2024
13 Mar 2024F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation21 Mar 2024
13 Mar 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation21 Mar 2024
21 Feb 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation22 Feb 2024
15 Nov 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation16 Nov 2023
15 Nov 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation17 Nov 2023
13 Jul 2023F0692Provide enough food/fluids to maintain a resident's health.GStandard survey28 Jul 2023
13 Jul 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey28 Jul 2023
13 Jul 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey28 Jul 2023
13 Jul 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey28 Jul 2023
13 Jul 2023F0688Provide 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.DStandard survey28 Jul 2023
13 Jul 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey28 Jul 2023
13 Jul 2023F0693Ensure 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.DStandard survey28 Jul 2023
13 Jul 2023F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey28 Jul 2023

Penalties

DateTypeAmountDetail
25 Nov 2025Fine$38,786
5 Jun 2025Payment denial—12 days
5 Jun 2025Fine$44,372
7 Aug 2024Fine$13,309
21 Feb 2024Fine$14,050
15 Nov 2023Fine$13,039

Staffing

Total nursing3.42 h
Nurse aides1.78 h
LPN0.79 h
RN0.85 h
Weekend total2.94 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Illinois average. Turnover: nursing staff 62.2%, RNs 59.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityIllinois medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay16.5%11.5%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.2%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.3%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay6.1%2.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.4%1.5%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay27.2%12.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay8.4%4.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay18.3%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: non-profit, church related. Legal business name: Legal Business Name Not Available.

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

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Avira Health PavilionLoves Park544442444.4—17 Mar 2026
Mercyhealth Javon Bea Hospital -SNFRockford1745100.0——
Alpine Fireside Health CenterRockford663352233.3$85K31 Mar 2026
Amberwood Care CentreRockford1353414130.4—25 Feb 2026
Fairhaven Christian Ret CenterRockford963342121.9$120K26 Feb 2026
Rock River Health CareRockford1303324635.4$96K2 Jun 2026
Willows Health CenterRockford503342652.0$13K26 Jan 2026
Medina Nursing Centerabuse iconDurand892233842.7$81K29 Jun 2026

All 15 facilities in Winnebago County

Questions and answers

How many deficiencies has The Citadel At Saint Anne Place been cited for?

44 health deficiencies across the three most recent survey cycles, 9 at the actual-harm or immediate-jeopardy level. The Illinois median is 34 per facility.

Has The Citadel At Saint Anne Place been fined?

Yes. CMS lists fines totalling $124K in the period covered, plus 1 payment denial.

How does staffing at The Citadel At Saint Anne Place compare?

Reported total nurse staffing is 3.4 hours per resident per day against a Illinois median of 3.3 and a national average of 3.9.

Who operates The Citadel At Saint Anne Place?

Ownership type is non-profit, church related. Individual owners and managers are not listed on this site.

When was The Citadel At Saint Anne Place last inspected?

The most recent survey or investigation in the CMS record is dated 23 Jun 2026; the most recent standard health survey was 5 Jun 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.