Illinois › Stephenson County › Freeport
The Citadel At Saint Joseph Village
659 East Jefferson Street, Freeport, IL 61032
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 124 beds, The Citadel At Saint Joseph Village serves Freeport in Stephenson County, Illinois and has taken Medicare and Medicaid residents since 1997.
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 53 health deficiencies across the three most recent survey cycles (19, 21, 13 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 42.7 per 100 beds, more than the state median of 28.4.
CMS lists 7 penalties in the period covered: fines totalling $126K and 1 payment denial.
Reported nurse staffing is 3.3 hours per resident per day (0.4 RN), close to the Illinois median of 3.3; nursing staff turnover is 64.9%.
Compared with county, state and nation
| Measure | This facility | Stephenson Co. median | Illinois median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 2 | 3.0 |
| Health citations, 3 cycles | 53 | 51 | 34 | 28.7 |
| Citations per 100 beds | 42.7 | 42.7 | 28.4 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.2 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.7 | 0.6 | 0.7 |
| Nursing staff turnover | 64.9% | 43.8% | 43.4% | 45.8% |
| Fines listed | $125,824 | $124,331 | $45,123 | — |
County and state figures are medians across facilities (5 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: 5 Mar 2026, 11 Dec 2024.
Severity mix: G ×6 D ×37 E ×9 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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 22 Apr 2026 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 30 Apr 2026 |
| 22 Apr 2026 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Complaint investigation | 30 Apr 2026 |
| 12 Mar 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 17 Mar 2026 |
| 5 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 13 Mar 2026 |
| 5 Mar 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 13 Mar 2026 |
| 5 Mar 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 13 Mar 2026 |
| 5 Mar 2026 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 13 Mar 2026 |
| 5 Mar 2026 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Standard survey | 13 Mar 2026 |
| 5 Mar 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 13 Mar 2026 |
| 5 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 13 Mar 2026 |
| 5 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 13 Mar 2026 |
| 5 Mar 2026 | 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 | 13 Mar 2026 |
| 5 Mar 2026 | F0693 | Ensure 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. | D | Standard survey | 13 Mar 2026 |
| 5 Mar 2026 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 13 Mar 2026 |
| 5 Mar 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 13 Mar 2026 |
| 5 Mar 2026 | 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 | 13 Mar 2026 |
| 5 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 13 Mar 2026 |
| 6 Dec 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Complaint investigation | 12 Dec 2025 |
| 2 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 8 Sep 2025 |
| 21 Jul 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 29 Jul 2025 |
| 21 Jul 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 29 Jul 2025 |
| 21 Jul 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 29 Jul 2025 |
| 13 Jun 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 3 Jul 2025 |
| 10 Jun 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 | 3 Jul 2025 |
| 28 May 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 3 Jul 2025 |
| 28 May 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 3 Jul 2025 |
| 28 May 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 3 Jul 2025 |
| 28 May 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 | 3 Jul 2025 |
| 18 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 8 Mar 2025 |
| 11 Dec 2024 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | G | Standard survey | 18 Dec 2024 |
| 11 Dec 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 18 Dec 2024 |
| 11 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 18 Dec 2024 |
| 11 Dec 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 18 Dec 2024 |
| 11 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 18 Dec 2024 |
| 11 Dec 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 18 Dec 2024 |
| 11 Dec 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 18 Dec 2024 |
| 13 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 24 Sep 2024 |
| 13 Sep 2024 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint investigation | 24 Sep 2024 |
| 1 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 9 Aug 2024 |
| 1 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 9 Aug 2024 |
| 21 May 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 4 Jun 2024 |
| 23 Apr 2024 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | 1 May 2024 |
| 8 Feb 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 13 Mar 2024 |
| 8 Feb 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 4 Mar 2024 |
| 8 Feb 2024 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Complaint investigation | 4 Mar 2024 |
| 8 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 4 Mar 2024 |
| 8 Feb 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 | 4 Mar 2024 |
| 8 Feb 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 4 Mar 2024 |
| 8 Feb 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 4 Mar 2024 |
| 8 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 4 Mar 2024 |
| 9 Nov 2023 | 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. | D | Complaint investigation | 23 Nov 2023 |
| 1 Nov 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 20 Nov 2023 |
| 10 Oct 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 27 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 2 Sep 2025 | Fine | $15,015 | |
| 18 Mar 2025 | Fine | $14,731 | |
| 11 Dec 2024 | Fine | $15,004 | |
| 13 Sep 2024 | Fine | $12,581 | |
| 1 Aug 2024 | Fine | $12,248 | |
| 8 Feb 2024 | Payment denial | — | 4 days |
| 8 Feb 2024 | Fine | $56,245 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Illinois average. Turnover: nursing staff 64.9%, RNs 73.3%; — 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 | 16.4% | 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 | 0.4% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.3% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.2% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 21.6% | 12.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.6% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.4% | 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, corporation. 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 Stephenson County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Serenity Estates of Lena | Lena | 92 | 3 | 4 | 1 | 36 | 39.1 | — | 25 Feb 2026 |
| Stephenson Nursing Center | Freeport | 148 | 3 | 3 | 2 | 40 | 27.0 | $18K | 17 Mar 2026 |
| Manor Court of Freeport | Freeport | 117 | 2 | 2 | 3 | 51 | 43.6 | $124K | 30 Jun 2026 |
| Pearl Pointe Nursing Rehab & Care | Freeport | 109 | 1 | 1 | 1 | 67 | 61.5 | $155K | 30 Jun 2026 |
All 5 facilities in Stephenson County
Questions and answers
How many deficiencies has The Citadel At Saint Joseph Village been cited for?
53 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Illinois median is 34 per facility.
Has The Citadel At Saint Joseph Village been fined?
Yes. CMS lists fines totalling $126K in the period covered, plus 1 payment denial.
How does staffing at The Citadel At Saint Joseph Village compare?
Reported total nurse staffing is 3.3 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 Joseph Village?
Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.
When was The Citadel At Saint Joseph Village last inspected?
The most recent survey or investigation in the CMS record is dated 22 Apr 2026; the most recent standard health survey was 5 Mar 2026.
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.