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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G9 | H· | I· |
| Potential harm | D31 | E22 | F14 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jun 23, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 21, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 14, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 16, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 25, 2025 | Health | Health Complaint | 5 | Actual harm | — | Open → |
| Jul 8, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jun 5, 2025 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Jun 5, 2025 | Health | Health Complaint, Health Standard | 11 | Actual harm | — | Open → |
| Apr 29, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 7, 2024 | Fire safety | Fire Safety Standard | 13 | Potential harm | — | Open → |
| Aug 7, 2024 | Health | Health Standard | 7 | Actual harm | — | Open → |
| Jul 17, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 3, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 13, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Feb 21, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Nov 15, 2023 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Jul 13, 2023 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Jul 13, 2023 | Health | Health Standard | 8 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Nov 25, 2025 | Civil money penalty (fine) | $38,786 | — | 145563|Fine|138434 |
| Jun 5, 2025 | Denial of payment for new admissions | — | Jun 28, 2025 · 12 days | 145563|Payment Denial|2025-06-28 |
| Jun 5, 2025 | Civil money penalty (fine) | $44,372 | — | 145563|Fine|70623 |
| Aug 7, 2024 | Civil money penalty (fine) | $13,309 | — | 145563|Fine|69969 |
| Feb 21, 2024 | Civil money penalty (fine) | $14,050 | — | 145563|Fine|69813 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G9 | H· | I· |
| Potential harm | D31 | E22 | F14 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 23, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 26, 2026 | Complaint |
| Apr 21, 2026 | F-0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 23, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
19 facilities in 2 states. CMS chain ID 147.
Chain average overall rating (CMS): 3.2
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Berger Fam Tr Ua 06252014 | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2025 |
| Israel Family Investment Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2025 |
| Stern Family Investment Tr | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2025 |
| Marcella Graf | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2025 |
| Gabriel Kroll | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2025 |
| Steven Nagel | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2025 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Berger Fam Tr Ua 06252014 | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2025 |
| Israel Family Investment Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2025 |
| Stern Family Investment Tr | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2025 |
| Marcella Graf | Individual | Direct owner | DIRECT OWNERSHIP INTEREST |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Citadel Care Center-Kankakee 900 West River Place, Kankakee, IL 60901 CCN 145043 | 107 | Nov 22, 2024 | 471 harm | — | |
| The Citadel of Sterling 105 East 23rd Street, Sterling, IL 61081 CCN 145278 | 121 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Pa Peterson at the Citadel 1311 Parkview Avenue, Rockford, IL 61107 CCN 145751Abuse icon | 2.3 km | 129 | Aug 25, 2026 | 703 harm | $21k | |
| Alden Park Strathmoor 5668 Strathmoor Drive, Rockford, IL 61107 CCN 145259 | 2.7 km | 189 | Mar 4, 2026 | 491 IJ4 harm1 open | $115k | |
| Fairhaven Christian Ret Center 3470 North Alpine Road, Rockford, IL 61114 CCN 14E345 | 2.8 km | 96 | Feb 26, 2026 | 291 IJ3 harm | $120k | |
| Forest City Rehab & Nrsg Ctr 321 Arnold Avenue, Rockford, IL 61108 CCN 145937 | 3.1 km | 213 | Aug 14, 2026 | 1053 IJ7 harm | $193k | |
| Alpine Fireside Health Center 3650 North Alpine Road, Rockford, IL 61114 CCN 146066 | 3.2 km | 66 | Mar 31, 2026 | 293 harm | $55k | |
| Alden Debes Rehab & Hcc 550 South Mulford Avenue, Rockford, IL 61108 CCN 145142Abuse icon | 3.6 km | 268 | Jul 24, 2026 | 721 IJ4 harm | $130k | |
| Rock River Health Care 707 West Riverside Boulevard, Rockford, IL 61103 CCN 145818 | 4.7 km | 130 | Jun 2, 2026 | 1081 IJ3 harm | $30k | |
| Avira Health Pavilion 6131 Park Ridge Road, Loves Park, IL 61111 CCN 146069 | 4.7 km | 54 | Aug 14, 2026 | 511 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 145563 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 145563 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Nov 15, 2023 | Civil money penalty (fine) | $13,039 | — | 145563|Fine|69499 |
| Apr 14, 2026 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 17, 2026 | Complaint |
| Dec 16, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 18, 2025 | Complaint |
| Nov 25, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Dec 5, 2025 | Complaint |
| Nov 25, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Dec 5, 2025 | Complaint |
| Nov 25, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 5, 2025 | Complaint |
| Nov 25, 2025 | F-0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 5, 2025 | Complaint |
| Nov 25, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Nov 26, 2025 | Complaint |
| Jul 8, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jul 10, 2025 | Complaint |
| Jun 5, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jul 3, 2025 |
| Jun 5, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jun 17, 2025 | Complaint |
| Jun 5, 2025 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jun 17, 2025 |
| Jun 5, 2025 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 19, 2025 |
| Jun 5, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 19, 2025 |
| Jun 5, 2025 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 19, 2025 |
| Jun 5, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 19, 2025 |
| Jun 5, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 19, 2025 |
| Jun 5, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 19, 2025 |
| Jun 5, 2025 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 19, 2025 |
| Jun 5, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 19, 2025 |
| Jun 5, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 17, 2025 |
| Jun 5, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 20, 2025 |
| Jun 5, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 17, 2025 |
| Jun 5, 2025 | F-0725 | 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 · Staffing & supervision | D · Potential harm Isolated | Corrected Jun 17, 2025 |
| Jun 5, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jun 17, 2025 |
| Jun 5, 2025 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 1, 2025 |
| Jun 5, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jun 19, 2025 |
| Jun 5, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 2, 2025 |
| Apr 29, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 30, 2025 | Complaint |
| Aug 7, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Aug 14, 2024 |
| Aug 7, 2024 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Sep 11, 2024 |
| Aug 7, 2024 | E-0022 | Establish policies and procedures for sheltering. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Sep 11, 2024 |
| Aug 7, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Sep 12, 2024 |
| Aug 7, 2024 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Sep 11, 2024 |
| Aug 7, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 11, 2024 |
| Aug 7, 2024 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 11, 2024 |
| Aug 7, 2024 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 11, 2024 |
| Aug 7, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 11, 2024 |
| Aug 7, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 11, 2024 |
| Aug 7, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 11, 2024 |
| Aug 7, 2024 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 11, 2024 |
| Aug 7, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 11, 2024 |
| Aug 7, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 11, 2024 |
| Aug 7, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 14, 2024 |
| Aug 7, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 14, 2024 |
| Aug 7, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 8, 2024 |
| Aug 7, 2024 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 8, 2024 |
| Aug 7, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 14, 2024 |
| Jul 17, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 22, 2024 | Complaint |
| Apr 3, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 10, 2024 | Complaint |
| Mar 13, 2024 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 21, 2024 | Complaint |
| Mar 13, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 21, 2024 | Complaint |
| Feb 21, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Feb 22, 2024 | Complaint |
| Nov 15, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Nov 16, 2023 | Complaint |
| Nov 15, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 17, 2023 | Complaint |
| Jul 13, 2023 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jul 28, 2023 |
| Jul 13, 2023 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 9, 2023 |
| Jul 13, 2023 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 3, 2023 |
| Jul 13, 2023 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 7, 2023 |
| Jul 13, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 4, 2023 |
| Jul 13, 2023 | K-0346 | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 3, 2023 |
| Jul 13, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 7, 2023 |
| Jul 13, 2023 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 2, 2023 |
| Jul 13, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 7, 2023 |
| Jul 13, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 30, 2023 |
| Jul 13, 2023 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 2, 2023 |
| Jul 13, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 1, 2023 |
| Jul 13, 2023 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 28, 2023 |
| Jul 13, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 28, 2023 |
| Jul 13, 2023 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 28, 2023 |
| Jul 13, 2023 | F-0688 | 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 28, 2023 |
| Jul 13, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 28, 2023 |
| Jul 13, 2023 | F-0693 | 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 28, 2023 |
| Jul 13, 2023 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 28, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.14 (case-mix index 1.49).
| Oct 1, 2025 |
| Gabriel Kroll | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2025 |
| Steven Nagel | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2025 |
| Jonathan Aaron | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2025 |
| Kenneth Ripstein | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2025 |
| Jonathan Aaron | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2025 |
| Marcella Graf | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2025 |
| Vasil Nika | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2025 |
| Kenneth Ripstein | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2025 |
| Brian Thor | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2025 |
| Cibc Bank USA | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Oct 1, 2025 |
| Berger Fam Tr Ua 06252014 | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Israel Family Investment Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Israel Investment Tr | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Stern Family Investment Tr | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Jonathan Aaron | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Marcella Graf | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Gabriel Kroll | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Steven Nagel | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Vasil Nika | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Kenneth Ripstein | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Chananel Teller | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Brian Thor | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Aug 30, 2026 |
342 harm |
| $11k |
| The Citadel of Skokie 9615 North Knox Avenue, Skokie, IL 60076 CCN 145468 | 113 | Jan 24, 2026 | 382 IJ2 harm | $28k |
| The Citadel of Bourbonnais 20 Briarcliff Lane, Bourbonnais, IL 60914 CCN 145536 | 107 | Oct 7, 2025 | 412 harm | — |
| The Waterford Care Center 7445 North Sheridan Road, Chicago, IL 60626 CCN 145659 | 141 | Jul 6, 2026 | 341 harm | — |
| Citadel at Saint Benedict 6930 West Touhy Avenue, Niles, IL 60714 CCN 145731 | 99 | May 29, 2025 | 704 harm | $65k |
| The Citadel of Glenview 1700 East Lake Avenue, Glenview, IL 60025 CCN 145741 | 135 | Jul 25, 2025 | 55 | — |
| Pa Peterson at the Citadel 1311 Parkview Avenue, Rockford, IL 61107 CCN 145751Abuse icon | 129 | Aug 25, 2026 | 703 harm | $21k |