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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D53 | E8 | F6 |
| 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 | |
|---|---|---|---|---|---|---|
| Aug 25, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 7, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 25, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 3, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 2, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 2, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 24, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 21, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| May 21, 2025 | Health | Health Complaint, Health Standard | 13 | Potential harm | — | Open → |
| Dec 13, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 10, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 19, 2024 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Oct 18, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Oct 16, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 7, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Sep 24, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 12, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Aug 30, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 20, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 18, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 10, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jul 10, 2024 | Health | Health Standard | 13 | Actual harm | — | Open → |
| Jun 10, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jan 31, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 31, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 11, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 13, 2023 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jun 13, 2023 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jul 10, 2024 | Civil money penalty (fine) | $21,212 | — | 145751|Fine|70200 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D53 | E8 | F6 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 25, 2026 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 31, 2026 | Complaint |
| Aug 25, 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 Aug 31, 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 |
|---|---|---|---|---|---|
| Tsipporah Kohen | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | Jun 30, 2017 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Tsipporah Kohen | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | Jun 30, 2017 |
| Jonathan Aaron | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 6, 2025 |
| Marcella Graf | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 30, 2017 |
| Thomas Michalsen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 10, 2025 |
| Michael Rhoe | Individual |
| 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 |
|---|---|---|---|---|---|---|
| The Citadel at Saint Anne Place 4405 Highcrest Road, Rockford, IL 61107 CCN 145563 | 2.3 km | 179 | Jun 23, 2026 | 769 harm | $124k | |
| Amberwood Care Centre 2313 North Rockton Avenue, Rockford, IL 61103 CCN 145908 | 3.7 km | 135 | Jul 14, 2026 | 47 | — | |
| Mercyhealth Javon Bea Hospital -SNF 2400 N Rockton Ave, Rockford, IL 61103 CCN 146196 | 3.7 km | 17 | Oct 2, 2024 | 2 | — | |
| Rock River Health Care 707 West Riverside Boulevard, Rockford, IL 61103 CCN 145818 | 4.1 km | 130 | Jun 2, 2026 | 1081 IJ3 harm | $30k | |
| Fairhaven Christian Ret Center 3470 North Alpine Road, Rockford, IL 61114 CCN 14E345 | 4.1 km | 96 | Feb 26, 2026 | 291 IJ3 harm | $120k | |
| Avira Health Pavilion 6131 Park Ridge Road, Loves Park, IL 61111 CCN 146069 | 4.2 km | 54 | Aug 14, 2026 | 511 harm | — | |
| Alpine Fireside Health Center 3650 North Alpine Road, Rockford, IL 61114 CCN 146066 | 4.4 km | 66 | Mar 31, 2026 | 293 harm | $55k | |
| Alden Park Strathmoor 5668 Strathmoor Drive, Rockford, IL 61107 CCN 145259 | 4.5 km | 189 | Mar 4, 2026 | 491 IJ4 harm1 open | $115k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 145751 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 145751 | 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
| Jul 7, 2026 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 10, 2026 | Complaint |
| Jun 25, 2026 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 2, 2026 | Complaint |
| Jun 25, 2026 | 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 2, 2026 | Complaint |
| Apr 3, 2026 | 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 8, 2026 | Complaint |
| Mar 2, 2026 | 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 Mar 5, 2026 | Complaint |
| Dec 2, 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 Dec 5, 2025 | Complaint |
| Nov 24, 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 4, 2025 | Complaint |
| May 21, 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 May 30, 2025 |
| May 21, 2025 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 30, 2025 |
| May 21, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 30, 2025 | Complaint |
| May 21, 2025 | 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 May 30, 2025 |
| May 21, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 30, 2025 |
| May 21, 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 May 30, 2025 |
| May 21, 2025 | 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 May 30, 2025 |
| May 21, 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 May 30, 2025 |
| May 21, 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 May 30, 2025 |
| May 21, 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 | E · Potential harm Pattern | Corrected May 30, 2025 |
| May 21, 2025 | 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 May 30, 2025 |
| May 21, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 30, 2025 |
| May 21, 2025 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 30, 2025 |
| Dec 13, 2024 | 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 Dec 19, 2024 | Complaint |
| Dec 10, 2024 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 17, 2024 | Complaint |
| Nov 19, 2024 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 29, 2024 | Complaint |
| Nov 19, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 29, 2024 | Complaint |
| Nov 19, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 29, 2024 | Complaint |
| Nov 19, 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 | E · Potential harm Pattern | Corrected Nov 29, 2024 | Complaint |
| Nov 19, 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 Nov 29, 2024 | Complaint |
| Oct 18, 2024 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 29, 2024 | Complaint |
| Oct 18, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 29, 2024 | Complaint |
| Oct 16, 2024 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 29, 2024 | Complaint |
| Oct 7, 2024 | 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 Oct 29, 2024 | Complaint |
| Oct 7, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 29, 2024 | Complaint |
| Sep 24, 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 Oct 7, 2024 | Complaint |
| Sep 12, 2024 | 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 Sep 18, 2024 | Complaint |
| Sep 12, 2024 | 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 Sep 18, 2024 | Complaint |
| Sep 12, 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 Sep 18, 2024 | Complaint |
| Aug 30, 2024 | F-0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 10, 2024 | Complaint |
| Aug 20, 2024 | 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 Sep 4, 2024 | Complaint |
| Jul 18, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 29, 2024 | Complaint |
| Jul 10, 2024 | 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 25, 2024 |
| Jul 10, 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 Jul 25, 2024 |
| Jul 10, 2024 | 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 25, 2024 |
| Jul 10, 2024 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 23, 2024 |
| Jul 10, 2024 | 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 | E · Potential harm Pattern | Corrected Jul 25, 2024 |
| Jul 10, 2024 | 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 25, 2024 |
| Jul 10, 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 25, 2024 |
| Jul 10, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 25, 2024 |
| Jul 10, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 25, 2024 |
| Jul 10, 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 Jul 25, 2024 |
| Jul 10, 2024 | F-0803 | 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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jul 25, 2024 |
| Jul 10, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 29, 2024 |
| Jul 10, 2024 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 25, 2024 |
| Jul 10, 2024 | F-0887 | 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. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 25, 2024 |
| Jun 10, 2024 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 20, 2024 | Complaint |
| Jun 10, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 20, 2024 | Complaint |
| Jun 10, 2024 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 20, 2024 | Complaint |
| Jan 31, 2024 | 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 Feb 7, 2024 | Complaint |
| Oct 31, 2023 | 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 Nov 3, 2023 | Complaint |
| Oct 11, 2023 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 20, 2023 | Complaint |
| Oct 11, 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 Oct 20, 2023 | Complaint |
| Jun 13, 2023 | E-0026 | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 30, 2023 |
| Jun 13, 2023 | E-0035 | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 30, 2023 |
| Jun 13, 2023 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 27, 2023 |
| Jun 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 Jun 27, 2023 |
| Jun 13, 2023 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 27, 2023 |
| Jun 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 Jun 27, 2023 |
| Jun 13, 2023 | 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 | F · Potential harm Widespread | Corrected Jun 27, 2023 |
| Jun 13, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 27, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.00 (case-mix index 1.70).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Dec 31, 1999 |
| Kenneth Ripstein | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 30, 2017 |
| Kenneth Ripstein | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 30, 2017 |
| Jonathan Aaron | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 6, 2025 |
| Thomas Michalsen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 10, 2025 |
| Michael Rhoe | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 14, 2020 |
| Kenneth Ripstein | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 6, 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 Citadel at Saint Anne Place 4405 Highcrest Road, Rockford, IL 61107 CCN 145563 | 179 | Jun 23, 2026 | 769 harm | $124k |
| 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 | — |