# Pa Peterson at the Citadel Pa Peterson at the Citadel is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Rockford, IL, CMS Certification Number 145751, with 129 certified beds and about 123 residents per day. CMS rates it 2/5 overall (health inspections 2/5, staffing 2/5, quality measures 4/5). ## Key facts - Status: Active CMS certification - Address: 1311 Parkview Avenue, Rockford, IL 61107 (Winnebago County) - Ownership type: For profit - Partnership - Operator (legal business name): [Pa Peterson at the Citadel LLC](https://carefield.site/operator/op-pa-peterson-at-the-citadel-llc) - CMS chain: [Citadel Healthcare](https://carefield.site/chain/cms-chain-147) — 19 facilities - CMS abuse icon: yes (cited for abuse in the recent window) - Phone: 8153998832 - Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/145751 ## Inspection record 28 inspections in the CMS window (latest 2026-08-25); 70 citations (67 health, 3 fire safety); 3 at actual harm and 0 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history. - 2024-07-10 — [F-0684](https://carefield.site/deficiency/cms-f0684) Provide appropriate treatment and care according to orders, resident’s preferences and goals. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected - 2024-07-10 — [F-0686](https://carefield.site/deficiency/cms-f0686) Provide appropriate pressure ulcer care and prevent new ulcers from developing. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected - 2024-07-10 — [F-0692](https://carefield.site/deficiency/cms-f0692) Provide enough food/fluids to maintain a resident's health. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected - 2026-08-25 — [F-0584](https://carefield.site/deficiency/cms-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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2026-08-25 — [F-0677](https://carefield.site/deficiency/cms-f0677) Provide care and assistance to perform activities of daily living for any resident who is unable. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2026-07-07 — [F-0602](https://carefield.site/deficiency/cms-f0602) Protect each resident from the wrongful use of the resident's belongings or money. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2026-06-25 — [F-0600](https://carefield.site/deficiency/cms-f0600) Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2026-06-25 — [F-0686](https://carefield.site/deficiency/cms-f0686) Provide appropriate pressure ulcer care and prevent new ulcers from developing. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2026-04-03 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2026-03-02 — [F-0686](https://carefield.site/deficiency/cms-f0686) Provide appropriate pressure ulcer care and prevent new ulcers from developing. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2025-12-02 — [F-0755](https://carefield.site/deficiency/cms-f0755) Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2025-11-24 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2025-05-21 — [F-0550](https://carefield.site/deficiency/cms-f0550) Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-05-21 — [F-0605](https://carefield.site/deficiency/cms-f0605) Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-05-21 — [F-0610](https://carefield.site/deficiency/cms-f0610) Respond appropriately to all alleged violations. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2025-05-21 — [F-0677](https://carefield.site/deficiency/cms-f0677) Provide care and assistance to perform activities of daily living for any resident who is unable. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-05-21 — [F-0684](https://carefield.site/deficiency/cms-f0684) Provide appropriate treatment and care according to orders, resident’s preferences and goals. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2025-05-21 — [F-0686](https://carefield.site/deficiency/cms-f0686) Provide appropriate pressure ulcer care and prevent new ulcers from developing. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-05-21 — [F-0688](https://carefield.site/deficiency/cms-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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-05-21 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - …and 50 more on the source page. ## Penalties - 2024-07-10 — Civil money penalty (fine): $21,212 ## Staffing (PBJ, hours per resident per day) - Total nurse: 3.6459 (state avg 3.47099, US 3.90085) - RN: 0.63387 - Nursing staff turnover: 55% ## Owners and managers of record (CMS disclosures) - Tsipporah Kohen — Direct owner, 5%, since 2017-06-30 - Jonathan Aaron — Operational / managerial control, since 2025-01-06 - Marcella Graf — Operational / managerial control, since 2017-06-30 - Thomas Michalsen — Operational / managerial control, since 2025-03-10 - Michael Rhoe — Operational / managerial control, since 1999-12-31 - Kenneth Ripstein — Operational / managerial control, since 2017-06-30 ## Nearby nursing homes - [The Citadel at Saint Anne Place](https://carefield.site/facility/cms-145563) — 2.3 km, CMS overall 1/5 - [Amberwood Care Centre](https://carefield.site/facility/cms-145908) — 3.7 km, CMS overall 4/5 - [Mercyhealth Javon Bea Hospital -SNF](https://carefield.site/facility/cms-146196) — 3.7 km, CMS overall 4/5 - [Rock River Health Care](https://carefield.site/facility/cms-145818) — 4.1 km, CMS overall 3/5 - [Fairhaven Christian Ret Center](https://carefield.site/facility/cms-14e345) — 4.1 km, CMS overall 3/5 - [Avira Health Pavilion](https://carefield.site/facility/cms-146069) — 4.2 km, CMS overall 4/5 - [Alpine Fireside Health Center](https://carefield.site/facility/cms-146066) — 4.4 km, CMS overall 2/5 - [Alden Park Strathmoor](https://carefield.site/facility/cms-145259) — 4.5 km, CMS overall 1/5 ## Sources - cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=145751&conditions%5B0%5D%5Boperator%5D=%3D - cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=145751&conditions%5B0%5D%5Boperator%5D=%3D - cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=145751&conditions%5B0%5D%5Boperator%5D=%3D - cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=145751&conditions%5B0%5D%5Boperator%5D=%3D - cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=145751&conditions%5B0%5D%5Boperator%5D=%3D - cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=145751&conditions%5B0%5D%5Boperator%5D=%3D --- Source page: https://carefield.site/facility/cms-145751 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.