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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D36 | E3 | F8 |
| 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 | |
|---|---|---|---|---|---|---|
| Jul 14, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Feb 25, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 27, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 3, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 1, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 14, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 10, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 11, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Sep 11, 2024 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Jun 15, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 11, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 16, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 29, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jun 29, 2023 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Apr 6, 2022 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Apr 6, 2022 | Health | Health Standard | 13 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D36 | E3 | F8 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 14, 2026 | 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 20, 2026 | Complaint |
| Jul 14, 2026 | F-0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 20, 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 |
|---|---|---|---|---|---|
| Todd Stern 2015 Trust | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | Dec 30, 2021 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Todd Stern 2015 Trust | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | Dec 30, 2021 |
| Todd Stern | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Apr 8, 2025 |
| Marcella Graf | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 3, 2018 |
| Sandra Labak | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 8, 2025 |
| 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 |
|---|---|---|---|---|---|---|
| Mercyhealth Javon Bea Hospital -SNF 2400 N Rockton Ave, Rockford, IL 61103 CCN 146196 | 0 km | 17 | Oct 2, 2024 | 2 | — | |
| Willows Health Center 4054 Albright Lane, Rockford, IL 61103 CCN 146101 | 2.4 km | 50 | Jan 26, 2026 | 591 harm | $13k | |
| Rock River Health Care 707 West Riverside Boulevard, Rockford, IL 61103 CCN 145818 | 3 km | 130 | Jun 2, 2026 | 1081 IJ3 harm | $30k | |
| Avira Health Pavilion 6131 Park Ridge Road, Loves Park, IL 61111 CCN 146069 | 3.3 km | 54 | Aug 14, 2026 | 511 harm | — | |
| River Bluff Nursing Home 4401 North Main Street, Rockford, IL 61103 CCN 145771 | 3.3 km | 304 | Jun 24, 2026 | 526 harm | $49k | |
| Pa Peterson at the Citadel 1311 Parkview Avenue, Rockford, IL 61107 CCN 145751Abuse icon | 3.7 km | 129 | Aug 25, 2026 | 703 harm | $21k | |
| The Citadel at Saint Anne Place 4405 Highcrest Road, Rockford, IL 61107 CCN 145563 | 5.6 km | 179 | Jun 23, 2026 | 769 harm | $124k | |
| Fairhaven Christian Ret Center 3470 North Alpine Road, Rockford, IL 61114 CCN 14E345 | 5.8 km | 96 | Feb 26, 2026 | 291 IJ3 harm | $120k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 145908 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 145908 | 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
| Feb 25, 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 Feb 27, 2026 | Complaint |
| Oct 27, 2025 | F-0687 | Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 3, 2025 | Complaint |
| Jul 3, 2025 | 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 | E · Potential harm Pattern | Corrected Jul 7, 2025 | Complaint |
| Jul 1, 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 Jul 5, 2025 | Complaint |
| May 14, 2025 | 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 May 30, 2025 | Complaint |
| Jan 10, 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 Jan 15, 2025 | Complaint |
| Sep 11, 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 | E · Potential harm Pattern | Corrected Sep 20, 2024 |
| Sep 11, 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 20, 2024 |
| Sep 11, 2024 | 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 Sep 20, 2024 |
| Sep 11, 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 Sep 20, 2024 |
| Sep 11, 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 Sep 20, 2024 |
| Sep 11, 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 Sep 20, 2024 |
| Sep 11, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 20, 2024 |
| Jun 15, 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 Jun 24, 2024 | Complaint |
| Jan 11, 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 Jan 17, 2024 | Complaint |
| Nov 16, 2023 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 22, 2023 | Complaint |
| Nov 16, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Nov 22, 2023 | Complaint |
| Jun 29, 2023 | E-0026 | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 15, 2023 |
| Jun 29, 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 13, 2023 |
| Jun 29, 2023 | 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 Jul 13, 2023 |
| Jun 29, 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 13, 2023 |
| Jun 29, 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 | E · Potential harm Pattern | Corrected Jul 13, 2023 |
| Jun 29, 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 Jul 13, 2023 |
| Jun 29, 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 13, 2023 |
| Jun 29, 2023 | 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 Jul 13, 2023 |
| Jun 29, 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 | D · Potential harm Isolated | Corrected Jul 13, 2023 |
| Jun 29, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 13, 2023 |
| Apr 6, 2022 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 29, 2022 |
| Apr 6, 2022 | E-0022 | Establish policies and procedures for sheltering. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 29, 2022 |
| Apr 6, 2022 | E-0034 | Provide a means of sharing information on occupancy/needs. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 29, 2022 |
| Apr 6, 2022 | E-0036 | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 29, 2022 |
| Apr 6, 2022 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 29, 2022 |
| Apr 6, 2022 | 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 Apr 22, 2022 |
| Apr 6, 2022 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 22, 2022 |
| Apr 6, 2022 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 22, 2022 |
| Apr 6, 2022 | 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 Apr 22, 2022 |
| Apr 6, 2022 | 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 Apr 22, 2022 |
| Apr 6, 2022 | F-0687 | Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 22, 2022 |
| Apr 6, 2022 | 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 22, 2022 |
| Apr 6, 2022 | 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 Apr 22, 2022 |
| Apr 6, 2022 | 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 Apr 22, 2022 |
| Apr 6, 2022 | 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 Apr 22, 2022 |
| Apr 6, 2022 | 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 Apr 22, 2022 |
| Apr 6, 2022 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 22, 2022 |
| Apr 6, 2022 | 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 | D · Potential harm Isolated | Corrected Apr 22, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.44 (case-mix index 1.89).
| Julie Logan |
| Individual |
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Jan 6, 2023 |
| Kenneth Ripstein | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 30, 2021 |
| Marcella Graf | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 3, 2018 |
| Sandra Labak | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 8, 2025 |
| Julie Logan | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 6, 2023 |
| 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 | — |