The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Citadel of Northbrook, The
NORTHBROOK, IL · Medicare-certified · 158 beds
In good standing
For-profitChain member
4 of 5 overall
Citadel of Northbrook has a 4 out of 5 overall rating, with strong health inspection results and no fines in the last 24 months, but a lower staffing rating of 2 out of 5. Reported nurse staffing is 3.36 hours per resident per day, below the federal benchmark of 4.1, and recent citations included accident prevention, abuse protection, and pressure ulcer care.
Facility ratings
Health inspections
Staffing
3.359 hrs/resident/day
Quality measures
Last inspection: February 21, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.359.
Staffing detail
- Registered nurses
- 0.68
- Licensed practical nurses
- 0.66
- Nurse aides
- 2.02
- Weekend nursing
- 3.10
Hours per resident per day.
Total staff turnover: 33%
Registered nurse turnover: 31%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
20.3%28.2%Worsening
Residents with a fall causing major injury
4.6%6.3%Worsening
Residents with pressure ulcers (bedsores)
7.8%1.8%Improving
Residents with a urinary tract infection
1.9%0%Improving
Residents who lost too much weight
13.8%15.6%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.4%9.9%Worsening
Residents whose ability to walk got worse
14%7.5%Improving
Long-stay residents on antianxiety or sleep medication
16.9%18.2%Worsening
Short-stay residents newly given an antipsychotic
2.5%3.1%Worsening
Residents with a long-term catheter
1.4%0.7%Improving
Residents with new or worsening incontinence
7.8%34.8%Worsening
Residents with depressive symptoms
99%100%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—93.3%—
Long-stay residents given the pneumonia vaccine
82.4%84.7%Improving
Short-stay residents given the seasonal flu vaccine
—87.3%—
Short-stay residents given the pneumonia vaccine
81.6%91.1%Improving
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited August 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to provide enough food and fluids to keep residents healthy. Cited January 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $25,126 in total fines.
- $10,033
Federal fine
Jan 27, 2024
- $15,093
Federal fine
Aug 21, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CITADEL HEALTHCARE · 13 homes · 3.5 stars avg
- Occupancy
- 136.3 residents on an average day (86% of 158 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 27 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.