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Nursing home report

The Citadel at Saint Anne Place

ROCKFORD, IL · Medicare-certified · 179 beds

Needs attention
Non-profit
Data as of July 1, 2026
1 of 5 overall

The Citadel at Saint Anne Place in Rockford has a 1-star overall rating, with 1-star health inspection and quality measures ratings and 2-star staffing. Reported nurse staffing is below the federal benchmark (3.42 vs. 4.1 hours per resident per day), and the facility has had $117,351 in fines in the last 24 months plus a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.4249 hrs/resident/day

Quality measures

Last inspection: April 21, 2026Penalties, last 24 months: $117,351recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4249.

Staffing detail

Registered nurses
0.85
Licensed practical nurses
0.79
Nurse aides
1.78
Weekend nursing
2.94

Hours per resident per day.

Total staff turnover: 62%
Registered nurse turnover: 59%

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

24.1%16.2%Improving

Residents with a fall causing major injury

9.3%3.3%Improving

Residents with pressure ulcers (bedsores)

7%8.6%Worsening

Residents with a urinary tract infection

1.1%1.1%No change

Residents who lost too much weight

8.8%6.6%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

14.1%12%Improving

Residents whose ability to walk got worse

17.8%

Long-stay residents on antianxiety or sleep medication

22.9%28.6%Worsening

Short-stay residents newly given an antipsychotic

1.8%0.8%Improving

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

8.7%32%Worsening

Residents with depressive symptoms

7.5%32.5%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

96%

Long-stay residents given the pneumonia vaccine

94.8%64.4%Worsening

Short-stay residents given the seasonal flu vaccine

72.5%

Short-stay residents given the pneumonia vaccine

79.1%52.8%Worsening

What the inspectors found

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: G

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2025 — isolated incident, actual harm.

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F-Tag 689 — 42 CFR §483.25(d) — S/S: G

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited June 2025 — 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 June 2025 — 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 June 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  6. PENALTY

    A federal fine of $59,670 was recorded.

  7. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  8. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  9. PENALTY

    A federal fine of $44,372 was recorded.

  10. PENALTY

    A federal payment denial was recorded.

  11. PENALTY

    A federal fine of $68,265 was recorded.

  12. PENALTY

    A federal fine of $13,309 was recorded.

Penalties & enforcement

On record with Medicare: 5 fines · $144,440 in total fines · 1 payment denial.

  • Federal fine

    Nov 25, 2025

    $59,670
  • Medicare/Medicaid payment denial

    Jun 5, 2025

    12 days
  • Federal fine

    Jun 5, 2025

    $44,372
  • Federal fine

    Aug 7, 2024

    $13,309
  • Federal fine

    Feb 21, 2024

    $14,050
  • Federal fine

    Nov 15, 2023

    $13,039

Operator & ownership

Ownership
Non profit - Church related
Occupancy
125.4 residents on an average day (70% of 179 beds)
Resident voice
Resident council
Medicare history
Certified for 39 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.