The Citadel at Saint Anne Place
The Citadel at Saint Anne Place operates 179 certified beds in ROCKFORD, Illinois. Its Medicare and Medicaid certification dates to 1986-10-29. It averages 125.4 residents a day.
What harm was found in the violations cited at The Citadel at Saint Anne Place?
CMS lists 44 health-inspection deficiencies for The Citadel at Saint Anne Place since 2023-07-13, 36 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-06-23.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-23 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2026-04-21 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D |
| 2026-04-14 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2025-12-16 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-11-25 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2025-11-25 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E |
| 2025-11-25 | F0686, F0694, F0755 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2025-07-08 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2025-06-05 | F0686, F0689, F0692 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. | G |
| 2025-06-05 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2025-06-05 | F0755, F0805 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E |
| 2025-06-05 | F0550, F0684, F0695, F0725, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide and implement an infection prevention and control program. | D |
| 2025-04-29 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-08-07 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2024-08-07 | F0689, F0755, F0758, F0759, F0761, F0880 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Ensure medication error rates are not 5 percent or greater. / 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. / Provide and implement an infection prevention and control program. | D |
| 2024-07-17 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-04-03 | F0760 | Ensure that residents are free from significant medication errors. | D |
| 2024-03-13 | F0697, F0755 | Provide safe, appropriate pain management for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2024-02-21 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2023-11-15 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2023-11-15 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2023-07-13 | F0692 | Provide enough food/fluids to maintain a resident's health. | G |
| 2023-07-13 | F0550, F0684, F0686, F0688, F0689, F0693, F0698 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Provide safe, appropriate dialysis care/services for a resident who requires such services. | D |
Why was The Citadel at Saint Anne Place fined 5 times?
| Date | Type | Amount |
|---|---|---|
| 2025-11-25 | Fine | $38,786 |
| 2025-06-05 | Fine | $44,372 |
| 2024-08-07 | Fine | $13,309 |
| 2024-02-21 | Fine | $14,050 |
| 2023-11-15 | Fine | $13,039 |
Has The Citadel at Saint Anne Place had payment denied by Medicare?
| Payment denial start | Length in days |
|---|---|
| 2025-06-28 | 12 |
How is The Citadel at Saint Anne Place staffed relative to the IL average?
| Measure | This facility | IL average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.42492 | 3.44603 |
| Total nursing staff turnover (%) | 62.2 | 44.5 |
| Average number of residents per day | 125.4 | 95.4 |
Who owns The Citadel at Saint Anne Place?
The Citadel at Saint Anne Place is registered with CMS as Non profit - Church related.
Were you or a family member harmed at The Citadel at Saint Anne Place?