Starfile / Illinois

PA PETERSON AT THE CITADEL

1311 PARKVIEW AVENUE, ROCKFORD, IL 61107 · CCN 145751

Inspection history vs Illinois & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$21,212

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

CITADEL HEALTHCARE

Facilities in chain

13

Chain avg overall

3.20 / 5

Inspection citations (64)3 actual harm

1. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-02 · Health · corrected 2025-12-05

   Potential for more than minimal harm

2. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-24 · Health · corrected 2025-12-04

   Potential for more than minimal harm

3. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-05-21 · Health · corrected 2025-05-30

   Potential for more than minimal harm

4. DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-05-21 · Health · corrected 2025-05-30

   Potential for more than minimal harm

5. DF0610Respond appropriately to all alleged violations.2025-05-21 · Health · corrected 2025-05-30

   Potential for more than minimal harm

6. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-05-21 · Health · corrected 2025-05-30

   Potential for more than minimal harm

7. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-21 · Health · corrected 2025-05-30

   Potential for more than minimal harm

8. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-05-21 · Health · corrected 2025-05-30

   Potential for more than minimal harm

9. DF0688Provide 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.2025-05-21 · Health · corrected 2025-05-30

   Potential for more than minimal harm

10. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-21 · Health · corrected 2025-05-30

    Potential for more than minimal harm

11. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-05-21 · Health · corrected 2025-05-30

    Potential for more than minimal harm

12. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-05-21 · Health · corrected 2025-05-30

    Potential for more than minimal harm

13. DF0761Ensure 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.2025-05-21 · Health · corrected 2025-05-30

    Potential for more than minimal harm

14. EF0880Provide and implement an infection prevention and control program.2025-05-21 · Health · corrected 2025-05-30

    Potential for more than minimal harm

15. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-05-21 · Health · corrected 2025-05-30

    Potential for more than minimal harm

16. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-12-13 · Health · corrected 2024-12-19

    Potential for more than minimal harm

17. DF0584Honor 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.2024-12-10 · Health · corrected 2024-12-17

    Potential for more than minimal harm

18. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-11-19 · Health · corrected 2024-11-29

    Potential for more than minimal harm

19. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-11-19 · Health · corrected 2024-11-29

    Potential for more than minimal harm

20. DF0610Respond appropriately to all alleged violations.2024-11-19 · Health · corrected 2024-11-29

    Potential for more than minimal harm

21. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-11-19 · Health · corrected 2024-11-29

    Potential for more than minimal harm

22. DF0761Ensure 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.2024-11-19 · Health · corrected 2024-11-29

    Potential for more than minimal harm

23. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-10-18 · Health · corrected 2024-10-29

    Potential for more than minimal harm

24. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-10-18 · Health · corrected 2024-10-29

    Potential for more than minimal harm

25. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-10-16 · Health · corrected 2024-10-29

    Potential for more than minimal harm

26. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-07 · Health · corrected 2024-10-29

    Potential for more than minimal harm

27. DF0692Provide enough food/fluids to maintain a resident's health.2024-10-07 · Health · corrected 2024-10-29

    Potential for more than minimal harm

28. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-09-24 · Health · corrected 2024-10-07

    Potential for more than minimal harm

29. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-12 · Health · corrected 2024-09-18

    Potential for more than minimal harm

30. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-09-12 · Health · corrected 2024-09-18

    Potential for more than minimal harm

31. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-09-12 · Health · corrected 2024-09-18

    Potential for more than minimal harm

32. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2024-08-30 · Health · corrected 2024-09-10

    Potential for more than minimal harm

33. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-20 · Health · corrected 2024-09-04

    Potential for more than minimal harm

34. EF0880Provide and implement an infection prevention and control program.2024-07-18 · Health · corrected 2024-07-29

    Potential for more than minimal harm

35. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-07-10 · Health · corrected 2024-07-25

    Potential for more than minimal harm

36. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-10 · Health · corrected 2024-07-25

    Actual harm

37. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-07-10 · Health · corrected 2024-07-25

    Actual harm

38. DF0688Provide 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.2024-07-10 · Health · corrected 2024-07-25

    Potential for more than minimal harm

39. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-10 · Health · corrected 2024-07-25

    Potential for more than minimal harm

40. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-07-10 · Health · corrected 2024-07-25

    Potential for more than minimal harm

41. GF0692Provide enough food/fluids to maintain a resident's health.2024-07-10 · Health · corrected 2024-07-25

    Actual harm

42. DF0759Ensure medication error rates are not 5 percent or greater.2024-07-10 · Health · corrected 2024-07-25

    Potential for more than minimal harm

43. DF0761Ensure 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.2024-07-10 · Health · corrected 2024-07-25

    Potential for more than minimal harm

44. FF0803Ensure 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.2024-07-10 · Health · corrected 2024-07-25

    Potential for more than minimal harm

45. EF0880Provide and implement an infection prevention and control program.2024-07-10 · Health · corrected 2024-07-29

    Potential for more than minimal harm

46. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-07-10 · Health · corrected 2024-07-25

    Potential for more than minimal harm

47. EF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2024-07-10 · Health · corrected 2024-07-25

    Potential for more than minimal harm

48. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-06-10 · Health · corrected 2024-06-20

    Potential for more than minimal harm

49. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-06-10 · Health · corrected 2024-06-20

    Potential for more than minimal harm

50. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-06-10 · Health · corrected 2024-06-20

    Potential for more than minimal harm

51. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-01-31 · Health · corrected 2024-02-07

    Potential for more than minimal harm

52. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-31 · Health · corrected 2023-11-03

    Potential for more than minimal harm

53. DF0584Honor 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.2023-10-11 · Health · corrected 2023-10-20

    Potential for more than minimal harm

54. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-11 · Health · corrected 2023-10-20

    Potential for more than minimal harm

55. DF0584Honor 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.2023-08-09 · Health · corrected 2023-08-21

    Potential for more than minimal harm

56. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-06-13 · Health · corrected 2023-06-27

    Potential for more than minimal harm

57. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-13 · Health · corrected 2023-06-27

    Potential for more than minimal harm

58. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-06-13 · Health · corrected 2023-06-27

    Potential for more than minimal harm

59. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-06-13 · Health · corrected 2023-06-27

    Potential for more than minimal harm

60. FF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-06-13 · Health · corrected 2023-06-27

    Potential for more than minimal harm

61. DF0880Provide and implement an infection prevention and control program.2023-06-13 · Health · corrected 2023-06-27

    Potential for more than minimal harm

62. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-30 · Health · corrected 2023-06-09

    Potential for more than minimal harm

63. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-20 · Health · corrected 2023-05-03

    Potential for more than minimal harm

64. DF0880Provide and implement an infection prevention and control program.2023-03-22 · Health · corrected 2023-04-03

    Potential for more than minimal harm

Ownership

Other facilities in ROCKFORD

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.