Starfile / Illinois

The Citadel at Saint Anne Place

4405 HIGHCREST ROAD, ROCKFORD, IL 61107 · CCN 145563

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

$126,951

Number of fines

5

Number of penalties

6

Payment denials

1

Inspection citations (41)9 actual harm

1. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-16 · Health · corrected 2025-12-18

   Potential for more than minimal harm

2. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-11-25 · Health · corrected 2025-12-05

   Potential for more than minimal harm

3. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-11-25 · Health · corrected 2025-12-05

   Actual harm

4. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-11-25 · Health · corrected 2025-12-05

   Potential for more than minimal harm

5. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-11-25 · Health · corrected 2025-12-05

   Potential for more than minimal harm

6. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-11-25 · Health · corrected 2025-11-26

   Potential for more than minimal harm

7. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-08 · Health · corrected 2025-07-10

   Actual harm

8. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-06-05 · Health · corrected 2025-06-17

   Potential for more than minimal harm

9. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-06-05 · Health · corrected 2025-06-20

   Potential for more than minimal harm

10. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-06-05 · Health · corrected 2025-07-03

    Actual harm

11. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-05 · Health · corrected 2025-06-17

    Actual harm

12. GF0692Provide enough food/fluids to maintain a resident's health.2025-06-05 · Health · corrected 2025-06-17

    Actual harm

13. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-06-05 · Health · corrected 2025-06-17

    Potential for more than minimal harm

14. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-06-05 · Health · corrected 2025-06-17

    Potential for more than minimal harm

15. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-06-05 · Health · corrected 2025-06-17

    Potential for more than minimal harm

16. EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2025-06-05 · Health · corrected 2025-07-01

    Potential for more than minimal harm

17. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-06-05 · Health · corrected 2025-06-19

    Potential for more than minimal harm

18. DF0880Provide and implement an infection prevention and control program.2025-06-05 · Health · corrected 2025-07-02

    Potential for more than minimal harm

19. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-29 · Health · corrected 2025-04-30

    Potential for more than minimal harm

20. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-08-07 · Health · corrected 2024-08-14

    Actual harm

21. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-07 · Health · corrected 2024-08-14

    Potential for more than minimal harm

22. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-08-07 · Health · corrected 2024-08-14

    Potential for more than minimal harm

23. DF0758Implement 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.2024-08-07 · Health · corrected 2024-08-14

    Potential for more than minimal harm

24. DF0759Ensure medication error rates are not 5 percent or greater.2024-08-07 · Health · corrected 2024-08-08

    Potential for more than minimal harm

25. 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.2024-08-07 · Health · corrected 2024-08-08

    Potential for more than minimal harm

26. DF0880Provide and implement an infection prevention and control program.2024-08-07 · Health · corrected 2024-08-14

    Potential for more than minimal harm

27. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-17 · Health · corrected 2024-07-22

    Potential for more than minimal harm

28. DF0760Ensure that residents are free from significant medication errors.2024-04-03 · Health · corrected 2024-04-10

    Potential for more than minimal harm

29. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-03-13 · Health · corrected 2024-03-21

    Potential for more than minimal harm

30. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-03-13 · Health · corrected 2024-03-21

    Potential for more than minimal harm

31. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-21 · Health · corrected 2024-02-22

    Actual harm

32. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-11-15 · Health · corrected 2023-11-17

    Potential for more than minimal harm

33. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-15 · Health · corrected 2023-11-16

    Actual harm

34. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-07-13 · Health · corrected 2023-07-28

    Potential for more than minimal harm

35. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-07-13 · Health · corrected 2023-07-28

    Potential for more than minimal harm

36. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-07-13 · Health · corrected 2023-07-28

    Potential for more than minimal harm

37. 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.2023-07-13 · Health · corrected 2023-07-28

    Potential for more than minimal harm

38. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-13 · Health · corrected 2023-07-28

    Potential for more than minimal harm

39. GF0692Provide enough food/fluids to maintain a resident's health.2023-07-13 · Health · corrected 2023-07-28

    Actual harm

40. DF0693Ensure 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.2023-07-13 · Health · corrected 2023-07-28

    Potential for more than minimal harm

41. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-07-13 · Health · corrected 2023-07-28

    Potential for more than minimal harm

Ownership

No ownership records.

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.