Pa Peterson at the Citadel
1311 Parkview Avenue, Rockford, IL 61107 · (815) 399-8832
For profit - Partnership · 129 certified beds
Abuse icon Medicare's Care Compare says: “This nursing home has been cited for abuse.” Medicare marks homes recently cited for harm or potential harm from abuse or neglect, and caps their health inspection rating at 2 stars.
Pa Peterson at the Citadel has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in May 2025, found 12 citations (the Illinois average is 12.6). It was fined 1 time in the last three years, $21,212 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on May 21, 2025 found 12 citations. What an inspection citation means
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 21, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.May 21, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.May 21, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.May 21, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.May 21, 2025 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.May 21, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.May 21, 2025 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.May 21, 2025 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 21, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.May 21, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.May 21, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures for flu and pneumonia vaccinations.May 21, 2025 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 34 citations.
- Protect each resident from the wrongful use of the resident's belongings or money.July 7, 2026 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.June 25, 2026 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.June 25, 2026 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 3, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.March 2, 2026 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.December 2, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 24, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.May 21, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.December 13, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor 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.December 10, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from the wrongful use of the resident's belongings or money.November 19, 2024 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.November 19, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.November 19, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.November 19, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.November 19, 2024 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.October 18, 2024 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.October 18, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.October 16, 2024 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.October 7, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.October 7, 2024 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.September 24, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.September 12, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.September 12, 2024 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.September 12, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.August 30, 2024 · F0744 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.August 20, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.July 18, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.June 10, 2024 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.June 10, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident must receive and the facility must provide necessary behavioral health care and services.June 10, 2024 · F0740 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.January 31, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.October 31, 2023 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Honor 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.October 11, 2023 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.October 11, 2023 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $21,212July 10, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Illinois average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.70 | 3.45 | 3.86 |
| Registered nurses (RN) | 0.62 | 0.72 | 0.69 |
| Licensed practical nurses (LPN) | 0.85 | 0.64 | 0.86 |
| Nurse aides | 2.23 | 2.09 | 2.32 |
| Total nursing staff turnover | 59.6% | 44.5% | 45.8% |
About this home
| Ownership | For profit - Partnership |
| Certified beds | 129 |
| Average residents per day | 119.6 |
| Inside a hospital | No |
| Continuing care retirement community | Yes |
Nursing homes nearby
- Mercyhealth Javon Bea Hospital -SNF Rockford · ★★★★★ 4 out of 5 stars
- Amberwood Care Centre Rockford · ★★★★★ 3 out of 5 stars
- Alpine Fireside Health Center Rockford · ★★★★★ 3 out of 5 stars
- Fairhaven Christian Ret Center Rockford · ★★★★★ 3 out of 5 stars
- Rock River Health Care Rockford · ★★★★★ 3 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Pa Peterson at the Citadel on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.