The Citadel at Saint Anne Place

4405 Highcrest Road, Rockford, IL 61107 · (815) 229-1999
Non profit - Church related · 179 certified beds

The Citadel at Saint Anne Place has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in June 2025, found 11 citations, 3 for actual harm or immediate jeopardy (the Illinois average is 12.6). It was fined 5 times in the last three years, $123,556 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on June 5, 2025 found 11 citations. What an inspection citation means

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.June 5, 2025 · F0686 · Level of harm: Actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 5, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Provide enough food/fluids to maintain a resident's health.June 5, 2025 · F0692 · Level of harm: 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.June 5, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.June 5, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.June 5, 2025 · F0805 · 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.June 5, 2025 · F0550 · 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.June 5, 2025 · 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.June 5, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.June 5, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.June 5, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 19 citations.

• Provide care and assistance to perform activities of daily living for any resident who is unable.June 23, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure residents have reasonable access to and privacy in their use of communication methods.April 21, 2026 · F0576 · 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.April 14, 2026 · 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.December 16, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.November 25, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.November 25, 2025 · F0684 · Level of harm: Actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.November 25, 2025 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide for the safe, appropriate administration of IV fluids for a resident when needed.November 25, 2025 · F0694 · 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 25, 2025 · 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.July 8, 2025 · F0684 · Level of harm: Actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 5, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 29, 2025 · F0689 · 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.July 17, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.April 3, 2024 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate pain management for a resident who requires such services.March 13, 2024 · F0697 · 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.March 13, 2024 · 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.February 21, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.November 15, 2023 · F0684 · 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 15, 2023 · F0689 · Level of harm: Actual harm · Residents affected: Few

Fines and payment denials

• Fine of $38,786November 25, 2025
• Fine of $44,372June 5, 2025
• Fine of $13,309August 7, 2024
• Fine of $14,050February 21, 2024
• Fine of $13,039November 15, 2023
• Medicare payment denial for 12 daysStarting June 28, 2025

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home