The Citadel at Saint Anne Place

Nursing home in Rockford, IL

Medicare & Medicaid certified1★ overall (CMS)

Call (815) 229-1999 Send a message Map ↗

Public-record details

Address: 4405 Highcrest Road, Rockford, IL 61107
Phone: (815) 229-1999
Listed under: Nonprofit
Medicare CCN: 145563
Overall star rating: 1 of 5 ★☆☆☆☆
Health inspection rating: 1 of 5
Staffing rating: 2 of 5
Quality measures rating: 1 of 5
Certified beds: 179
Average residents per day: 125
Ownership: Nonprofit, church related
Legal business name: Legal Business Name Not Available
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Oct 29, 1986
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 145563. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 5, 2025. CMS lists 44 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 13, 2023 to Jun 23, 2026): 19 from complaint inspections, 9 at the “actual harm” level or higher.

Inspection	Citation	Severity
Jun 23, 2026	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Apr 21, 2026	Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Apr 14, 2026	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service · complaint inspection	D Potential for more than minimal harm, isolated
Dec 16, 2025	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Nov 25, 2025	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Nov 25, 2025	Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Nov 25, 2025	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service · complaint inspection	D Potential for more than minimal harm, isolated
Nov 25, 2025	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights · complaint inspection	E Potential for more than minimal harm, pattern
Nov 25, 2025	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care · complaint inspection	G Actual harm, isolated
Jul 8, 2025	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care · complaint inspection	G Actual harm, isolated
Jun 5, 2025	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights	D Potential for more than minimal harm, isolated
Jun 5, 2025	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 44. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 5 fines totalling $123,556 and 1 denial of Medicare payment for new admissions in the last three years.

Nov 25, 2025	Fine: $38,786
Jun 5, 2025	Fine: $44,372
Jun 5, 2025	Payment denial for 12 days from Jun 28, 2025
Aug 7, 2024	Fine: $13,309
Feb 21, 2024	Fine: $14,050
Nov 15, 2023	Fine: $13,039

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.42 hours
Registered nurse (RN) time per resident per day: 0.85 hours
Nurse aide time per resident per day: 1.78 hours
Total nurse staffing on weekends: 2.94 hours
Nursing staff turnover (yearly): 62%
RN turnover (yearly): 59%
Administrators who left in the past year: 0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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