Nursing HomeInspections

The Citadel at Saint Joseph Village

Nursing home in Freeport, IL

Medicare & Medicaid certified1★ overall (CMS)

Call (815) 232-6181Send a messageMap ↗

Public-record details

Address
659 East Jefferson Street, Freeport, IL 61032
Phone
(815) 232-6181
Listed under
For-profit
Medicare CCN
145935
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
124
Average residents per day
91
Ownership
For-profit, corporation
Legal business name
Legal Business Name Not Available
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 14, 1997
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 145935. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 5, 2026. CMS lists 53 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 10, 2023 to Apr 22, 2026): 25 from complaint inspections, 6 at the “actual harm” level or higher.

InspectionCitationSeverity
Apr 22, 2026Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 22, 2026Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 12, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection
E
Potential for more than minimal harm, pattern
Mar 5, 2026Reasonably accommodate the needs and preferences of each resident.
Resident Rights
D
Potential for more than minimal harm, isolated
Mar 5, 2026Provide 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
Mar 5, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Mar 5, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Mar 5, 2026Ensure 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.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Mar 5, 2026Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Mar 5, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Mar 5, 2026Ensure 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…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Mar 5, 2026Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 53. 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 6 fines totalling $125,824 and 1 denial of Medicare payment for new admissions in the last three years.

Sep 2, 2025Fine: $15,015
Mar 18, 2025Fine: $14,731
Dec 11, 2024Fine: $15,004
Sep 13, 2024Fine: $12,581
Aug 1, 2024Fine: $12,248
Feb 8, 2024Fine: $56,245
Feb 8, 2024Payment denial for 4 days from Mar 9, 2024

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
3.26 hours
Registered nurse (RN) time per resident per day
0.45 hours
Nurse aide time per resident per day
1.98 hours
Total nurse staffing on weekends
2.89 hours
Nursing staff turnover (yearly)
65%
RN turnover (yearly)
73%

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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