The Citadel at Saint Joseph Village
Nursing home in Freeport, IL
Medicare & Medicaid certified1★ overall (CMS)
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
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.
| Inspection | Citation | Severity |
|---|---|---|
| Apr 22, 2026 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D |
| Apr 22, 2026 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D |
| Mar 12, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| Mar 5, 2026 | Reasonably accommodate the needs and preferences of each resident. | D |
| Mar 5, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| Mar 5, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| Mar 5, 2026 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| Mar 5, 2026 | Ensure 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. | D |
| Mar 5, 2026 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D |
| Mar 5, 2026 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| Mar 5, 2026 | 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… | D |
| Mar 5, 2026 | Provide and implement an infection prevention and control program. | D |
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, 2025 | Fine: $15,015 |
| Mar 18, 2025 | Fine: $14,731 |
| Dec 11, 2024 | Fine: $15,004 |
| Sep 13, 2024 | Fine: $12,581 |
| Aug 1, 2024 | Fine: $12,248 |
| Feb 8, 2024 | Fine: $56,245 |
| Feb 8, 2024 | Payment denial for 4 days from Mar 9, 2024 |
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%
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.