The Citadel at Saint Anne Place

Nursing Home · Rockford, IL

CMS overall rating 1/5 Non profit - Church related

CMS certification number145563

Contact & location

4405 Highcrest Road
Rockford, IL 61107
Winnebago County
Phone
(815) 229-1999
ZIP code
61107 – all care providers

Open in Google Maps

Facility details

Certified beds
179
Residents per day
125.4 (70% occupied)
Ownership
Non profit - Church related
Legal name
Legal Business Name Not Available
Medicare certified since
October 29, 1986
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.5
Health inspections★★★★★ 1/5
State avg 2.7
Staffing★★★★★ 2/5
State avg 2.1
Quality measures★★★★★ 1/5
State avg 3.0
Long-stay quality★★★★★ 2/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.42 (state 3.45 · U.S. 3.86)
Registered nurses (RN)
0.85 (state 0.72 · U.S. 0.69)
Licensed practical nurses
0.79 (state 0.64 · U.S. 0.86)
Nurse aides
1.78 (state 2.09 · U.S. 2.32)
Weekend total
2.94 (state 3.08 · U.S. 3.42)
Nursing staff turnover
62.2 (state 44.5 · U.S. 45.8)%
RN turnover
59.0 (state 41.8 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
June 5, 2025
Health deficiencies (last cycle)
20.0 (state 12.5 · U.S. 9.3)
From complaints
10
Citations on record (3 years)
44 health · 32 fire safety · includes actual harm
DateCitationSeverityStatus
2026-06-23 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-26
2026-04-21 Ensure residents have reasonable access to and privacy in their use of communication methods.
F0576 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-23
2026-04-14 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-17
2025-12-16 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-18
2025-11-25 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-12-05
2025-11-25 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-12-05
2025-11-25 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-05
2025-11-25 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-05
2025-11-25 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-26
2025-07-08 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-07-10
2025-06-05 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 G
Actual harm		 Corrected 2025-07-03
2025-06-05 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-06-17
2025-06-05 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 G
Actual harm		 Corrected 2025-06-17
2025-06-05 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-06-19
2025-06-05 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-17
2025-06-05 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
F0805 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-01
2025-06-05 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-17
2025-06-05 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-20
2025-06-05 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-17
2025-06-05 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-17
2025-06-05 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-02
2025-04-29 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-30
2024-08-07 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 G
Actual harm		 Corrected 2024-08-14
2024-08-07 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-14
2024-08-07 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-14
2024-08-07 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
F0758 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-14
2024-08-07 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-08
2024-08-07 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-08
2024-08-07 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-14
2024-07-17 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-22
2024-04-03 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-10
2024-03-13 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-21
2024-03-13 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-21
2024-02-21 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2024-02-22
2023-11-15 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2023-11-16
2023-11-15 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-17
2023-07-13 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 G
Actual harm		 Corrected 2023-07-28
2023-07-13 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-28
2023-07-13 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-28
2023-07-13 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-28
2023-07-13 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.
F0688 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-28
2023-07-13 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-28
2023-07-13 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.
F0693 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-28
2023-07-13 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-28

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

6 penalties in the last three years, including $123,556 in fines.

DateTypeAmount
2025-11-25Fine$38,786
2025-06-05Payment Denial12 days payment denial
2025-06-05Fine$44,372
2024-08-07Fine$13,309
2024-02-21Fine$14,050
2023-11-15Fine$13,039

Ownership & management

NameRoleSince
Ownership Data Not Available

Frequently asked questions

What is the rating of The Citadel at Saint Anne Place?

The Citadel at Saint Anne Place has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Illinois.

How many beds does The Citadel at Saint Anne Place have?

It has 179 certified beds and cares for about 125 residents per day.

Has The Citadel at Saint Anne Place been fined?

Yes. CMS lists 6 penalties totaling $123,556 in the last three years.

What is the phone number of The Citadel at Saint Anne Place?

(815) 229-1999. The facility is located at 4405 Highcrest Road, Rockford, IL 61107.

Other nursing homes in Rockford

Compare all nursing homes in Rockford, IL →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.