nursing home in Freeport, IL

The Citadel at Saint Joseph Village

659 East Jefferson Street, Freeport, IL 61032 · (815) 232-6181

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★1
  • Quality measures★★★★★4

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

The Citadel at Saint Joseph Village at a glance

The Citadel at Saint Joseph Village is a 124-bed for-profit nursing home in Freeport, Illinois (Stephenson County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Illinois average of 2.5.

Residents receive about 3.3 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.4 hours.

Its most recent standard health inspection (March 5, 2026) found 19 health citations. The Illinois average is 12.5.

Federal regulators fined it 6 times in the past three years, totaling $125,824.

Nursing staff turnover is 64.9% per year (state average 44.5%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
124
Certified for
Medicare and Medicaid
Chain / affiliated entity
Citadel Healthcare
Medicare-certified since
March 14, 1997
Resident/family council
Resident
County
Stephenson County
CMS Certification Number
145935

Ratings

MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 52.5 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)2 / 52.7 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)1 / 52.1 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)4 / 53 / 53.6 / 5Average
Long-stay quality rating (higher is better)5 / 53.4 / 53.8 / 5Better
Short-stay (rehab) quality rating (higher is better)3 / 52.5 / 53.3 / 5Average

Staffing

This facility3.26 hrsIllinois average3.45 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Illinois and U.S. averages
MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.26 hrs3.45 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.45 hrs0.72 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)1.98 hrs2.09 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)2.89 hrs3.07 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)64.9%44.5%45.8%Worse
Registered nurse turnover (yearly) (lower is better)73.3%41.8%42.9%Worse

Inspections

This facility19Illinois average12U.S. average9
Health citations in the most recent inspection: this facility vs. Illinois and U.S. averages
MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)19129Worse
Citations from complaint investigations (latest cycle) (lower is better)553Worse
Weighted health inspection score ⓘ (lower is better)14214380.6Worse

Penalties

This facility6Illinois average2U.S. average1
Fines in the past 3 years: this facility vs. Illinois and U.S. averages
MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)621Worse
Total fines in the past 3 years (lower is better)$125,824$111,013$30,972Worse
All federal penalties in the past 3 years (lower is better)731Worse

Size

MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Certified beds124128107
Average residents per day919586
Occupancy73.5%75%80.9%

Long-stay residents

This facility4.3%Illinois average3.1%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Illinois and U.S. averages
MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)4.3%3.1%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)3.6%4.8%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)6.4%21.7%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)0.4%1.5%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0.5%0.9%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)16.4%13.4%13.9%Worse
Long-stay residents whose walking worsened (lower is better)21.6%14.3%14.1%Worse
Long-stay residents who lose too much weight (lower is better)5.4%6.3%5.2%Average
Long-stay residents with depressive symptoms (lower is better)19.8%54.2%12.8%Worse
Long-stay residents who were physically restrained (lower is better)0%0.1%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)19.4%18.3%19.5%Average
Long-stay residents with new or worse incontinence (lower is better)22.5%20.6%19%Worse
Long-stay residents given a flu vaccine (higher is better)88.1%91.8%95.5%Worse
Long-stay residents given a pneumonia vaccine (higher is better)95.3%90.3%93.6%Average

Short-stay residents

This facility1.2%Illinois average2.2%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Illinois and U.S. averages
MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)1.2%2.2%1.6%Better
Short-stay residents given a flu vaccine (higher is better)72.6%63.1%79.8%Worse
Short-stay residents given a pneumonia vaccine (higher is better)80.8%69.7%82%Average

Inspection citations

State inspectors cited this home for 53 health deficiencies and 3 fire safety deficiencies in the inspection records CMS currently publishes. 6 citations involved actual harm.

DateCitationSeverityStatus
April 22, 2026
Complaint
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary Deficiencies · Tag F0800
D
Potential harm, isolated
Corrected April 30, 2026
April 22, 2026
Complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies · Tag F0627
D
Potential harm, isolated
Corrected April 30, 2026
March 12, 2026
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected March 17, 2026
March 5, 2026
Fire safety
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies · Tag E0039
F
Potential harm, widespread
Corrected April 24, 2026
March 5, 2026
Fire safety
Address subsistence needs for staff and patients.
Emergency Preparedness Deficiencies · Tag E0015
F
Potential harm, widespread
Corrected April 24, 2026
March 5, 2026
Fire safety
Establish policies and procedures for sheltering.
Emergency Preparedness Deficiencies · Tag E0022
F
Potential harm, widespread
Corrected April 24, 2026
March 5, 2026
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected March 13, 2026
March 5, 2026
Standard
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Nutrition and Dietary Deficiencies · Tag F0809
E
Potential harm, pattern
Corrected March 13, 2026
March 5, 2026
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
E
Potential harm, pattern
Corrected March 13, 2026
March 5, 2026
Standard
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Tag F0805
E
Potential harm, pattern
Corrected March 13, 2026
March 5, 2026
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
E
Potential harm, pattern
Corrected March 13, 2026
March 5, 2026
Standard
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.
Quality of Life and Care Deficiencies · Tag F0693
D
Potential harm, isolated
Corrected March 13, 2026
March 5, 2026
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected March 13, 2026
March 5, 2026
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected March 13, 2026
March 5, 2026
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected March 13, 2026
March 5, 2026
Standard
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0694
D
Potential harm, isolated
Corrected March 13, 2026
March 5, 2026
Standard
Provide 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 Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected March 13, 2026
March 5, 2026
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected March 13, 2026
March 5, 2026
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected March 13, 2026
March 5, 2026
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected March 13, 2026
December 6, 2025
Complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Tag F0806
E
Potential harm, pattern
Corrected December 12, 2025
September 2, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
G
Actual harm, isolated
Corrected September 8, 2025
July 21, 2025
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected July 29, 2025
July 21, 2025
Complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected July 29, 2025
July 21, 2025
Complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected July 29, 2025
June 13, 2025
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected July 3, 2025
June 10, 2025
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected July 3, 2025
May 28, 2025
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
E
Potential harm, pattern
Corrected July 3, 2025
May 28, 2025
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected July 3, 2025
May 28, 2025
Complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected July 3, 2025
May 28, 2025
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected July 3, 2025
March 18, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
G
Actual harm, isolated
Corrected March 8, 2025
December 11, 2024
Standard
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0694
G
Actual harm, isolated
Corrected December 18, 2024
December 11, 2024
Standard
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Tag F0805
E
Potential harm, pattern
Corrected December 18, 2024
December 11, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected December 18, 2024
December 11, 2024
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
D
Potential harm, isolated
Corrected December 18, 2024
December 11, 2024
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected December 18, 2024
December 11, 2024
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected December 18, 2024
December 11, 2024
Standard
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected December 18, 2024
September 13, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
G
Actual harm, isolated
Corrected September 24, 2024
September 13, 2024
Complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies · Tag F0744
D
Potential harm, isolated
Corrected September 24, 2024
August 1, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
G
Actual harm, isolated
Corrected August 9, 2024
August 1, 2024
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected August 9, 2024
May 21, 2024
Complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Tag F0552
D
Potential harm, isolated
Corrected June 4, 2024
April 23, 2024
Complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies · Tag F0557
D
Potential harm, isolated
Corrected May 1, 2024
February 8, 2024
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
G
Actual harm, isolated
Corrected March 13, 2024
February 8, 2024
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected March 4, 2024
February 8, 2024
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected March 4, 2024
February 8, 2024
Complaint
Plan the resident's discharge to meet the resident's goals and needs.
Resident Assessment and Care Planning Deficiencies · Tag F0660
D
Potential harm, isolated
Corrected March 4, 2024
February 8, 2024
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected March 4, 2024
February 8, 2024
Standard
Provide 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 Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected March 4, 2024
February 8, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected March 4, 2024
February 8, 2024
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected March 4, 2024
November 9, 2023
Complaint
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control Deficiencies · Tag F0887
D
Potential harm, isolated
Corrected November 23, 2023
November 1, 2023
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected November 20, 2023
October 10, 2023
Complaint
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected October 27, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 7 federal penalties in the past three years, including $125,824 in fines.

DatePenaltyAmount / length
September 2, 2025Fine$15,015
March 18, 2025Fine$14,731
December 11, 2024Fine$15,004
September 13, 2024Fine$12,581
August 1, 2024Fine$12,248
February 8, 2024Payment Denial4 days from March 9, 2024
February 8, 2024Fine$56,245

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
AARON FAMILY INVESTMENT TRUST
Organization
5% or greater direct ownership interest31%10/01/2025
CIBC BANK USA
Organization
5% or greater security interestNOT APPLICABLE10/01/2025
659 EAST JEFFERSON STREET LLC
Organization
adp of the snfNOT APPLICABLE12/04/2025
PARENT, GEORGETTE
Individual
adp of the snfNOT APPLICABLE10/01/2025
ROBIN, JASON
Individual
adp of the snfNOT APPLICABLE10/01/2025
GRAF, MARCELLA
Individual
direct ownership interestNOT APPLICABLE10/01/2025
GROSS, SHOSHANA
Individual
direct ownership interestNOT APPLICABLE10/01/2025
KROLL, GABRIEL
Individual
direct ownership interestNOT APPLICABLE10/01/2025
NAGEL, STEVEN
Individual
direct ownership interestNOT APPLICABLE10/01/2025
PROCTOR, KATHERINE
Individual
direct ownership interestNOT APPLICABLE10/01/2025
BERGER, MENACHEM
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE01/28/2026
ISRAEL, BENJAMIN
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE10/30/2025
STERN, TODD
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE10/21/2025
AARON, JONATHAN
Individual
operational/managerial controlNOT APPLICABLE10/01/2025
GRAF, MARCELLA
Individual
operational/managerial controlNOT APPLICABLE10/01/2025
PARENT, GEORGETTE
Individual
operational/managerial controlNOT APPLICABLE10/01/2025
ROBIN, JASON
Individual
operational/managerial controlNOT APPLICABLE10/01/2025
TELLER, CHANANEL
Individual
operational/managerial controlNOT APPLICABLE10/01/2025

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  5. Medina Nursing Center

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Frequently asked questions

What is The Citadel at Saint Joseph Village's rating?

The Citadel at Saint Joseph Village has 1 out of 5 stars on the CMS overall star rating. The average for Illinois nursing homes is 2.5 stars.

How many inspection citations did The Citadel at Saint Joseph Village receive?

Its most recent standard health inspection found 19 citations, compared with a Illinois average of 12.5. Every citation is listed on this page with its severity.

Does The Citadel at Saint Joseph Village accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns The Citadel at Saint Joseph Village?

It is for profit - corporation and part of Citadel Healthcare. The ownership section on this page lists the owners and managers reported to CMS.

Where is The Citadel at Saint Joseph Village and how do I contact it?

The Citadel at Saint Joseph Village is at 659 East Jefferson Street, Freeport, IL 61032. Phone: (815) 232-6181.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.