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Data / Nursing homes / Illinois / Pa Peterson at the Citadel

Pa Peterson at the Citadel, Rockford, IL: 2 star rating, fined $21,212 across 1 fine

Pa Peterson at the Citadel in Rockford, IL is owned by 1 individual whom CMS lists (names not shown), is rated 2 of 5 stars by Medicare, and was fined $21,212 across 1 fine in the three years to October 1, 2026. CMS lists 61 health citations from inspections in that time, the latest survey on August 25, 2026, and 3 of them found actual harm or immediate jeopardy.

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Address
1311 Parkview Avenue, Rockford, IL 61107
Overall rating
2 of 5 stars
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measure rating
4 of 5
Certified beds
129
Residents per day
123 on average
Ownership type
For profit, partnership
Legal business name
Pa Peterson at the Citadel LLC
Chain
Citadel Healthcare, 19 facilities
Abuse icon
CMS shows an abuse icon on Care Compare
Fines
$21,212 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
61, of which 3 with actual harm or immediate jeopardy
Latest survey
August 25, 2026
CMS Certification Number
145751
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
July 10, 2024Fine$21,212Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
August 25, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 31, 2026data.cms.gov
August 25, 2026F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 31, 2026data.cms.gov
July 7, 2026F602Protect each resident from the wrongful use of the resident's belongings or money.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2026data.cms.gov
June 25, 2026F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 2, 2026data.cms.gov
June 25, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 2, 2026data.cms.gov
April 3, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 8, 2026data.cms.gov
March 2, 2026F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 5, 2026data.cms.gov
December 2, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 5, 2025data.cms.gov
November 24, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 4, 2025data.cms.gov
May 21, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 21, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 21, 2025F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 21, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 21, 2025F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 21, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 21, 2025F688Provide 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 21, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 21, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 21, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 21, 2025F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 21, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
May 21, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2025data.cms.gov
December 13, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 19, 2024data.cms.gov
December 10, 2024F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 17, 2024data.cms.gov
November 19, 2024F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 29, 2024data.cms.gov
November 19, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 29, 2024data.cms.gov
November 19, 2024F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 29, 2024data.cms.gov
November 19, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 29, 2024data.cms.gov
November 19, 2024F602Protect each resident from the wrongful use of the resident's belongings or money.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 29, 2024data.cms.gov
October 18, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 29, 2024data.cms.gov
October 18, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 29, 2024data.cms.gov
October 16, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 29, 2024data.cms.gov
October 7, 2024F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 29, 2024data.cms.gov
October 7, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 29, 2024data.cms.gov
September 24, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 7, 2024data.cms.gov
September 12, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 18, 2024data.cms.gov
September 12, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 18, 2024data.cms.gov
September 12, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 18, 2024data.cms.gov
August 30, 2024F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 10, 2024data.cms.gov
August 20, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 4, 2024data.cms.gov
July 18, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 29, 2024data.cms.gov
July 10, 2024F692Provide enough food/fluids to maintain a resident's health.G: isolated, actual harmCorrectedJuly 25, 2024data.cms.gov
July 10, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedJuly 25, 2024data.cms.gov
July 10, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedJuly 25, 2024data.cms.gov
July 10, 2024F887Educate 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 25, 2024data.cms.gov
July 10, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 25, 2024data.cms.gov
July 10, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 29, 2024data.cms.gov
July 10, 2024F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 25, 2024data.cms.gov
July 10, 2024F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 25, 2024data.cms.gov
July 10, 2024F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 25, 2024data.cms.gov
July 10, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 25, 2024data.cms.gov
July 10, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 25, 2024data.cms.gov
July 10, 2024F688Provide 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 25, 2024data.cms.gov
July 10, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 25, 2024data.cms.gov
June 10, 2024F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 20, 2024data.cms.gov
June 10, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 20, 2024data.cms.gov
June 10, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 20, 2024data.cms.gov
January 31, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 7, 2024data.cms.gov
October 31, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 3, 2023data.cms.gov
October 11, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 20, 2023data.cms.gov
October 11, 2023F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 20, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 11 individual or personal trusts (1 owners, 5 managers, 1 officers, directors or trustees, 4 other disclosable parties). Their names are not shown on this page.

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.