Citadel Of Skokie, The

Penalties

• Apr 17, 2025 — IDPH fine (Nursing Home Care Act) ($25,000)
• Apr 26, 2024 — IDPH fine (Nursing Home Care Act) ($25,000)
• Apr 5, 2024 — Fine ($8,824)
• Apr 5, 2024 — Fine ($10,845)
• Apr 5, 2024 — Fine ($8,222)
• Apr 5, 2024 — IDPH fine (Nursing Home Care Act) ($2,200)
• Apr 5, 2024 — IDPH fine (Nursing Home Care Act) ($25,000)

Inspection findings

1. Jan 24, 2026 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Jan 29, 2026 · CMS health inspection

2. Nov 21, 2025 Health · 3 findings
   • Not serious Scope/severity D

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Dec 4, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Dec 4, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Dec 4, 2025 · CMS health inspection

3. Apr 17, 2025 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0658 Resident Assessment and Care Planning Deficiencies

     Ensure services provided by the nursing facility meet professional standards of quality.

     Corrected Apr 29, 2025 · CMS health inspection

   • Serious Scope/severity G Complaint

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Apr 29, 2025 · CMS health inspection

   • Serious Scope/severity A

     Type A Illinois Nursing Home Care Act violation

     Type A: substantial probability of death or serious harm, or actual harm (1-129). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210b), and 300.1210d)2). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b).

     Statement of deficiencies (PDF)

4. Oct 31, 2024 Health · 8 findings
   • Not serious Scope/severity D

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Nov 14, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Nov 14, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Nov 14, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0222 Egress Deficiencies

     Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

     Corrected Nov 26, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0223 Egress Deficiencies

     Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

     Corrected Nov 26, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0281 Egress Deficiencies

     Install proper backup exit lighting.

     Corrected Nov 26, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Nov 26, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Nov 26, 2024 · CMS fire safety

5. Apr 26, 2024 Health · 2 findings
   • Serious Scope/severity J Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Apr 27, 2024 · CMS health inspection

   • Serious Scope/severity A

     Type A Illinois Nursing Home Care Act violation

     Type A: substantial probability of death or serious harm, or actual harm (1-129). Sections of the Illinois Administrative Code cited: 300.610a) and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.3240a).

     Statement of deficiencies (PDF)

6. Apr 5, 2024 Health · 4 findings
   • Serious Scope/severity G Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Apr 6, 2024 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Apr 6, 2024 · CMS health inspection

   • Serious Scope/severity A

     Type A Illinois Nursing Home Care Act violation

     Type A: substantial probability of death or serious harm, or actual harm (1-129). Sections of the Illinois Administrative Code cited: 300.610a), 300.1010h), 300.1210b), and 300.1210d)2)3)6). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6).

     Statement of deficiencies (PDF)

   • Not serious Scope/severity B

     Type B Illinois Nursing Home Care Act violation

     Type B: more likely than not to cause more than minimal harm (1-130). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210a), 300.1210b), 300.1210c), 300.1210d)6), and 300.1220b)2)3)8). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6).

     Statement of deficiencies (PDF)

7. Feb 29, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0693 Quality of Life and Care Deficiencies

     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.

     Corrected Mar 11, 2024 · CMS health inspection

8. Nov 22, 2023 Fire Safety · 15 findings
   • Not serious Scope/severity F

     E0041 Emergency Preparedness Deficiencies

     Implement emergency and standby power systems.

     Corrected Dec 29, 2023 · CMS fire safety

   • Not serious Scope/severity C

     F0577 Resident Rights Deficiencies

     Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

     Corrected Dec 13, 2023 · CMS health inspection

   • Not serious Scope/severity C

     F0585 Resident Rights Deficiencies

     Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

     Corrected Dec 13, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Dec 13, 2023 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Dec 13, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Dec 13, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0223 Egress Deficiencies

     Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

     Corrected Dec 29, 2023 · CMS fire safety

   • Not serious Scope/severity D

     K0351 Smoke Deficiencies

     Install an approved automatic sprinkler system.

     Corrected Dec 29, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Dec 29, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Dec 29, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0541 Services Deficiencies

     Install properly constructed and protected linen or trash chutes.

     Corrected Dec 29, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0911 Gas, Vacuum, and Electrical Systems Deficiencies

     Meet requirements for the installation and maintenance of electrical systems.

     Corrected Dec 29, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Dec 29, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0920 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure proper usage of power strips and extension cords.

     Corrected Dec 29, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0923 Gas, Vacuum, and Electrical Systems Deficiencies

     Have proper medical gas storage and administration areas.

     Corrected Dec 29, 2023 · CMS fire safety

9. Aug 10, 2023 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0622 Resident Rights Deficiencies

     Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

     Corrected Aug 31, 2023 · CMS health inspection

10. Dec 21, 2022 Fire Safety · 8 findings
    • Not serious Scope/severity F

      E0037 Emergency Preparedness Deficiencies

      Establish staff and initial training requirements.

      Corrected Jan 25, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0211 Egress Deficiencies

      Keep aisles, corridors, and exits free of obstruction in case of emergency.

      Corrected Jan 25, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected Jan 25, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0363 Smoke Deficiencies

      Install corridor and hallway doors that block smoke.

      Corrected Jan 25, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0372 Smoke Deficiencies

      Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      Corrected Jan 25, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0522 Services Deficiencies

      Have an externally vented heating system.

      Corrected Jan 25, 2023 · CMS fire safety

    • Not serious Scope/severity C

      K0712 Miscellaneous Deficiencies

      Have simulated fire drills held at unexpected times.

      Corrected Jan 25, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0918 Gas, Vacuum, and Electrical Systems Deficiencies

      Have generator or other power source capable of supplying service within 10 seconds.

      Corrected Jan 25, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• AARON, JONATHAN — operational/managerial control, NOT APPLICABLE, since 01/23/2020
• BERGER, MENACHEM — direct ownership interest, NOT APPLICABLE, since 12/15/2023
• BRUCK, JONAH — direct ownership interest, NOT APPLICABLE, since 02/01/2020
• GORENSTEIN, ADAM — operational/managerial control, NOT APPLICABLE, since 11/09/2022
• GORENSTEIN, ADAM — adp of the snf, NOT APPLICABLE, since 11/09/2022
• GRAF, MARCELLA — operational/managerial control, NOT APPLICABLE, since 02/01/2020
• GRAF, MARCELLA — direct ownership interest, NOT APPLICABLE, since 02/01/2020
• GROSS, SHOSHANA — direct ownership interest, NOT APPLICABLE, since 12/15/2023
• ISRAEL, BENJAMIN — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/16/2025
• KOHEN, YAKOV — direct ownership interest, NOT APPLICABLE, since 12/15/2023
• PROCTOR, KATHERINE — direct ownership interest, NOT APPLICABLE, since 12/15/2023
• RIPSTEIN, KENNETH — direct ownership interest, NOT APPLICABLE, since 12/15/2023
• ROBIN, JASON — adp of the snf, NOT APPLICABLE, since 05/01/2024
• ROBIN, JASON — operational/managerial control, NOT APPLICABLE, since 05/01/2024
• STERN, RAPHAELA — direct ownership interest, NOT APPLICABLE, since 12/15/2023
• STERN, TODD — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/16/2025
• TELLER, ILANA — direct ownership interest, NOT APPLICABLE, since 12/15/2023
• WEISS, LEONARD — direct ownership interest, NOT APPLICABLE, since 02/01/2020
• BERGER FAM TR UA 06252014 — direct ownership interest, NOT APPLICABLE, since 12/15/2023
• ISRAEL FAMILY INVESTMENT TRUST — direct ownership interest, NOT APPLICABLE, since 12/15/2023
• ISRAEL INVESTMENT TR — direct ownership interest, NOT APPLICABLE, since 12/15/2023