Citadel Care Center-wilmette

Penalties

• Feb 20, 2025 — IDPH fine (Nursing Home Care Act) ($500)

Inspection findings

1. Apr 9, 2026 Health · 1 finding
   • 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 Apr 17, 2026 · CMS health inspection

2. Feb 20, 2025 Fire Safety · 10 findings
   • Not serious Scope/severity F

     E0039 Emergency Preparedness Deficiencies

     Conduct testing and exercise requirements.

     Corrected Mar 6, 2025 · CMS fire safety

   • Not serious Scope/severity D

     F0758 Pharmacy Service Deficiencies

     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.

     Corrected Mar 4, 2025 · CMS health inspection

   • Not serious Scope/severity E

     K0211 Egress Deficiencies

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

     Corrected Mar 5, 2025 · 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 Mar 5, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0293 Egress Deficiencies

     Have properly located and lighted "Exit" signs.

     Corrected Mar 12, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0311 Smoke Deficiencies

     Have an enclosure around a vertical opening shaft.

     Corrected Mar 5, 2025 · 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 Mar 5, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Mar 4, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Mar 4, 2025 · CMS fire safety

   • Not serious Scope/severity C

     Type C Illinois Nursing Home Care Act violation

     Type C: less than minimal harm (1-132). Sections of the Illinois Administrative Code cited: 300.615e) and 300.615f). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.615e) and 300.615f).

     Statement of deficiencies (PDF)

3. Apr 25, 2024 Fire Safety · 4 findings
   • 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 May 17, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected May 17, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0531 Services Deficiencies

     Have elevators that firefighters can control in the event of a fire.

     Corrected May 17, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0920 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure proper usage of power strips and extension cords.

     Corrected May 17, 2024 · CMS fire safety

4. Dec 11, 2023 Health · 2 findings
   • Not serious Scope/severity D 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 Dec 18, 2023 · CMS health inspection

   • Not serious Scope/severity D 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 Dec 18, 2023 · CMS health inspection

5. Apr 14, 2023 Fire Safety · 6 findings
   • Not serious Scope/severity E

     K0211 Egress Deficiencies

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

     Corrected Apr 26, 2023 · 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 Apr 26, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0271 Egress Deficiencies

     Have exits that are accessible at all times.

     Corrected Apr 26, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0291 Egress Deficiencies

     Install emergency lighting that can last at least 1 1/2 hours.

     Corrected Apr 26, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0361 Smoke Deficiencies

     Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

     Corrected Apr 26, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Apr 26, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• AARON, JONATHAN — operational/managerial control, NOT APPLICABLE, since 12/15/2023
• BERGER, MENACHEM — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/07/2025
• GRAF, MARCELLA — direct ownership interest, NOT APPLICABLE, since 12/15/2023
• GRAF, MARCELLA — adp of the snf, NOT APPLICABLE, since 01/24/2022
• GRAF, MARCELLA — operational/managerial control, NOT APPLICABLE, since 01/24/2022
• 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 04/07/2025
• KOHEN, YAKOV — direct ownership interest, NOT APPLICABLE, since 12/15/2023
• KROLL, GABRIEL — direct ownership interest, NOT APPLICABLE, since 12/15/2023
• NAGEL, STEVEN — direct ownership interest, NOT APPLICABLE, since 12/15/2023
• OLLMAN, JONATHAN — direct ownership interest, NOT APPLICABLE, since 12/15/2023
• OLUGBERMIGA, ADETOLA — adp of the snf, NOT APPLICABLE, since 10/01/2024
• OLUGBERMIGA, ADETOLA — operational/managerial control, NOT APPLICABLE, since 10/01/2024
• PROCTOR, KATHERINE — direct ownership interest, NOT APPLICABLE, since 12/15/2023
• RIPSTEIN, KENNETH — direct ownership interest, NOT APPLICABLE, since 12/15/2023
• ROBIN, JASON — operational/managerial control, NOT APPLICABLE, since 05/01/2024
• ROBIN, JASON — adp of the snf, NOT APPLICABLE, since 05/01/2024
• STERN, TODD — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/07/2025
• TELLER, ILANA — direct ownership interest, NOT APPLICABLE, since 12/15/2023