The Citadel At Saint Joseph Village
Nursing home · 659 EAST JEFFERSON STREET, Freeport, IL 61032 · Stephenson County
Prices
$295 – $315 per day (Nursing care, shared and private rooms)
Daily private-pay room rate the facility reported to the Illinois Health Facilities and Services Review Board for 2024 (state data file). This is what the facility reported for that year, not a current quote.
Facility
- Type
- Nursing home
- Capacity
- 124
- State license
- 145935
- Medicare CCN
- 145935
- Licensed entity
- Legal Business Name Not Available
- Ownership
- For profit - Corporation
- Phone
- (815) 232-6181
- Nurse staffing
- 3.26 hours per resident per day; 64.9% nursing staff turnover
- Medicare ratings
- Inspections 2★ · Staffing 1★ · Quality 4★
- Official record
- Illinois Department of Public Health nursing home pages
- Official record
- Medicare Care Compare
Penalties
- Sep 2, 2025 — Fine ($15,015)
- Sep 2, 2025 — IDPH fine (Nursing Home Care Act) ($2,200)
- Mar 18, 2025 — IDPH fine (Nursing Home Care Act) ($25,000)
- Mar 18, 2025 — Fine ($14,731)
- Dec 11, 2024 — IDPH fine (Nursing Home Care Act) ($25,000)
- Dec 11, 2024 — Fine ($15,004)
- Sep 13, 2024 — IDPH fine (Nursing Home Care Act) ($2,200)
- Sep 13, 2024 — IDPH fine (Nursing Home Care Act) ($500)
- Sep 13, 2024 — Fine ($12,581)
- Aug 1, 2024 — Fine ($12,248)
- Aug 1, 2024 — IDPH fine (Nursing Home Care Act) ($25,000)
- Feb 21, 2024 — IDPH fine (Nursing Home Care Act) ($500)
- Feb 8, 2024 — Payment Denial · payment denial 4 days
- Feb 8, 2024 — IDPH fine (Nursing Home Care Act) ($2,200)
- Feb 8, 2024 — IDPH fine (Nursing Home Care Act) ($500)
- Feb 8, 2024 — IDPH fine (Nursing Home Care Act) ($500)
- Feb 8, 2024 — Fine ($56,245)
Inspection findings
-
Apr 22, 2026 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0627 Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected Apr 30, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0800 Nutrition and Dietary Deficiencies
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected Apr 30, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Mar 12, 2026 Health · 1 finding
-
Not serious
Scope/severity E
Complaint
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 Mar 17, 2026 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
-
Mar 5, 2026 Fire Safety · 17 findings
-
Not serious
Scope/severity F
E0015 Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Corrected Apr 24, 2026 · CMS fire safety
-
Not serious
Scope/severity F
E0022 Emergency Preparedness Deficiencies
Establish policies and procedures for sheltering.
Corrected Apr 24, 2026 · CMS fire safety
-
Not serious
Scope/severity F
E0039 Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Corrected Apr 24, 2026 · CMS fire safety
-
Not serious
Scope/severity E
F0550 Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Mar 13, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0558 Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Corrected Mar 13, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Mar 13, 2026 · 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 Mar 13, 2026 · CMS health inspection
-
Not serious
Scope/severity D
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 Mar 13, 2026 · CMS health inspection
-
Not serious
Scope/severity D
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 13, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0694 Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected Mar 13, 2026 · 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 Mar 13, 2026 · CMS health inspection
-
Not serious
Scope/severity E
F0759 Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Corrected Mar 13, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0761 Pharmacy Service Deficiencies
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.
Corrected Mar 13, 2026 · CMS health inspection
-
Not serious
Scope/severity E
F0805 Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected Mar 13, 2026 · CMS health inspection
-
Not serious
Scope/severity E
F0809 Nutrition and Dietary Deficiencies
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.
Corrected Mar 13, 2026 · 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 Mar 13, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Mar 13, 2026 · CMS health inspection
-
Not serious
Scope/severity F
-
Dec 6, 2025 Health · 1 finding
-
Not serious
Scope/severity E
Complaint
F0806 Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected Dec 12, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
-
Sep 2, 2025 Health · 2 findings
-
Serious
Scope/severity G
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 Sep 8, 2025 · CMS health inspection
-
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), 300.1210b), 300.1210c), and 300.1210d)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).
-
Serious
Scope/severity G
Complaint
-
Jul 21, 2025 Health · 3 findings
-
Not serious
Scope/severity D
Complaint
F0550 Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Jul 29, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Jul 29, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Jul 29, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jun 13, 2025 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Jul 3, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jun 10, 2025 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
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 Jul 3, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
May 28, 2025 Health · 4 findings
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Jul 3, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Jul 3, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Jul 3, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
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 Jul 3, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Mar 18, 2025 Health · 2 findings
-
Serious
Scope/severity G
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 Mar 8, 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), 300.1210c), and 300.1210d)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).
-
Serious
Scope/severity G
Complaint
-
Dec 11, 2024 Health · 8 findings
-
Not serious
Scope/severity D
F0550 Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Dec 18, 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 Dec 18, 2024 · CMS health inspection
-
Serious
Scope/severity G
F0694 Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected Dec 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0759 Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Corrected Dec 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Dec 18, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0805 Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected Dec 18, 2024 · CMS health inspection
-
Not serious
Scope/severity E
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 18, 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: 300.1210b), 300.1210d)1), and 300.3220f). 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).
-
Not serious
Scope/severity D
-
Sep 13, 2024 Health · 5 findings
-
Serious
Scope/severity G
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 Sep 24, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0744 Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected Sep 24, 2024 · CMS health inspection
-
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), 300.1210b), and 300.1210d)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).
-
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: 300.650a) and 300.650d). No Fine
-
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: 300.650a) and 300.661. 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: 300.661).
-
Serious
Scope/severity G
Complaint
-
Aug 1, 2024 Health · 3 findings
-
Not serious
Scope/severity D
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Aug 9, 2024 · CMS health inspection
-
Serious
Scope/severity G
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 Aug 9, 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: 300.1210d)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: 300.1210d)6).
-
Not serious
Scope/severity D
Complaint
-
May 21, 2024 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0552 Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected Jun 4, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Apr 23, 2024 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0557 Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected May 1, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Feb 21, 2024 IDPH docket NH 24-C0301 · 1 finding
-
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: 300.661). 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: 300.661).
-
Not serious
Scope/severity C
-
Feb 8, 2024 Health · 12 findings
-
Not serious
Scope/severity D
F0550 Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Mar 4, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0660 Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
Corrected Mar 4, 2024 · CMS health inspection
-
Serious
Scope/severity G
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Mar 13, 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 Mar 4, 2024 · CMS health inspection
-
Not serious
Scope/severity D
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 Mar 4, 2024 · 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 Mar 4, 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 Mar 4, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Mar 4, 2024 · CMS health inspection
-
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), 300.1010h), 300.1210b) and 300.1210d)3)5). 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).
-
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: 300.615f). 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: 300.615f).
-
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: 300.650d). No Fine
-
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: 300.661. 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: 300.661).
-
Not serious
Scope/severity D
-
Nov 9, 2023 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0887 Infection Control Deficiencies
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.
Corrected Nov 23, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Nov 1, 2023 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Nov 20, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Oct 10, 2023 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Oct 27, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
Sources: CMS's list of certified Illinois nursing homes, IDPH's quarterly nursing home violation reports and the rates facilities reported to HFSRB and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.