Citadel of Bourbonnais,the
20 Briarcliff Lane · Bourbonnais, IL · 60914 · 8159372022
107 certified beds For profit - Corporation Chain: Citadel Healthcare
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.42 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.79 | 0.55–0.75 |
| Weekend hours / resident-day | 3.03 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (21 in the current record)
-
Actual harm · G October 7, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 20, 2025 · Quality of Life and Care
-
Potential for harm · D September 27, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 4, 2024 · Resident Rights
-
Potential for harm · E September 27, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 4, 2024 · Quality of Life and Care
-
Potential for harm · D September 27, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 4, 2024 · Quality of Life and Care
-
Potential for harm · D September 27, 2024
Provide 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.
Corrected October 4, 2024 · Quality of Life and Care
-
Potential for harm · D September 27, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected October 7, 2024 · Quality of Life and Care
-
Potential for harm · F September 27, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 7, 2024 · Nutrition and Dietary
-
Potential for harm · D September 27, 2024
Provide and implement an infection prevention and control program.
Corrected October 4, 2024 · Infection Control
-
No harm found · C September 27, 2024
Post nurse staffing information every day.
Corrected October 4, 2024 · Nursing and Physician Services
-
Actual harm · G December 29, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 15, 2024 · Quality of Life and Care
-
Potential for harm · D November 3, 2023
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected November 9, 2023 · Resident Rights
-
Potential for harm · D November 3, 2023
Provide 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.
Corrected November 9, 2023 · Quality of Life and Care
-
Potential for harm · D November 3, 2023
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected November 9, 2023 · Nutrition and Dietary
-
Potential for harm · E December 22, 2022
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 6, 2023 · Quality of Life and Care
-
Potential for harm · D December 22, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 6, 2023 · Quality of Life and Care
-
Potential for harm · D December 22, 2022
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 January 6, 2023 · Quality of Life and Care
-
Potential for harm · D December 22, 2022
Provide enough food/fluids to maintain a resident's health.
Corrected January 6, 2023 · Quality of Life and Care
-
Potential for harm · D December 22, 2022
Ensure medication error rates are not 5 percent or greater.
Corrected January 6, 2023 · Pharmacy Service
-
Potential for harm · E December 22, 2022
Ensure 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.
Corrected January 6, 2023 · Nutrition and Dietary
-
Potential for harm · F December 22, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 6, 2023 · Nutrition and Dietary
-
Potential for harm · E December 22, 2022
Provide and implement an infection prevention and control program.
Corrected January 6, 2023 · Infection Control
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145536 · certified since January 29, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.