Citadel of Sterling,the

105 East 23rd Street · Sterling, IL · 61081 · 8156264264

121 certified beds For profit - Corporation Chain: Citadel Healthcare

Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 49
Serious harm & abuse 20% 88
Staffing 20% 67
Federal penalties 15% 76
Trend 10% 56
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.273.48 min · 4.1 strong
RN hours / resident-day0.610.55–0.75
Weekend hours / resident-day3.07≈ weekday level
Nursing turnover / year30%median 45%
Fines (3-yr window)1 · $11,213

Inspection citations (25 in the current record)

  • Potential for harm · D May 22, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected June 2, 2025 · Resident Rights

  • Potential for harm · D May 22, 2025

    Keep residents' personal and medical records private and confidential.

    Corrected June 2, 2025 · Resident Rights

  • Potential for harm · D May 22, 2025

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

    Corrected June 2, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 22, 2025

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected June 2, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 22, 2025

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected June 2, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 22, 2025

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

    Corrected June 2, 2025 · Quality of Life and Care

  • Potential for harm · D May 22, 2025

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

    Corrected June 2, 2025 · Quality of Life and Care

  • Potential for harm · D May 22, 2025

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

    Corrected June 2, 2025 · Quality of Life and Care

  • Potential for harm · D May 22, 2025

    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 June 2, 2025 · Quality of Life and Care

  • Potential for harm · D May 22, 2025

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

    Corrected June 2, 2025 · Quality of Life and Care

  • Potential for harm · F May 22, 2025

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected June 2, 2025 · Nutrition and Dietary

  • Potential for harm · F May 22, 2025

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

    Corrected June 2, 2025 · Nutrition and Dietary

  • Potential for harm · D November 13, 2024 · found via complaint

    Provide or get specialized rehabilitative services as required for a resident.

    Corrected November 19, 2024 · Quality of Life and Care

  • Actual harm · G June 12, 2024

    Provide enough food/fluids to maintain a resident's health.

    Corrected June 25, 2024 · Quality of Life and Care

  • Potential for harm · E June 12, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected June 25, 2024 · Resident Rights

  • Potential for harm · D June 12, 2024

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected June 25, 2024 · Quality of Life and Care

  • Potential for harm · D June 12, 2024

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

    Corrected June 25, 2024 · Quality of Life and Care

  • Actual harm · G January 25, 2024 · found via complaint

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

    Corrected February 6, 2024 · Quality of Life and Care

  • Potential for harm · D November 3, 2023 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected November 16, 2023 · Pharmacy Service

  • Potential for harm · D May 3, 2023

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected May 16, 2023 · Resident Rights

  • Potential for harm · D May 3, 2023

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

    Corrected May 16, 2023 · Quality of Life and Care

  • Potential for harm · D May 3, 2023

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

    Corrected May 16, 2023 · Quality of Life and Care

  • Potential for harm · D May 3, 2023

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected May 16, 2023 · Quality of Life and Care

  • Potential for harm · F May 3, 2023

    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 May 16, 2023 · Nutrition and Dietary

  • Potential for harm · F May 3, 2023

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected May 16, 2023 · Nutrition and Dietary

Federal penalties

DateTypeAmount / length
June 12, 2024Fine$11,213

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145278 · certified since September 1, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.