The Citadel at Saint Joseph Village
659 East Jefferson Street · Freeport, IL · 61032 · 8152326181
124 certified beds Non profit - Corporation Chain: Ascension Living
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $69,579 in fines in the last 24 months.
- 7 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$69,579 in federal fines in the last 24 months
5 fines — CMS fines are reserved for verified, serious non-compliance.
61% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.65 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.52 | 0.55–0.75 |
| Weekend hours / resident-day | 3.10 | ≈ weekday level |
| Nursing turnover / year | 61% | median 45% |
| Fines (3-yr window) | 6 · $125,824 |
Inspection citations (48 in the current record)
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Potential for harm · D April 22, 2026 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected April 30, 2026 · Resident Rights
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Potential for harm · D April 22, 2026 · found via complaint
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected April 30, 2026 · Nutrition and Dietary
-
Potential for harm · E March 12, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 17, 2026 · Pharmacy Service
-
Potential for harm · E December 6, 2025 · found via complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected December 12, 2025 · Nutrition and Dietary
-
Actual harm · G September 2, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 8, 2025 · Quality of Life and Care
-
Potential for harm · D July 21, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 29, 2025 · Resident Rights
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Potential for harm · D July 21, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 29, 2025 · Quality of Life and Care
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Potential for harm · D July 21, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 29, 2025 · Quality of Life and Care
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Potential for harm · D June 13, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 3, 2025 · Quality of Life and Care
-
Potential for harm · D June 10, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 3, 2025 · Pharmacy Service
-
Potential for harm · D May 28, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 28, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 3, 2025 · Quality of Life and Care
-
Potential for harm · D May 28, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 3, 2025 · Quality of Life and Care
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Potential for harm · D May 28, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 3, 2025 · Pharmacy Service
-
Actual harm · G March 18, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 8, 2025 · Quality of Life and Care
-
Actual harm · G December 11, 2024
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected December 18, 2024 · Quality of Life and Care
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Potential for harm · D December 11, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 18, 2024 · Resident Rights
-
Potential for harm · D December 11, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 18, 2024 · Quality of Life and Care
-
Potential for harm · D December 11, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected December 18, 2024 · Pharmacy Service
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Potential for harm · D December 11, 2024
Ensure that residents are free from significant medication errors.
Corrected December 18, 2024 · Pharmacy Service
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Potential for harm · E December 11, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected December 18, 2024 · Nutrition and Dietary
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Potential for harm · E December 11, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 18, 2024 · Nutrition and Dietary
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Actual harm · G September 13, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 24, 2024 · Quality of Life and Care
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Potential for harm · D September 13, 2024 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected September 24, 2024 · Quality of Life and Care
-
Actual harm · G August 1, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 9, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 2, 2025 | Fine | $15,015 |
| March 18, 2025 | Fine | $14,731 |
| December 11, 2024 | Fine | $15,004 |
| September 13, 2024 | Fine | $12,581 |
| August 1, 2024 | Fine | $12,248 |
| February 8, 2024 | Fine | $56,245 |
| February 8, 2024 | Payment Denial | 4 days |
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 145935 · certified since March 14, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.