SNF
The Citadel at Saint Anne Place
CCN: 145563 · ROCKFORD, IL 61107 · Winnebago County
Overview
- Address
- 4405 HIGHCREST ROAD, ROCKFORD, IL 61107
- Phone
- 8152291999
- Certified beds
- 179
- Avg daily residents
- 117 (66% of beds filled)
- Ownership
- Non-profit (church-affiliated)
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1986-10-29
- Setting
- Urban
1 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.73 | 3.73 | 3.87 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 1.14 | 0.65 | 1.18 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.72 | 0.83 | 0.74 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 1.88 | 2.25 | 1.95 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.86 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.09 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.45
hrs / resident / day
RN (weekend)
0.93
hrs / resident / day
Total nurse (adjusted, weekend)
3.57
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
50.8%
annual
RN turnover
55.3%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.32
higher acuity than avg
Case-Mix Index Ratio
0.96
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-06-05 | 19 | 11 | 9 | 180 | 2 | 270 |
| Cycle 2/3 (prior) | 2024-08-07 | 14 | 7 | 7 | 104 | 1 | 104 |
Total weighted health score
228.5
lower is better
Deficiencies (41)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
32 D/E/F Actual harm — potential for minor
9 G/H/I Actual harm
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-12-16 | 2025-12-18 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-11-25 | 2025-12-05 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2025-11-25 | 2025-12-05 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-11-25 | 2025-12-05 |
| 0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2025-11-25 | 2025-12-05 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-11-25 | 2025-11-26 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2025-07-08 | 2025-07-10 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-06-05 | 2025-06-17 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-06-05 | 2025-06-20 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-06-05 | 2025-07-03 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | G | 2025-06-05 | 2025-06-17 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-06-05 | 2025-06-17 |
| 0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | 2025-06-05 | 2025-06-17 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-06-05 | 2025-06-17 |
| 0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | 2025-06-05 | 2025-07-01 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-06-05 | 2025-06-19 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-06-05 | 2025-07-02 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-06-05 | 2025-06-17 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-04-29 | 2025-04-30 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-08-07 | 2024-08-14 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-08-07 | 2024-08-14 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-08-07 | 2024-08-14 |
| 0758 | 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. | D | 2024-08-07 | 2024-08-14 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-08-07 | 2024-08-08 |
| 0761 | 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. | D | 2024-08-07 | 2024-08-08 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-08-07 | 2024-08-14 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-07-17 | 2024-07-22 |
| 0760 | Ensure that residents are free from significant medication errors. | D | 2024-04-03 | 2024-04-10 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-03-13 | 2024-03-21 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-03-13 | 2024-03-21 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-02-21 | 2024-02-22 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-11-15 | 2023-11-17 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-11-15 | 2023-11-16 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-07-13 | 2023-07-28 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-07-13 | 2023-07-28 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-07-13 | 2023-07-28 |
| 0688 | 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. | D | 2023-07-13 | 2023-07-28 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-07-13 | 2023-07-28 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | G | 2023-07-13 | 2023-07-28 |
| 0693 | 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. | D | 2023-07-13 | 2023-07-28 |
| 0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2023-07-13 | 2023-07-28 |
Penalties (6)
Fines issued
5
last 3 years
Total fines
$126,951
Payment denials
1
| Date | Type | Fine amount |
|---|---|---|
| 2023-11-15 | Fine | $13,039 |
| 2024-08-07 | Fine | $13,309 |
| 2024-02-21 | Fine | $14,050 |
| 2023-07-13 | Fine | $18,288 |
| 2025-06-05 | Fine | $68,265 |
| 2025-06-05 | Payment Denial | — |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2024)
Operating performance
Operating Margin
-26.6%
Total Margin
-24.1%
Occupancy Rate
61.1%
Cost per Resident Day
$38
Revenue & costs
Net Patient Revenue
$12.5M
Total Costs
$1.5M
Net Income
-$3.1M
Balance sheet
Total Assets
$7.8M
Total Liabilities
$2.3M
Fund Balance
$5.4M
Current Ratio
1.51
Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Owner / manager individuals (1)
| Name | Role | Association |
|---|---|---|
| — | Ownership Data Not Available | — |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2024, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 112 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $38 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 1.51 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,024 | fiscal_year |
| Cost Report | Medicare Day Share (%) | 7.3% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-3,076,274 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $12,536,220 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 61.1% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -26.6% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $7,783,620 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,540,456 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $5,433,989 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $2,349,631 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -24.1% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.74276 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.94546 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 1.18043 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.86864 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.57096 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 117.4 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.82692 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.24740 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.65180 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.72612 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.28418 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | — | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | — | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | — | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | — | Chain Average Staffing Rating |
| Provider Information | Chain ID | — | Chain ID |
| Provider Information | Chain Name | — | Chain Name |
| Provider Information | City/Town | ROCKFORD | City/Town |
| Provider Information | CMS Certification Number (CCN) | 145563 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Winnebago | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1986-10-29 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 1 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 42.2855 | Latitude |
| Provider Information | Legal Business Name | Legal Business Name Not Available | Legal Business Name |
| Provider Information | Location | 4405 HIGHCREST ROAD,ROCKFORD,IL,61107 | Location |
| Provider Information | Long-Stay QM Rating | 1 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -89.031 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 179 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | — | Number of Facilities in Chain |
| Provider Information | Number of Fines | 5 | Number of Fines |
| Provider Information | Number of Payment Denials | 1 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.32000 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.95815 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 1 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | Non profit - Church related | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 4405 HIGHCREST ROAD | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | The Citadel at Saint Anne Place | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 991 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 1 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 180 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 90 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 9 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 2 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 11 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-06-05 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 270 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 19 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 7 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-08-07 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 104 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 7 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 104 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 14 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.93424 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 55.3 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.85604 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.71682 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 1.87753 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.08780 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 1.13922 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.73357 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 1 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | IL | State |
| Provider Information | Telephone Number | 8152291999 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 126951.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.44627 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 6 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 50.8 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 228.500 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 61107 | ZIP Code |