Citadel Of Sterling,the

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

44.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 89 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 33.3% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 57 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.22 therapist hours per resident per day in 2026Q1 — more than 27% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 16% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 121 beds and averages 87.9 residents a day — about 73% occupied, or roughly 33 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.20 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.47 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.95 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.05 hrs/resident/day on weekends vs 3.27 on weekdays — 7% thinner on weekends. RN hours go from 0.50 to 0.39 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 32% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

22 citations, most serious first. The 12 most serious are shown; the remaining 10 are one tap away and print in full.

• Actual harm · G2024-06-12 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to ensure there was no delay in notifying a dietitian of severe weight loss in residents and failed to ensure there was no delay in implementing the dietitian's recommendations for residents with severe weight loss. This failure resulted in the delayed treatment and monitoring of residents with severe weight loss. This applies to 3 of 3 residents (R27, R339, R61) reviewed for severe weight loss in the sample of 18. The findings include: 1. R27's Weights and Vitals Summary report showed on 9/5/23 R27 weighed 127.5 pounds and on 10/4/23 weighed 112.4 pounds. A severe weight loss of 13.4% in one month. R27's Progress Note dated 10/12/23 showed the dietitian recommended R27 to receive a dietary supplement twice a day. R27's Progress Notes dated 10/16/23 showed the doctor was notified of the dietitian's recommendations. A fax to R27's physician dated 10/18/23 showed the physician was notified for a second time of the dietitian's recommendation made on 10/12/23 for R27 to receive a dietary supplement twice a day. R27's…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-01-25 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the failed to prevent a resident from developing pressure injuries and failed to identify pressure injuries prior to becoming stage 3, and unstageable for 1 of 3 residents (R1) reviewed for pressure injuries in the sample of 3. The findings include: R1's census report shows she was admitted to the facility on [DATE] and re-admitted on [DATE]. Her diagnoses include obesity, hemiplegia and hemiparesis following a cerebral infarction affecting left non dominant side. The facility assessment of 11/30/23 documents R1 is a moderate risk for developing pressure sores due to being chairfast and very limited mobility. The 10/27/23 care plan documents R1 is at risk for impaired skin integrity related to advanced age, decreased mobility, diabetes, and a history of pressure injuries. R1's December 2023 TAR (Treatment Administration Record) shows an order upon admission to notify the MD with any change in skin/document every night shift for admission. The wound rounds report…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-04-30 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review the facility failed to ensure the 3-compartment sink was at the correct sanitization level, failed to serve cold food below 41 degrees Fahrenheit and failed to wash hands and change gloves after touching contaminated surfaces for all 87 residents reviewed for dietary services residing in the facility.The findings include: The CMS Form 671 dated 4/28/26 shows a resident census of 87.On 4/28/26 at 9:46 AM, V5 [NAME] tested the 3-compartment sink which had dishes in every compartment. V5 dipped the test strip into the disinfectant compartment, and the strip showed orange in color indicating 100 PPM. V5 said the strip should be green, closer to 200 PPM. On 4/28/26 at 9:54 AM, V5 was dumping the leftover pan of eggs, with gloved hands, V5 removed the lid of the garbage can and began dumping the eggs. The garbage can started rolling away from V5 and V6 grabbed the garbage can to stop it from moving with her hands. V6 had a glove on her right hand only. V5, when finished dumping the food, put the lid back on the trash can and put the pan in…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-04-30 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to ensure pureed food was palatable for 11 of 11 residents (R10, R18, R19, R20, R42, R50, R54, R55, R56, R83, R89) reviewed for puree in the sample of 40. The findings include: The facility's Daily Spreadsheet for Week 2 Tuesday Lunch puree shows ground BBQ pork, soft roasted rosemary potatoes, soft cooked hot vegetables.On 4/28/26 at 10:30 AM, V5 [NAME] measured portions of carrots for the noon meal and poured them into the puree machine. V5 added hot water to the machine and pureed the carrots. V5 then poured the carrots into a metal serving pan and placed them into the steam table. V5 said for the roasted rosemary potatoes she used instant mashed potatoes which were already on the steam table. On 4/28/26 at 12:09 PM, this surveyor was served a sample of the pureed noon meal. The pureed carrots appeared watery on the plate and were without flavor. The mashed potatoes were thick and pasty and had very little flavor. On 4/28/26 at 12:25 PM, V4 Dietary Manager tasted the carrots and the mashed potatoes. V4 said…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-30 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure safety measures were in place for a resident at risk for falling for 1 of 7 residents (R21) reviewed for safety in the sample of 40. The findings include:R21's face sheet dated 4/30/26 showed diagnoses to include, but not limited to morbid obesity, insomnia, urinary frequency, fatigue, vascular dementia, cataracts, osteoarthritis, reduced mobility, and need for assistance with personal cares. R21's facility assessment dated [DATE] showed she had moderate cognitive impairment and was dependent on staff for toilet hygiene, personal hygiene, bed mobility, and transfers. R21's Care Plan reviewed 11/13/25 showed R21 was at risk for falls due to weakness, pain, osteoarthritis, and transient ischemic attack (TIA). R21's Fall Risk Evaluation dated 2/11/26 showed she had a high fall risk. This document showed she had intermittent confusion and was incontinent. On 4/28/26 at 10:14 AM, R21 was in bed with the head of bed elevated. R21's bed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-05-22 · tag F0804 — failed to serve food at safe, palatable temperature — widespread
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review the facility failed to provide proper fitting plate lids to keep foods hot during transport and failed to ensure palatable food temperatures. These failures have the potential to affect all 96 residents who receive meals in the facility. Findings include: Facility Room Roster (provided on 5/20/25) indicates 96 residents/occupied beds. On 5/20/25 at 9:50 AM, R17 stated she always eats in her room and often her food is cold when they deliver her tray. V27, Family stated R17's food often is cold and does not like to eat it that way. V27 stated he was thinking of getting a microwave for R17's room. On 5/20/25 at 10:15 AM, R12 stated her breakfast is often cold. On 5/21/25 at 10:00 AM (during the group meeting) R9 stated her vegetables are often cold. On 5/21/25 from approximately 11:50 AM to 11:55 AM the C-Hall meal tray cart was filled with lunch meal trays for distribution to C-Hall residents eating in their rooms. A test tray was also placed into the C-Hall cart prior to leaving the kitchen. The plated foods placed on the C-Hall cart…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-05-22 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review the facility failed to ensure a clean/sanitary dishwashing area, failed to ensure safe refrigerator temperatures for cold foods, failed to provide serving trays in a presentable and safe manner and failed to ensure dietary staff wore hair coverings properly. These failures have the potential to affect all 95 residents who receive meals in the facility. Findings include: Facility Policy/Food Safety and Sanitation: Storage of Refrigerated/Frozen Foods dated 4/26/24 documents: Refrigerator and freezer food items will be properly stored to keep foods safe and preserve flavor, nutritive value, and appearance. Refrigerated foods are maintained at or below 41 degrees (F/Fahrenheit). Refrigerator doors will be opened as little as possible to prevent fluctuation of storage temperature. Facility Policy/Food Safety and Sanitation: General Preparation and Cooking Practices dated 9/18/23 documents: Hairnets or caps and beard guards are used in the preparation of food. The food service employee will ensure workstations, cutting boards and utensils…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-22 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide 2 residents (R6, R39) with dignity. This applies to 2 of 2 residents reviewed for dignity in the sample of 23. The findings include: 1) R6's electronic face sheet printed on 5/22/24 showed R6 has diagnoses including but not limited to major depressive disorder, anxiety disorder, and acquired absence of left leg above knee. R6's facility assessment dated [DATE] showed R6 has no cognitive impairment and reports feeling down, depressed, or hopeless nearly every day. R6's care plan dated 3/9/25 showed, I have expressed a problem with mood and depression and scored a 13 out of 27 on the PHQ9(Personal Health Questionnaire). As per section D of the MDS (Minimum Data Set), the areas of impact include feeling down, depressed, trouble staying asleep, feeling tired or having little energy, poor appetite and feeling anxious and restless. On 5/21/25 at 9:12AM, R6 stated, One night, (V13-Certified Nursing Assistant) told me that my thighs are too big. I…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-22 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide privacy for a resident (R39) during dressing. This applies to 1 of 1 residents reviewed for privacy in the sample of 23. The findings include: R39's electronic face sheet printed on 5/22/25 showed R39 has diagnoses including but not limited to type 2 diabetes, adjustment disorder, wedge compression fracture of unspecified lumbar vertebra, major depressive disorder, and anxiety disorder. R39's facility assessment dated [DATE] showed R39 has no cognitive impairment. R39's care plan dated 4/18/25 showed, I have depression related to my admission to the facility and current health condition that has caused me great pain and mobility limitation. I have diagnosis of Major Depressive Disorder and General Anxiety. I am having difficulty with my roommate and another female peer. I am a very private person and have asked for my roommate to not talk about me or discuss with others about my medications. I have declined to move to another room because I…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-22 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to protect 2 residents (R28, R49) from physical abuse, and failed to provide sufficient protection to prevent resident to resident abuse. These failures apply to 2 of 3 residents reviewed for resident-to-resident abuse in the sample of 23. The findings include: R53's electronic face sheet printed on 5/22/25 showed R53 has diagnoses including but not limited to dementia without behaviors, psychosis, and anxiety disorder. R53's facility assessment dated [DATE] showed R53 has severe cognitive impairment. R53's care plan revised 4/9/25 showed, I have behaviors that could increase the potential for abuse or neglect. These identified behaviors are verbal/physical aggressive behavior, dementia/impaired cognition, poor judgement . R49's facility assessment dated [DATE] showed R49 has no cognitive impairment. R28's facility assessment dated [DATE] showed R28 has mild cognitive impairment with no disorganized thought processes. On 5/21/25 at 11:44AM, R49 stated, I…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-22 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to do quarterly assessments for a resident with a lap buddy restraint in place for 1 of 1 resident (R60) reviewed for restraints in the sample of 23. The findings include: R60's face sheet showed she was admitted to the facility 9/30/22 with diagnoses to include Alzheimer's Disease with late onset, Type 2 Diabetes, repeated falls, obstructive and reflux uropathy, major depressive disorder, anxiety disorder, and history of falling. R60's facility assessment dated [DATE] showed she is severely cognitively impaired, is dependent upon staff for all cares, and has a history of falls. R60's Physical Device/Physical Reminder Informed Consent showed, [R60] . Method of Physical Restraint/Physical Device is needed: to help prevent falls from wheelchair as a reminder . Verbal consent obtained 6/17/24 R60's care plan initiated 10/11/22 showed, I had an actual fall and continue to be at risk due to left femur fracture, Alzheimer's Disease, hypertension,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-22 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to provide appropriate indications for use of antipsychotic medications for three residents with diagnosis of Dementia (R3, R17, R78) of six residents reviewed for unnecessary medications in the sample of 23. Findings include: 1) Current Physician Orders indicate R3 is [AGE] years old with diagnoses that include Anxiety Disorder, Recurrent Major Depressive Disorder, Unspecified Dementia with Agitation and Delusional Disorder. Summary Report indicates R3 has orders for Seroquel (antipsychotic) 200mg (milligrams) twice daily related to Delusional Disorder dated 2/24/25. R3's Psychotropic Medication Consents are as follows: 2/1/25 - Seroquel 100mg twice daily for Depression - signed by R3. 2/7/25 - Seroquel 200mg at bedtime for anxiety/restlessness - verbal consent from R3. 2/24/25 - Seroquel 200mg twice daily for Depression - verbal consent from R3. On 5/21/25 at 10:15 am R3 was in her sitting on her bed. R3 stated she knows that she is on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$11,213 in federal fines across 1 penalty.

• $11,213 — penalty dated 2024-06-12

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to CITADEL HEALTHCARE — 14 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 17 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.5M paid to related parties — landlords or management companies under common ownership — equal to about 17% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IL