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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeIllinoisPa Peterson at the Citadel

Pa Peterson at the Citadel

1311 Parkview Avenue, Rockford, IL 611078153998832
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
3/5
Staffing
1/5
Quality
3/5
Beds
129
certified
1 fine(s) totaling $21,212

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 129 certified beds with an average of 124.7 residents per day (97% occupancy)

• Last health inspection found 15 deficiencies (inspected May 21, 2025)

• Has been fined a total of $21,212 across 1 fine(s)

• Total nursing staff: 3.55 hours per resident per day

• Staff turnover rate: 51.1% (high)

• Part of the Citadel Healthcare chain (13 facilities)

Pa Peterson at the Citadel is a 2-star Medicare and Medicaid certified nursing home in Rockford, Illinois with 129 certified beds. It has been operating since 1993. The facility scored below average compared to Illinois facilities.

Beds
129
Avg Residents/Day
124.7
Ownership
For profit - Partnership
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Sep 1, 1993
Sprinklers
Yes
Council
Resident
County
Winnebago
Last Inspection
May 21, 2025
Deficiencies (Cycle 1)
15
Weighted Score
123.0
Infection Citations
0

Deficiency Citations (65)

F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Dec 2, 2025Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: Nov 24, 2025Corrected: NoCycle: 1
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: May 21, 2025Corrected: NoCycle: 1
F0550Potential for Harm

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

Survey: May 21, 2025Corrected: NoCycle: 1
F0605Potential for Harm

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

Survey: May 21, 2025Corrected: NoCycle: 1
F0677Potential for Harm

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

Survey: May 21, 2025Corrected: NoCycle: 1
F0684Potential for Harm

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

Survey: May 21, 2025Corrected: NoCycle: 1
F0686Potential for Harm

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

Survey: May 21, 2025Corrected: NoCycle: 1
F0688Potential for Harm

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.

Survey: May 21, 2025Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: May 21, 2025Corrected: NoCycle: 1
F0695Potential for Harm

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

Survey: May 21, 2025Corrected: NoCycle: 1
F0725Potential for Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: May 21, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: May 21, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 21, 2025Corrected: NoCycle: 1
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: May 21, 2025Corrected: NoCycle: 1
F0677Potential for Harm

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

Survey: Dec 13, 2024Corrected: NoCycle: 2
F0584Potential for Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey: Dec 10, 2024Corrected: NoCycle: 2
F0602Potential for Harm

Protect each resident from the wrongful use of the resident's belongings or money.

Survey: Nov 19, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Nov 19, 2024Corrected: NoCycle: 2
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Nov 19, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Nov 19, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Nov 19, 2024Corrected: NoCycle: 2
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Oct 18, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Oct 18, 2024Corrected: NoCycle: 2
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Oct 16, 2024Corrected: NoCycle: 2
F0684Potential for Harm

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

Survey: Oct 7, 2024Corrected: NoCycle: 2
F0692Potential for Harm

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

Survey: Oct 7, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Sep 24, 2024Corrected: NoCycle: 2
F0684Potential for Harm

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

Survey: Sep 12, 2024Corrected: NoCycle: 2
F0695Potential for Harm

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

Survey: Sep 12, 2024Corrected: NoCycle: 2

+ 35 more deficiencies

Total Fines
$21,212
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineJul 10, 2024
$21,212

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.12 hrs
National avg: 2.35 hrs
LPN0.80 hrs
National avg: 0.86 hrs
RN0.64 hrs
National avg: 0.68 hrs
Total Nursing3.55 hrs
National avg: 3.89 hrs
Weekend Total3.30 hrs
National avg: 0.00 hrs
Physical Therapist0.06 hrs
National avg: 0.07 hrs
Total Turnover
51.1%
RN Turnover
63.3%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Partnership
Recent Change
No

Owners & Managers (11)

NameRoleTypeOwnership %Since
AARON, JONATHAN5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual43%Jun 30, 2017
GRAF, MARCELLA5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual5%Jun 30, 2017
KOHEN, TSIPPORAH5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual5%Jun 30, 2017
KOHEN, YAKOV5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual5%Jun 30, 2017
RIPSTEIN, KENNETH5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual43%Jun 30, 2017
AARON, JONATHANOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 6, 2025
GRAF, MARCELLAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 30, 2017
MICHALSEN, THOMASOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 10, 2025
RHOE, MICHAELOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 31, 1999
RIPSTEIN, KENNETHOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 30, 2017
RIPSTEIN, KENNETHCORPORATE OFFICERIndividualN/AJun 30, 2017

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Frequently Asked Questions

What is the CMS rating for Pa Peterson at the Citadel?▾
Pa Peterson at the Citadel has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 1/5, and quality measures rating of 3/5. This facility is rated below average.
Has Pa Peterson at the Citadel had any health inspection violations?▾
Pa Peterson at the Citadel had 15 deficiency citations in its most recent health inspection (May 21, 2025). The facility has been fined a total of $21,212 across 1 fine(s).
What are the staffing levels at Pa Peterson at the Citadel?▾
Pa Peterson at the Citadel provides 3.55 total nursing staff hours per resident per day, including 0.64 RN hours, 0.80 LPN hours, and 2.12 nurse aide hours. The total staff turnover rate is 51.1%.
How many beds does Pa Peterson at the Citadel have?▾
Pa Peterson at the Citadel has 129 certified beds with an average of 124.7 residents per day, resulting in approximately 97% occupancy. The facility is For profit - Partnership owned and is part of the Citadel Healthcare chain.
Are there other nursing homes near Pa Peterson at the Citadel?▾
Yes, there are 11 other nursing homes in Rockford, Illinois with an average rating of 2.6/5. You can compare all facilities on the Rockford nursing homes page.

Part of Citadel Healthcare

This chain operates 13 facilities. View all →