ElderGrade
D

43/100

Below average

Pa Peterson At The Citadel

1311 Parkview Avenue, Rockford, IL 61107

CMS 2/5 stars #9 of 15 in Winnebago County (815) 399-8832
Certified beds
129
Occupancy
93%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 3 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $21,212 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

8/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -12 for 3 actual-harm citation(s) in the last 3 years
  • -10 for 56 total citations against a national median of 17

Staffing

10/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.04 total nurse hours per resident per day (national median 3.77)
  • 0.62 RN hours per resident per day
  • Weekend staffing drops 6% against weekdays

Staff stability

5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 60% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $21,212 in federal fines across 1 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.70 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.62 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.47 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 59.60%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 63 citations

Last standard health inspection: May 21, 2025 (1 year ago).

D Apr 3, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D Mar 2, 2026 F0686 From a complaint

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D Dec 2, 2025 F0755 From a complaint

Pharmacy Service Deficiencies

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

No actual harm, potential for more than minimal harm

D Nov 24, 2025 F0689 From a complaint

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

E May 21, 2025 F0684

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

E May 21, 2025 F0725

Nursing and Physician Services Deficiencies

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

No actual harm, potential for more than minimal harm

E May 21, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D May 21, 2025 F0550

Resident Rights Deficiencies

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

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of CITADEL HEALTHCARE, which operates 14 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
RIPSTEIN, KENNETH Individual CORPORATE OFFICER
AARON, JONATHAN Individual OPERATIONAL/MANAGERIAL CONTROL
GRAF, MARCELLA Individual OPERATIONAL/MANAGERIAL CONTROL
MICHALSEN, THOMAS Individual OPERATIONAL/MANAGERIAL CONTROL
RHOE, MICHAEL Individual OPERATIONAL/MANAGERIAL CONTROL
RIPSTEIN, KENNETH Individual OPERATIONAL/MANAGERIAL CONTROL
AARON, JONATHAN Individual ADP OF THE SNF
MICHALSEN, THOMAS Individual ADP OF THE SNF
RHOE, MICHAEL Individual ADP OF THE SNF
RIPSTEIN, KENNETH Individual ADP OF THE SNF
KOHEN, TSIPPORAH Individual 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Pa Peterson At The Citadel

What is the ElderGrade for Pa Peterson At The Citadel? +

Pa Peterson At The Citadel holds an ElderGrade of D (43 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Pa Peterson At The Citadel? +

Residents receive an average of 3.70 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Pa Peterson At The Citadel been cited for harming residents? +

Yes. 3 of the 63 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Pa Peterson At The Citadel accept Medicaid? +

Yes, Pa Peterson At The Citadel is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.