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C

55/100

Average

The Citadel At Saint Joseph Village

659 East Jefferson Street, Freeport, IL 61032

CMS 1/5 stars #4 of 5 in Stephenson County (815) 232-6181
Certified beds
124
Occupancy
74%
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.

  • $125,824 in federal fines

    CMS has fined this facility across 6 penalty action(s).

  • Nursing staff turnover of 65%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

Our read on The Citadel At Saint Joseph Village

The Citadel at Saint Joseph Village runs a 124-bed nonprofit home in Freeport, and the staffing numbers are where I'd start. At 3.26 nurse hours per resident day, it sits about 16% under the national average, weekends drop roughly 11% below its own weekday level, and turnover is 64.9% against a national 45.8%. Inspections back that up: 48 deficiencies on record, seven at harm or jeopardy level, two abuse-related, and six fines totaling $125,824. The last inspection was December 2024, so the record is current rather than stale. Quality measures score well, but that's a narrower slice than staffing and inspection history.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

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

Inspection30/30Staffing8/30Stability5/15Outcomes12/15Enforcement0/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

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

  • →No citations recorded in the last 3 years

Staffing

8/30

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

  • →2.72 total nurse hours per resident per day (national median 3.77)
  • →0.45 RN hours per resident per day
  • →Weekend staffing drops 11% 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.

  • →65% 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

0/10

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

  • →$125,824 in federal fines across 6 action(s)
  • →-2 for 1 denial(s) of Medicare payment for new admissions

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 day3.26 hrs
National average 3.86 hrsBelow average
Registered nurse (RN) hours0.45 hrs
National average 0.69 hrsBelow average

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

Weekend nurse hours2.89 hrs
National average 3.42 hrsBelow average

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

Nursing staff turnover64.90%
National average 45.80%Below average

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

Recent inspection findings

Last standard health inspection: March 5, 2026 (8 months ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

Who owns this home

Full record

Part of CITADEL HEALTHCARE, which operates 16 homes. Staffing budgets are usually set at chain level, not in the building.

What families say

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Common questions about The Citadel At Saint Joseph Village

What is the ElderGrade for The Citadel At Saint Joseph Village? +

The Citadel At Saint Joseph Village holds an ElderGrade of C (55 out of 100), which we describe as "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 The Citadel At Saint Joseph Village? +

Residents receive an average of 3.26 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has The Citadel At Saint Joseph Village been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does The Citadel At Saint Joseph Village accept Medicaid? +

Yes, The Citadel At Saint Joseph Village 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.