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The Citadel at Saint Joseph Village

Nursing Home Facility

659 East Jefferson Street, Freeport, IL 61032

Nursing Home Care Respite Care Adult Day Care Senior Living
The Citadel at Saint Joseph Village

Provena St. Joseph Center, located in Freeport, Illinois, provides a full continuum of high-quality care.

Operated by Provena Health, which runs 13 communities in our directory.

The Citadel at Saint Joseph Village is licensed for 124 beds, about typical for the area, where senior care communities in Freeport average about 108 beds.

Federal reporting puts occupancy at about 74% of its licensed beds.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Freeport average about 1.8 stars. Its most recent standard health inspection was in March 2026 and recorded 19 deficiencies.

Residents receive about 3.3 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Nursing staff turnover over the past year was about 65%, which is high and can affect continuity of care.

The community is located in Stephenson County, IL.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 53 problems at The Citadel at Saint Joseph Village. 6 findings involved harm to a resident. 25 came from investigating complaints by residents or families.

In the last three years Medicare fined this home 6 times, a total of $125,824. Medicare also stopped paying for new admissions once in that period.

Findings from the most recent inspection cycle

  • Caused harm to a resident, one or a few residents Quality of Life and Care

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

    Inspected September 2025, after a complaint. Corrected by September 8, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Inspected April 2026, after a complaint. Corrected by April 30, 2026.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    Inspected April 2026, after a complaint. Corrected by April 30, 2026.

  • Could cause more than minimal harm, a pattern Pharmacy Service

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

    Inspected March 2026, after a complaint. Corrected by March 17, 2026.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected March 2026. Corrected by March 13, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

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

    Inspected March 2026. Corrected by March 13, 2026.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    Ensure medication error rates are not 5 percent or greater.

    Inspected March 2026. Corrected by March 13, 2026.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Inspected March 2026. Corrected by March 13, 2026.

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  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    Inspected March 2026. Corrected by March 13, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Reasonably accommodate the needs and preferences of each resident.

    Inspected March 2026. Corrected by March 13, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected March 2026. Corrected by March 13, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected March 2026. Corrected by March 13, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Inspected March 2026. Corrected by March 13, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    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.

    Inspected March 2026. Corrected by March 13, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Inspected March 2026. Corrected by March 13, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected March 2026. Corrected by March 13, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    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.

    Inspected March 2026. Corrected by March 13, 2026.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected March 2026. Corrected by March 13, 2026.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Inspected December 2025, after a complaint. Corrected by December 12, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

The Citadel at Saint Joseph Village offers nursing home care, respite care, adult day care, and senior living.

Facility details

  • Organization type Non profit - Church related
  • Beds / units 124
  • Religious affiliation Catholic
  • Occupancy 74%
  • Nursing hours per resident/day 3.3
  • Annual staff turnover 65%
  • Last health inspection March 2026

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