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Pa Peterson at the Citadel

Nursing Home Facility

1311 Parkview Avenue, Rockford, IL 61107

Nursing Home Care Senior Living
Pa Peterson at the Citadel

Pa Peterson at the Citadel is a senior care community located in Rockford, IL. It provides nursing home care and senior living for older adults in the Rockford area. To learn more or schedule a tour, call (815) 399-8832.

Operated by Citadel Healthcare, which runs 13 communities in our directory.

Pa Peterson at the Citadel is licensed for 129 beds, about typical for the area, where senior care communities in Rockford average about 151 beds.

Federal reporting puts occupancy at about 93% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place. That is above the Rockford average of roughly 72%.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Rockford average about 1.9 stars. Its most recent standard health inspection was in May 2025 and recorded 18 deficiencies.

Residents receive about 3.7 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Nursing staff turnover over the past year was about 60%.

The community is located in Winnebago 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 65 problems at Pa Peterson at the Citadel. 3 findings involved harm to a resident. 34 came from investigating complaints by residents or families.

In the last three years Medicare fined this home once, a total of $21,212.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Inspected June 2026, after a complaint. Corrected by July 2, 2026.

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

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

    Inspected June 2026, after a complaint. Corrected by July 2, 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 April 2026, after a complaint. Corrected by April 8, 2026.

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

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

    Inspected March 2026, after a complaint. Corrected by March 5, 2026.

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

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

    Inspected December 2025, after a complaint. Corrected by December 5, 2025.

  • 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 November 2025, after a complaint. Corrected by December 4, 2025.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

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

    Inspected May 2025. Corrected by May 30, 2025.

  • Could cause more than minimal harm, a pattern Nursing and Physician Services

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

    Inspected May 2025. Corrected by May 30, 2025.

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  • Could cause more than minimal harm, a pattern Infection Control

    Provide and implement an infection prevention and control program.

    Inspected May 2025. Corrected by May 30, 2025.

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

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

    Inspected May 2025. Corrected by May 30, 2025.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

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

    Inspected May 2025. Corrected by May 30, 2025.

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

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

    Inspected May 2025. Corrected by May 30, 2025.

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

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

    Inspected May 2025. Corrected by May 30, 2025.

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

    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.

    Inspected May 2025. Corrected by May 30, 2025.

  • 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 May 2025. Corrected by May 30, 2025.

  • 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 May 2025. Corrected by May 30, 2025.

  • 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 May 2025. Corrected by May 30, 2025.

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

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

    Inspected May 2025. Corrected by May 30, 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.

Pa Peterson at the Citadel offers nursing home care and senior living.

Facility details

  • Organization type Non profit - Church related
  • Beds / units 129
  • Religious affiliation Church Based
  • Occupancy 93%
  • Nursing hours per resident/day 3.7
  • Annual staff turnover 60%
  • Last health inspection May 2025

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