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Nursing HomeMedicaid

Citadel Care Center-Kankakee

Strong Medicare quality ratings; families often praise clean, well-maintained facility. Still worth an in-person visit.

900 West River Place, Kankakee, IL 60901107 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 123 Google reviews

5
4
3
2
1

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What this means for your family

While many recent reviews praise the facility's atmosphere, the recurring reports of neglect and poor communication are serious red flags. We strongly recommend visiting in person during off-hours or weekends to observe staffing levels and response times yourself before making a commitment.

Google Reviews

Google Reviews

123 reviews on Google
Citadel Care Center-Kankakee receives highly polarized feedback, with a significant divide between glowing praise for staff friendliness and cleanliness versus serious allegations of neglect and poor communication. While many reviewers describe the facility as welcoming and professional, others report alarming incidents involving physical injuries, inadequate hygiene, and unresponsive nursing staff. Families should be aware of these conflicting experiences when considering this facility for their loved ones.

Quality Themes

Tap a score for details
Food3.0Staff5.0Clean6.0ActivitiesN/AMeds2.0Memory8.0Comms2.0ValueN/A

Strengths

  • Clean, well-maintained facility
  • Friendly and professional administrative staff
  • Welcoming, home-like environment
  • Compassionate nursing care

Concerns

  • Neglect and poor response times to call lights (mentioned by 5 reviewers)
  • Difficulty communicating with staff or reaching the facility by phone (mentioned by 4 reviewers)
  • Unsanitary conditions including odors and lack of hygiene care (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'18(1)'21(2)'23(3)'25(33)'26(50)

Distribution · 101 analyzed

5
86
4
3
3
2
2
1
1
9
19 reviews posted between May 11, 2026May 12, 2026 · 19 were 5-star

How They Respond to Reviews

93%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed that your administrative team is very active in responding to online feedback; how do you use that family input to improve daily operations and communication?
  • 2Given the current staffing levels, what is your specific protocol for ensuring that call lights are answered promptly and that residents receive timely assistance?
  • 3I see that medication management is a focus area for improvement; could you walk me through the steps you take to ensure accuracy and safety for residents with complex medication needs?
  • 4How does your team maintain the facility's cleanliness and address hygiene concerns to ensure the environment remains comfortable and sanitary for all residents?
  • 5Could you describe the current dining experience and what steps you are taking to enhance the variety and quality of meals provided?
  • 6What is your process for keeping families updated on their loved one’s health status, especially when we are trying to reach someone by phone?

Personalized based on this facility's data


Key Review Excerpts

I saw some of the CNAS rudely verbally mistreat patience. I layed in feces a couple of times for 6 hours until they finally came to changed my incontinence pads.

Rehab patient · 2022☆☆☆☆

The staff spend more time on there phones or smoking. They are clearly not there for the residents. The social worker is no help either she will lie to your face.

Memory care family member · 2023☆☆☆☆

All staff in every department was friendly and professional. They took excellent care of our Aunt in the memory care area and the staff is great!

Memory care family member · 2025★★★★★
Source: 123 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.45hrs
60%
Registered nurses for medical care
Total Nursing
3.40hrs
83%
All nurses + aides combined
Staff Turnover
34%
Lower is better (< 30% = good)
RN Turnover
22%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

9

measures

Worse Than Avg

5

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility100.0%
Worse than Avg
Here
100.0%
US
12.1%
IL
52.5%
Kankakee
60.5%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility28.8%
Worse than Avg
Here
28.8%
US
19.5%
IL
18.3%
Kankakee
14.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility5.2%
Better than Avg
Here
5.2%
US
14.4%
IL
14.2%
Kankakee
16.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.7%
Better than Avg
Here
7.7%
US
15.3%
IL
15.9%
Kankakee
18.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility26.1%
Worse than Avg
Here
26.1%
US
15.5%
IL
21.8%
Kankakee
23.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility98.9%
Better than Avg
Here
98.9%
US
95.5%
IL
91.8%
Kankakee
95.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility78.4%
Mixed vs Avgs
Here
78.4%
US
79.8%
IL
63.1%
Kankakee
66.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility70.9%
Mixed vs Avgs
Here
70.9%
US
81.8%
IL
69.0%
Kankakee
57.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
1.6%
IL
2.4%
Kankakee
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
Near state avg (12.0)
1 complaint-triggered

This facility shows a concerning pattern of recurring deficiencies across fire safety, daily care assistance, and resident rights issues that persist across multiple surveys from 2023 to 2024. The most frequent problems involve fire safety systems (sprinklers, smoke barriers, exits), helping residents with daily activities, and properly notifying families about resident care changes. One complaint was filed by families regarding failure to notify them of important resident situations, and while all deficiencies show correction dates, the repeated nature of similar issues suggests ongoing operational challenges.

Nov 22, 2024Routine
17
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0868Potential for harm · WidespreadCorrected

Administration Deficiencies

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

0026Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

0281Potential for harm · WidespreadCorrected

Egress Deficiencies

Install proper backup exit lighting.

0351Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0557Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0625Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jan 31, 2024Complaint
1
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

Jan 12, 2024Routine
14
0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Apr 6, 2023Routine
15
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0741Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0690Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0805Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0271Potential for harm · PatternCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0914Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Citadel Care Center-Kankakee

Organization Type

for profit

Chain Affiliation

Chain Name

Citadel Healthcare

Chain Size

13 facilities nationwide

Chain avg rating: 3.1/5 · Rank 12 of 13

Ownership & Management

Owners

Graf, Marcella

Owner

Gross, Shoshana

Owner

Kohen, Yakov

Owner

Kroll, Gabriel

Owner

Nagel, Steven

Owner

Ollman, Jonathan

Owner

Proctor, Katherine

Owner

Teller, Ilana

Owner

Berger, Menachem

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Israel, Benjamin

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Stern, Todd

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Aaron, JonathanManagerAdams Carr, MacaelaManagerGraf, MarcellaManagerRobin, JasonManagerAdams Carr, MacaelaAdp of the Snf
Source: Medicare provider data

Contact

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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