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Nursing HomeMedicaid Investigative

The Citadel at Saint Joseph Village

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

659 East Jefferson Street, Freeport, IL 61032124 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.6/5

based on 78 Google reviews

5
4
3
2
1
The Citadel at Saint Joseph Village Nursing Home in Freeport, IL — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (19 vs median 11.0)
  • High staff turnover (55%)
  • High RN turnover (59%)

Below average in IL · Below chain average · $110,367 in fines

Source: Medicare data

What this means for your family

The Citadel at Saint Joseph Village offers a clean, engaging environment with a strong activities program that residents seem to enjoy. However, families should be aware of reports regarding inconsistent meal delivery and occasional unprofessionalism; we recommend asking how the facility tracks personal belongings and handles resident complaints during off-hours.

Google Reviews

Google Reviews

78 reviews on Google
The Citadel at Saint Joseph Village receives generally positive feedback for its clean environment and friendly, attentive staff who are often praised for their compassion. However, some families have raised significant concerns regarding inconsistent meal service, occasional unprofessional behavior from specific nursing staff, and issues with the security of personal belongings.

Quality Themes

Tap a score for details
Food4.0Staff8.0Clean8.0Activities9.0MedsN/AMemoryN/AComms6.0ValueN/A

Strengths

  • Clean, well-maintained facility
  • Friendly and compassionate nursing/CNA staff
  • Engaging activities department
  • Strong rehabilitation therapy team

Concerns

  • Inconsistent or delayed meal service (mentioned by 2 reviewers)
  • Unprofessional or rude behavior by specific nursing staff (mentioned by 3 reviewers)
  • Lack of accountability for resident personal belongings (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02016(1)4.82021(23)4.92022(7)4.12023(10)4.32024(14)4.92025(7)4.82026(16)

Distribution · 78 analyzed

5
59
4
15
3
0
2
2
1
2

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1It is wonderful to see how much care you put into responding to feedback from families; how do you use that communication to improve the resident experience?
  • 2We noticed the facility is very well-maintained and clean; what is your routine for ensuring the resident living areas stay this comfortable?
  • 3How does the dining team manage meal schedules to ensure everyone receives their meals promptly and at the right temperature?
  • 4What specific steps are in place to ensure that residents' personal belongings and valuables are securely tracked and accounted for?
  • 5Could you tell us more about the activities department and how they keep residents engaged with the community?
  • 6How does the nursing team handle medical emergencies or changes in a resident's condition during the overnight hours?

Personalized based on this facility's data


Key Review Excerpts

The activities department has full days planned with fun activities for the residents to be hands on.

Family member · 2026★★★★

The staff were excellent. They accompanied my mother to and from doctor office. Every staff person says hi as they pass you in the halls. I feel quite comfortable with her there.

Long-term resident's family · 2024★★★★★

It would be nice if the people who stay in their rooms could get their meals when they are suppose to. Waiting three hours is too long.

Family member · 2023★★☆☆☆
Source: 78 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.52hrs
69%
Registered nurses for medical care
Total Nursing
3.65hrs
89%
All nurses + aides combined
Staff Turnover
61%
Lower is better (< 30% = good)
RN Turnover
69%
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
4/ 5
Better Than Avg

10

measures

Worse Than Avg

3

measures

Mixed Results

4

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility9.2%
Better than Avg
Here
9.2%
US
12.1%
IL
52.5%
Stephenson
25.3%

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

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility6.0%
Better than Avg
Here
6.0%
US
15.5%
IL
21.8%
Stephenson
24.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.9%
Better than Avg
Here
11.9%
US
19.5%
IL
18.3%
Stephenson
23.3%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility88.1%
Mixed vs Avgs
Here
88.1%
US
95.5%
IL
91.8%
Stephenson
85.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility96.5%
Better than Avg
Here
96.5%
US
93.4%
IL
90.0%
Stephenson
90.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility19.3%
Worse than Avg
Here
19.3%
US
14.4%
IL
14.2%
Stephenson
13.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility79.6%
Mixed vs Avgs
Here
79.6%
US
81.8%
IL
69.0%
Stephenson
59.1%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility72.6%
Mixed vs Avgs
Here
72.6%
US
79.8%
IL
63.1%
Stephenson
53.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.6%
Better than Avg
Here
1.6%
US
1.6%
IL
2.4%
Stephenson
2.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

17deficiencies
7penalties
Above state avg (12.0)
26 complaint-triggered
$110,367 in fines

This facility has a concerning pattern of repeated violations, with 27 of 49 deficiencies triggered by family complaints. The most persistent issues involve accident prevention and supervision, medication management, and resident rights. Safety hazards appear repeatedly across multiple surveys, and medication errors have been cited consistently since 2023. While the facility reports correcting deficiencies, the recurring nature of similar problems suggests ongoing quality challenges that warrant careful scrutiny during any visit.

Apr 22, 2026Complaint
2
0627Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0800Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

Mar 12, 2026Complaint
1
0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

Dec 6, 2025Complaint
1
0806Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

Sep 2, 2025Complaint
1
0689Actual 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.

Jul 21, 2025Complaint
3
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.

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jun 13, 2025Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Federal Penalties

Fine

Sep 2, 2025

$15,015

Fine

Mar 18, 2025

$14,731

Fine

Dec 11, 2024

$15,004

Fine

Sep 13, 2024

$12,581

Fine

Aug 1, 2024

$12,248

Fine

Feb 8, 2024

$56,245

Payment Denial

Feb 8, 2024

4-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

The Citadel at Saint Joseph Village

Organization Type

nonprofit

Chain Affiliation

Chain Name

Ascension Living

Chain Size

16 facilities nationwide

Chain avg rating: 2.6/5 · Rank 12 of 19

Ownership & Management

Owners

Undisclosed

Ownership Data Not Available · Organization

Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

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.

Safer Alternatives Nearby

Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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