Citadel Care Center-Kankakee
900 West River Place, Kankakee, IL 60901 · Kankakee County · (815) 933-1711
107 certified beds, about 92 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1967
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 145043 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on November 22, 2024, inspectors cited 9 health deficiencies (the Illinois average is 12.6, the national average 9.2).
Of 23 health citations since April 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.23 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.40 of those hours.
33.7% of nursing staff left within the year CMS measured (Illinois average 44.5%).
CMS links it to Citadel Healthcare, an affiliated group of 16 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
504/23
801/24
101/24
911/24
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 23 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
14D
5E
3F
Potential for minimal harm
0A
0B
0C
November 22, 2024Standard inspection · 9 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to remove expired food items, reseal opened food items, and maintain temperature of freezer to keep foods solid. This applies to all residents that receive oral nutrition and foods prepared in the facility kitchen.
- F Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on interview and record review, the facility failed to maintain a QAA (Quality Assessment and Assurance) committee consisting at a minimum of the director of nursing services, the Medical Director or his/her designee, at least three other members of the facility's staff, at least one of who must be the administrator, owner, a board member or other individual in a leadership role; and the infection preventionist. This has a potential to affect all the residents in the facility.
- D Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Inspectors wroteBased on observation, interview, and record review the facility failed to treat all residents with respect and dignity. This applies to 1 resident (R47) reviewed for dignity in a sample of 25.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on interview and record review, the facility failed to provide the SNFABN (Skilled Nursing Facility Advanced Beneficiary Notice) Form CMS-1005 in writing to all residents who were discharged from Medicare Part A services with benefit days remaining. This applies to 3 residents (R47, R242, R91) reviewed for Advanced Beneficiary Notice and financial liability in a sample of 25.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on interview and record review, the facility failed to provide a resident and/or their family/POA (POA/Power of Attorney) in writing for the reason of transfer to the hospital. The facility also failed to notify the ombudsman of the transfer. This applies to 3 of 3 residents (R48, R64, and R78) reviewed for discharge in a sample of 25.
- D 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide in writing to the residents and/or their POA (POA/Power of Attorney) regarding bed hold and return at the time of discharge to the hospital. This applies to 3 of 3 residents (R48, R64, and R78) reviewed for discharge in a sample of 25.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide personal hygiene for 3 residents (R29, R86, & R64) who are dependent on ADL care (Activities of Daily Living) in a sample of 25.
- D 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure anti-contracture devices were applied to resident as ordered. This applies to 1 of 2 residents (R16) reviewed for anti-contracture devices in a sample of 25.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview, and record review, the facility failed to properly position indwelling catheter drainage bag during wound care dressing change. This applies of 1 of 2 residents (R22) reviewed for indwelling catheter in a sample of 25.
January 31, 2024Complaint inspection · 1 citation
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on observation, interview and record review the facility failed to notify the POA (POA/Power of Attorney) of changes in condition. This applies to 1 of 3 residents (R1) reviewed for policy and procedures.
January 12, 2024Standard inspection · 8 citations
- G Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on observation, interview, and record review, the facility failed to assess and address pain before and during wound care to a resident. This failure has caused severe pain for one resident during dressing changes. This applies to 1 of 2 residents (R54) reviewed pain management in a sample of 31.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to properly label, date, seal, and store food items in the kitchen. This applies to all residents that receive oral nutrition and foods prepared in the facility kitchen.
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview and record review the facility failed to provide personal care to dependent residents. This applies to 5 of 5 residents (R9, R14, R16, R32, and R54) reviewed for ADL's (ADL's/Activities of Daily Living) in the sample of 31.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow its isolation guidelines by cohorting isolation and non-isolation residents in the same room. The facility also failed to follow its standard precaution policy by not changing gloves and performing hand hygiene during incontinence care and when leaving an isolation room. This applies to 5 of 5 residents (R18, R41, R54, R145, and R344) reviewed for infection control in a sample of 31.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide dignity to 3 residents (R64) who was not properly clothed while in dining room, (R15) who's catheter bag was not covered, and in view of others, and (R16) who's shoes were not properly maintained and safe to wear in a sample of 31.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, interview, and record review, the facility failed to have an adaptive call light accessible for one resident and adaptive eating utensils for a dependent resident. This applies to 2 of 2 residents (R32 and R66) reviewed for accommodation of needs in a sample of 31.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, interviews and record reviews, the facility failed to provide non slip footwear to residents at high risk for falls. This applies to 2 of 2 residents (R50 and R75) reviewed for falls in a sample of 31.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide humidification with oxygen therapy. This applies to 2 of 3 residents (R39 and R87) reviewed for oxygen therapy in a sample of 31.
April 6, 2023Standard inspection · 5 citations
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and record review the facility failed to assist residents identified as needing assistance with personal hygiene. This applies to 4 of 4 residents (R27, R41, R47, R74) reviewed for ADL (activities of daily living) in the sample of 20.
- E Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide incontinence care in a manner that would prevent urinary tract infection (UTI) and failed to provide and maintain indwelling urinary catheter care. This applies to 4 of 4 residents (R11, R12, R55, R79) reviewed for incontinence and catheter care in the sample of 20.
- E Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure puree food was prepared to a smooth consistency for the lunch meal. This applies to 8 of 8 residents (R15, R35, R53, R54, R62, R69, R246, R248) reviewed for pureed diets in the sample of 20.
- D 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.
Inspectors wroteBased on observation, interview and record review the facility failed to assess and provide adaptive equipment to a resident, to prevent further reduction in mobility and ROM (range of motion). This applies to 1 of 5 residents (R67) reviewed for limited range of motion in the sample of 20.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow standard infection control practices related to hand hygiene and change of gloves during provisions of care. This applies to 2 of 20 residents (R11, R79) reviewed for infection control during provisions of care in the sample of 20.
Fire safety inspections
24 fire safety citations on file: 8 on November 22, 2024, 6 on January 12, 2024, 10 on April 6, 2023.
Every fire safety citation24 citations
- F Establish roles under a Waiver declared by secretary.
- F Install proper backup exit lighting.
- F Install an approved automatic sprinkler system.
- F Ensure proper usage of power strips and extension cords.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E 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.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install corridor and hallway doors that block smoke.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install an approved automatic sprinkler system.
- E Install corridor and hallway doors that block smoke.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Provide a written emergency evacuation plan.
- F Have simulated fire drills held at unexpected times.
- F Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Have exits that are accessible at all times.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Provide properly protected cooking facilities.
- E Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Illinois | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.23 | 3.45 | 3.86 |
| Registered nurses | 0.40 | 0.72 | 0.69 |
| All nursing staff on weekends | 2.95 | 3.07 | 3.42 |
| Nurse aides | 2.11 | ||
| Licensed practical nurses | 0.72 | ||
| Nursing staff turnover (share who left in a year) | 33.7% | 44.5% | 45.8% |
| Registered nurse turnover | 25.0% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 5.41 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.34 on weekdays and 2.95 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.27 in April to June 2025 to 3.23 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.23 | 0.40 | 3.34 | 2.95 | 1.4% | 0 of 90 | 92 |
| Oct to Dec 2025 | 3.40 | 0.45 | 3.56 | 3.00 | 1.4% | 0 of 92 | 88 |
| Jul to Sep 2025 | 3.24 | 0.44 | 3.36 | 2.92 | 0.8% | 0 of 92 | 93 |
| Apr to Jun 2025 | 3.27 | 0.47 | 3.45 | 2.82 | 0.5% | 0 of 91 | 91 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Illinois, Jan to Mar 2026 | 3.26 | 0.65 | 3.40 | 2.92 | 5.4% | 0.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Illinois
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Illinois, all employers | |||
| CNAs (nursing assistants) | $22.10 | $18.95 to $23.26 | 68,640 |
| LPNs and LVNs | $36.06 | $30.57 to $38.25 | 17,440 |
| Registered nurses | $46.15 | $38.47 to $50.94 | 138,910 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Illinois | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 3.0 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.8 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.3 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.9 | 14.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.0 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 28.3 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 38.2 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 19.3 | 13.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.0 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 2.2 | 1.8 |
Owners and operators
Legal business name: CITADEL CARE CENTER-KANKAKEE LLC. CMS links this home to Citadel Healthcare, a group of 16 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Graf, Marcella | Direct ownership interest | Individual | 12/15/2023 | |
| Gross, Shoshana | Direct ownership interest | Individual | 12/15/2023 | |
| Kohen, Yakov | Direct ownership interest | Individual | 12/15/2023 | |
| Kroll, Gabriel | Direct ownership interest | Individual | 12/15/2023 | |
| Nagel, Steven | Direct ownership interest | Individual | 12/15/2023 | |
| Ollman, Jonathan | Direct ownership interest | Individual | 04/01/2023 | |
| Proctor, Katherine | Direct ownership interest | Individual | 12/15/2023 | |
| Teller, Ilana | Direct ownership interest | Individual | 12/15/2023 | |
| Aaron, Jonathan | Operational/managerial control | Individual | 12/15/2023 | |
| Adams Carr, Macaela | Operational/managerial control | Individual | 03/31/2024 | |
| Graf, Marcella | Operational/managerial control | Individual | 12/15/2023 | |
| Robin, Jason | Operational/managerial control | Individual | 05/01/2024 | |
| Berger, Menachem | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/07/2025 | |
| Israel, Benjamin | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/07/2025 | |
| Stern, Todd | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/07/2025 | |
| Adams Carr, Macaela | Adp of the SNF | Individual | 03/31/2024 | |
| Graf, Marcella | Adp of the SNF | Individual | 12/15/2023 | |
| Robin, Jason | Adp of the SNF | Individual | 05/01/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 10 problems in this area, most recently on November 22, 2024: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on November 22, 2024: "Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on November 22, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on January 12, 2024: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.95 hours per resident per day, below the Illinois average of 3.07.
Other nursing homes nearby
- Miller Health Care Center Kankakee, 0.5 mi · 2 of 5 stars · 34 citations
- Arc at Kankakee Kankakee, 0.5 mi · 3 of 5 stars · 16 citations
- Citadel of Bourbonnais,the Bourbonnais, 2.2 mi · 3 of 5 stars · 21 citations
- Arc at Bradley Bradley, 2.3 mi · 1 of 5 stars · 39 citations
- Momence Meadows Nursing & Rehab Momence, 11.5 mi · 1 of 5 stars · 55 citations
- La Bella at Clifton Clifton, 13.7 mi · 1 of 5 stars · 52 citations
- Aperion Care Wilmington Wilmington, 18 mi · 1 of 5 stars · 50 citations
- Beecher Manor Nrsg & Rehab Ctr Beecher, 20.7 mi · 2 of 5 stars · 40 citations
Illinois contacts for a concern about a nursing home
These are the official offices in Illinois. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Illinois Department of Public Health, Nursing Homes, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Illinois Long-Term Care Ombudsman Program, Illinois Department on Aging, 1-800-252-8966. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: IDPH Quarterly Reports of Nursing Home Violators, where Illinois publishes its own records on licensed homes.
Common questions
- What is Citadel Care Center-Kankakee's Medicare star rating?
- CMS rates Citadel Care Center-Kankakee 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Citadel Care Center-Kankakee get at its last inspection?
- 9 health deficiencies at the standard inspection on November 22, 2024. The Illinois average is 12.6.
- Has Citadel Care Center-Kankakee been fined?
- CMS lists no fines in the last three years.
- Does Citadel Care Center-Kankakee accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Citadel Care Center-Kankakee?
- CMS lists 18 owners and managers, and links the home to Citadel Healthcare. Legal business name: CITADEL CARE CENTER-KANKAKEE LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.