What is Citadel of Northbrook, the's Medicare star rating?

CMS rates Citadel of Northbrook, the 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Citadel of Northbrook, the get at its last inspection?

2 health deficiencies at the standard inspection on December 11, 2025. The Illinois average is 12.6.

Does Citadel of Northbrook, the 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 of Northbrook, the?

CMS lists 1 owner or manager, and links the home to Citadel Healthcare. Legal business name: CITADEL OF NORTHBROOK LLC.

Citadel of Northbrook, the: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on December 11, 2025, inspectors cited 2 health deficiencies (the Illinois average is 12.6, the national average 9.2).

Of 13 health citations since January 2024, 3 were rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $10,033 in the last three years; the largest was $10,033, and the latest is dated January 27, 2024.

Nurses and nurse aides worked 3.55 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.75 of those hours.

32.4% 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.

101/24

304/24

105/24

602/25

212/25

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 13 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

December 11, 2025Standard inspection · 2 citations

G

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

F689 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) December 29, 2025

Inspectors wroteBased on interview and record review, the facility failed to meet a resident's need to have two staff assist while being provided incontinence care per the resident's assessed needs. This failure applied to one (R38) of three residents reviewed for falls and resulted in R38 sustaining a fall while being provided incontinence care that resulted in fractures to the right fourth and fifth ribs and a 6.5-centimeter infrapatellar subcutaneous hematoma to the right knee.
E

Ensure each resident’s drug regimen must be free from unnecessary drugs.

F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 29, 2025

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that Permethrin External Cream 5% was administered with adequate indication for use for five (R28, R35, R77, R87, and R107) of five residents reviewed for medication administration.

February 21, 2025Standard inspection · 6 citations

D

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

F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 28, 2025

Inspectors wroteBased on observation, interview, and record review the facility failed to provide dignity to resident while feeding. This deficiency affects one (R105) of three residents in the sample of 26 reviewed for Dignity
D

Allow residents to self-administer drugs if determined clinically appropriate.

F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 28, 2025

Inspectors wroteBased on observation, interview, and record review the facility failed to implement its policy on resident self-administration by failure to perform an assessment conducted by IDT (Interdisciplinary Team) to determine safe self-medication administration of resident. The facility failed to obtained physician order for resident self-medication administration. The facility failed to ensure storage of medication in locked box in the resident room. The facility also failed to document, and care planned of resident self-administration of medication. This deficiency affects one (R36) of three residents in the sample of 26 reviewed for Resident Self-medication administration.
D

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

F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 28, 2025

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure not to use multilayers of linen over the low air loss mattress as manufacturer recommendation to resident with Stage 4 pressure ulcers. This deficiency affects one (R30) of three residents in the sample of 26 reviewed for Wound care management.
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.

F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 28, 2025

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that an ongoing assessment is rendered to identify change in limitation of a resident's left-hand range of motion. This deficiency affects one (R52) of three in a sample of 26 reviewed for Restorative nursing program.
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 28, 2025

Inspectors wroteBased on observation, interview, and record review the facility failed to use appropriate infection control practices during feeding assistance and perform hand hygiene. This deficiency affects two (R30, R67) of three residents in the sample of 26 reviewed for Infection control protocol.
B

Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

F575 · Resident Rights · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) February 28, 2025

Inspectors wroteBased on observation, interview, and record review the facility failed to post [NAME] program information that is in an accessible and visible location to the resident in the facility. This deficiency affects 77 residents eligible for [NAME] Program.

May 17, 2024Complaint inspection · 1 citation

G

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

F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 28, 2024

Inspectors wroteBased on interviews and record reviews, the facility failed to provide effective supervision to prevent an avoidable fall for one resident (R1) exhibiting increased confusion/agitation/wandering due to dementia. This affected one of three residents (R1) reviewed for fall prevention. This failure resulted in R1 being involved in a fall incident sustaining a right femur fracture.

April 11, 2024Standard inspection · 3 citations

E

Ensure services provided by the nursing facility meet professional standards of quality.

F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 25, 2024

Inspectors wroteBased on observation, interview and record review, the facility failed to follow physician's orders and failed to administer medication in accordance with acceptable clinical practice for 9 (R1, R5, R7, R31, R43, R54, R78, R95, R99) of 9 residents reviewed for medication administration.
D

Ensure medication error rates are not 5 percent or greater.

F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 25, 2024

Inspectors wroteBased on Observation, Interview and Record Review, the facility failed to have a five percent (5%) or less medication error rate for one (R45) of one resident. There were 13 medication errors out of 34 medication opportunities, resulting in a 38.24% medication error rate.
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 25, 2024

Inspectors wroteBased on observation, interview and record review, the facility failed to follow hand hygiene procedures during medication administration for two (R23 and R45) residents reviewed for infection control.

January 27, 2024Complaint inspection · 1 citation

G

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

F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 6, 2024

Inspectors wroteBased on interview and record review, the facility failed to provide safe transfer with a full (mechanical) lift per care plan; failed to inform doctor of refusal in using the (mechanical) lift and failed to reassess for safe transfers for 1 (R1) of three residents (R1, R2, R3) reviewed for falls. This failure resulted to R1 sliding on the floor sustaining a fracture of the tibia/fibula.

Fire safety inspections

20 fire safety citations on file: 4 on February 21, 2025, 5 on April 11, 2024, 11 on January 20, 2023.

Every fire safety citation20 citations

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

K 918 · February 21, 2025 · Corrected (the home has a date of correction)
F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

K 926 · February 21, 2025 · Corrected (the home has a date of correction)
E
Provide properly protected cooking facilities.

K 324 · February 21, 2025 · Corrected (the home has a date of correction)
E
Install corridor and hallway doors that block smoke.

K 363 · February 21, 2025 · Corrected (the home has a date of correction)
F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · April 11, 2024 · Corrected (the home has a date of correction)
E
Have exits that are accessible at all times.

K 271 · April 11, 2024 · Corrected (the home has a date of correction)
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · April 11, 2024 · Corrected (the home has a date of correction)
E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

K 362 · April 11, 2024 · Corrected (the home has a date of correction)
E
Install corridor and hallway doors that block smoke.

K 363 · April 11, 2024 · Corrected (the home has a date of correction)
F
Establish policies and procedures for sheltering.

E 22 · January 20, 2023 · Corrected (the home has a date of correction)
F
Establish staff and initial training requirements.

E 37 · January 20, 2023 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · January 20, 2023 · Corrected (the home has a date of correction)
F
Have properly installed electrical wiring and gas equipment.

K 511 · January 20, 2023 · Corrected (the home has a date of correction)
F
Have a battery powered remote alarm panel in a location accessible by operating personnel.

K 916 · January 20, 2023 · Corrected (the home has a date of correction)
E
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · January 20, 2023 · Corrected (the home has a date of correction)
E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.

K 225 · January 20, 2023 · Corrected (the home has a date of correction)
E
Have properly located and lighted "Exit" signs.

K 293 · January 20, 2023 · Corrected (the home has a date of correction)
E
Inspect, test, and maintain automatic sprinkler systems.

K 353 · January 20, 2023 · Corrected (the home has a date of correction)
E
Properly select, install, inspect, or maintain portable fire extinguishes.

K 355 · January 20, 2023 · Corrected (the home has a date of correction)
E
Install smoke barrier doors that can resist smoke for at least 20 minutes.

K 374 · January 20, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

Date	Penalty	Amount or length
January 27, 2024	Fine	$10,033

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

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)	3.55	3.45	3.86
Registered nurses	0.75	0.72	0.69
All nursing staff on weekends	3.24	3.07	3.42
Nurse aides	2.07
Licensed practical nurses	0.73
Nursing staff turnover (share who left in a year)	32.4%	44.5%	45.8%
Registered nurse turnover	26.9%	41.8%	42.9%
Administrators who left	0

CMS expects 5.30 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 3.67 on weekdays and 3.24 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.54 in April to June 2025 to 3.55 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	3.55	0.75	3.67	3.24	5.9%	0 of 90	134
Oct to Dec 2025	3.36	0.68	3.46	3.10	1.4%	0 of 92	136
Jul to Sep 2025	3.42	0.74	3.53	3.15	2.3%	0 of 92	138
Apr to Jun 2025	3.54	0.77	3.66	3.24	2.3%	0 of 91	133
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.

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	8.5	13.4	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.9	0.9	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.5	1.5	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	6.1	3.1	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	1.4	2.2	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	8.0	14.3	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	4.8	4.8	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	26.0	21.7	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	28.3	26.1	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	13.5	13.8	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.3	2.0	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.2	2.2	1.8

Owners and operators

Legal business name: CITADEL OF NORTHBROOK 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	W-2 managing employee	Individual		12/28/2018

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 5 problems in this area, most recently on December 11, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on February 21, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on December 11, 2025: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
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 February 21, 2025: "Provide and implement an infection prevention and control program."

Other nursing homes nearby

Elevate Care Abington
Glenview, 1.9 mi · 4 of 5 stars · 15 citations
Brandel Health and Rehab
Northbrook, 2 mi · 5 of 5 stars · 6 citations
Glenview Terrace
Glenview, 2.2 mi · 3 of 5 stars · 17 citations
Eden Vista Prospect Heights
Prospect Heights, 2.4 mi · 5 of 5 stars · 16 citations
Ascension Nazarethville Place
Des Plaines, 2.6 mi · 5 of 5 stars · 5 citations
Alden Des Plaines Rehab & Hc
Des Plaines, 2.9 mi · 4 of 5 stars · 18 citations
Niles Nsg & Rehab Ctr
Niles, 3.1 mi · 5 of 5 stars · 8 citations
VI at the Glen
Glenview, 3.3 mi · 5 of 5 stars · 6 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 of Northbrook, the's Medicare star rating?: CMS rates Citadel of Northbrook, the 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Citadel of Northbrook, the get at its last inspection?: 2 health deficiencies at the standard inspection on December 11, 2025. The Illinois average is 12.6.
Has Citadel of Northbrook, the been fined?: Yes. CMS lists 1 fine totaling $10,033 in the last three years.
Does Citadel of Northbrook, the 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 of Northbrook, the?: CMS lists 1 owner or manager, and links the home to Citadel Healthcare. Legal business name: CITADEL OF NORTHBROOK 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.