Citadel of Skokie, the
9615 North Knox Avenue, Skokie, IL 60076 · Cook County · 113 certified beds · avg 103 residents/day · certified since Aug 10, 1983
Part of chain: CITADEL HEALTHCARE (14 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Apr 26, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Apr 27, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Apr 5, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Apr 6, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Apr 17, 2025 · F-0690 · triggered by a complaint
The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Why it matters: Poor continence and catheter care leads to infections, skin breakdown, and loss of dignity.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 29, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Apr 5, 2024 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 6, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (19)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 24, 2026 | E · Potential for harm, repeated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint |
| Nov 21, 2025 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Nov 21, 2025 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Nov 21, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Apr 17, 2025 | ▲ G · Actual harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Apr 17, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Apr 26, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Apr 5, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Apr 5, 2024 | ▲ G · Actual harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Feb 29, 2024 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · from a complaint |
| Nov 22, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Nov 22, 2023 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Nov 22, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Nov 22, 2023 | C · Minimal risk, facility-wide | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. |
| Nov 22, 2023 | C · Minimal risk, facility-wide | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Aug 10, 2023 | D · Potential for harm, one-off | The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · from a complaint |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (3 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | F |
| 2024 | 7 | 3 | J ▲ |
| 2025 | 5 | 1 | G ▲ |
| 2026 | 1 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
3 fines totaling $27,891.
| Date | Type | Amount / length |
|---|---|---|
| Apr 5, 2024 | Fine | $8,222 |
| Apr 5, 2024 | Fine | $8,824 |
| Apr 5, 2024 | Fine | $10,845 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Illinois avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.04 | 2.99 | 3.95 | bottom 10% in Illinois; bottom 1% in the U.S. |
| Registered Nurse hours | 0.34 | 0.63 | 0.69 | bottom 22% in Illinois; bottom 14% in the U.S. |
| Weekend total nurse staffing | 1.96 | 2.67 | 3.50 | bottom 17% in Illinois; bottom 2% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.40 | 0.56 | 0.48 | bottom 38% in Illinois; top 49% in the U.S. |
| Total nursing staff turnover (%) | 28.6 | 44.5 | 45.8 | top 14% in Illinois; top 12% in the U.S. |
| RN turnover (%) | 26.7 | 41.8 | 42.9 | top 25% in Illinois; top 24% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.73, RN 0.45, weekend 2.62. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 5/5 · short-stay residents: 2/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Berger Fam Tr Ua 06252014 | Organization | Direct Ownership Interest | NOT APPLICABLE | 12/15/2023 |
| Berger, Menachem | Individual | Direct Ownership Interest | NOT APPLICABLE | 12/15/2023 |
| Bruck, Jonah | Individual | Direct Ownership Interest | NOT APPLICABLE | 02/01/2020 |
| Graf, Marcella | Individual | Direct Ownership Interest | NOT APPLICABLE | 02/01/2020 |
| Gross, Shoshana | Individual | Direct Ownership Interest | NOT APPLICABLE | 12/15/2023 |
| Israel Family Investment Trust | Organization | Direct Ownership Interest | NOT APPLICABLE | 12/15/2023 |
| Israel Investment Tr | Organization | Direct Ownership Interest | NOT APPLICABLE | 12/15/2023 |
| Kohen, Yakov | Individual | Direct Ownership Interest | NOT APPLICABLE | 12/15/2023 |
| Proctor, Katherine | Individual | Direct Ownership Interest | NOT APPLICABLE | 12/15/2023 |
| Ripstein, Kenneth | Individual | Direct Ownership Interest | NOT APPLICABLE | 12/15/2023 |
| Stern, Raphaela | Individual | Direct Ownership Interest | NOT APPLICABLE | 12/15/2023 |
| Teller, Ilana | Individual | Direct Ownership Interest | NOT APPLICABLE | 12/15/2023 |
| Weiss, Leonard | Individual | Direct Ownership Interest | NOT APPLICABLE | 02/01/2020 |
| Aaron, Jonathan | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/23/2020 |
| Gorenstein, Adam | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/09/2022 |
| Gorenstein, Adam | Individual | ADP of the SNF | NOT APPLICABLE | 11/09/2022 |
| Graf, Marcella | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2020 |
| Israel, Benjamin | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/16/2025 |
| Robin, Jason | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2024 |
| Robin, Jason | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Warren Barr Lieberman | 0.3 mi | Skokie, IL | ★★★★☆ | 4/5 | |
| Alden Estates of Skokie | 0.5 mi | Skokie, IL | ★★★★★ | 5/5 | |
| Alden Estates of Evanston | 0.8 mi | Evanston, IL | ★★★★★ | 5/5 | |
| Grove of Skokie, the | 0.9 mi | Skokie, IL | ★★★★☆ | 5/5 | |
| Westminster Place | 1.0 mi | Evanston, IL | ★★★★★ | 5/5 | |
| Three Crowns Park | 1.8 mi | Evanston, IL | ★★☆☆☆ | 2/5 | abuse |
| Citadel Care Center-Wilmette | 2.3 mi | Wilmette, IL | ★★★★★ | 5/5 | |
| Aliya of Evanston | 3.0 mi | Evanston, IL | ★★★★☆ | 3/5 | |
| Alden North Shore Rehab & HCC | 3.1 mi | Skokie, IL | ★★★★☆ | 4/5 | |
| Pearl of Evanston,the | 3.1 mi | Evanston, IL | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 145468.