Nursing Homes in Illinois

QUARTERLY REPORT

JANUARY - MARCH, 2001

The Illinois Department of Public Health has initiated action, as indicated, against the following facilities which have been determined to be in violation of the Nursing Home Care Act, or has recommended decertification to the Director of the Department of Public Aid, or the Secretary of the United States Department of Health and Human Services for violations in relation to patient care, pursuant to Titles XVIII and XIX of the Federal Social Security Act.
 
FACILITY NAME: The Abbey of Carbondale - Little Willow
FACILITY ADDRESS: 120 North Tower Road
Carbondale, Illinois 62901
DOCKET #: NH 01-S0097
NAME OF OWNER
OR LICENSEE:
Willow of Carbondale, Inc.
ADDRESS: 30 South Wacker Drive, 29th Floor
Chicago, Illinois 60606
On March 20, 2001 sent Notice of Type "A" Violation relating to the area of nursing and Notice of Fine Assessment of $10,000. A hearing has been requested.

FACILITY NAME: Asta Care Center of Rockford
FACILITY ADDRESS: 707 West Riverside Boulevard Rockford, Illinois 61103
DOCKET #: NH 01-C0010
NAME OF OWNER
OR LICENSEE:
Asta Care Center of Rockford, L.L.C.
ADDRESS: 134 North McLean Boulevard Elgin, Illinois 60123
On January 24, 2001 sent Notice of Type "A" Violation relating to the area of nursing and Notice of Fine Assessment of $10,000. A hearing has been requested.

FACILITY NAME: Barbara P. Smiley Living Center
FACILITY ADDRESS: 6847 North Allen Road Peoria, Illinois 61614
DOCKET #: NH 99-S0420
NAME OF OWNER
OR LICENSEE:
Peoria Association For Retard Citizens, Inc.
ADDRESS: 1913 Townline Road, PO Box 3418 Peoria, Illinois 61612
By Consent Agreement, Violation Reduced, Fine Assessment Reduced and Conditional License Withdrawn.

FACILITY NAME: Brentwood North Nursing and Rehabilitation Center
FACILITY ADDRESS: 3705 Deerfield Road Riverwoods, IL 60015
DOCKET #: NH 99-S0259
NAME OF OWNER
OR LICENSEE:
Brentwood North Nursing and Rehabilitation Center, Inc.
ADDRESS: 161 North Clark Street Chicago, Illinois 60601
By Consent Agreement, Violation Affirmed, Fine Assessment Reduced and Condition License Withdrawn.

FACILITY NAME: Chestnut Corner Shelter Care
FACILITY ADDRESS: 905 West Chestnut Louisville, Illinois 62858
DOCKET #: NH 01-S0048
NAME OF OWNER
OR LICENSEE:
Diamond Development Company
ADDRESS: 121 South Route 45 Louisville, Illinois 62858
On February 9, 2001 sent Notice of Type "A" Violation relating to the area of environmental safety and Notice of Fine Assessment of $5,000. A hearing has been requested.

FACILITY NAME: Cottonwood Health Care Center
FACILITY ADDRESS: 820 East Fifth Street, PO Box 950
Galesburg, Illinois 61402
DOCKET #: NH 99-C0079
NAME OF OWNER
OR LICENSEE:
Senior Living Properties, L.L.C.
ADDRESS: 208 South LaSalle Street
Chicago, Illinois 60604
By Consent Agreement, Violation Amended, Fine Assessment Withdrawn in consideration of HCFA fine imposed, and Conditional License Withdrawn.

FACILITY NAME: Crossroad Manor
FACILITY ADDRESS: 201 East Cross Street
Dongola, Illinois 62926
DOCKET #: NH 01-S0011
NAME OF OWNER
OR LICENSEE:
Crossroad Manor, L.L.C.
ADDRESS: 2885 Mount Olive Road
Dongola, Illinois 62926
On January 23, 2001 sent Notice of Type Repeat “B” Violation relating to the area of environmental safety and Notice of Fine Assessment of $538.00.

FACILITY NAME: Crossroad Manor
FACILITY ADDRESS: 201 East Cross Street
Dongola, Illinois 62926
DOCKET #: NH 01-S0101
NAME OF OWNER
OR LICENSEE:
Crossroad Manor, L.L.C.
ADDRESS: 2885 Mount Olive Road
Dongola, Illinois 62926
On March 20, 2001 sent Notice of Type “Repeat B” Violation relating to the area of environmental safety and Fine Assessment of $704.00.

FACILITY NAME: Evenglow Lodge
FACILITY ADDRESS: 215 East Washington
Pontiac, Illinois 61764
DOCKET #: NH 01-S0087
NAME OF OWNER
OR LICENSEE:
Evenglow Lodge
ADDRESS: 109 North Mill Street
Pontiac, Illinois 61764
On March 20, 2001 sent Notice of Type “A” Violation relating to the area environmental safety and Notice of $5,000. A hearing has been requested.

FACILITY NAME: Friendship Care Center - Marion
FACILITY ADDRESS: 1101 North Madison
Marion, Illinois 62959
DOCKET #: NH 01-C0100
NAME OF OWNER
OR LICENSEE:
Willow of Marion, Inc.
ADDRESS: 30 South Wacker Drive, 29th Floor
Chicago, Illinois 60606
On March 27, 2001 sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $5,000. A hearing has been requested.

FACILITY NAME: Golf View Rehab & Living Center
FACILITY ADDRESS: 2308 West Nebraska Avenue
Peoria, Illinois 61604
DOCKET #: NH 01-o0109
NAME OF OWNER
OR LICENSEE:
Senior Living Properties, L.L.C.
ADDRESS: 208 South LaSalle Street
Chicago, Illinois 60604
On March 27, 2001 sent Order of License Suspension.

FACILITY NAME: Heartland Health Care Center - Moline
FACILITY ADDRESS: 833 Sixteenth Avenue
Moline, Illinois 61265
DOCKET #: NH 00-S0121
NAME OF OWNER
OR LICENSEE:
Health Care and Retirement Corporation of America
ADDRESS: 208 South LaSalle Street
Chicago, Illinois 60604
By Consent Agreement, Violation Affirmed, Fine Assessment Withdrawn in consideration of HCFA fine imposed and Conditional License Affirmed.

FACILITY NAME: Heritage House of Charleston
FACILITY ADDRESS: 738 18th Street
Charleston, Illinois 61920
DOCKET #: NH 99-o0464, NH 00-o0078, NH 00-o0193
NAME OF OWNER OR
LICENSEE:
Heritage House of Charleston
ADDRESS: 738 18th Street
Charleston, Illinois 61920
By Consent Agreement, Violation Affirmed, Fine Assessment Reduced and Conditional License Withdrawn.

FACILITY NAME: Hopedale Nursing Home
FACILITY ADDRESS: 2nd Street
Hopedale, Illinois 61747
DOCKET #: N/A
NAME OF OWNER
OR LICENSEE:
Hopedale Medical Foundation
ADDRESS: PO Box 267
Hopedale, Illinois 61747
Decertification recommendation made on February 16, 2001.

FACILITY NAME: Iona Glos SLC
FACILITY ADDRESS: 50 South Fairbank Street
Addison, Illinois 60101
DOCKET #: NH 00-S0399
NAME OF OWNER
OR LICENSEE:
Ray Graham Association for People with Disabilities
ADDRESS: 2801 Finley Road
Downers Grove, Illinois 60515
On December 8, 2000 hearing request was withdrawn, therefore Violation, Fine Assessment and Conditional License are Affirmed.

FACILITY NAME: LaGrange Rehab Healthcare Center
FACILITY ADDRESS: 339 South 9th Avenue
LaGrange, Illinois 60525
DOCKET #: NH 01 -S0016
NAME OF OWNER
OR LICENSEE:
BILHC III, LLC
ADDRESS: 208 South LaSalle Street
Chicago, Illinois 60606
On January 24, 2001 sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $10,000. A hearing has been requested.

FACILITY NAME: Manor at Lincolnwood Place
FACILITY ADDRESS: 7000 North McCormick Boulevard
Lincolnwood, Illinois 60645
DOCKET #: NH 01-S0089
NAME OF OWNER
OR LICENSEE:
Educational & Healthcare Development Foundation of Beloit
ADDRESS: 208 South LaSalle Street
Chicago, Illinois 60606
On March 20, 2000, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $10,000. A hearing has been requested.

FACILITY NAME: Manorcare at Palos Heights West
FACILITY ADDRESS: 11860 Southwest Highway
Palos Heights, Illinois 60463
DOCKET #: NH 01-C0001
NAME OF OWNER
OR LICENSEE:
Manorcare Health Services, Inc.
ADDRESS: 208 South LaSalle Street
Chicago, Illinois 60604
On January 9, 2001 sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $10,000. A hearing has been requested.

FACILITY NAME: Martin Luther Homes
FACILITY ADDRESS: 510 East Water Street
Pontiac, Illinois 61764
DOCKET #: NH 00-S0184
NAME OF OWNER
OR LICENSEE:
Martin Luther Homes of Illinois, Inc.
ADDRESS: 208 South LaSalle Street
Chicago, Illinois 60604
By Consent Agreement, Violation Reduced, Fine Assessment Reduced and Conditional License Withdrawn.

FACILITY NAME: New Athens Home For The Aged
FACILITY ADDRESS: 203 South Johnson Street
New Athens, Illinois 62264
DOCKET #: NH 00-C0321
NAME OF OWNER
OR LICENSEE:
New Athens Home For The Aged
ADDRESS: 203 South Johnson Street
New Athens, Illinois 62264
By Consent Agreement, Violation Amended, Fine Assessment Reduced and Conditional License Withdrawn.

FACILITY NAME: Oak Lawn Pavilion
FACILITY ADDRESS: 9525 South Mayfield
Oak Lawn, Illinois 60453
DOCKET #: NH 00-C0179
NAME OF OWNER
OR LICENSEE:
Oak Lawn Pavilion, Inc.
ADDRESS: 3553 West Peterson Avenue, Ste. 101
Chicago, Illinois 60659
By Consent Agreement, Violation Affirmed, Fine Assessment Reduced and Conditional License Withdrawn.

FACILITY NAME: P A Peterson Home F/T Aged
FACILITY ADDRESS: 1311 Parkview Avenue
Rockford, Illinois 61107
DOCKET #: NH 99-C0407
NAME OF OWNER
OR LICENSEE:
Lutheran Social Services of Illinois
ADDRESS: 1001 East Touhy Avenue, Ste. 50
Des Plaines, Illinois 60018
By Consent Agreement, Violation Reduced, Fine Assessment Reduced and Conditional License Withdrawn.

FACILITY NAME: Park Haven Care Center
FACILITY ADDRESS: 107 South Lincoln
Smithton, Illinois 62285
DOCKET #: NH 00-C0281
NAME OF OWNER
OR LICENSEE:
Beverly Enterprises - Illinois, Inc.
ADDRESS: 700 South Second Street
Springfield, Illinois 62704
By Consent Agreement, Violation Affirmed, Fine Assessment Reduced In Consideration of HCFA Fine Imposed And Conditional License Withdrawn.

FACILITY NAME: Park Strathmoor
FACILITY ADDRESS: 5668 Strathmoor Drive
Rockford, Illinois 61111
DOCKET #: NH 99-S0367
NAME OF OWNER
OR LICENSEE:
Park Strathmoor Corporation
ADDRESS: 800 North Church Street
Rockford, Illinois 61103
By Consent Agreement, Violation Affirmed, Fine Assessment Reduced In Consideration Of HCFA Fine Imposed, And Conditional License Withdrawn.

FACILITY NAME: Park View Manor House
FACILITY ADDRESS: 103 West Fourth
Aroma Park, Illinois 60910
DOCKET #: NH 01-o0038
NAME OF OWNER
OR LICENSEE:
Park View Manor House, Inc.
ADDRESS: 8707 Skokie Boulevard
Skokie, Illinois 60077
By Final Order, Notice of License Nonrenewal Affirmed.

FACILITY NAME: Pekin Living and Rehab
FACILITY ADDRESS: 2220 State Street
Pekin, Illinois 61554
DOCKET #: NH 01-C0068
NAME OF OWNER
OR LICENSEE:
Senior Living Properties, L.L.C.
ADDRESS: 208 South LaSalle Street
Chicago, Illinois 60604
On March 1, 2001 sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $10,000. A hearing has been requested.

FACILITY NAME: Prairie Village Healthcare Center
FACILITY ADDRESS: 1024 West Walnut
Jacksonville, Illinois 62650
DOCKET #: NH 00-S0008
NAME OF OWNER
OR LICENSEE:
Prairie Village Healthcare Center, Inc.
ADDRESS: 30 South Wacker Drive, 29th Floor
Chicago, Illinois 60606
By Final Order, Violation Reduced, Fine Assessment and Conditional License Withdrawn.

FACILITY NAME: Provena Our Lady of Victory
FACILITY ADDRESS: 920 Briarcliff Lane
Bourbonnais, Illinois 60914
DOCKET #: NH 00-C0190
NAME OF OWNER
OR LICENSEE:
Provena Senior Services
ADDRESS: 200 East Court Street, Ste. 502
Kankakee, Illinois 60901
By Consent Agreement, Violation Reduced, Fine Assessment and Conditional License Withdrawn.

FACILITY NAME: Rosewood Care Center of Peoria
FACILITY ADDRESS: 1500 West Northmoor Road
Peoria, Illinois 61614
DOCKET #: NH 00-C0161
NAME OF OWNER
OR LICENSEE:
Rosewood Care Center, Inc. of Peoria
ADDRESS: 926 South 7th
Springfield, Illinois 62703
By Consent Agreement, Violation Amended, Fine Assessment Reduced and Conditional License Withdrawn.

FACILITY NAME: River Bluffs of Cahokia Nursing
FACILITY ADDRESS: 3354 Jerome Lane
Cahokia, Illinois 62206
DOCKET #: NH 01-C0015
NAME OF OWNER
OR LICENSEE:
River Bluffs of Cahokia Nursing & Rehabilitation Center, L.L.C.
ADDRESS: 6300 North River Road, Ste. 602
Rosemont, Illinois 60018
On January 24, 2001 sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $10,000. A hearing has been requested.

FACILITY NAME: Royal Heights Nursing and Rehab Center
FACILITY ADDRESS: 900 Royal Heights Road
Belleville, Illinois 62226
DOCKET #: NH 01-S0083
NAME OF OWNER
OR LICENSEE:
Royal Heights Nursing & Rehabilitation Center, L.L.C.
ADDRESS: 7366 North Lincoln, Suite 404
Lincolnwood, Illinois 60646
On March 20, 2001 sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $5,000.

FACILITY NAME: St. Patrick’s Residence
FACILITY ADDRESS: 1400 Brookdale Road
Naperville, Illinois 60563
DOCKET #: NH 00-S0133
NAME OF OWNER
OR LICENSEE:
Saint Patrick’s Residence
ADDRESS: 1400 Brookdale Road
Naperville, Illinois 60563
By Consent Agreement, Violation Affirmed, Fine Assessment Reduced and Conditional License Withdrawn.

FACILITY NAME: Squires Sheltered Care Home
FACILITY ADDRESS: 2601 North California
Chicago, Illinois 60647
DOCKET #: NH 00-o0404
NAME OF OWNER
OR LICENSEE:
Fellowship House, Inc.
ADDRESS: 2601 North California
Chicago, Illinois 60647
On March 26, 2001 sent Notice of Type “Repeat B” Violation relating to the area of resident funds and Notice of License Revocation. A hearing has been requested.

FACILITY NAME: Turner Manor
FACILITY ADDRESS: 901 Oglesby Road, PO Box 303
Harrisburg, Illinois 62946
DOCKET #: NH 98-S0107
NAME OF OWNER
OR LICENSEE:
Turner Manor, Inc.
ADDRESS: 105 South Commercial Street, PO Box 544
Harrisburg, Illinois 62946
By Final Order, Violation Reduced, Fine Assessment and Conditional License Withdrawn.

FACILITY NAME: Wabash Christian Retirement
FACILITY ADDRESS: College Boulevard
Carmi, Illinois 62821
DOCKET #: NH 00-S0296
NAME OF OWNER
OR LICENSEE:
Christian Homes, Inc.
ADDRESS: 200 North Postville Drive
Lincoln, Illinois 62656
By Consent Agreement, Violation Affirmed, Fine Assessment Reduced in consideration of HCFA fine imposed, and Conditional License Withdrawn.

FACILITY NAME: Wilford Manor Center For Independent Living
FACILITY ADDRESS: 1500 Wilford
East St. Louis, Illinois 62207
DOCKET #: CLF 01-0001
NAME OF OWNER
OR LICENSEE:
Comprehensive Mental Health Center of St. Clair County, Inc.
ADDRESS: 3911 State Street
East St. Louis, Illinois 62205
On January 31, 2001 sent Notice of License Revocation.

FACILITY NAME: Windsor Nursing & Rehab Center
FACILITY ADDRESS: 10426 South Roberts
Palos Heights, Illinois 60465
DOCKET #: NH 98-S0136
NAME OF OWNER
OR LICENSEE:
Windsor Manor Nursing & Rehabilitation Center, Ltd.
ADDRESS: 203 North LaSalle Street, Ste. 1800
Chicago, Illinois 60601
By Consent Agreement, Violation Affirmed, Fine Assessment Reduced and Conditional License Withdrawn.

FACILITY NAME: Woodstock Residence
FACILITY ADDRESS: 309 McHenry Avenue
Woodstock, Illinois 60098
DOCKET #: NH 00-C0191
NAME OF OWNER
OR LICENSEE:
WRHC & RC, Inc.
ADDRESS: 30 South Wacker Drive, 29th Floor
Chicago, Illinois 60606
By Consent Agreement, Violation Affirmed, Fine Assessment and Conditional License Withdrawn.

FACILITY NAME: York Convalescent Center
FACILITY ADDRESS: 127 West Diversey Avenue
Elmhurst, Illinois 60126
DOCKET #: NH 00-C0209
NAME OF OWNER
OR LICENSEE:
York Convalescent Center, Ltd.
ADDRESS: 6840 W. Touhy Avenue
Niles, Illinois 60725
By Consent Agreement, Violation Affirmed, Fine Assessment Reduced and Conditional License Withdrawn.




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Illinois Department of Public Health
535 West Jefferson Street
Springfield, Illinois 62761
Phone 217-782-4977
Fax 217-782-3987
TTY 800-547-0466
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