ILLINOIS DEPARTMENT OF PUBLIC HEALTH
The Illinois Department of Public Health has initiated action, as indicated, against the following facilities determined to be in violation of the Nursing Home Care Act, or has recommended decertification to the director of the Illinois Department of Public Aid or to 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 |
Alden-Long Grove Rehab and Health Care Center |
| FACILITY ADDRESS |
Box 2308, RFD Hicks Road |
| DOCKET # |
NH 99-C0052 |
| NAME OF OWNER |
Kenneth Fisch, Registered Agent |
| ADDRESS |
Alden-Long Grove Rehab and Health Care Center
Inc. |
| On February 17, 1999, 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.(News release, Statement of Violation) |
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| FACILITY NAME |
Carlinville Estates |
| FACILITY ADDRESS |
1221 S. Plum St. |
| DOCKET # |
NH 99-C0060 |
| NAME OF OWNER |
Richard Grader, Registered Agent |
| ADDRESS |
Patterson House Inc. |
| On February 22, 1999, 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. (News release, Statement of Violation) |
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| FACILITY NAME |
Cedar Ridge Healthcare Center |
| FACILITY ADDRESS |
1 Perryman St. |
| DOCKET # |
NH 99-S0114 |
| NAME OF OWNER |
CT Corporation System, Registered Agent |
| ADDRESS: |
Covenant Care Midwest Inc. |
| On March 25, 1999, 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. (News Release, Statement of Violation) |
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| FACILITY NAME |
Cottonwood Health Care Center |
| FACILITY ADDRESS |
820 E. Fifth St., P.O. Box 950 |
| DOCKET # |
NH 99-C0079 |
| NAME OF OWNER |
CT Corporation System, Registered Agent |
| ADDRESS |
Senior Living Properties, L.L.C. |
| On March 15, 1999, 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. (News Release, Statement of Violation) |
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| FACILITY NAME |
Creal Springs Nursing Home |
| FACILITY ADDRESS |
South Line Street |
| DOCKET # |
NH 98-S0433 |
| NAME OF OWNER |
George Avery, Registered Agent |
| ADDRESS |
P.O. Box 388 |
| On February 17, 1999, sent notice of type "B" violation relating to the area of nursing and notice of fine assessment of $500. |
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| FACILITY NAME |
Emerald Park Health Care Center |
| FACILITY ADDRESS |
9125 S. Pulaski |
| DOCKET # |
NH 98-S0368 |
| NAME OF OWNER |
Gary Weintraub, Registered Agent |
| ADDRESS |
Emerald Park Health Care Center Inc. |
| By consent agreement, violation reduced, conditional license withdrawn and fine assessment reduced. |
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| FACILITY NAME |
Gateway Terrace |
| FACILITY ADDRESS |
Route 177 West |
| DOCKET # |
NH 98-S0165 and NH 98-o0410 |
| NAME OF OWNER |
Ronald Mangum, Registered Agent |
| ADDRESS |
Progressive Housing Inc. |
| By consent agreement, violation affirmed, revocation (NH-98-o0410) dismissed, conditional license (NH 98-S0165) affirmed and total fine assessment reduced. |
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| FACILITY NAME |
Hart House |
| FACILITY ADDRESS: |
905 N.E. Perry St. |
| DOCKET # |
NH 99-C0086 |
| NAME OF OWNER |
Gail Leiby, Registered Agent |
| ADDRESS |
Community Workshop and Training Center Inc.
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| On March 16, 1999, sent notice of type "A" violation relating to the areas of habilitation training and client protection and notice of fine assessment of $10,000. A hearing has been requested. (News Release, Statement of Violation) |
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| FACILITY NAME |
Illinois Knights Templar Home |
| FACILITY ADDRESS |
450 Fulton St., P.O. Box 49 |
| DOCKET # |
NH 99-S0112 |
| NAME OF OWNER |
Harold Andrew, Registered Agent |
| ADDRESS |
Illinois Knights Templar Home for the Aged
Infirm |
| On March 25, 1999, 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.(News release, Statement of Violation) |
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| FACILITY NAME |
Magnolia Wood Health Care Center |
| FACILITY ADDRESS |
900 N. Market St. |
| DOCKET # |
NH 97-C0236 |
| NAME OF OWNER |
CT Corporation System, Registered Agent |
| ADDRESS |
Senior Living Properties, L.L.C. |
| By consent agreement, violation affirmed, conditional license withdrawn and fine reduced reflecting fine imposed by federal Health Care FinancingAdministration. |
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| FACILITY NAME |
Maplewood Care |
| FACILITY ADDRESS |
50 N. Jane |
| DOCKET # |
NH 98-S0250 |
| NAME OF OWNER |
Judith S. Sherwin, Registered Agent |
| ADDRESS |
Schwartz & Freeman |
| By consent agreement, violation reduced, conditional license withdrawn and fine assessment withdrawn. |
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| FACILITY NAME |
Meadow Manor |
| FACILITY ADDRESS |
800 McAdam Drive |
| DOCKET # |
NH 99-C0010 |
| NAME OF OWNER OR LICENSEE |
Jerry Jennings, Registered Agent |
| ADDRESS |
Meadow Manor Incorporated |
| On January 21, 1999, sent ntice of type "A" violations relating to the areas of nursing and environmental health and notice of fine assessment of $10,000. A hearing has been requested. (News release, Statement of Violation) |
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| FACILITY NAME |
Mother Theresa Home |
| FACILITY ADDRESS |
1270 Franciscan Drive |
| DOCKET # |
NH 99-C0080 |
| NAME OF OWNER |
Lora Ann Slawinski, Registered Agent |
| ADDRESS |
Mother Theresa Home |
| On March 12, 1999, 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.(News release, Statement of Violation) |
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| FACILITY NAME |
Patterson House |
| FACILITY ADDRESS |
307 E. Jefferson |
| DOCKET # |
NH 98-S0435 |
| NAME OF OWNER |
Richard Grader, Registered Agent |
| ADDRESS |
Patterson House Inc. |
| On January 4, 1999, sent notice of type "A" violations relating to the areas of habilitation training and client protection and notice of fine assessment of $20,000. A hearing has been requested. (News release, Statement of Violation) |
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| FACILITY NAME |
Shady Oaks East |
| FACILITY ADDRESS |
16240 Parker Road |
| DOCKET # |
N/A |
| NAME OF OWNER |
John Satter, Registered Agent |
| ADDRESS |
Lutheran Social Services of Illinois |
| Decertification recommendation made on February 23, 1999. |
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| FACILITY NAME |
Sunny Acres Nursing Home |
| FACILITY ADDRESS |
R.R. 3 |
| DOCKET # |
NH 99-S0030 |
| NAME OF OWNER |
Dave Crosnoe, Board Chairman |
| ADDRESS |
Menard County |
| On February 18, 1999, sent notice of type "B" violations relating to the area of nursing and notice of fine assessment of $1,500. A hearing has been requested. |
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| FACILITY NAME |
Swann Special Care Center |
| FACILITY ADDRESS |
109 Kenwood Road |
| DOCKET # |
NH 99-C0009 |
| NAME OF OWNER |
CT Corporation, Registered Agent |
| ADDRESS |
Hoosier Care Inc. |
| On January 21, 1999, 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.(News release, Statement of Violation) |
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| FACILITY NAME |
Swann Special Care Center |
| FACILITY ADDRESS |
109 Kenwood Road |
| DOCKET # |
N/A |
| NAME OF OWNER |
CT Corporation, Registered Agent |
| ADDRESS |
Hoosier Care Inc. |
| Decertification recommendation made on January 6, 1999. |
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| FACILITY NAME |
Uptown Shelter Care Home |
| FACILITY ADDRESS |
4646 N. Beacon |
| DOCKET # |
NH 97-o0264 |
| NAME OF OWNER |
Ghanshyam Parikh, Registered Agent |
| ADDRESS |
GP Investors Inc. |
| By consent agreement, violation affirmed, revocation withdrawn and fine assessment affirmed. |
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| FACILITY NAME |
Villas of Shannon |
| FACILITY ADDRESS |
418 Southridge, Box 86 |
| DOCKET # |
NH 99-S0059 |
| NAME OF OWNER |
Ronald Scott Mangum, Registered Agent |
| ADDRESS |
A & S Consulting and Management L.L.C.
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| On March 16, 1999, 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. (News Release, Statement of Violation) |
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| FACILITY NAME |
Woodside Extended Care |
| FACILITY ADDRESS |
120 W. 26th St. |
| DOCKET # |
NH 98-C0283 |
| NAME OF OWNER |
Lawrence Schwartz, Registered Agent |
| ADDRESS |
MST Health Properties L.L.C. |
| By consent agreement, violation reduced, conditional license withdrawn and fine assessment deleted. |
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| FACILITY NAME |
Zeigler Colonial Manor |
| FACILITY ADDRESS |
300 Church St. |
| DOCKET # |
NH 97-S0244 and NH 97-I0244 |
| NAME OF OWNER OR LICENSEE |
Terra Potocki, Registered Agent |
| ADDRESS |
Zeigler Colonial Manor Inc. |
| By consent agreement, violation affirmed, conditional license withdrawn and fine assessment reduced. |
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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 Questions or Comments |