ILLINOIS DEPARTMENT OF PUBLIC HEALTH

QUARTERLY REPORT

JANUARY - MARCH 1999

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
Long Grove, IL 60047

DOCKET #

NH 99-C0052

NAME OF OWNER
OR LICENSEE

Kenneth Fisch, Registered Agent

ADDRESS

Alden-Long Grove Rehab and Health Care Center Inc.
4200 W. Peterson Ave., Ste. 140
Chicago, IL 60646

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)


FACILITY NAME

Carlinville Estates

FACILITY ADDRESS

1221 S. Plum St.
Carlinville, IL 62626

DOCKET #

NH 99-C0060

NAME OF OWNER
OR LICENSEE

Richard Grader, Registered Agent

ADDRESS

Patterson House Inc.
110 Southbrooke
Decatur, IL 62521

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)


FACILITY NAME

Cedar Ridge Healthcare Center

FACILITY ADDRESS

1 Perryman St.
Lebanon, IL 62254

DOCKET #

NH 99-S0114

NAME OF OWNER
OR LICENSEE

CT Corporation System, Registered Agent

ADDRESS:

Covenant Care Midwest Inc.
208 S. LaSalle St., Suite 814
Chicago, IL 60604

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)


FACILITY NAME

Cottonwood Health Care Center

FACILITY ADDRESS

820 E. Fifth St., P.O. Box 950
Galesburg, IL 61400

DOCKET #

NH 99-C0079

NAME OF OWNER
OR LICENSEE

CT Corporation System, Registered Agent

ADDRESS

Senior Living Properties, L.L.C.
208 S. LaSalle St.
Chicago, IL 60604

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)


FACILITY NAME

Creal Springs Nursing Home

FACILITY ADDRESS

South Line Street
Creal Springs, IL 62922

DOCKET #

NH 98-S0433

NAME OF OWNER
OR LICENSEE

George Avery, Registered Agent

ADDRESS

P.O. Box 388
Creal Springs, IL 62922

On February 17, 1999, sent notice of type "B" violation relating to the area of nursing and notice of fine assessment of $500.


FACILITY NAME

Emerald Park Health Care Center

FACILITY ADDRESS

9125 S. Pulaski
Evergreen Park, IL 60805

DOCKET #

NH 98-S0368

NAME OF OWNER
OR LICENSEE

Gary Weintraub, Registered Agent

ADDRESS

Emerald Park Health Care Center Inc.
465 Central Ave., Suite 100
Northfield, IL 60093

By consent agreement, violation reduced, conditional license withdrawn and fine assessment reduced.


FACILITY NAME

Gateway Terrace

FACILITY ADDRESS

Route 177 West
Irvington, IL 62848

DOCKET #

NH 98-S0165 and NH 98-o0410

NAME OF OWNER
OR LICENSEE

Ronald Mangum, Registered Agent

ADDRESS

Progressive Housing Inc.
35 E. Wacker Drive, Ste. 2130
Chicago, IL 60601

By consent agreement, violation affirmed, revocation (NH-98-o0410) dismissed, conditional license (NH 98-S0165) affirmed and total fine assessment reduced.


FACILITY NAME

Hart House

FACILITY ADDRESS:

905 N.E. Perry St.
Peoria, IL 61603

DOCKET #

NH 99-C0086

NAME OF OWNER
OR LICENSEE

Gail Leiby, Registered Agent

ADDRESS

Community Workshop and Training Center Inc.
3215 N. University
Peoria, L 61604

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)


FACILITY NAME

Illinois Knights Templar Home

FACILITY ADDRESS

450 Fulton St., P.O. Box 49
Paxton, IL 60957

DOCKET #

NH 99-S0112

NAME OF OWNER
OR LICENSEE

Harold Andrew, Registered Agent

ADDRESS

Illinois Knights Templar Home for the Aged Infirm
140 N. Taft St., P.O. Box 146
Paxton, IL 60957

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)


FACILITY NAME

Magnolia Wood Health Care Center

FACILITY ADDRESS

900 N. Market St.
Watseka, IL 60970

DOCKET #

NH 97-C0236

NAME OF OWNER
OR LICENSEE

CT Corporation System, Registered Agent

ADDRESS

Senior Living Properties, L.L.C.
208 S. LaSalle St.
Chicago, IL 60604

By consent agreement, violation affirmed, conditional license withdrawn and fine reduced reflecting fine imposed by federal Health Care FinancingAdministration.


FACILITY NAME

Maplewood Care

FACILITY ADDRESS

50 N. Jane
Elgin, IL 60123

DOCKET #

NH 98-S0250

NAME OF OWNER
OR LICENSEE

Judith S. Sherwin, Registered Agent

ADDRESS

Schwartz & Freeman
401 N. Michigan Ave., Ste. 1900
Chicago, IL 60611

By consent agreement, violation reduced, conditional license withdrawn and fine assessment withdrawn.


FACILITY NAME

Meadow Manor

FACILITY ADDRESS

800 McAdam Drive
Taylorville, IL 62568

DOCKET #

NH 99-C0010

NAME OF OWNER

OR LICENSEE

Jerry Jennings, Registered Agent

ADDRESS

Meadow Manor Incorporated
2653 W. Lawrence Ave., Ste. B
Springfield, IL 62704

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)


FACILITY NAME

Mother Theresa Home

FACILITY ADDRESS

1270 Franciscan Drive
Lemont, IL 60439

DOCKET #

NH 99-C0080

NAME OF OWNER
OR LICENSEE

Lora Ann Slawinski, Registered Agent

ADDRESS

Mother Theresa Home
1270 Franciscan Drive
Lemont, IL 60439

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)


FACILITY NAME

Patterson House

FACILITY ADDRESS

307 E. Jefferson
Sullivan, IL 61951

DOCKET #

NH 98-S0435

NAME OF OWNER
OR LICENSEE

Richard Grader, Registered Agent

ADDRESS

Patterson House Inc.
110 Southbrook Court
Decatur, IL 62521

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)


FACILITY NAME

Shady Oaks East

FACILITY ADDRESS

16240 Parker Road
Lockport, IL 60441

DOCKET #

N/A

NAME OF OWNER
OR LICENSEE

John Satter, Registered Agent

ADDRESS

Lutheran Social Services of Illinois
1001 Touhy
Des Plaines, IL 60018

Decertification recommendation made on February 23, 1999.


FACILITY NAME

Sunny Acres Nursing Home

FACILITY ADDRESS

R.R. 3
Petersburg, IL 62675

DOCKET #

NH 99-S0030

NAME OF OWNER
OR LICENSEE

Dave Crosnoe, Board Chairman

ADDRESS

Menard County
Route 97, Sixth Street
Petersburg, IL 62675

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.


FACILITY NAME

Swann Special Care Center

FACILITY ADDRESS

109 Kenwood Road
Champaign, IL 61827

DOCKET #

NH 99-C0009

NAME OF OWNER
OR LICENSEE

CT Corporation, Registered Agent

ADDRESS

Hoosier Care Inc.
208 S. LaSalle St.
Chicago, IL 60604

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)


FACILITY NAME

Swann Special Care Center

FACILITY ADDRESS

109 Kenwood Road
Champaign, IL 61827

DOCKET #

N/A

NAME OF OWNER
OR LICENSEE

CT Corporation, Registered Agent

ADDRESS

Hoosier Care Inc.
208 S. LaSalle St.
Chicago, IL 60604

Decertification recommendation made on January 6, 1999.


FACILITY NAME

Uptown Shelter Care Home

FACILITY ADDRESS

4646 N. Beacon
Chicago, IL 60640

DOCKET #

NH 97-o0264

NAME OF OWNER
OR LICENSEE

Ghanshyam Parikh, Registered Agent

ADDRESS

GP Investors Inc.
455 Ridgefield Drive
Roselle, IL 60172

By consent agreement, violation affirmed, revocation withdrawn and fine assessment affirmed.


FACILITY NAME

Villas of Shannon

FACILITY ADDRESS

418 Southridge, Box 86
Shannon, IL 61078

DOCKET #

NH 99-S0059

NAME OF OWNER
OR LICENSEE

Ronald Scott Mangum, Registered Agent

ADDRESS

A & S Consulting and Management L.L.C.
35 E. Wacker Drive, Ste. 2130
Chicago, IL 60601

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)


FACILITY NAME

Woodside Extended Care

FACILITY ADDRESS

120 W. 26th St.
South Chicago Heights, IL 60411

DOCKET #

NH 98-C0283

NAME OF OWNER
OR LICENSEE

Lawrence Schwartz, Registered Agent

ADDRESS

MST Health Properties L.L.C.
7366 N. Lincoln, Suite 404
Lincolnwood, IL 60646

By consent agreement, violation reduced, conditional license withdrawn and fine assessment deleted.


FACILITY NAME

Zeigler Colonial Manor

FACILITY ADDRESS

300 Church St.
Zeigler, IL 62999

DOCKET #

NH 97-S0244 and NH 97-I0244

NAME OF OWNER

OR LICENSEE

Terra Potocki, Registered Agent

ADDRESS

Zeigler Colonial Manor Inc.
300 Church St.
Zeigler, IL 62999

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