QUARTERLY REPORT

FACILITY NAME

Alden-Long Grove Rehab and Health Care Center

FACILITY ADDRESS

Box 2308, RFD Hicks Road
Long Grove, IL 60047

DOCKET #

NH 99-C0200

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 May 20, 1999, sent notice of type “A” violation relating to the area of nursing and physical plant maintenance and notice of fine assessment of $10,000. A hearing has been requested. (News release, Statement of Violation)

FACILITY NAME

Asta Care Center of Pontiac

FACILITY ADDRESS

300 W. Lowell
Pontiac, IL 61764

DOCKET #

NH 99-S0156

NAME OF OWNER
OR LICENSEE

Seth Gillman, Registered Agent

ADDRESS

Asta Care Center of Pontiac, L.L.C.
980 N. Michigan Ave., Ste. 1665
Chicago, IL 60611

On April 20, 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

Bel-Wood Nursing Home

FACILITY ADDRESS

6701 W. Plank Road
Peoria, IL 61604

DOCKET #

NH 99-C0155

NAME OF OWNER
OR LICENSEE

Gary Stella, Registered Agent

ADDRESS:

Peoria County Board
Peoria County Courthouse, Room 403
Peoria, IL 61602

On April 20, 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

Brentwood North Nursing and Rehabilitation Center

FACILITY ADDRESS

3705 Deerfield Road
Riverwoods, IL 60015

DOCKET #

NH 99-S0259

NAME OF OWNER
OR LICENSEE

Jerome Aniolowski, Registered Agent

ADDRESS

Brentwood North Nursing and Rehabilitation Center Inc.
3705 Deerfield Road
Riverwoods, IL 60015

On June 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

Cedar Ridge Health Care 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

By consent agreement, violation reduced, conditional license withdrawn and fine assessment paid.

FACILITY NAME

City Care Center of Cobden

FACILITY ADDRESS

430 S. Front St.
Cobden, IL 62920

DOCKET #

NH 99-S0321

NAME OF OWNER
OR LICENSEE

Abraham J. Stern, Registered Agent

ADDRESS

Willow of Cobden Inc.
30 S. Wacker Drive, 29th Floor
Chicago, IL 60606

By consent agreement, violation amended, conditional license withdrawn and fine assessment reduced reflecting fine assessed by HCFA.

FACILITY NAME

Colonial Manor Healthcare

FACILITY ADDRESS

339 S. Ninth Ave.
LaGrange, IL 60525

DOCKET #

NH 97-S0173

NAME OF OWNER
OR LICENSEE

CT Corporation System, Registered Agent

ADDRESS

Sunrise Healthcare Corporation
208 S. LaSalle St.
Chicago, IL 60604

By consent agreement, violation amended, conditional license withdrawn and fine assessment reduced.

FACILITY NAME

Deerbrook Care Centre

FACILITY ADDRESS:

306 N. Larkin Ave.
Joliet, IL 60435

DOCKET #

NH 98-C0047

NAME OF OWNER
OR LICENSEE

Albert Milstein, Registered Agent

ADDRESS

Deerbrook Care Centre
35 W. Wacker Drive
Chicago, IL 60601

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

FACILITY NAME

Diamondview

FACILITY ADDRESS

338 Country Club Road
Centralia, IL 62801

DOCKET #

NH 99-S0132

NAME OF OWNER
OR LICENSEE

William P. Crain, Registered Agent

ADDRESS

Penta Nascent, Corp.
623 E. Broadway
Centralia, IL 62801

On April 6, 1999, sent notice of type “A” violation relating to the area of client protection and notice of fine assessment of $10,000. A hearing has been requested. (News Release, Statement of Violation)

FACILITY NAME

Elmwood Nursing and Rehab Center

FACILITY ADDRESS

152 Wilma
Maryville, IL 62062

DOCKET #

NH 99-S0158

NAME OF OWNER
OR LICENSEE

Lawrence Schwartz, Registered Agent

ADDRESS

Elmwood Nursing and Rehabilitation Center L.L.C.
7366 N. Lincoln, #404
Lincolnwood, IL 60646

On April 22, 1999, sent notice of type “repeat B” violation relating to the area of nursing and notice of fine assessment of $5,005. A hearing has been requested.

FACILITY NAME

Fairview Haven

FACILITY ADDRESS

605-609 N. Fourth St.
Fairbury, IL 61739

DOCKET #

NH 99-S0199

NAME OF OWNER
OR LICENSEE

Thomas Brucker, Registered Agent

ADDRESS

Fairview Haven
110 ½ Locust St., P.O. Box 8
Fairbury, IL 61739

On May 13, 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

Glen Bridge Nursing and Rehab Centre

FACILITY ADDRESS

8333 W. Golf Road
Niles, IL 60714

DOCKET #

NH 98-C0341

NAME OF OWNER

OR LICENSEE

Abraham J. Stern, Registered Agent

ADDRESS

Glenbridge Nursing and Rehabilitation Centre Ltd.
30 S. Wacker Drive, Ste. 2900
Chicago, IL 60606

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

FACILITY NAME

Good Samaritan Healthcare Center

FACILITY ADDRESS

1910 Springfield Road
East Peoria, IL 61611

DOCKET #

NH 98-C0132 and NH 98-C0219

NAME OF OWNER
OR LICENSEE

United States Corporation Co., Registered Agent

ADDRESS

National Heritage Realty Inc.
33 N. LaSalle St.
Chicago, IL 60602

By consent agreement, violations amended, conditional license withdrawn and fine assessment withdrawn reflecting fine assessed by HCFA.

FACILITY NAME

Little Angels Nursing Home

FACILITY ADDRESS

1435 Summit St.
Elgin, IL 60120

DOCKET #

NH 99-S0263

NAME OF OWNER
OR LICENSEE

Bradley Freeman, Registered Agent

ADDRESS

Little Angels Nursing Home Inc.
1250 Larkin Ave.
Elgin, IL 60123

On June 30, 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

Maplewood Health Care Center

FACILITY ADDRESS

310 Banbury Road
North Aurora, IL 60542

DOCKET #

NH 98-S0182

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 amended, conditional license withdrawn and fine assessment withdrawn

FACILITY NAME

Roosevelt Square

FACILITY ADDRESS

1501 Shomaker Drive
Murphysboro, IL 62966

DOCKET #

NH 99-S0148

NAME OF OWNER
OR LICENSEE

CT Corporation System, Registered Agent

ADDRESS

Res-Care Illinois Inc.
208 S. LaSalle St.
Chicago, IL 60604

On April 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

St. Anne Center

FACILITY ADDRESS

4405 Highcrest Road
Rockford, IL 61107

DOCKET #

NH 97 -S0115

NAME OF OWNER
OR LICENSEE

Dennis Norden, Registered Agent

ADDRESS

200 E. Court St., Ste. 502
Kankakee, IL 60901

By final order, violation dismissed.

FACILITY NAME

St. Joseph Home of Chicago

FACILITY ADDRESS

12650 N. Ridgeway Ave.
Chicago, IL 60647

DOCKET #

NH 99-S0159

NAME OF OWNER
OR LICENSEE

Martin Bukacek, Registered Agent

ADDRESS

St. Joseph Home of Chicago Inc.
2650 N. Ridgeway Ave.
Chicago, IL 60647

On April 26, 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

Sharon Health Care Willows

FACILITY ADDRESS

3520 N. Rochelle
Peoria, IL 61604

DOCKET #

NH 97-S0249

NAME OF OWNER
OR LICENSEE

Gary A. Weintraub, Registered Agent

ADDRESS

Sharon Health Care Willows Inc.
465 Central Ave., Ste. 100
Northfield, IL 60093

By final order, violation overruled.

FACILITY NAME

Uptown Shelter Care Home

FACILITY ADDRESS

4646 N. Beacon
Chicago, IL 60640

DOCKET #

NH 99-S0149

NAME OF OWNER
OR LICENSEE

Gary Parikh, Registered Agent

ADDRESS

GP Investors Inc.
455 Ridgefield Drive
Roselle, IL 60172

On April 16, 1999, sent notice of type “repeat B” violation relating to the area of nursing and notice of fine assessment of $3,284. A hearing has been requested.

FACILITY NAME

Westlake Home

FACILITY ADDRESS

2090 W. Lake Drive
Carlyle, IL 62231

DOCKET #

NH 99-S0133

NAME OF OWNER
OR LICENSEE

Robert Dodd, Registered Agent

ADDRESS

Residential Developers Inc.
303 S. Mattis Ave., Ste. 201
Champaign, IL 61821

On April 6, 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

Westside Care Center

FACILITY ADDRESS

601 N. Columbia
West Frankfort, IL 62896

DOCKET #

NH 98-S0414

NAME OF OWNER

OR LICENSEE

Charlene Wallace, Registered Agent

ADDRESS

Westside Care Center Inc.
601 N. Columbia
West Frankfort, IL 62896

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