ILLINOIS DEPARTMENT OF PUBLIC HEALTH

QUARTERLY REPORT

JULY - SEPTEMBER, 1999

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: Asta Care Center of Pontiac
FACILITY ADDRESS: 300 West Lowell
Pontiac, Illinois 61764
DOCKET #: NH 99-S0156
NAME OF OWNER OR LICENSEE: Asta Care Center of Pontiac, L.L.C.
ADDRESS: 980 North Michigan Avenue, Ste. 1665
Chicago, Illinois 60611
By Consent Agreement, Violation Affirmed, Fine Assessment Reduced and Conditional License Rescinded.

FACILITY NAME: Castlehaven Care Center
FACILITY ADDRESS: 225 Castellano Drive
Swansea, Illinois 62226
DOCKET #: NH 99-S0316
NAME OF OWNER OR LICENSEE: Castlehaven Care Center, Inc.
ADDRESS: 10 South Jackson Street, Ste. 400
Belleville, Illinois 62220
On July 29, 1999, sent Notice of Type "A" Violation relating to the area of nursing and Notice of Fine Assessment of $5,000. (News release, Statement of Violation)

FACILITY NAME: Castlehaven Care Center
FACILITY ADDRESS: 225 Castellano Drive
Swansea, Illinois 62226
DOCKET #: NH 99-S0338
NAME OF OWNER OR LICENSEE: Castlehaven Care Center, Inc.
ADDRESS: 10 South Jackson Street, Ste. 400
Belleville, Illinois 62220
On August 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: Columbia Convalescent Center
FACILITY ADDRESS: 253 Bradington Drive
Columbia, Illinois 62236
DOCKET #: NH 99-C0291
NAME OF OWNER OR LICENSEE: Columbia Care, Inc.
ADDRESS: 2620 West Boulevard
Belleville, Illinois 62221
On July 7, 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: Emerald Park Health Care Center
FACILITY ADDRESS: 9125 South Pulaski
Evergreen Park, Illinois 60805
DOCKET #: NH 99-C0359
NAME OF OWNER OR LICENSEE: Emerald Park Health Care Center, Inc.
ADDRESS: 465 Central Avenue, Ste. 1000
Northfield, Illinois 60093
On August 30, 1999, 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. (News release, Statement of Violation)

FACILITY NAME: Galesburg Terrace
FACILITY ADDRESS: 1145 Frank Street
Galesburg, Illinois 61401
DOCKET #: NH 99-S0283
NAME OF OWNER OR LICENSEE: Galesburg Terrace, Inc.
ADDRESS: 30 South Wacker Drive, 29th Floor
Chicago, Illinois 60606
On July 8, 1999, sent Notice of Type "B" Violations relating to the area of nursing and Notice of Fine Assessment of $3,000. A hearing has been requested.

FACILITY NAME: Glenwood Care Center
FACILITY ADDRESS: 222 North Hammes
Joliet, Illinois 60435
DOCKET #: NH 99-S0348
NAME OF OWNER OR LICENSEE: Fairfield of Joliet, Inc.
ADDRESS: 30 South Wacker Drive, 29th Floor
Chicago, Illinois 60606
On August 19, 1999, 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. (News release, Statement of Violation)

FACILITY NAME: Heartland Healthcare Center
FACILITY ADDRESS: 833 16th Avenue
Moline, Illinois 61265
DOCKET #: NH 99-S0381
NAME OF OWNER OR LICENSEE: Health Care and Retirement Corporation of America
ADDRESS: 208 South LaSalle Street
Chicago, Illinois 60604
On September 23, 1999, sent Notice of Repeat Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,332.

FACILITY NAME: Momence Meadows Nursing Center
FACILITY ADDRESS: 500 South Walnut
Momence, Illinois 60954
DOCKET #: NH 99-C0299
NAME OF OWNER OR LICENSEE: Momence Meadows Nursing Center, Inc.
ADDRESS: 9933 North Lawler #415
Skokie, Illinois 60077
On July 15, 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: Morton Terrace
FACILITY ADDRESS: 191 East Queenwood Road
Morton, Illinois 61550
DOCKET #: NH 99-S0284
NAME OF OWNER OR LICENSEE: Morton Terrace, Ltd.
ADDRESS: 30 South Wacker Drive, 29th Floor
Chicago, Illinois 60606
On July 7, 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: Pebblebrook Nursing & Rehab Centre
FACILITY ADDRESS: 700 Jenkisson Avenue
Lake Bluff, Illinois 60044
DOCKET #: NH 99-S0285
NAME OF OWNER OR LICENSEE: Pebble Brook Nursing and Rehabilitation Centre, L.L.C.
ADDRESS: 33 West Monroe Street, 21st Floor
Chicago, Illinois 60603
On July 16, 1999 sent Notice of Repeat Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $2,970. A hearing has been requested. Fine Assessment and Conditional License have been stayed pending result of hearing. An Imposed Plan of Correction is in place.

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
On September 3, 1999, sent Notice of Type "A" Violation relating tot he area of nursing and Notice of Fine Assessment of $5,000. A hearing has been requested. (News release, Statement of Violation)

FACILITY NAME: River Bluff Nursing Home
FACILITY ADDRESS: 4401 North Main Street
Rockford, Illinois 61103
DOCKET #: NH 99-C0317
NAME OF OWNER OR LICENSEE: Winnebago County
ADDRESS: 404 Elm Street
Rockford, Illinois 61101
On July 28, 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. Joseph Home of Chicago
FACILITY ADDRESS: 2650 North Ridgeway Avenue
Chicago, Illinois 60647
DOCKET #: NH 99-S0159
NAME OF OWNER OR LICENSEE: St. Joseph Home of Chicago, Inc.
ADDRESS: 2650 North Ridgeway Avenue
Chicago, Illinois 60647
Correction: On previous Quarterly, Martin Bukacek was listed as registered agent in error.

FACILITY NAME: Uptown Sheltered Care Home
FACILITY ADDRESS: 4646 North Beacon
Chicago, Illinois 60640
DOCKET #: NH 99-S0268 & NH 99-S0278
NAME OF OWNER OR LICENSEE: GP Investors, Inc.
ADDRESS: 455 Ridgefield Drive
Roselle, Illinois 60172
On July 8, 1999, sent Notice of Repeat Type "B" Violations relating to the areas of environmental safety and nursing and Notice of Fine Assessment of $14,449. A hearing has been requested.

FACILITY NAME: Westabbe Healthcare Center
FACILITY ADDRESS: 2301 West Monroe
Springfield, Illinois 62704
DOCKET #: NH 99-C0271
NAME OF OWNER OR LICENSEE: CT Corporation System
ADDRESS: Senior Living Properties, L.L.C.
208 South LaSalle Street
Chicago, Illinois 60604
On July 2, 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)

FACILITY NAME: Wheaton Care Center
FACILITY ADDRESS: 1325 Manchester Road
Wheaton, Illinois 60187
DOCKET #: NH 99 -S0352
NAME OF OWNER OR LICENSEE: Eric Rothner Limited Partnership
ADDRESS: 5940 West Touhy Avenue, Ste. 350
Niles, IL 60714
On August 20, 1999, sent Notice of Type "A" Violation relating to the area of nursing and Notice of Fine Assessment of $10,000. (News Release, Statement of Violation)




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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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