QUARTERLY REPORT

OCTOBER - DECEMBER , 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: Arrise Group Home For Young Adults - Autism
FACILITY ADDRESS: 702 South Maple
Oak Park, Illinois 60304
DOCKET #: N/A
NAME OF OWNER OR LICENSEE: Arrise, Incorporated
ADDRESS: 205 West Wacker #701
Chicago, Illinois 60606
Decertification recommendation made on December 23, 1999.

FACILITY NAME: The A.R.C. of Jacksonville, Ltd.
FACILITY ADDRESS: 1316 Tendick, PO Box 3047
Jacksonville, Illinois 62650
DOCKET #: NH 99-C0467
NAME OF OWNER OR LICENSEE: A.R.C. of Jacksonville, Ltd.
ADDRESS: 465 Central Avenue, Suite 100
Northfield, Illinois 60093
On November 30, 1999, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $15,000. A hearing has been requested. (News Release, Statement of Viiolation)

FACILITY NAME: Argyle Lake Nursing Center
222 Hun Street
FACILITY ADDRESS: Colchester, Illinois 62326
DOCKET #: NH 99-o0427
NAME OF OWNER OR LICENSEE: Berkshire Healthcare of Colchester, Inc.
ADDRESS: 9933 Lawler Avenue, Suite 312
Skokie, Illinois 60076
On November 24, 1999, sent Notice of License Nonrenewal. No hearing was requested. Notice of License Nonrenewal was affirmed.

FACILITY NAME: Asta Care Center of Pontiac
FACILITY ADDRESS: 300 West Lowell
Pontiac, Illinois 61764
DOCKET #: NH 99-C0432
NAME OF OWNER OR LICENSEE: Asta Care Center of Pontiac, L.L.C.
ADDRESS: 980 North Michigan Avenue, Ste. 1665
Chicago, Illinois 60611
On October 26, 1999 sent, Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $10,000. A hearing was requested. By Consent Agreement, Violation Affirmed, Fine Assessment Reduced and Conditional License Withdrawn (News Release, Statement of Viiolation)

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 Retarded Citizens, Inc.
ADDRESS: 1913 Townline Road, PO Box 3418
Peoria, Illinois 61612
On October 14, 1999, sent Notice of Type “A” relating to the area of nursing and Notice of Fine Assessment of $10,000. A hearing has been requested.

FACILITY NAME: Bel-Wood Nursing Home
FACILITY ADDRESS: 6701 West Plank Road
Peoria, Illinois 61604
DOCKET #: NH 99-C0155
NAME OF OWNER OR LICENSEE: Peoria County Board
ADDRESS: Peoria County Courthouse, Room 403
Peoria, Illinois 61602
By Consent Agreement, Violation Amended, Fine Assessment Reduced and Conditional License Withdrawn.

FACILITY NAME: Beverly Farm Foundation
FACILITY ADDRESS: 6301 Humbert Road
Godfrey, Illinois 62035
DOCKET #: NH 99-C0478
Beverly Farm Foundation
ADDRESS: 227 West Monroe Street, Ste. 3400
Chicago, Illinois 60606
On December 27, 1999, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $10,000.

FACILITY NAME: Diamondview
FACILITY ADDRESS: 338 Country Club Road
Centralia, Illinois 62801
DOCKET #: NH 99-S0132
NAME OF OWNER OR LICENSEE: Penta Nascent Corporation
ADDRESS: 623 East Broadway
Centralia, Illinois 62801
By Consent Agreement, Violation Reduced, Fine Assessment Reduced and Conditional License Withdrawn.

FACILITY NAME: Fair Oaks Health Care Center - South Beloit
FACILITY ADDRESS: 1515 Blackhawk
South Beloit, Illinois 61080
DOCKET #: NH 99-C0448
NAME OF OWNER OR LICENSEE: Midwest Care Center II, Inc.
ADDRESS: 926 South 7th Street
Springfield, Illinois 62703
On November 5, 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 Viiolation)

FACILITY NAME: Heritage House of Charleston
FACILITY ADDRESS: 738 18th Street
Charleston, Illinois 61920
DOCKET #: NH 99-o0464
NAME OF OWNER OR LICENSEE: Robert K. Zabka
ADDRESS: 738 18th Street
Charleston, Illinois 61920
On December 10, 1999, sent Notice of Type “A” Violations relating to the area of nursing, Notice of License Revocation and Notice of Fine Assessment of $20,000. A hearing has been requested.

FACILITY NAME: Lakeside Boarding Home
FACILITY ADDRESS: 6330 North Sheridan Road
Chicago, Illinois 60660
DOCKET #: NH 99-o0388
NAME OF OWNER OR LICENSEE: GP Investors, Incorporated
ADDRESS: 455 Ridgefield Drive
Roselle, Illinois 60172
On November 16, 1999, sent Notice of Type “A” Violation relating to the area of resident protection, Notice of License Revocation, and Notice of Fine Assessment of $13,500. A hearing has been requested.

FACILITY NAME: Manorcare at Normal
FACILITY ADDRESS: 510 Broadway
Normal, Illinois 61761
DOCKET #: NH 99-S0446
NAME OF OWNER OR LICENSEE: Manorcare Health Services, Incorporated
ADDRESS: 208 South LaSalle Street
Chicago, Illinois 60604
On November 4, 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 Viiolation)

FACILITY NAME: Maple Crest Care Centre
FACILITY ADDRESS: 4452 Squaw Prairie Road
Belvidere, Illinois 61008
DOCKET #: NH 99-S0422
NAME OF OWNER OR LICENSEE: Maple Crest Care Centre, L.L.C.
ADDRESS: 35 West Wacker Drive
Chicago, Illinois 60601
On October 21, 1999, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $500. A hearing was requested. By Consent Agreement, Violation Affirmed, Fine Assessment Withdrawn, and Conditional License Rescinded.

FACILITY NAME: Mercy Health Care Rehab Center
FACILITY ADDRESS: 19000 Halsted Street
Homewood, Illinois 60430
DOCKET #: NH 99-C0426
NAME OF OWNER OR LICENSEE: Mercy Health Care Rehabilitation Center
ADDRESS: 19000 South Halsted Street
Homewood, Illinois 60430
On October 18, 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 Viiolation)

FACILITY NAME: Pittsfield Manor
FACILITY ADDRESS: 610 Lowry Street
Pittsfield, Illinois 62363
DOCKET #: NH 99-S0481
NAME OF OWNER OR LICENSEE: Illini Manors, Incorporated
ADDRESS: 115 East South Street
Galesburg, Illinois 61401
On December 9, 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, Final Order)

FACILITY NAME: P.A. Peterson Home for the 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
On October 8, 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.

FACILITY NAME: Robings Manor Nursing Home
FACILITY ADDRESS: 502 North Main
Brighton, Illinois 62012
DOCKET #: NH 99-S0444
NAME OF OWNER OR LICENSEE: Peterson Development Company, Ltd.
ADDRESS: 225 North Main Street
Morton, Illinois 61550
On November 4, 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 Viiolation)

FACILITY NAME: Springfield Healthcare Center
FACILITY ADDRESS: 2800 West Lawrence
Springfield, Illinois 62704
DOCKET #: NH 99-S0411
NAME OF OWNER OR LICENSEE: E H Acquisition Corporation
ADDRESS: 500 South Sixth Street
Springfield, Illinois 62701
On October 15, 1999, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $5,000. (News Release)

FACILITY NAME: Westabbe Healthcare Center
FACILITY ADDRESS: 2301 West Monroe
Springfield, Illinois 62704
DOCKET #: NH 99 -S0387
NAME OF OWNER OR LICENSEE: Senior Living Properties, L.L.C.
ADDRESS: 208 South LaSalle Street
Chicago, Illinois 60604
On October 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 Viiolation)

FACILITY NAME: Westlake Home
FACILITY ADDRESS: 2090 West Lake Drive
Carlyle, Illinois 62231
DOCKET #: NH 99-S0133
NAME OF OWNER OR LICENSEE: Residential Developers, Incorporated
ADDRESS: 303 South Mattis Avenue, Suite 201
Champaign, Illinois 61821
By Consent Agreement, Violation Reduced, Fine Assessment Reduced and Conditional License Rescinded.





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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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