| 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: | The Abbey of Carbondale-Little Willow |
| FACILITY ADDRESS: | 120 North Tower Road Carbondale, Illinois 62901 |
| DOCKET #: | NH 01-o0309, NH 01-S0097 |
| NAME OF OWNER OR LICENSEE: |
Willow of Carbondale, Inc. |
| ADDRESS: | 30 South Wacker Drive, 29th Floor Chicago, Illinois 60606 |
| By Final Order, Violation Affirmed, Fine Assessment Affirmed, Conditional License Withdrawn, and Revocation Action Suspended. | |
| FACILITY NAME: | Anna Henry Nursing & Rehab Center |
| FACILITY ADDRESS: | 367 Hillsboro Road Edwardsville, Illinois 62025 |
| DOCKET #: | NH 02-C0082 |
| NAME OF OWNER OR LICENSEE: |
Anna Henry Nursing and Rehabilitation Center, L.L.C. |
| ADDRESS: | 7366 North Lincoln, Suite 404 Lincolnwood, Illinois 60646 |
| On April 12, 2002, 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. | |
| FACILITY NAME: | Burnside Nursing Home |
| FACILITY ADDRESS: | 410 North Second Street Marshall, Illinois 62441 |
| DOCKET #: | NH 00-C0333 |
| NAME OF OWNER OR LICENSEE: |
Burnsides Nursing Home, A Non-Profic Corp. |
| ADDRESS: | 410 North Second Street Marshall, Illinois 61824 |
| By Final Order, Violation Affirmed, Fine Assessment Affirmed and Conditional License Affirmed. | |
| 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 |
| By Final Order, Violation Amended, Fine Assessment Amended and Conditional License Withdrawn. | |
| FACILITY NAME: | Cottonwood Health Care Center |
| FACILITY ADDRESS: | 820 East Fifth Street, PO Box 950 Galesburg, Illinois 61401 |
| DOCKET #: | NH 02-S0090 |
| NAME OF OWNER OR LICENSEE: |
Senior Living Properties, L.L.C. |
| ADDRESS: | 208 South LaSalle Street Chicago, Illinois 60604 |
| On April 22, 2002, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $10,000. | |
| FACILITY NAME: | D’Adrian Convalescent Center |
| FACILITY ADDRESS: | 1373 D’Adrian Professional Park Godfrey, Illinois 62035 |
| DOCKET #: | NH 02-S0036 |
| NAME OF OWNER OR LICENSEE: |
D’Adrian Convalescent Center, Inc. |
| ADDRESS: | 2653 W. Lawrence Avenue, Ste. B Springfield, Illinois 62704 |
| By Final Order, Violation Reduced, Fine Assessment Reduced and Conditional License Withdrawn. | |
| FACILITY NAME: | DuPage Convalescent Center |
| FACILITY ADDRESS: | 400 N. County Farm Road, Po Box 708 Wheaton, Illinois 60187 |
| DOCKET #: | NH 00-S0090 |
| NAME OF OWNER OR LICENSEE: |
DuPage County Board of Supervisors |
| ADDRESS: | 421 County Farm Road Wheaton, Illinois 60187 |
| By Final Order, Violation Dismissed, Fine Assessment Dismissed and Conditional License Dismissed. | |
| FACILITY NAME: | Ellner Terrace |
| FACILITY ADDRESS: | Market & Columbia Streets Evansville, Illinois 62242 |
| DOCKET #: | NH 02-C0096 |
| NAME OF OWNER OR LICENSEE: |
Residential Centers, Inc. |
| ADDRESS: | 2205 Broadway Mt. Vernon, Illinois 62864 |
| On April 25, 2002, sent Notice of Type “A” Violation relating to the area of policy and procedures and Notice of Fine Assessment of $10,000. A hearing has been requested. | |
| FACILITY NAME: | Good Samaritan Care Center |
| FACILITY ADDRESS: | 2299 Metropolis Street Metropolis, Illinois 62960 |
| DOCKET #: | NH 02-C0089 |
| NAME OF OWNER OR LICENSEE: |
American Lutheran Welfare Society |
| ADDRESS: | 2299 Metropolis Street Metropolis, Illinois 62960 |
| On April 23, 2002, 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: | Good Samaritan Care Center |
| FACILITY ADDRESS: | 2299 Metropolis Street Metropolis, Illinois 62960 |
| DOCKET #: | NH 02-C0089 |
| NAME OF OWNER OR LICENSEE: |
American Lutheran Welfare Society |
| ADDRESS: | 2299 Metropolis Street Metropolis, Illinois 62960 |
| By Final Order, Violation Affirmed, Fine Assessment Reduced, and Conditional License Withdrawn. | |
| FACILITY NAME: | Harris Place |
| FACILITY ADDRESS: | 209 Harris Road East Peoria, Illinois 61611 |
| DOCKET #: | NH 02-S0113 |
| NAME OF OWNER OR LICENSEE: |
Progressive House, Inc. |
| ADDRESS: | 2205 Broadway Mt. Vernon, Illinois 62864 |
| On May 22, 2002, 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: | Illinois Masonic Home |
| FACILITY ADDRESS: | One Masonic Way Sullivan, Illinois 61951 |
| DOCKET #: | NH 01-S0236 |
| NAME OF OWNER OR LICENSEE: |
Illinois Masonic Home |
| ADDRESS: | 2866 Via Verde Springfield, Illinois 62703 |
| By Final Order, Violation Amended, Fine Assessment Reduced and Conditional License Withdrawn. | |
| FACILITY NAME: | Meadowbrook Manor - Naperville |
| FACILITY ADDRESS: | 720 Raymond Drive Naperville, Illinois 60563 |
| DOCKET #: | NH 02-C0087 |
| NAME OF OWNER OR LICENSEE: |
Butterfield Health Care II, Inc. |
| ADDRESS: | 4N645 School Road St. Charles, Illinois 60175 |
| On April 23, 2002, sent Notice of Type “A” Violation relating to the area of policy and procedures and Notice of Fine Assessment of $10,000. A hearing has been requested. | |
| FACILITY NAME: | Mercy Health Care Rehab Center |
| FACILITY ADDRESS: | 19000 Halsted Street Homewood, Illinois 60430 |
| DOCKET #: | NH 02-C0112 |
| NAME OF OWNER OR LICENSEE: |
Mercy Nursing & Rehab Center, L.L.C. |
| ADDRESS: | 30 South Wacker Drive, 29th Floor Chicago, Illinois 60606 |
| On May 22, 2002, 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: | Methodist Home |
| FACILITY ADDRESS: | 1415 West Foster Avenue Chicago, Illinois 60640 |
| DOCKET #: | NH 02-C0081 |
| NAME OF OWNER OR LICENSEE: |
The Methodist Home |
| ADDRESS: | 1415 Foster Avenue Chicago, Illinois 60640 |
| On April 11, 2002, 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: | Peachtree Estates |
| FACILITY ADDRESS: | 1370 State Route 127 South Jonesboro, Illinois 62952 |
| DOCKET #: | NH 02-C0119 |
| NAME OF OWNER OR LICENSEE: |
R.A.V.E. Residential Services, Inc. |
| ADDRESS: | 623 East Broadway Centralia, Illinois 62801 |
| On June 5, 2002, sent Notice of Type “A” Violation relating to the area of policy and procedures and Notice of Fine Assessment of $10,000. A hearing has been requested. | |
| FACILITY NAME: | Pebblebrook Nursing & Rehab Centre |
| FACILITY ADDRESS: | 700 Jenkisson Avenue Lake Bluff, Illinois 60044 |
| DOCKET #: | NH 99-S0110 & NH 99-S0285 |
| NAME OF OWNER OR LICENSEE: |
Pebble Brook Nursing and Rehabilitation Centre, L.L.C. |
| ADRESS: | 277 West Monroe Street, Ste. 3400 Chicago, Illinois 60606 |
| By Final Order, Violation Reduced, Fine Assessment Withdrawn and Conditional License Withdrawn. | |
| FACILITY NAME: | Riverview Terrace |
| FACILITY ADDRESS: | 201 Spring Street Rosiclare, Illinois 62982 |
| DOCKET #: | N/A |
| NAME OF OWNER OR LICENSEE: |
Son Kist, Inc. |
| ADDRESS: | R R #1, Box 276 E Elizabethtown, Illinois 62931 |
| Decertification recommendation made on May 30, 2002. | |
| FACILITY NAME: | Roosevelt Square - Murphysboro |
| FACILITY ADDRESS: | 1501 Shomaker Drive Murphysboro, Illinois 62966-3332 |
| DOCKET #: | NH 01-S0340 |
| NAME OF OWNER OR LICENSEE: |
Res-Care Illinois, Inc. |
| ADDRESS: | 208 South LaSalle Street Chicago, Illinois 60604 |
| By Final Order, Violation Amended, Fine Assessment Reduced and Conditional License Withdrawn. | |
| FACILITY NAME: | Royal Heights Nursing & Rehab Ctr. |
| FACILITY ADDRESS: | 900 Royal Heights Road Belleville, Illinois 62226 |
| DOCKET #: | NH 01-S0083 |
| NAME OF OWNER OR LICENSEE: |
Royal Heights Nursing & Rehabilitation Center, L.L.C. |
| ADDRESS: | 7366 North Lincoln, Suite 404 Lincolnwood, IL 60646 |
| By Final Order, Violation Reduced, Fine Assessment Reduced and Conditional License Withdrawn. | |
| FACILITY NAME: | Villas of Shannon |
| FACILITY ADDRESS: | 418 Southridge, Box 86 Shannon, Illinois 61078 |
| DOCKET #: | NH 02-S0097 |
| NAME OF OWNER OR LICENSEE: |
A & S Consulting and Management, L.L.C. |
| ADDRESS: | 35 East Wacker Drive, Ste. 2130 Chicago, Illinois 60601 |
| On April 25, 2002, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $10,000. | |
| FACILITY NAME: | Villas of Shannon |
| FACILITY ADDRESS: | 418 Southridge, Box 86 Shannon, Illinois 61078 |
| DOCKET #: | NH 02-C0098 |
| NAME OF OWNER OR LICENSEE: |
A & S Consulting and Management, L.L.C. |
| ADDRESS: | 35 East Wacker Drive, Ste. 2130 Chicago, Illinois 60601 |
| On April 23, 2002, 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: | Washington Heights Nursing Home |
| FACILITY ADDRESS: | 1010 West 95th Street Chicago, Illinois 60643 |
| DOCKET #: | NH 02-S0095 |
| NAME OF OWNER OR LICENSEE: |
Washington Heights Care Center, L.L.C. |
| ADDRESS: | 5940 West Touhy Avenue, Suite 350 Niles, Illinois 60714 |
| On April 23, 2002, 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: | Woodbridge Nursing Pavilion |
| FACILITY ADDRESS: | 2242 North Kedzie Chicago, Illinois 60647 |
| DOCKET #: | NH 01-S0395 |
| NAME OF OWNER OR LICENSEE: |
Woodbridge Nursing Pavilion, Ltd. |
| ADDRESS: | 30 South Wacker, Ste. 2900 Chicago, Illinois 60606 |
| By Final Order, Violation Amended, Fine Assessment Reduced and Conditional License Withdrawn. | |
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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 |