| 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: | Beverly Farm Foundation |
| FACILITY ADDRESS: | 6301 Humbert Road Godfrey, Illinois 62035 |
| DOCKET #: | NH 02-C0175 |
| NAME OF OWNER OR LICENSEE: |
Beverly Farm Foundation |
| ADDRESS: | 227 West Monroe Street, Ste. 3400 Chicago, Illinois 60606 |
| On August 28, 2002, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $20,000. A hearing has been requested. | |
| FACILITY NAME: | Brooke Hill |
| FACILITY ADDRESS: | Rural Route #3, Upchurch Street Eldorado, Illinois 62930 |
| DOCKET #: | NH 02-S0160 |
| NAME OF OWNER OR LICENSEE: |
David M. Roberts |
| ADDRESS: | 137 South Drive Mt. Carmel, Illinois 62863 |
| On August 12, 2002, sent Notice of Type “A” Violation relating to the area of policies and procedures, and Notice of Fine Assessment of $10,000. | |
| FACILITY NAME: | Briar Place |
| FACILITY ADDRESS: | 6800 West Joliet Indian Head Park, Illinois 60525 |
| DOCKET #: | NH 00-S0348 |
| NAME OF OWNER OR LICENSEE: |
Briar Place, Ltd. |
| ADDRESS: | 5940 West Touhy, Ste. 350 Niles, Illinois 60648 |
| By Consent Agreement, Violation Amended, Fine Assessment Reduced and Conditional License Withdrawn. | |
| FACILITY NAME: | Chateau Center |
| FACILITY ADDRESS: | 7050 Madison Street Willowbrook, Illinois 60521 |
| DOCKET #: | NH 02-o0162 |
| NAME OF OWNER OR LICENSEE: |
Chateau Village Health Resources, Inc. |
| ADDRESS: | 208 South LaSalle Street Chicago, Illinois 60604 |
| On August 28, 2002, sent Notice of License Revocation. A hearing has been requested. | |
| FACILITY NAME: | Colonial Manor |
| FACILITY ADDRESS: | 300 Church Street Zeigler, Illinois 62999 |
| DOCKET #: | NH 02-C0181 |
| NAME OF OWNER OR LICENSEE: |
Colonial Manor, Inc. |
| ADDRESS: | 2001 West Main Street, Ste. 1570 Carbondale, Illinois 62901 |
| On September 17, 2002, sent Notice of Type “A” Violation relating to the area of policies and procedures and Notice of Fine Assessment of $20,000. A hearing has been requested. | |
| FACILITY NAME: | Country Health |
| FACILITY ADDRESS: | 2304 C R 3000 N. Gifford, Illinois 61847 |
| DOCKET #: | NH 02-C0139 |
| NAME OF OWNER OR LICENSEE: |
Country Health, Inc. |
| ADDRESS: | R R #1 Gifford, Illinois 61847 |
| On July 17, 2002, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $20,000. A hearing has been requested. | |
| FACILITY NAME: | D’Adrian Convalescent Center |
| FACILITY ADDRESS: | 1313 D’Adrian Professional Park Godfrey, Illinois 62035 |
| DOCKET #: | NH 02-C0166 |
| NAME OF OWNER OR LICENSEE: |
D’Adrian Convalescent Center, Inc. |
| ADDRESS: | 2653 West Lawrence Ave., Ste. B Springfield, Illinois 62704 |
| On August 14, 2002, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $10,000. | |
| FACILITY NAME: | East Peoria Gardens Healthcare Center |
| FACILITY ADDRESS: | 1910 Springfield Road East Peoria, Illinois 62301 |
| DOCKET #: | NH 02-C0038 |
| NAME OF OWNER OR LICENSEE: |
Peoria Gardens Healthcare Center, L.L.C. |
| ADDRESS: | 30 South Wacker Drive, 29th Floor Chicago, Illinois 60606 |
| By Final Order, Violation Affirmed, Fine Assessment Withdrawn reflecting fine assessed by CMS and Conditional License Withdrawn. | |
| 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 |
| By Final Order, Violation Affirmed, Fine Assessment Reduced and Conditional License Withdrawn. | |
| FACILITY NAME: | Eunice C. Smith Nursing Home |
| FACILITY ADDRESS: | 1251 College Avenue Alton, Illinois 62002 |
| DOCKET #: | NH 02-S0064 |
| NAME OF OWNER OR LICENSEE: |
Alton Memorial Hospital |
| ADDRESS: | Memorial Drive Alton, Illinois 62002 |
| By Final Order, Violation Reduced, Fine Assessment Reduced, and Conditional License Withdrawn. | |
| FACILITY NAME: | Good Samaritan Care Center |
| FACILITY ADDRESS: | 2299 Metropolis Street Metropolis, Illinois 62960 |
| DOCKET #: | NH 02-C0179 |
| NAME OF OWNER OR LICENSEE: |
American Lutheran Welfare Society |
| ADDRESS: | 2299 Metropolis Street Metropolis, Illinois 62960 |
| On August 29, 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: | Halsted Terrace Nursing Center |
| FACILITY ADDRESS: | 10935 South Holland Street Chicago, Illinois 60628 |
| DOCKET #: | NH 00-C0419 |
| NAME OF OWNER OR LICENSEE: |
Halsted Terrace Nursing Center, Inc. |
| ADDRESS: | 6633 North Lincoln Lincolnwood, Illinois 60645 |
| By Consent Agreement, Violation Affirmed, Fine Assessment Reduced and Conditional License Withdrawn. | |
| FACILITY NAME: | Heartland Hlth Cr Ctr - Galesburg |
| FACILITY ADDRESS: | 280 East Losey Street Galesburg, Illinois 61401 |
| DOCKET #: | NH 02-S0182 |
| NAME OF OWNER OR LICENSEE: |
Health Care and Retirement Corporation of America |
| ADDRESS: | 208 South LaSalle Street Chicago, Illinois 60604 |
| On September 16, 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: | Hickory Nursing Pavilion |
| FACILITY ADDRESS: | 9246 South Roberts Road Hickory Hills, Illinois 60457 |
| DOCKET #: | NH 02-S0151 |
| NAME OF OWNER OR LICENSEE: |
Hickory Nursing Pavilion, Inc. |
| ADDRESS: | 30 South Wacker Drive, Ste. 2900 Chicago, Illinois 60606 |
| On July 25, 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 Veterans Home at Manteno |
| FACILITY ADDRESS: | One Veterans Drive Manteno, Illinois 60950 |
| DOCKET #: | NH 02-S0260 |
| NAME OF OWNER OR LICENSEE: |
Illinois Veteran’s Home |
| ADDRESS: | One Veteran’s Drive Manteno, Illinois 60950 |
| By Consent Agreement, Violation Reduced, Fine Assessment Reduced and Conditional License Withdrawn. | |
| FACILITY NAME: | Jeffersonian Care Center |
| FACILITY ADDRESS: | 1700 White Street Mt. Vernon, Illinois 62864 |
| DOCKET #: | NH 01-S0295 |
| NAME OF OWNER OR LICENSEE: |
Caravilla Resident Centers, Inc. |
| ADDRESS: | 2205 Broadway Mt. Vernon, Illinois 62864 |
| By Final Order, Violation Amended, Fine Assessment Reduced and Conditional License Withdrawn. | |
| FACILITY NAME: | Lincoln Developmental Center |
| FACILITY ADDRESS: | 861 South State Street Lincoln, Illinois 62656 |
| DOCKET #: | N/A |
| NAME OF OWNER OR LICENSEE: |
N/A |
| ADDRESS: | |
| Recommended for termination effective November 21, 2002. | |
| FACILITY NAME: | Locustwood Health Care Center |
| FACILITY ADDRESS: | 3520 School Street Rockford, Illinois 61103 |
| DOCKET #: | NH 02-C0154 |
| NAME OF OWNER OR LICENSEE: |
Senior Living Properties, L.L.C. |
| ADRESS: | 208 South LaSalle Street Chicago, Illinois 60604 |
| On August 2, 2002, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $10,000. | |
| FACILITY NAME: | Morton Terrace Care Center |
| FACILITY ADDRESS: | 191 East Queenwood Road Morton, Illinois 61550 |
| DOCKET #: | NH 02-S0178 |
| NAME OF OWNER OR LICENSEE: |
Morton Terrace Care Center, L.L.C. |
| ADDRESS: | 30 South Wacker Drive, 29th Floor Chicago, Illinois 60606 |
| On August 29, 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: | Riverview Terrace |
| FACILITY ADDRESS: | 201 Spring Street Rosiclare, Illinois 62982 |
| DOCKET #: | NH 01-S0334 |
| NAME OF OWNER OR LICENSEE: |
Son Kist, Inc. |
| ADDRESS: | R R #1, Box 276E Elizabethtown, Illinois 62931 |
| By Final Order, Violation Affirmed, 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 02-C0159 |
| NAME OF OWNER OR LICENSEE: |
Royal Heights Nursing & Rehabilitation Center, L.L.C. |
| ADDRESS: | 7366 North Lincoln, Suite 404 Lincolnwood, IL 60646 |
| On August 12, 2002, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $5,000. | |
| FACILITY NAME: | St. Paul’s House & Hlth Cr Ctr |
| FACILITY ADDRESS: | 3800 North California Avenue Chicago, Illinois 60618 |
| DOCKET #: | NH 02-S0186 |
| NAME OF OWNER OR LICENSEE: |
St. Paul’s House |
| ADDRESS: | 3831 North Mozart Street Chicago, Illinois 60618 |
| On September 19, 2002, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $5,000. | |
| FACILITY NAME: | Virgil Calvert Nursing and Rehab Ctr |
| FACILITY ADDRESS: | 5050 Summit Avenue East St. Louis, Illinois 62205 |
| DOCKET #: | NH 02-C0150 |
| NAME OF OWNER OR LICENSEE: |
Virgil Calvert Nursing & Rehabilitation Center, Inc. |
| ADDRESS: | 30 South Wacker Drive, Ste. 2900 Chicago, Illinois 60606 |
| On July 25, 2002, sent Notice of Type “A” Violation relating to the areas of physical plant and sanitation and Notice of Fine Assessment of $5,000. A hearing has been requested. | |
| FACILITY NAME: | Westabbe Healthcare Center |
| FACILITY ADDRESS: | 2301 West Monroe Street Springfield, Illinois 62704 |
| DOCKET #: | NH 98-C0067 |
| NAME OF OWNER OR LICENSEE: |
Senior Living Properties, L.L.C. |
| ADDRESS: | 208 South LaSalle Street Chicago, Illinois 60604 |
| By Final Order, Violation Affirmed, Fine Assessment Withdrawn 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 |