| 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: | Alden Park Strathmoor |
| FACILITY ADDRESS: | 5668 Strathmoor Drive |
| Rockford, Illinois 61107 | |
| DOCKET #: | NH 04-S0174 |
| NAME OF OWNER | |
| OR LICENSEE: | Alden-Park Strathmoor, Inc. |
| ADDRESS: | 4200 West Peterson Avenue, Ste. 140 |
| Chicago, Illinois 60646 | |
| On September 13, 2004 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: | Alden Village Health Facility |
| FACILITY ADDRESS: | 267 East Lake Street |
| Bloomingdale, Illinois 60108 | |
| DOCKET #: | NH 04-C0126 |
| NAME OF OWNER | |
| OR LICENSEE: | Alden Village Health Facility For Chld. & Yng. Adlt. |
| ADDRESS: | 4200 W. Peterson Ave., Ste. 140 |
| Chicago, Illinois 60646 | |
| On July 20, 2004, sent Notice of Type “A” Violation relating to the area of policy and procedures and Notice of Fine Assessment of $50,000. A hearing has been requested. | |
| FACILITY NAME: | All American Nursing Home |
| FACILITY ADDRESS: | 5448 North Broadway Street |
| Chicago, Illinois 60640 | |
| DOCKET #: | NH 04-S0161 |
| NAME OF OWNER | |
| OR LICENSEE: | Zikainim, Inc. |
| ADDRESS: | 30 S. Wacker Drive, Suite 2900 |
| Chicago, Illinois 60640 | |
| On September 1, 2004, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $5000. A hearing has been requested. | |
| FACILITY NAME: | Arlington Rehab & Living Center |
| FACILITY ADDRESS: | 1666 Checker Road |
| Long Grove, Illinois 60047 | |
| DOCKET #: | NH 04-C0137 |
| NAME OF OWNER | |
| OR LICENSEE: | Long Grove Manor, Inc. |
| ADDRESS: | 35 West Wacker Drive |
| Chicago, Illinois 60601 | |
| On August 9, 2004, 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: | Asta Care Center of Bloomington |
| FACILITY ADDRESS: | 1509 North Calhoun Street |
| Bloomington, Illinois 61701 | |
| DOCKET #: | NH 04-C0163 |
| NAME OF OWNER | |
| OR LICENSEE: | Asta Care Center of Bloomington, L.L.C. |
| ADDRESS: | 134 McLean Boulevard |
| Elgin, Illinois 60123 | |
| On September 1, 2004, 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: | Bement Health Care Center |
| FACILITY ADDRESS: | 601 North Morgan |
| Bement, Illinois 61813 | |
| DOCKET #: | NH 04-S0025 |
| NAME OF OWNER | |
| OR LICENSEE: | Petersen Health Care, Inc. |
| ADDRESS: | 225 North Main Street |
| Morton, Illinois 61550 | |
| By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Burnham Healthcare |
| FACILITY ADDRESS: | 14500 South Manistee |
| Burnham, Illinois 60633 | |
| DOCKET #: | NH 04-S0135 |
| NAME OF OWNER | |
| OR LICENSEE: | Burnham Healthcare Properties, L.L.C. |
| ADDRESS: | 7366 North Lincoln, Suite 404 |
| Lincolnwood, Illinois 60646 | |
| On August 4, 2004, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $5000. A hearing has been requested. | |
| FACILITY NAME: | Cardinal Hill Healthcare |
| FACILITY ADDRESS: | South Fourth Street |
| Greenville, Illinois 62246 | |
| DOCKET #: | NH 04-S0146 |
| NAME OF OWNER | |
| OR LICENSEE: | Bridgemark of Greenville, L.L.C. |
| ADDRESS: | 600 South 2 nd Street |
| Springfield, Illinois 62704 | |
| On August 9, 2004, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $5000. | |
| FACILITY NAME: | Champaign County Nursing Home |
| FACILITY ADDRESS: | 1701 East Main |
| Urbana, Illinois 61801 | |
| DOCKET #: | NH 04-C0187 |
| NAME OF OWNER | |
| OR LICENSEE: | Champaign County |
| ADDRESS: | 1776 East Washington Street |
| Urbana, Illinois 61802 | |
| On September 21,2004, 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: | Clearbrook Center |
| FACILITY ADDRESS: | 3201 West Campbell Street |
| Rolling Meadows, Illinois 60008 | |
| DOCKET #: | NH 04-S0165 |
| NAME OF OWNER | |
| OF LICENSEE: | Clearbrook |
| ADDRESS: | 2800 West Campbell Street |
| Rolling Meadows, Illinois 60008 | |
| On September 1, 2004, 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: | The Cornerstone Home |
| FACILITY ADDRESS: | 1009 South Irving |
| Monticello, Illinois 61856 | |
| DOCKET #: | NH 03-S0099 |
| NAME OF OWNER | |
| OR LICENSEE: | Residential Developers, Inc. |
| ADDRESS: | 30 Main Street, P.O. Box 560 |
| Champaign, Illinois 61820 | |
| By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Eden Village Care Center |
| FACILITY ADDRESS: | 400 South Station Road |
| Glen Carbon, Illinois 62034 | |
| DOCKET #: | NH 04-S0149 |
| NAME OF OWNER | |
| OR LICENSEE: | Eden Retirement Center, Inc. |
| ADDRESS: | 400 South Station Road |
| Glen Carbon, Illinois 62034 | |
| On August 12, 2004, 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: | Evergreen Health Care Center |
| FACILITY ADDRESS: | 10124 South Kedzie |
| Evergreen Park, Illinois 60805 | |
| DOCKET #: | NH 04-C0177 |
| NAME OF OWNER | |
| OR LICENSEE: | Evergreen Health Care Center, L.L.C. |
| ADDRESS: | 30 South Wacker Drive, 29 th Floor |
| Chicago, Illinois 60606 | |
| On September 30, 2004, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $10,000. | |
| FACILITY NAME: | The Fountains |
| FACILITY ADDRESS: | 1301 East Deyoung |
| Marion, Illinois 62959 | |
| DOCKET #: | NH 03-C0103 |
| NAME OF OWNER | |
| OR LICENSEE: | The Willow of the Fountain, Inc. |
| ADDRESS: | 30 South Wacker Drive, 29 th Floor |
| Chicago, Illinois 60606 | |
| By Final Order, Violation Affirmed, Fine Assessment Reduced, and Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Heritage Manor-Colfax |
| FACILITY ADDRESS: | 402 South Harrison, Box 379 |
| Colfax, Illinois 61728 | |
| DOCKET #: | NH 03-C0056 |
| NAME OF OWNER | |
| OR LICENSEE: | Heritage Enterprises, Inc. |
| ADDRESS: | 115 West Jefferson Street, #401 |
| Bloomington, Illinois 61701 | |
| By Final Order, Violation Reduced, Fine Assessment Reduced and Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Illinois Veterans' Home At Quincy |
| FACILITY ADDRESS: | 1707 North 12 th Street |
| Quincy, Illinois 62301 | |
| DOCKET #: | NH 03-S0191 |
| NAME OF OWNER | |
| OR LICENSEE: | Illinois Department of Veterans' Affairs |
| ADDRESS: | 833 South Spring Street, Box 19432 |
| Springfield, Illinois 62794 | |
| By Final Order, Violation Affirmed, Fine Assessment Deleted and Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | International Village |
| FACILITY ADDRESS: | 4815 South Western Avenue |
| Chicago, Illinois 60609 | |
| DOCKET #: | NH 04-S0169 |
| NAME OF OWNER | |
| OR LICENSEE: | Highlander Care Center, L.L.C. |
| ADDRESS: | 2201 West Main Street |
| Evanston, Illinois 60602 | |
| On September 13, 2004, 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: | Jeffersonian Care Center |
| FACILITY ADDRESS: | 1700 White Street |
| Mount Vernon, Illinois 62864 | |
| DOCKET #: | NH 04-S0132 |
| NAME OF OWNER | |
| OR LICENSEE: | Caravilla Residential Centers, Inc. |
| ADDRESS: | 2205 Broadway |
| Mount Vernon, Illinois 62864 | |
| On July 23, 2004, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $5,000. | |
| FACILITY NAME: | Kenwood Healthcare Center |
| FACILITY ADDRESS: | 6125 South Kenwood |
| Chicago, Illinois 60637 | |
| DOCKET #: | NH 04-C0186 |
| NAME OF OWNER | |
| OR LICENSEE: | Kenwood Healthcare Center, Inc. |
| ADRESS: | 7434 North Skokie Boulevard |
| Skokie, Illinois 60077 | |
| On September 21, 2004, 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: | LaHarpe-Davier Health Care Center |
| FACILITY ADDRESS: | 101 B Street, P.O Box # 547 |
| LaHarpe, Illinois 61450 | |
| DOCKET #: | NH 04-C0154 |
| NAME OF OWNER | |
| OR LICENSEE: | LaHarpe Hospital Association |
| ADDRESS: | 101 North B Street, P.O. Box 547 |
| LaHarpe, Illinois 61450 | |
| On August 13, 2004, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $5000. A hearing has been requested. | |
| FACILITY NAME: | Magnolia Wood Health Care Center |
| FACILITY ADDRESS: | 900 North Market Street |
| Watseka, Illinois 60970 | |
| DOCKET #: | NH 04-C0134 |
| NAME OF OWNER | |
| OR LICENSEE: | Senior Living Properties L.L.C. |
| ADDRESS: | 208 South LaSalle Street |
| Chicago, Illinois 60604 | |
| On July 23,2004, sent Notice of Type “A” violation relating to the area of policy and procedures and Notice of Fine Assessment of $10,000. A hearing request has been requested. | |
| FACILITY NAME: | Marigold Estates |
| FACILITY ADDRESS: | 3240 Barney Avenue |
| Pekin, Illinois 61554 | |
| DOCKET #: | NH 04-S0153 |
| NAME OF OWNER | |
| OR LICENSEE: | Patterson House, Inc. |
| ADDRESS: | 110 Southbrooke |
| Decatur, Illinois 62521 | |
| On August 12, 2004, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $5000. A hearing has been requested. | |
| FACILITY NAME: | Pinckneyville Healthcare Center |
| FACILITY ADDRESS: | 708 Virginia Court |
| Pinckneyville, Illinois 62274 | |
| DOCKET #: | NH 04-S0151 |
| NAME OF OWNER | |
| OR LICENSEE: | Pinckneyville Health Care Center, L.L.C. |
| ADDRESS: | 5260 South Sixth Street |
| Springfield, Illinois 62703 | |
| On August 12, 2004, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $5000. A hearing has been requested. | |
| FACILITY NAME: | Pine Terrace |
| FACILITY ADDRESS: | 2017 North Pine Street |
| Waukegan, Illinois 60085 | |
| DOCKET #: | NH 04-S0152 |
| NAME OF OWNER | |
| OR LICENSEE: | Concepts Plus, Inc. |
| ADDRESS: | 115 East South Street |
| Galesburg, Illinois 61401 | |
| On August 12, 2004, 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: | Pinecrest Manor |
| FACILITY ADDRESS: | 414 South Wesley Avenue |
| Mt. Morris, Illinois 60154 | |
| DOCKET #: | NH 03-S0113 |
| NAME OF OWNER | |
| OR LICENSEE: | Brethren Home |
| ADDRESS: | 414 South Wesley Avenue |
| Mt. Morris, Illinois 61054 | |
| By Final Order, Violation Amended, Fine Assessment Reduced, and Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Rainbow Beach Nursing Center |
| FACILITY ADDRESS: | 7325 South Exchange |
| Chicago, Illinois 60649 | |
| DOCKET #: | NH 04-S0128 |
| NAME OF OWNER | |
| OR LICENSEE: | Rainbow Beach Nursing Center, Inc.. |
| ADDRESS: | 7325 South Exchange |
| Chicago, Illinois 60649 | |
| On July 20, 2004, 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: | Randolph County Care Center |
| FACILITY ADDRESS: | 312 West Belmont |
| Sparta, Illinois 62286 | |
| DOCKET #: | NH 04-C0141 |
| NAME OF OWNER | |
| OR LICENSEE: | Randolph County Board |
| ADDRESS: | #1 Taylor Street |
| Chester, Illinois 62233 | |
| On August 9, 2004, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $5,000. A hearing had been requested. | |
| FACILITY NAME: | Rehab & Care Center-Jackson Co. |
| FACILITY ADDRESS: | 1441 North 14 th Street |
| Murphysboro, Illinois 62966 | |
| DOCKET #: | NH 01-C0292 |
| NAME OF OWNER | |
| OR LICENSEE: | Jackson County |
| ADDRESS: | Jackson County Courthouse |
| Murphysboro, Illinois 62966 | |
| By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Rest Haven Central |
| FACILITY ADDRESS: | 13259 South Central Avenue |
| Palos Heights, Illinois 60463 | |
| DOCKET #: | NH 04-S0167 |
| NAME OF OWNER | |
| OR LICENSEE: | Rest Haven Illiana Christian Convalescent Home |
| ADDRESS: | 18601 North Creek Drive |
| Tinley Park, Illinois 60477 | |
| On September 1, 2004, sent Notice of Type “A” Violations relating to the area of nursing and Notice of Fine Assessment of $10,000. A hearing has been requested. | |
| FACILITY NAME: | Torrence Place |
| FACILITY ADDRESS: | 2601 223 rd Street |
| Sauk Village, Illinois 60411 | |
| DOCKET #: | NH 04-C0160 |
| NAME OF OWNER | |
| OR LICENSEE: | Pioneer Concepts, Inc. |
| ADDRESS: | 115 East South Street |
| Galesburg, Illinois 61401 | |
| On September 1, 2004, 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: | Illinois Veterans' Home At Quincy |
| FACILITY ADDRESS: | 1707 North 12 th Street |
| Quincy, Illinois 62301 | |
| DOCKET #: | NH 03-S0191 |
| NAME OF OWNER | |
| OR LICENSEE: | Illinois Department of Veterans' Affairs |
| ADDRESS: | 833 South Spring Street, Box 19432 |
| Springfield, Illinois 62794 | |
| By Final Order, Violation Affirmed, Fine Assessment Deleted and Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | William L. Dawson Nursing Home |
| FACILITY ADDRESS: | 3500 South Giles Avenue |
| Chicago, Illinois 60653 | |
| DOCKET #: | NH 04-C0133 |
| NAME OF OWNER | |
| OR LICENSEE: | William L. Dawson Nursing Center, Inc. |
| ADDRESS: | 222 N. LaSalle Street, Suite 800 |
| Chicago, Illinois 60601 | |
| On July 23, 2004, 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. | |
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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 |