| 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: | Astoria Gardens & Rehab Ctr. |
| FACILITY ADDRESS: | 1008 East Broadway |
| Astoria, Illinois 61501 | |
| DOCKET #: | NH 04-C0191 |
| NAME OF OWNER | |
| OR LICENSEE: | Astoria Gardens & Rehab Center, L.L.C. |
| ADDRESS: | 1008 East Broadway |
| Astoria, Illinois 61501 | |
| On October 6, 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: | Bjorklund House |
| FACILITY ADDRESS: | 15841 Terrace Drive |
| Oak Forest, Illinois 60452 | |
| DOCKET #: | NH 04-C0202 |
| NAME OF OWNER | |
| OR LICENSEE: | Covenant Enabling Residences of Illinois |
| ADDRESS: | 1625 Shermer Road |
| Northbrook, Illinois 60062 | |
| On October 14, 2004, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $5,000. | |
| FACILITY NAME: | Cedarwood Health Care Center |
| FACILITY ADDRESS: | 136 South Dipper Lane |
| Decatur, Illinois 62522 | |
| DOCKET #: | NH 04-S0226 |
| NAME OF OWNER | |
| OR LICENSEE: | Senior Living Properties, L.L.C. |
| ADDRESS: | 208 South LaSalle, Street |
| Chicago, Illinois 60604 | |
| On November 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: | Cherrywood Health Care Center |
| FACILITY ADDRESS: | 1500 West St. Louis Avenue |
| Vandalia, Illinois 62471 | |
| DOCKET #: | NH 04-C0233 |
| NAME OF OWNER | |
| OR LICENSEE: | Senior Living Properties, L.L.C. |
| ADDRESS: | 208 South LaSalle Street |
| On December 1, 2004, sent Notice of Type “A” Violation relating to the area of policy and procedure and Notice of Fine Assessment of $5,000. A hearing has been requested. | |
| FACILITY NAME: | Clearbrook Center |
| FACILITY ADDRESS: | 3201 West Campbell Street |
| Rolling Meadows, Illinois 60008 | |
| DOCKET #: | NH 04-S0240 |
| NAME OF OWNER | |
| OR LICENSEE: | Clearbrook |
| ADDRESS: | 2800 West Central Road |
| Rolling Meadows, Illinois 60008 | |
| On December 9, 2004, sent Notice of Type “A” Violation relating to the area of policy and procedure and Notice of Fine Assessment of $ 20,000. A hearing has been requested. | |
| FACILITY NAME: | Friendship Manor |
| FACILITY ADDRESS: | 1209 21 st Avenue |
| Rock Island, Illinois 61201 | |
| DOCKET #: | NH 04-S0244 |
| NAME OF OWNER | |
| OR LICENSEE: | Friendship Manor-IL Branch of King’s Daughters |
| ADDRESS: | 100 17 th Street, Suite 414, P.O. Box 5408 |
| Rock Island, Illinois 61204 | |
| On December 17, 2004, sent Notice of Type “A” Violation relating to the area of nursing, and Notice of Fine Assessment of $10,000. | |
| FACILITY NAME: | Thomas Herbstritt House |
| FACILITY ADDRESS: | 4003 N. Rtes. 1 & 17, P.O. Box 260 |
| Momence, Illinois 60954 | |
| DOCKET #: | NH 04-S0095 |
| NAME OF OWNER | |
| OR LICENSEE: | Good Shepherd Manor Group Homes, Inc. |
| ADDRESS: | 4129 N, Rtes. 1 & 17, P.O. Box 260 |
| Momence, Illinois 60954 | |
| By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Greenwood Terrace Nursing & Rehab. |
| FACILITY ADDRESS: | 225 Castellano Drive |
| Swansea, Illinois 62226 | |
| DOCKET #: | NH 04-C0229 |
| NAME OF OWNER | |
| OR LICENSEE: | Greenwood Terrace Nursing & Rehab. Center, L.L.C. |
| ADDRESS: | 8140 River Drive |
| Morton Grove, Illinois 60053 | |
| On November 10, 2004, sent Notice of Type “B” Violation relating to the area of policy and procedure and Notice of Fine Assessment of $5000. A hearing has been requested. | |
| FACILITY NAME: | Grundy County Home |
| FACILITY ADDRESS: | 1338 Clay Street, Box 669 |
| Morris, Illinois 60450 | |
| DOCKET #: | NH 04-S0164 |
| NAME OF OWNER | |
| OR LICENSEE: | Grundy County |
| ADDRESS: | 1320 Union Street |
| Morris, Illinois 60450 | |
| On October 14 th , 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: | Heritage Manor-Colfax |
| FACILITY ADDRESS: | 402 South Harrison, Box 379 |
| Colfax, Illinois 61728 | |
| DOCKET #: | NH 03-C0056 |
| NAME OF OWNER | |
| OF LICENSEE: | Heritage Enterprises, Inc. |
| ADDRESS: | 115 West Jefferson, #401 |
| Bloomington, Illinois 61701 | |
| By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | International Village |
| FACILITY ADDRESS: | 4815 South Western Avenue |
| Chicago, Illinois 60609 | |
| DOCKET #: | NH 04-C0236 |
| NAME OF OWNER | |
| OR LICENSEE: | Highlander Care Center, L.L.C. |
| ADDRESS: | 2201 West Main Street |
| Evanston, Illinois 60602 | |
| On December 9, 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: | Lena Nursing Home |
| FACILITY ADDRESS: | 1010 South Logan, P.O. Box 427 |
| Lena, Illinois 61048 | |
| DOCKET #: | NH 04-S0183 |
| NAME OF OWNER | |
| OR LICENSEE: | Freeport Regional Manage. Serv., Inc. |
| ADDRESS: | 1045 West Stephenson Street |
| Freeport, Illinois 61032 | |
| On October 14 th , 2004, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $5,000. | |
| FACILITY NAME: | Lewis Memorial Christian Village |
| FACILITY ADDRESS: | 3400 West Washington |
| Springfield, Illinois 62702 | |
| DOCKET #: | NH 04-C0207 |
| NAME OF OWNER | |
| OR LICENSEE: | Lewis Memorial Christian Village |
| ADDRESS: | 200 North Postville Drive |
| Lincoln, Illinois 62656 | |
| On October 14th, 2004, sent Notice of Type “A” Violation relating to the area of policy and procedure and Notice of Fine Assessment of $5,000. A hearing has been requested. | |
| FACILITY NAME: | Madison County Sheltered Care |
| FACILITY ADDRESS: | South Main Street, Box 441 |
| Edwardsville, Illinois 62025 | |
| DOCKET #: | NH 04-S0246 |
| NAME OF OWNER | |
| OR LICENSEE: | Madison County |
| ADDRESS: | 157 North Main, Suite 165 |
| Edwardsville, Illinois 62025 | |
| On December 28th, 2004, sent Notice of Type “Repeat B” Violation relating to the area of physical plant issues and Notice of Fine Assessment of $500. A hearing has been requested. | |
| FACILITY NAME: | Magnolia Manor Shelter Care Home |
| FACILITY ADDRESS: | 1100 Grant |
| Eldorado, Illinois 62930 | |
| DOCKET #: | NH 04-S0218 |
| NAME OF OWNER | |
| OR LICENSEE: | John Zink |
| ADDRESS: | 150 South Route 45. P.O. Box 250 |
| Louisville, Illinois 62858 | |
| On November 10, 2004, sent Notice of Type “Repeat B” Violation relating to the area of policy and procedure and Fine Assessment of $2690.40. A hearing has been requested. | |
| FACILITY NAME: | Oak Park Healthcare Center |
| FACILITY ADDRESS: | 625 North Harlem |
| Oak Park, Illinois 60302 | |
| DOCKET #: | NH 04-S0228 |
| NAME OF OWNER | |
| OR LICENSEE: | Oak Park Healthcare Center, L.L.C. |
| ADDRESS: | 30 South Wacker Drive, 29 th Floor |
| Chicago, Illinois 60606 | |
| On November 12, 2004, sent Notice of Type “A” Violation relating to the area of policy and procedure and Notice of Fine Assessment of $10,000. A hearing has been requested. | |
| FACILITY NAME: | Parkview Terrace |
| FACILITY ADDRESS: | 430 South 30 th Avenue |
| East Moline, Illinois 61244 | |
| DOCKET #: | NH 03-C0209 |
| NAME OF OWNER | |
| OR LICENSEE: | Parkview Terrace, L.L.C. |
| ADDRESS: | 111 West Washington Street, Ste. 1900 |
| Chicago, Illinois 60602 | |
| By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional Withdrawn. | |
| FACILITY NAME: | Redwood Manor |
| FACILITY ADDRESS: | 802 East Franklin Street |
| Sesser, Illinois 62884 | |
| DOCKET #: | NH 04-C0216 |
| NAME OF OWNER | |
| OR LICENSEE: | Sesser Shelter Care Facility, Inc. |
| ADRESS: | 101 N. Park Ave., P.O. Box 506 |
| Herrin, Illinois 62948 | |
| On November 10, 2004, sent Notice of Type “A” Violation relating to the area of policy and procedures and Notice of Fine Assessment of $25,000. | |
| FACILITY NAME: | Regency Nursing Care Residence |
| FACILITY ADDRESS: | 2120 West Washington |
| Springfield, Illinois 62702 | |
| DOCKET #: | NH 04-C0230 |
| NAME OF OWNER | |
| OR LICENSEE: | Parentech, Inc. |
| ADDRESS: | 15 South Old State Capitol Plaza |
| Springfield, Illinois 62701 | |
| On December 1, 2004, 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: | Rosewood Care Center Of Moline |
| FACILITY ADDRESS: | 7300 34 th Avenue |
| Moline, Illinois 61265 | |
| DOCKET #: | NH 04-S0205 |
| NAME OF OWNER | |
| OR LICENSEE: | Rosewood Care Center, Inc. of Moline |
| ADDRESS: | 926 South 7 th Street |
| Springfield, Illinois 62703 | |
| On October 14, 2004, sent Notice of Type “A” violation relating to the area of nursing and Notice of Fine Assessment of $10,000. A hearing request has been requested. | |
| FACILITY NAME: | Rosewood Care Center of Peoria |
| FACILITY ADDRESS: | 1500 West Northmoor Road |
| Peoria, Illinois 61614 | |
| DOCKET #: | NH 04-C0213 |
| NAME OF OWNER | |
| OR LICENSEE: | Rosewood Care Center, Inc. of Peoria |
| ADDRESS: | 926 South 7 th Street |
| Springfield, Illinois 62703 | |
| On October 14, 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: | Shady Oaks West |
| FACILITY ADDRESS: | 16220 Parker Road |
| Lockport, Illinois 60441 | |
| DOCKET #: | NH 04-S0019 |
| NAME OF OWNER | |
| OR LICENSEE: | Lutheran Social Services of Illinois |
| ADDRESS: | 1001 E. Touhy Avenue, Ste. #50 |
| Des Plaines, Illinois 60018 | |
| By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Sharon Health Care Willows |
| FACILITY ADDRESS: | 3520 North Rochelle |
| Peoria, Illinois 61604 | |
| DOCKET #: | NH 04-C0234 |
| NAME OF OWNER | |
| OR LICENSEE: | Sharon Health Care Willows, Inc. |
| ADDRESS: | 465 Central Avenue, Suite 100 |
| Northfield, Illinois 60093 | |
| On December 1, 2004, sent Notice of Type “A” Violation relating to the area of policy and procedure and Notice of Fine Assessment of $25,000. A hearing has been requested. | |
| FACILITY NAME: | Sharon Health Care Willows |
| FACILITY ADDRESS: | 3520 North Rochelle |
| Peoria, Illinois 61604 | |
| DOCKET #: | NH 04-S0206 |
| NAME OF OWNER | |
| OR LICENSEE: | Sharon Health Care Willows, Inc. |
| ADDRESS: | 465 Central Avenue, Suite 100 |
| Northfield, Illinois 60093 | |
| On October 14, 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: | South Shore Nursing and Rehab Center |
| FACILITY ADDRESS: | 2649 East 75 th Street |
| Chicago, Illinois 60649 | |
| DOCKET #: | NH 04-C0204 |
| NAME OF OWNER | |
| OR LICENSEE: | Southshore Care Center, L.L.C. |
| ADDRESS: | 4101 West Main |
| Skokie, Illinois 60076 | |
| On November 10, 2004, 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: | Springfield Terrace |
| FACILITY ADDRESS: | 525 South Martin Luther King Drive |
| Springfield, Illinois 62703 | |
| DOCKET #: | NH 04-S0190 |
| NAME OF OWNER | |
| OR LICENSEE: | Springfield Terrace, Ltd. |
| ADDRESS: | 465 Central Avenue, Suite #100 |
| Northfield, Illinois 60093 | |
| On October 6, 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: | Warren Barr Pavilion |
| FACILITY ADDRESS: | 66 West Oak Street |
| Chicago, Illinois 60610 | |
| DOCKET #: | NH 04-C0208 |
| NAME OF OWNER | |
| OR LICENSEE: | Warren Barr Nursing Pavilion, L.L.C. |
| ADDRESS: | 30 South Wacker Drive, 29 th Floor |
| Chicago, Illinois 60606 | |
| On October 14, 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: | The Westwood Manor |
| FACILITY ADDRESS: | 2444 West Touhy Avenue |
| Chicago, Illinois 60645 | |
| DOCKET #: | NH 04-S0237 |
| NAME OF OWNER | |
| OR LICENSEE: | The Westwood Manor, Inc. |
| ADDRESS: | 2444 West Touhy Avenue |
| Chicago, Illinois 60645 | |
| On December 9, 2004, sent Notice of Type “A” Violations relating to the area of nursing and Notice of Fine Assessment of $5,000. A hearing has been requested. | |
  |
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 |