Nursing Homes in Illinois

QUARTERLY REPORT

July - September 2012


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 Healthcare and Family Service, 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 Trails
FACILITY ADDRESS: 273 Army Trail Road
Bloomingdale, IL 60108

DOCKET #: NH 12-S0289
NAME. OF OWNER:
OR LICENSEE: Alden Trails, Inc.
ADDRESS: 4200 West Peterson Ave., Ste 140
Chicago, IL 60646

Re: Survey of 5-9-12 On July 20, 2012, sent Notice of Type “A” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $6,250. A hearing has been requested.

FACILITY NAME: Alden Village North
FACILITY ADDRESS: 7464 North Sheridan Road
Chicago, IL 60626

DOCKET #: NH 11-C0183
NAME. OF OWNER:
OR LICENSEE: Alden Village North, Inc.
ADDRESS: 4200 West Peterson Ave., Ste 140
Chicago, IL 60646

Re: Survey of 4-28-11 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Applewood Rehabilitation Center
FACILITY ADDRESS: 21020 Kostner Ave.
Matteson, IL 60443

DOCKET #: NH 12-S0287
NAME. OF OWNER:
OR LICENSEE: Applewood Rehabilitation Center, LLC.
ADDRESS: 6840 North Lincoln Ave.
Lincolnwood, IL 60712

Re: Survey of 5-18-12 On July 18, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Arden Courts of Glen Ellyn
FACILITY ADDRESS: 2 South 706 Park Blvd.
Glen Ellyn, IL 60137

DOCKET #: NH 12-S0344
NAME. OF OWNER:
OR LICENSEE: Arden Courts of Glen Ellyn, IL, LLC
ADDRESS: 208 South LaSalle St., Ste 814
Chicago, IL 60604

Re: Survey of 7-19-12 On August 28, 2012, sent Notice of Type “Repeat B” Violations relating to the area of policy & procedure, Notice of Conditional Licensure and Notice of Fine Assessment of $2,200.

FACILITY NAME: The Arthur Home
FACILITY ADDRESS: 423 Eberhardt Dr
Arthur, IL 61911

DOCKET #: NH 12-S0013
NAME. OF OWNER:
OR LICENSEE: Community Retirement Inc.
ADDRESS: 423 Eberhardt Dr
Arthur, IL 61911

Re: Survey of 12-13-11 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Aurora Rehabilitation and Living Center
FACILITY ADDRESS: 1601 North Farnsworth Ave.
Aurora, IL 60505

DOCKET #: NH 12-C0318
NAME. OF OWNER:
OR LICENSEE: Aurora Manor, Inc.
ADDRESS: 161 North Clark St., Ste 4200
Chicago, IL 60601

Re: Survey of 6-18-12 On July 31, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Avenue Care Nursing and Rehabilitation Center
FACILITY ADDRESS: 4505 South Drexel Blvd
Chicago, IL 60653

DOCKET #: NH 12-C0306
NAME. OF OWNER:
OR LICENSEE: Avenue Care Nursing and Rehabilitation Center, LLC.
ADDRESS: 2201 West Main
Evanston, IL 60202

Re: Survey of 5-31-12 On July 26, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $1,100.

FACILITY NAME: Balmoral Home
FACILITY ADDRESS: 2055 West Balmoral Ave.
Chicago, IL 60625

DOCKET #: NH 12-S0127
NAME. OF OWNER:
OR LICENSEE: Balmoral Home, Inc.
ADDRESS: 6500 North Hamlin
Lincolnwood, IL 60712

Re: Survey of 1-27-12 By Final Order, Violation Amended and Fine Assessment Affirmed.

FACILITY NAME: Batavia Rehabilitation and Healthcare Center
FACILITY ADDRESS: 520 Fabyan Parkway
Batavia, IL 60510

DOCKET #: NH 12-S0363
NAME. OF OWNER:
OR LICENSEE: Petersen Health Operations, LLC
ADDRESS: 830 West Trailcreek Dr
Peoria, IL 61614

Re: Survey of 7-24-12 On September 5, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.

FACILITY NAME: Bellwood Developmental Center
FACILITY ADDRESS: 105 Eastern Ave.
Bellwood, IL 60104

DOCKET #: NH 12-C0356
NAME. OF OWNER:
OR LICENSEE: Bellwood Nursing Center, LLC
ADDRESS: 5750 Old Orchard Rd, Ste 420
Skokie, IL 60077

Re: Survey of 6-19-12 On September 13, 2012 sent Notice of Type “A” & “B” Violations relating to the areas of policy & procedure and nursing, Notice of Conditional License and Notice of Fine Assessment of $31,500.

FACILITY NAME: Briarbrook Place
FACILITY ADDRESS: 228 Briarbrook Dr
East Peoria, IL 61611

DOCKET #: NH 12-C0347
NAME. OF OWNER:
OR LICENSEE: Progressive Housing, Inc.
ADDRESS: 3615 Park Dr, Ste 100
Olympia Fields, IL 60461

Re: Survey of 6-28-12 On August 28, 2012, sent Notice of Type “A” Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $5000.

FACILITY NAME: Brookside Manor
FACILITY ADDRESS: 1740 West McCord
Centralia, IL 62801

DOCKET #: NH 12-S0290
NAME. OF OWNER:
OR LICENSEE: Brookside Nursing Home, Inc.
ADDRESS: 525 South Macon St.
Moweaqua, IL 62550

Re: Survey of 6-6-12 On July 20, 2012, sent Notice of Type “A” Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $10,000.

FACILITY NAME: Burnsides Community Health Center
FACILITY ADDRESS: 410 North Second St., PO Box 219
Marshall, IL 62441

DOCKET #: NH 12-S0373
NAME. OF OWNER:
OR LICENSEE: Burnsides Nursing Home, NFP
ADDRESS: 410 N Second St.
Marshall, IL 62441

Re: Survey of 7-27-12 On September 18, 2012, sent Notice of Type “A” & “B” Violations relating to the areas of policy & procedure and nursing, Notice of Conditional License, and Notice of Fine Assessment of $13,600. A hearing has been requested.

FACILITY NAME: Carole Lane Terrace
FACILITY ADDRESS: 1641 Carole Lane
Sauk Village, IL 60411

DOCKET #: NH 10-C0344
NAME. OF OWNER:
OR LICENSEE: Pioneer Concepts, Inc.
ADDRESS: 285 South Farnham St.
Galesburg, IL 61401

Re: Survey of 10-26-10 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Casey Health Care Center
FACILITY ADDRESS: 100 Northeast 15th
Casey, IL 62420

DOCKET #: NH 12-C0355
NAME. OF OWNER:
OR LICENSEE: Petersen Health Care II, Inc
ADDRESS: 830 West Trailcreek Dr
Peoria, IL 61614

Re: Survey of 7-31-12 On September 5, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.

FACILITY NAME: Central Baptist Village
FACILITY ADDRESS: 4747 North Canfield Ave.
Norridge, IL 60706

DOCKET #: NH 12-S0362
NAME. OF OWNER:
OR LICENSEE: Central Baptist Village
ADDRESS: 4747 North Canfield Ave.
Norridge, IL 60706

Re: Survey of 8-14-12 On September 5, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Chateau Nursing and Rehabilitation Center
FACILITY ADDRESS: 7050 Madison St.
Willowbrook, IL 60521

DOCKET #: NH 12-S0384
NAME. OF OWNER:
OR LICENSEE: Chateau Nursing and Rehabilitation Center, LLC
ADDRESS: 2201 Main St.
Evanston, IL 60202

Re: Survey of 8-15-12 On September 11, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100. A hearing has been requested.

FACILITY NAME: Chestnut Manor
FACILITY ADDRESS: 1404 South 14th St.
Herrin, IL 62948

DOCKET #: NH 12-S0271
NAME. OF OWNER:
OR LICENSEE: New Way Developers, Inc.
ADDRESS: 105 South Commercial, PO Box 972
Harrisburg, IL 62946

Re: Survey of 4-19-12 On July 2, 2012, sent Notice of Type “A” Violation relating to the area of policy and procedure and Notice of Fine Assessment of $6,250. A hearing has been requested.

FACILITY NAME: Chestnut Manor
FACILITY ADDRESS: 1404 South 14th St.
Herrin, IL 62948

DOCKET #: NH 12-S0277
NAME. OF OWNER:
OR LICENSEE: New Way Developers, Inc.
ADDRESS: 105 South Commercial, PO Box 972
Harrisburg, IL 62946

Re: Survey of 5-23-12 On July 6, 2012, sent Notice of Type “A” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $6,250.

FACILITY NAME: Chestnut Manor
FACILITY ADDRESS: 1404 South 14th St.
Herrin, IL 62948

DOCKET #: NH 12-C0361
NAME. OF OWNER:
OR LICENSEE: New Way Developers, Inc
ADDRESS: 105 South Commercial, PO Box 972
Harrisburg, IL 62946

Re: Survey of 7-31-12 On September 12, 2012, sent Notice of Type “A” Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $6,250.

FACILITY NAME: Claridge Healthcare Center
FACILITY ADDRESS: 700 Jenkisson
Lake Bluff, IL 60044

DOCKET #: NH 12-S0296
NAME. OF OWNER:
OR LICENSEE: Claridge Operations, LLC.
ADDRESS: 325 North Wells, 9th FL
Chicago, IL 60610

Re: Survey of 6-14-12 On July 20, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Colonial Plaza
FACILITY ADDRESS: 618 West Goodner
Nashville, IL 62263

DOCKET #: NH 12-C0369
NAME. OF OWNER:
OR LICENSEE: Developmental Management, Inc
ADDRESS: 15755 Nixon Rd
Nashville, IL 62863

Re: Survey of 7-25-12 On September 13, 2012, sent Notice of Type “A” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $6,000.

FACILITY NAME: Columbia Rehabilitation and Nursing Center
FACILITY ADDRESS: 253 Bradington Dr
Columbia, IL 62236

DOCKET #: NH 12-C0367
NAME. OF OWNER:
OR LICENSEE: Columbia Rehabilitation and Nursing Center, LLC
ADDRESS: 8170 McCormick Blvd, Ste 219
Skokie, IL 60076

Re: Survey of 8-7-12 On September 5, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Coventry Living Center
FACILITY ADDRESS: 612 West St. Mary’s St.
Sterling, IL 61081

DOCKET #: NH 06-C0277
NAME. OF OWNER:
OR LICENSEE: Coventry Living Center
ADDRESS: 330 North Wabash Ste 1700
Chicago, IL 60611

Re: Survey of 6-29-06 By Final Order, Violation, Fine Assessment and Notice of Conditional License Affirmed.

FACILITY NAME: Danville Care Center
FACILITY ADDRESS: 1701 North Bowman
Danville, IL 61832

DOCKET #: NH 12-C0380
NAME. OF OWNER:
OR LICENSEE: Danville Care Center, Ltd
ADDRESS: 5750 Old Orchard Rd, Ste 420
Skokie, IL 60077

Re: Survey of 8-8-12 On September 6, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Daystar Care Center
FACILITY ADDRESS: 2001 Cedar St.
Cairo, IL 62914

DOCKET #: NH 12-C0308
NAME. OF OWNER:
OR LICENSEE: Community Health and Emergency Services, Inc.
ADDRESS: 13245 Kessler Rd, Box 233
Cairo, IL 62914

Re: Survey of 6-21-12 On July 26, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Decatur Rehabilitation and Healthcare Center
FACILITY ADDRESS: 136 South Dipper Lane
Decatur, IL 62522

DOCKET #: NH 12-S0388
NAME. OF OWNER:
OR LICENSEE: Petersen Health Operations, LLC
ADDRESS: 830 West Trailcreek Dr.
Peoria, IL 61614

Re: Survey of 8-15-12 On September 13, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100. A hearing has been requested.

FACILITY NAME: Deerbrook Care Centre
FACILITY ADDRESS: 306 North Larkin Ave.
Joliet, IL 60435

DOCKET #: NH 12-C0286
NAME. OF OWNER:
OR LICENSEE: Symphony Deerbrook, LLC.
ADDRESS: 801 Adlai Stevenson Dr.
Springfield, IL 62703

Re: Survey of 6-14-12 On July 18, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Effingham Terrace
FACILITY ADDRESS: 1101 South 3rd St.
Effingham, IL 62401

DOCKET #: NH 12-S0259
NAME. OF OWNER:
OR LICENSEE: Community Living Options, Inc.
ADDRESS: 285 South Farnham St.
Galesburg, IL 61401

Re: Survey of 4-26-12 On July 6, 2012, sent Notice of Type “A” Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $6,250. A hearing has been requested.

FACILITY NAME: Fairview Care Center of Joliet
FACILITY ADDRESS: 222 North Hammes Ave.
Joliet, IL 60435

DOCKET #: NH 11-C0224
NAME. OF OWNER:
OR LICENSEE: Fairview Care Center of Joliet, LLC.
ADDRESS: 8131 North Monticello
Skokie, IL 60076

Re: Survey of 7-18-11 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Fondulac Rehabilitation and Healthcare Center
FACILITY ADDRESS: 901 Illini Dr
East Peoria, IL 61611

DOCKET #: NH 12-S0316
NAME. OF OWNER:
OR LICENSEE: Petersen Health Operations, LLC.
ADDRESS: 830 West Trailcreek Dr
Peoria, IL 61614

Re: Survey of 7-3-12 On August 3, 2012, sent Notice of Type “A” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $10,000.

FACILITY NAME: Good Samaritan Home
FACILITY ADDRESS: 2130 Harrison St
Quincy, IL 62301

DOCKET #: NH 12-S0314
NAME. OF OWNER:
OR LICENSEE: Good Samaritan Home of Quincy
ADDRESS: 2130 Harrison St
Quincy, IL 62301

Re: Survey of 7-16-12 On July 31, 2012, sent Notice of Type “A” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $12,500.

FACILITY NAME: Granite Nursing and Rehabilitation Center
FACILITY ADDRESS: 3500 Century Dr
Granite City, IL 62040

DOCKET #: NH 12-C0360
NAME. OF OWNER:
OR LICENSEE: Granite Nursing and Rehabilitation Center, LLC
ADDRESS: 801 Adlai Stevenson Dr
Springfield, IL 62703

Re: Survey of 7-30-12 On September 5, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: The Grove of Evanston
FACILITY ADDRESS: 500 Asbury St
Evanston, IL 60202

DOCKET #: NH 12-S0350
NAME. OF OWNER:
OR LICENSEE: Grove of Evanston, LLC
ADDRESS: 191 North Wacker Dr, Ste 1800
Chicago, IL 60606

Re: Survey of 7-26-12 On September 5, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100. A hearing has been requested.

FACILITY NAME: Helia Healthcare of Carbondale
FACILITY ADDRESS: 500 Lewis Lane
Carbondale, IL 62901

DOCKET #: NH 12-C0340
NAME. OF OWNER:
OR LICENSEE: Helia Healthcare of Carbondale, LLC
ADDRESS: 600 South Second St
Springfield, IL 62704

Re: Survey of 7-20-12 On August 21, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Helia Healthcare of Greenville
FACILITY ADDRESS: 400 East Hillview Ave.
Greenville, IL 62246

DOCKET #: NH 12-S0285
NAME. OF OWNER:
OR LICENSEE: Bridgemark of Greenville, LLC.
ADDRESS: 600 South 2nd St
Springfield, IL 62704

Re: Survey 6-8-12 On July 18, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Heritage Health - Carlinville
FACILITY ADDRESS: 1200 University Ave.
Carlinville, IL 62626

DOCKET #: NH 12-S0305
NAME. OF OWNER:
OR LICENSEE: Heritage Manor – Carlinville, LLC.
ADDRESS: 115 West Jefferson St, Ste 4004
Bloomington, IL 61701

Re: Survey of 5-31-12 On July 27, 2012, sent Notice of Type “A” Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $8,000.

FACILITY NAME: Heritage Health - Carlinville
FACILITY ADDRESS: 1200 University Ave.
Carlinville, IL 62626

DOCKET #: NH 12-C0321
NAME. OF OWNER:
OR LICENSEE: Heritage Manor – Carlinville, LLC.
ADDRESS: 115 West Jefferson St, Ste 4004
Bloomington, IL 61701

Re: Survey of 7-17-12 On August 8, 2012, sent Notice of Type “A” Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $8000. A hearing has been requested.

FACILITY NAME: Highview In The Woodlands
FACILITY ADDRESS: 1000 Falcon Point Place
Rockton, IL 61072

DOCKET #: NH 12-S0374
NAME. OF OWNER:
OR LICENSEE: Highview Retirement Home Association
ADDRESS: 800 N Church St
Rockford, IL 61103

Re: Survey of 8-16-12 On September 18, 2012, sent Notice of Type “A” Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $12,500. A hearing has been requested.

FACILITY NAME: Hilltop Skilled Nursing and Rehabilitation
FACILITY ADDRESS: 910 West Polk St
Charleston, IL 61920

DOCKET #: NH 12-S0352
NAME. OF OWNER:
OR LICENSEE: Covenant Care Hilltop, LLC
ADDRESS: 208 South LaSalle St, Ste 814
Chicago, IL 60604

Re: Survey of 7-27-12 On September 10, 2012, sent Notice of Type “RPT B” Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $550.

FACILITY NAME: Holy Family Villa
FACILITY ADDRESS: 12220 South Will Cook Rd
Palos Park, IL 60464

DOCKET #: NH 12-S0088
NAME. OF OWNER:
OR LICENSEE: Holy Family Villa
ADDRESS: 721 North LaSalle St
Chicago, IL 60654

Re: Survey of 1-3-12 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Illini Heritage Rehabilitation and Healthcare
FACILITY ADDRESS: 1315 Curt Dr, PO Box 6179
Champaign, IL 61820

DOCKET #: NH 12-S0288
NAME. OF OWNER:
OR LICENSEE: Petersen Health Care – Illini, LLC.
ADDRESS: 830 W Trailcreek Dr
Peoria, IL 61614

Re: Survey of 5-30-12 On July 27, 2012, sent Notice of Type “A” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $6,250. A hearing has been requested.

FACILITY NAME: Lake Cook Terrace Nursing Center
FACILITY ADDRESS: ; 263 Skokie Blvd
Northbrook, IL 60062

DOCKET #: NH 12-C0215
NAME. OF OWNER:
OR LICENSEE: GAF Lake Cook Terrace, Inc
ADDRESS: 465 Central Ave., Ste 100
Northfield, IL 60093

 Re: Survey of 4-19-12 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Lake Shore Healthcare and Rehabilitation
FACILITY ADDRESS: 7200 North Sheridan Road
Chicago, IL 60626

DOCKET #: NH 12-S0074
NAME. OF OWNER:
OR LICENSEE: Lake Shore Healthcare and Rehabilitation Centre, LLC.
ADDRESS: 3553 West Peterson Ave., Ste 300
Chicago, IL 60659

Re: Survey of 12-23-11 By Final Order, Violation Amended and Fine Assessment Reduced.

FACILITY NAME: Lena Living Center
FACILITY ADDRESS: 1010 South Lagan St
Lena, IL 61048

DOCKET #: NH 11-S0274
NAME. OF OWNER:
OR LICENSEE: Lena Living Center, LLC.
ADDRESS: One IBM Plaza, Ste 3000
Chicago, IL 60611

Re: Survey of 9-7-12 By Final Order, Violation Reduced, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Leroy Manor
FACILITY ADDRESS: 509 South Buck Rd, PO Box 149
Leroy, IL 61752

DOCKET #: NH 12-S0345
NAME. OF OWNER:
OR LICENSEE: UDI #4, LLC.
ADDRESS: 285 South Farnham St
Galesburg, IL 61401

Re: Survey of 7-19-12 On August 24, 2012, sent Notice of Type ”B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Lexington of Elmhurst
FACILITY ADDRESS: 420 West Butterfield Rd
Elmhurst, IL 60126

DOCKET #: NH 12-S0311
NAME. OF OWNER:
OR LICENSEE: Lexington Health Care Center of Elmhurst, Inc.
ADDRESS: 665 West North Ave.
Lombard, IL 60148

Re: Survey of 7-3-12 On July 30, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $2,200.

FACILITY NAME: Manorcare of Libertyville
FACILITY ADDRESS: 1500 South Milwaukee Ave.
Libertyville, IL 60048

DOCKET #: NH 12-S0341
NAME. OF OWNER:
OR LICENSEE: Manor Care of Libertyville, IL, LLC
ADDRESS: 208 South LaSalle St, Ste 814
Chicago, IL 60604

Re: Survey of 6-29-12 On August 21, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Fine Assessment of $1,100.

FACILITY NAME: Mather Pavilion
FACILITY ADDRESS: 820 Foster St
Evanston, IL 60201

DOCKET #: NH 12-S0280
NAME. OF OWNER:
OR LICENSEE: Mather Health Care, Inc.
ADDRESS: 1603 Orrington Ave., Ste 1800
Evanston, IL 60201

Re: Survey of 5-24-12 On July 6, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $1,100. A hearing has been requested.

FACILITY NAME: Meadowbrook Manor
FACILITY ADDRESS: 431 West Remington Blvd
Bolingbrook, IL 60440

DOCKET #: NH 12-C0121
NAME. OF OWNER:
OR LICENSEE: Butterfield, Health Care, Inc.
ADDRESS: 161 North Clark St, Ste 4200
Chicago, IL 60601

Re: Survey of 2-23-12 By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Meadowbrook Manor
FACILITY ADDRESS: 431 West Remington Blvd
Bolingbrook, IL 60440

DOCKET #: NH 12-S0338
NAME. OF OWNER:
OR LICENSEE: Butterfield Health Care, Inc.
ADDRESS: 161 North Clark St, Ste 4200
Chicago, IL 60601

Re: Survey of 5-25-12 On August 21, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Medina Nursing Center
FACILITY ADDRESS: 402 South Center St
Durand, IL 61024

DOCKET #: NH 12-S0317
NAME. OF OWNER:
OR LICENSEE: Medina Nursing Center, Inc.
ADDRESS: Center St
Durand, IL 61024

Re: Survey of 6-28-12 On July 31, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $1,100.

FACILITY NAME: Montebello Healthcare Center
FACILITY ADDRESS: 1599 Keokuk St
Hamilton, IL 62341

DOCKET #: NH 12-S0333
NAME. OF OWNER:
OR LICENSEE: SSC Hamilton Operating Company, LLC
ADDRESS: 208 South LaSalle St, Ste 814
Chicago, IL 60604

Re: Survey of 7-9-12 On August 21, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200. A hearing has been requested.

FACILITY NAME: North Adams Home
FACILITY ADDRESS: 2259 E. 1100th St
Mendon, IL 62351

DOCKET #: NH 12-C0035
NAME. OF OWNER:
OR LICENSEE: North Adams Home, Inc
ADDRESS: 237 N 6th St, Ste 200
Quincy, IL 62301

Re: Survey of 1-5-12 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Norwood Crossing
FACILITY ADDRESS: 6016 North Nina Ave.
Chicago, IL 60631

DOCKET #: NH 12-S0180
NAME. OF OWNER:
OR LICENSEE: Norwood Crossing Association
ADDRESS: 6016 North Nina Ave.
Chicago, IL 60631

Re: Survey of 4-4-12 By Final Order, Violation Amended, Fine Assessment Affirmed and Notice of Conditional License Withdrawn.

FACILITY NAME: Oak Park Healthcare Center
FACILITY ADDRESS: 625 North Harlem
Oak Park, IL 60302

DOCKET #: NH 12-C0293
NAME. OF OWNER:
OR LICENSEE: Oak Park Healthcare Center, LLC.
ADDRESS: 8320 Skokie Blvd
Skokie, IL 60077

Re: Survey of 5-18-12 On July 20, 2012, sent Notice of Type “A” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $10,000. A hearing has been requested.

FACILITY NAME: Our Place
FACILITY ADDRESS: 301 North 13th St, PO Box 1240
Murphysboro, IL 62966

DOCKET #: NH 11-S0388
NAME. OF OWNER:
OR LICENSEE: Developmental Planning and Services, Inc.
ADDRESS: 20258 Broadway, PO Box 2369
Mt Vernon, IL 62864

Re: Survey of 11-4-11 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Our Place
FACILITY ADDRESS: 301 N 13th St, PO Box 1240
Murphysboro, IL 62966

DOCKET #: NH 12-S0186
NAME. OF OWNER:
OR LICENSEE: Developmental Planning and Services, Inc
ADDRESS: 20258 Broadway, PO Box 2369
Mt Vernon, IL 62864

Re: Survey of 3-22-12 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: PA Peterson Center for Health
FACILITY ADDRESS: 1311 Parkview Ave.
Rockford, IL 61107

DOCKET #: NH 12-S0346
NAME. OF OWNER:
OR LICENSEE: Petersen Health Care II, Inc.
ADDRESS: 830 West Trailcreek Dr
Peoria, IL 61614

Re: Survey of 7-24-12 On August 24, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Patterson House
FACILITY ADDRESS: 307 E. Jefferson
Sullivan, IL 61951

DOCKET #: NH 12-C0368
NAME. OF OWNER:
OR LICENSEE: Patterson House, Inc
ADDRESS: 110 Southbrooke Court
Decatur, IL 62521

Re: Survey of 7-24-12 On September 18, 2012, sent Notice of Type “A” Violation relating to policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $6,250. A hearing has been requested.

FACILITY NAME: Plaza Nursing and Rehab Center
FACILITY ADDRESS: 3249 W 147th St
Midlothian, IL 60445

DOCKET #: NH 12-S0393
NAME. OF OWNER:
OR LICENSEE: Plaza Nursing and Rehab Center, LLC
ADDRESS: 320 Skokie Blvd
Skokie, IL 60077

Re: Survey of 8-15-12 On September 18, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $2,200.

FACILITY NAME: Prairieview Lutheran Home
FACILITY ADDRESS: PO Box 4, Corner of North & 4th
Danforth, IL 60930

DOCKET #: NH 12-C0335
NAME. OF OWNER:
OR LICENSEE: Lutheran Home for Aged Development Corp.
ADDRESS: 403 North 4th St, PO Box 4
Danforth, IL 60930

Re: Survey of 7-13-12 On August 24, 2012, sent Notice of Type “A” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $12,500. A hearing has been requested.

FACILITY NAME: Regency Nursing Care Residence
FACILITY ADDRESS: 2120 West Washington
Springfield, IL 62702

DOCKET #: NH 12-C0304
NAME. OF OWNER:
OR LICENSEE: Parentech, LLC.
ADDRESS: 109 South 7th St
Springfield, IL 62701

Re: Survey of 6-22-12 On July 26, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: River Bluff Nursing Home
FACILITY ADDRESS: 4401 North Main St
Rockford, IL 61103

DOCKET #: NH 12-C0094
NAME. OF OWNER:
OR LICENSEE: Winnebago Count
ADDRESS: 404 Elm St, Rm 504
Rockford, IL 61101

Re: Survey of 2-15-12 By Final Order, Violation Amended and Fine Assessment Withdrawn.

FACILITY NAME: Rosewood Care Center of Northbrook
FACILITY ADDRESS: 4101 Lake Cook Rd
Northbrook, IL 60062

DOCKET #: NH 12-C0112
NAME. OF OWNER:
OR LICENSEE: Bravo Care of Northbrook, Inc.
ADDRESS: 412 East Lawrence
Springfield, IL 62703

Re: Survey of 2-7-12 By Final Order, Violation Amended and Fine Assessment Reduced.

FACILITY NAME: Rosewood Care Center Swansea
FACILITY ADDRESS: 100 Rosewood Village Dr
Swansea, IL 62226

DOCKET #: NH 12-S0358
NAME. OF OWNER:
OR LICENSEE: Rosewood Care Center, Inc of Swansea
ADDRESS: 412 East Lawrence
Springfield, IL 62703

Re: Survey of 7-3-12 On September 5, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100. A hearing has been requested.

FACILITY NAME: Sandwich Rehabilitation and Health Care Center
FACILITY ADDRESS: 902 East Arnold St
Sandwich, IL 60548

DOCKET #: NH 12-C0019
NAME. OF OWNER:
OR LICENSEE: Petersen Health Operations, LLC.
ADDRESS: 830 West Trailcreek Dr
Peoria, IL 61614

Re: Survey of 12-8-11  By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Shabbona Healthcare Center
FACILITY ADDRESS: 409 West Comanche Ave.
Shabbona, IL 60550

DOCKET #: NH 12-C0312
NAME. OF OWNER:
OR LICENSEE: Shabbona Healthcare Center, Inc.
ADDRESS: 7434 North Skokie Blvd
Skokie, IL 60077

Re: Survey of 6-25-12 On July 31, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $1,100.

FACILITY NAME: Shady Oaks West
FACILITY ADDRESS: 16220 Parker Rd
Lockport, IL 60441

DOCKET #: NH 12-C0098
NAME. OF OWNER:
OR LICENSEE: Lutheran Social Services of Illinois
ADDRESS: 1001 East Touhy Ave., Ste #50
Des Plaines, IL 60018

Re: Survey of 1-19-12 By Final Order, Violation Amended, Fine Assessment Affirmed and Notice of Conditional License Withdrawn.

FACILITY NAME: Shady Oaks West
FACILITY ADDRESS: 16220 Parker Rd
Lockport, IL 60441

DOCKET #: NH 12-S0348
NAME. OF OWNER:
OR LICENSEE: Lutheran Social Services of Illinois
ADDRESS: 1001 East Touhy Ave., Ste 50
Des Plaines, IL 60018

Re: Survey of 6-20-12 On August 24, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Sheltering Oak
FACILITY ADDRESS: PO Box 367
Island Lake, IL 60042

DOCKET #: NH 12-S0359
NAME. OF OWNER:
OR LICENSEE: Sheltering Oak, Inc
ADDRESS: 5412 South Rte 31, Ste #3
Crystal Lake, IL 60012

Re: Survey of 7-25-12 On September 5, 2012, sent Notice of Type “B” Violations relating to the area of policy & procedure and Notice of Fine Assessment of $3,300.

FACILITY NAME: Stearns Nursing and Rehabilitation Center
FACILITY ADDRESS: 3900 Stearns Ave.
Granite City, IL 62040

DOCKET #: NH 12-C0366
NAME. OF OWNER:
OR LICENSEE: Stearns Nursing and Rehabilitation Center, LLC
ADDRESS: 801 Adlai Stevenson Dr
Springfield, IL 62703

Re: Survey of 8-7-12 On September 13, 2012, sent Notice of Type “A” Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $10,000.

FACILITY NAME: Taylorville Care Center
FACILITY ADDRESS: 600 South Houston
Taylorville, IL 62568

DOCKET #: NH 12-S0309
NAME. OF OWNER:
OR LICENSEE: Taylorville Care Center, Inc.
ADDRESS: 935 South Mill
Nashville, IL 62263

Re: Survey of 6-29-12 On July 25, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Transitions Nursing and Rehabilitation Center
FACILITY ADDRESS: 1000 Dixon Ave.
Rock Falls, IL 61071

DOCKET #: NH 12-S0320
NAME. OF OWNER:
OR LICENSEE: Colonial Acres Health Care Center, Inc.
ADDRESS: 1625 South 6th St
Springfield, IL 62703

Re: Survey of 7-13-12 On August 3, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $1,100.

FACILITY NAME: Turner Manor
FACILITY ADDRESS: PO Box 303, 901 Oglesby Rd
Harrisburg, IL 62946

DOCKET #: NH 12-C0294
NAME. OF OWNER:
OR LICENSEE: Turner Manor, Inc.
ADDRESS: 105 South Commercial St, PO Box 972
Harrisburg, IL 62946

Re: Survey of 5-17-12 On July 20, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $750.

FACILITY NAME: Vermilion Manor Nursing Home
FACILITY ADDRESS: 14792 Catlin-Tilton Rd
Danville, IL 61834

DOCKET #: NH 12-C0313
NAME. OF OWNER:
OR LICENSEE: Vermilion County
ADDRESS: 6 North Vermilion
Danville, IL 61832

Re: Survey of 6-8-12 On July 31, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $1,100.

FACILITY NAME: Villa Health Care East
FACILITY ADDRESS: 100 Marian Parkway, PO Box 109
Sherman, IL 62684

DOCKET #: NH 12-S0385
NAME. OF OWNER:
OR LICENSEE: Villa Health Care, Inc
ADDRESS: 313 Saratoga Chase
Sherman, IL 62684

Re: Survey of 8-17-12 On September 13, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Westminster Village
FACILITY ADDRESS: 2025 E. Lincoln St
Bloomington, IL 61701

DOCKET #: NH 12-C0386
NAME. OF OWNER:
OR LICENSEE: Westminster Village, Inc
ADDRESS: 2025 E. Lincoln St
Bloomington, IL 61701

Re: Survey of 8-8-12 On September 18, 2012, sent Notice of Type “A” Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $12,500. A hearing has been requested.




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Nursing Homes in Illinois

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