QUARTERLY REPORT
July - September 2014
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: | Turner Manor |
| FACILITY ADDRESS: | P.O. Box 303, 901 Oglesby Road |
| FACILITY CITY, STATE, ZIP: | Harrisburg, IL 62946 |
| DOCKET NUMBER: | NH 14-C0290 |
| LICENSEE INFO: | Turner Manor, INC |
| LICENSEE ADDRESS: | 105 S. Commercial St. P.O. Box 972 |
| LICENSEE CITY, STATE, ZIP: | Harrisburg, IL 62946 |
| Survey Date – July 11, 2014 | |
| Type A violation for violating one or more sections: 350.620a), 350.1210, 350.1220j), 350.3240a), 350.3240b), and 350.3240e). For a total fine of $10,000.00 | |
| FACILITY NAME: | Leroy Manor |
| FACILITY ADDRESS: | 509 Buck Road, P.O. Box 149 |
| FACILITY CITY, STATE, ZIP: | Leroy, IL 61752 |
| DOCKET NUMBER: | NH 14-S0272 |
| LICENSEE INFO: | UDI #4, L.L.C |
| LICENSEE ADDRESS: | 285 S. Farnham St. |
| LICENSEE CITY, STATE, ZIP: | Galesburg, IL 61401 |
| Survey Date – May 30, 2014 | |
| Type B violation for violating one or more sections: 300.1210b), 300.1210d)6), 300.1220b)3), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 3003240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | Coleman House |
| FACILITY ADDRESS: | 6300 N. Ridge Ave. |
| FACILITY CITY, STATE, ZIP: | Chicago, IL 60660 |
| DOCKET NUMBER: | NH 14-S0304 |
| LICENSEE INFO: | Misericordia Home |
| LICENSEE ADDRESS: | 6300 N. Ridge Ave. |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60660 |
| Survey Date – 6/19/14 | |
| Type A violation for violating one or more sections: 350.1060e), 350.1210, 350.3240a), and 350.3240f). For a total fine of $6.250.00 | |
| FACILITY NAME: | Rosewood Care Center Swansea |
| FACILITY ADDRESS: | 100 Rosewood Village Dr. |
| FACILITY CITY, STATE, ZIP: | Swansea, IL 69719 |
| DOCKET NUMBER: | NH 14-S0302 |
| NH 14-C0307 | |
| LICENSEE INFO: | Rosewood Care Center, Inc. of Swansea |
| LICENSEE ADDRESS: | 412 E. Lawrence |
| LICENSEE CITY, STATE, ZIP: | Springfield, IL 62703 |
| Survey Date – 5/28/14 | |
| Type A violation for violating one or more sections: 300.610a), 300.690c), 300.1210b), 300.3240a), 300.3240b), 300.3240c), 300.3240d), and 300.3240e). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.690, 3001210b), 300.3240a), 300.3240d), and 300.3240e). For a total fine of $25,000.00 | |
| FACILITY NAME: | Alden Princeton Rehab & HCC |
| FACILITY ADDRESS: | 255 W. 69th St. |
| FACILITY CITY, STATE, ZIP: | Chicago, IL 60621 |
| DOCKET NUMBER: | NH 14-S0309 |
| NH 14-C0310 | |
| LICENSEE INFO: | Alden-Princeton Rehabilitation and Healthcare Center INC. |
| LICENSEE ADDRESS: | 4200 W. Peterson Ave., Suite 140 |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60646 |
| Survey Date – 5/29/14 | |
| Type A violation for violating one or more sections: 300.610a), 300.1210b), 300.1210d)6), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). For a total fine of $25,000.00 | |
| Type A violation for violating one or more sections: 300.610a), 300.1010h), 300.1210b)1, 300.12102, 300.3220f), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b) and 300.1210b). For a total fine of $25,000.00 | |
| FACILITY NAME: | Heritage Health- Carlinville |
| FACILITY ADDRESS: | 1200 University Ave. |
| FACILITY CITY, STATE, ZIP: | Carlinville, IL 62626 |
| DOCKET NUMBER: | NH 14-S0303 |
| LICENSEE INFO: | Heritage Health- Carlinville, LLC |
| LICENSEE ADDRESS: | 202 N. Center |
| LICENSEE CITY, STATE, ZIP: | Bloomington, IL 61701 |
| Survey Date – 6/13/14 | |
| Type A violation for violating one or more sections: 300.610a), 300.1210b), 300.1210d)6), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). For a total fine of $25,000.00 | |
| FACILITY NAME: | Highland Health Care Center |
| FACILITY ADDRESS: | 1450 26th St. |
| FACILITY CITY, STATE, ZIP: | Highland, IL 62249 |
| DOCKET NUMBER: | NH 14-S0277 |
| LICENSEE INFO: | Covenant Care Midwest, Inc. |
| LICENSEE ADDRESS: | 208 South Lasalle, Suite 814 |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60604 |
| Survey Date – 5/9/14 | |
| Type B violation for violating one or more sections: 300.610a), 300.1210b), 300.1210d)6), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | Alden Terrace of McHenry Rehab |
| FACILITY ADDRESS: | 803 Royal Drive |
| FACILITY CITY, STATE, ZIP: | McHenry, IL 60050 |
| DOCKET NUMBER: | NH 14-S0276 |
| LICENSEE INFO: | Alden Terrace of McHenry Rehab and HCC, Inc. |
| LICENSEE ADDRESS: | 4200 W. Peterson Ave., Suite 140 |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60646 |
| Survey Date – 5/23/14 | |
| Type B violation for violating one or more sections: 300.1210b), 300.1210d)6), and 300.3240a) The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation:300.1210b), 300.1210d)6), 300.3240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | Oregon Living and Rehab Center |
| FACILITY ADDRESS: | 811 South 10th St. |
| FACILITY CITY, STATE, ZIP: | Oregon, IL 61061 |
| DOCKET NUMBER: | NH 14-C0281 |
| LICENSEE INFO: | Oregon Living and Rehabilitation Center, LLC |
| LICENSEE ADDRESS: | 7434 Skokie Blvd |
| LICENSEE CITY, STATE, ZIP: | Skokie, IL 60077 |
| Survey Date – 7/9/14 | |
| Type B violation for violating one or more sections: 300.696a), 300.1210b), 300.1210d)5), 300.1220b)3), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.696a). 300.1210b), 300.1210d)5), and 300.3240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | Prairie View at the Garlands |
| FACILITY ADDRESS: | 6000 Garlands Lane |
| FACILITY CITY, STATE, ZIP: | Barrington, IL 60010 |
| DOCKET NUMBER: | NH 14-S0289 |
| LICENSEE INFO: | The Garlands of Barrington, LLC |
| LICENSEE ADDRESS: | 208 S. Lasalle Street, Suite 814 |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60604 |
| Survey Date – 6/5/14 | |
| Type B violation for violating one or more sections: 300.610a), 3001210a), 300.1210b), 3001210d)6), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b). 3001210d)6), and 300.3240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | Timbercreek Rehab and HCC |
| FACILITY ADDRESS: | 2220 State St. |
| FACILITY CITY, STATE, ZIP: | Pekin, IL 61554 |
| DOCKET NUMBER: | NH 14-C0274 |
| LICENSEE INFO: | Petersen Health Operations, LLC |
| LICENSEE ADDRESS: | 830 West Trailcreek Dr. |
| LICENSEE CITY, STATE, ZIP: | Peoria, IL 61614 |
| Survey Date – 6/19/14 | |
| Type B violation for violating one or more sections: 300.610a), 300.1210b), 300.1210d)6), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210b)6), and 300.3240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | Care Center of Abington |
| FACILITY ADDRESS: | 801 West Martin St. |
| FACILITY CITY, STATE, ZIP: | Abington, IL 61410 |
| DOCKET NUMBER: | NH 14-C0270 |
| LICENSEE INFO: | UDI #6 LLC |
| LICENSEE ADDRESS: | 285 S. Farnham St. |
| LICENSEE CITY, STATE, ZIP: | Galesburg, IL 61401 |
| Survey Date – 6/10/14 | |
| Type A violation for violating one or more sections: 300.610a), 300.1210b), 300.3240a), 300.3240b), 300.3240d), and 300.3240e). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.3240a), 300.3240d), and 300.3240e). For a total fine of $25,000.00 | |
| FACILITY NAME: | Asta Care Center of Bloomington |
| FACILITY ADDRESS: | 1509 North Calhoun St. |
| FACILITY CITY, STATE, ZIP: | Bloomington, IL 61701 |
| DOCKET NUMBER: | NH 14-S0267 |
| NH 14-C0268 | |
| LICENSEE INFO: | Asta Care Center of Bloomington, LLC |
| LICENSEE ADDRESS: | 134 McLean Blvd |
| LICENSEE CITY, STATE, ZIP: | Elgin, IL 60123 |
| Survey Date – 5/21/14 | |
| Type A violation for violating one or more sections: 300.610a), 300.1210a), 300.1210b), 300.1210b)6), 300.1220b)3), 300.2210a), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). For a total fine of $25,000.00 | |
| Type Administrative Warning of an occurrence for violating one or more of the following sections of the code: 300.1230k). No fine | |
| FACILITY NAME: | Joliet Terrace Nursing Center |
| FACILITY ADDRESS: | 2230 McDonough St. |
| FACILITY CITY, STATE, ZIP: | Joliet, IL 60436 |
| DOCKET NUMBER: | NH 14-S0280 |
| LICENSEE INFO: | JT Care, LLC |
| LICENSEE ADDRESS: | 1S443 Summit Ave., Suite 204 |
| LICENSEE CITY, STATE, ZIP: | Oakbrook, IL 60181 |
| Survey Date – 5/6/14 | |
| Type A violation for violating one or more sections: 300.610a), 300.696a), 300.696c)7), 300.1210b), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.696, 300.1210b), and 300.3240a). For a total fine of $25,000.00 | |
| Type B violation for violating one or more sections: 300.1210b), 300.1210d)1), 300.1620c), 300.1630d), and 300.3240a) The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b) and 300.3240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | North Adams Home |
| FACILITY ADDRESS: | 2259 E. 1100th St. |
| FACILITY CITY, STATE, ZIP: | Mendon, IL 62351 |
| DOCKET NUMBER: | NH 14-S0273 |
| LICENSEE INFO: | North Adams Home, INC. |
| LICENSEE ADDRESS: | 237 N. 6th St, Suite 200 |
| LICENSEE CITY, STATE, ZIP: | Quincy, IL 62301 |
| Survey Date – 6/3/14 | |
| Type A violation for violating one or more sections: 300.1210b), 300.1210d)6), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). For a total fine of $25,000.00 | |
| Type Administrative warning of an occurrence for violating one or more of the following sections of the code: 300.7040a), 300.7040c), 300.7040d), and 300.7040e). No fine | |
| FACILITY NAME: | Gardenview Manor |
| FACILITY ADDRESS: | 14792 Catlin-Tilton Road |
| FACILITY CITY, STATE, ZIP: | Danville, IL 61834 |
| DOCKET NUMBER: | NH 14-C0269 |
| LICENSEE INFO: | Gardenview Manor |
| LICENSEE ADDRESS: | 5750 Old Orchard Road, Suite 420 |
| LICENSEE CITY, STATE, ZIP: | Skokie, IL 60077 |
| Survey Date – 5/28/14 | |
| Type A violation for violating one or more sections: 300.1210b), 300.1220b)3), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b) and 300.3240a). For a total fine of $25,000.00 | |
| FACILITY NAME: | Asta Care Center- Ford County |
| FACILITY ADDRESS: | 1240 North Market St. |
| FACILITY CITY, STATE, ZIP: | Paxton, IL 60957 |
| DOCKET NUMBER: | NH 14-S0262 |
| LICENSEE INFO: | Asta Care Center of Ford County, LLC |
| LICENSEE ADDRESS: | 134 North McLean Blvd |
| LICENSEE CITY, STATE, ZIP: | Elgin, IL 60123 |
| Survey Date – 5/22/14 | |
| Type B violation for violating one or more sections: 300.610a), 300.1210b)5), 300.1210d)6), 300.1220b)3), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation:300.1210b), 300.1210d)6), and 300.3240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | Manorcare of Oak Lawn West |
| FACILITY ADDRESS: | 6300 West 95th St. |
| FACILITY CITY, STATE, ZIP: | Oak Lawn, IL 60453 |
| DOCKET NUMBER: | NH 14-S0265 |
| LICENSEE INFO: | Manorcare of Oak Lawn (West) IL, LLC |
| LICENSEE ADDRESS: | 208 S. LaSalle St., Suite 814 |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60604 |
| Survey Date – 5/29/14 | |
| Type A violation for violating one or more sections: 300.610a), 300.1010H), 300.1210B), 300.1210d)3), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b) and 300.3240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | Weber House |
| FACILITY ADDRESS: | 2520 St James Road |
| FACILITY CITY, STATE, ZIP: | Springfield, IL 62707 |
| DOCKET NUMBER: | NH 14-S0266 |
| LICENSEE INFO: | Weber Care Corporation |
| LICENSEE ADDRESS: | 1214 South 8th St. |
| LICENSEE CITY, STATE, ZIP: | Springfield, IL 62703 |
| Survey Date – 5/8/14 | |
| No Level violation. No fine. | |
| FACILITY NAME: | Hillsboro Rehab and HCC |
| FACILITY ADDRESS: | 1300 East Tremont St. |
| FACILITY CITY, STATE, ZIP: | Hillsboro, IL 62049 |
| DOCKET NUMBER: | NH 14-S0264 |
| LICENSEE INFO: | Hillsboro Rehabilitation and Health Care Center, LLC |
| LICENSEE ADDRESS: | 412 E. Lawrence |
| LICENSEE CITY, STATE, ZIP: | Springfield, IL 62703 |
| Survey Date – 5/22/14 | |
| Type B violation for violating one or more sections: 300.610a), 300.1210b), 300.1210d)5), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation:300.1210b), 300.1210d)5), and 300.3240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | Kensington Place Nursing and Rehab |
| FACILITY ADDRESS: | 3405 South Michigan Ave. |
| FACILITY CITY, STATE, ZIP: | Chicago, IL 60616 |
| DOCKET NUMBER: | NH 14-S0261 |
| LICENSEE INFO: | Kensington Place Nursing and Rehab Center, LLC |
| LICENSEE ADDRESS: | 8170 McCormick Blvd, Suite 219 |
| LICENSEE CITY, STATE, ZIP: | Skokie, IL 60079 |
| Survey Date – 5/30/14 | |
| Type A violation for violating one or more sections: 300.610a), 300.1210b), 300.1210d)6), and 300.3240a) The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). For a total fine of $25,000.00 | |
| FACILITY NAME: | Pavilion of Waukegan |
| FACILITY ADDRESS: | 2217 Washington St. |
| FACILITY CITY, STATE, ZIP: | Waukegan, IL 60085 |
| DOCKET NUMBER: | NH 14-S0098 |
| LICENSEE INFO: | Pavilion of Waukegan, LLC |
| LICENSEE ADDRESS: | 4711 Golf Road, Suite 200 |
| LICENSEE CITY, STATE, ZIP: | Skokie, IL 60076 |
| Survey Date – 6/20/14 | |
| Type B violation for violating one or more sections: 300.1210a), 300.1210b), 300.1210d)6), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | Aperion Care of Springfield |
| FACILITY ADDRESS: | 525 S. Martin Luther King Dr. |
| FACILITY CITY, STATE, ZIP: | Springfield, IL 62703 |
| DOCKET NUMBER: | NH 14-S0294 |
| LICENSEE INFO: | Springfield Care Center |
| LICENSEE ADDRESS: | 8131 N. Monticello Ave. |
| LICENSEE CITY, STATE, ZIP: | Skokie, IL 60076 |
| Survey Date – 6/17/14 | |
| Type A violation for violating one or more sections: 300.610a), 300.1210a), 300.1210b), 300.1210d)6), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), 300.3240a). For a total fine of $25,000.00 | |
| FACILITY NAME: | Manorcare of South Holland |
| FACILITY ADDRESS: | 2145 East 170th St. |
| FACILITY CITY, STATE, ZIP: | South Holland, IL 60473 |
| DOCKET NUMBER: | NH 14-C0292 |
| LICENSEE INFO: | Manor Care of South Holland IL, LLC |
| LICENSEE ADDRESS: | 208 S. LaSalle St., Suite 814 |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60604 |
| Survey Date – 6/28/14 | |
| Type A violation for violating one or more sections: 300.610a), 300.1210b), 300.1210d)6), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). For a total fine of $25,000.00 | |
| FACILITY NAME: | Oak Trace |
| FACILITY ADDRESS: | 250 Village Dr. |
| FACILITY CITY, STATE, ZIP: | Downers Grove, Il 60516 |
| DOCKET NUMBER: | NH 13-S0533 |
| LICENSEE INFO: | Life Space DG, LLC |
| LICENSEE ADDRESS: | 208 S. Lasalle, St, Suite 814 |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60604 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Chateau Nursing and Rehab Center |
| FACILITY ADDRESS: | 7050 Madison St. |
| FACILITY CITY, STATE, ZIP: | Willowbrook, IL 60521 |
| DOCKET NUMBER: | NH 14-C0111 |
| LICENSEE INFO: | Chateau NRSG and Rehab Center LLC |
| LICENSEE ADDRESS: | 2201 Main St. |
| LICENSEE CITY, STATE, ZIP: | Evanston, IL 60202 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Bethany Rehab and HCC |
| FACILITY ADDRESS: | 3298 Resource Parkway |
| FACILITY CITY, STATE, ZIP: | Dekalb, IL 60115 |
| DOCKET NUMBER: | NH 13-C0542 |
| LICENSEE INFO: | Bethany Health LLC |
| LICENSEE ADDRESS: | 412 Lawrence |
| LICENSEE CITY, STATE, ZIP: | Springfield, IL 62703 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Westchester Health Rehab Center |
| FACILITY ADDRESS: | 2901 South Wolf Road |
| FACILITY CITY, STATE, ZIP: | Westchester, IL 60154 |
| DOCKET NUMBER: | NH 13-G420 |
| LICENSEE INFO: | SSC Westchester Operating Co, LLC |
| LICENSEE ADDRESS: | 208 South LaSalle St., Suite 814 |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60604 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Manorcare of Willmette |
| FACILITY ADDRESS: | 432 Poplar Dr, |
| FACILITY CITY, STATE, ZIP: | Willmette, IL 60091 |
| DOCKET NUMBER: | NH 14-G202 |
| LICENSEE INFO: | Manor Care of Wilmette IL, LLC |
| LICENSEE ADDRESS: | 208 S. LaSalle St., Suite 814 |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60604 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Helia Healthcare of Carbondale |
| FACILITY ADDRESS: | 500 Lewis Ln |
| FACILITY CITY, STATE, ZIP: | Carbondale, IL 62901 |
| DOCKET NUMBER: | NH 13-G0478 |
| LICENSEE INFO: | Helia Healthcare of Carbondale, LLC |
| LICENSEE ADDRESS: | 600 South Second St. |
| LICENSEE CITY, STATE, ZIP: | Springfield, IL 62704 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Chestnut Manor |
| FACILITY ADDRESS: | 1404 S. 14th St. |
| FACILITY CITY, STATE, ZIP: | Herrin, IL 62948 |
| DOCKET NUMBER: | NH 12-C-191 |
| LICENSEE INFO: | New Way Developers, INC |
| LICENSEE ADDRESS: | 105 Commercial, P.O. Box 972 |
| LICENSEE CITY, STATE, ZIP: | Harrisburg, IL 62946 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Chest nut Manor |
| FACILITY ADDRESS: | 1404 S. 14th St |
| FACILITY CITY, STATE, ZIP: | Herrin, IL 62948 |
| DOCKET NUMBER: | NH 12-S-271 |
| LICENSEE INFO: | New Way Developers, INC |
| LICENSEE ADDRESS: | 105 Commercial. P.O. Box 972 |
| LICENSEE CITY, STATE, ZIP: | Harrisburg, IL 62946 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Bronzeville Park Skilled Nursing and Living Center |
| FACILITY ADDRESS: | 3400 South Indiana |
| FACILITY CITY, STATE, ZIP: | Chicago, IL 60616 |
| DOCKET NUMBER: | NH 13-S-0014 |
| LICENSEE INFO: | Chevy Chase Corp. |
| LICENSEE ADDRESS: | 191 North Wacker Dr., Suite 1800 |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60606 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Illinois Knights Templar Home |
| FACILITY ADDRESS: | 450 Fulton St. P.O. Box 49 |
| FACILITY CITY, STATE, ZIP: | Paxton, IL 60957 |
| DOCKET NUMBER: | NH 13-S0305 |
| LICENSEE INFO: | Illinois Knights Templar Home |
| LICENSEE ADDRESS: | 190 S. LaSalle St., Suite 3700 |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60603 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Danville Care Center |
| FACILITY ADDRESS: | 1701 North Bowman |
| FACILITY CITY, STATE, ZIP: | Danville, IL 61832 |
| DOCKET NUMBER: | NH 13-G-252 |
| LICENSEE INFO: | Danville Care Center, LTD |
| LICENSEE ADDRESS: | 5750 Old Orchard Road, Suite 420 |
| LICENSEE CITY, STATE, ZIP: | Skokie, IL 60077 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Village at Victory Lakes |
| FACILITY ADDRESS: | 1055 East Grand Ave. |
| FACILITY CITY, STATE, ZIP: | Lindenhurst, IL 60046 |
| DOCKET NUMBER: | NH 13-S0551 |
| LICENSEE INFO: | Franciscan Communities, Inc |
| LICENSEE ADDRESS: | 208 S. LaSalle St, Suite 814 |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60604 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | The Gardens at Belvidere |
| FACILITY ADDRESS: | 1701 West 5th Ave. |
| FACILITY CITY, STATE, ZIP: | Belvidere, IL 61008 |
| DOCKET NUMBER: | NH 13-C0544 |
| LICENSEE INFO: | The Gardens of Belvidere, LLC |
| LICENSEE ADDRESS: | 8170 McCormick Blvd< #124 |
| LICENSEE CITY, STATE, ZIP: | Skokie, IL 60076 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Belhaven Nursing and Rehab Center |
| FACILITY ADDRESS: | 11401 S. Oakley Ave. |
| FACILITY CITY, STATE, ZIP: | Chicago, IL 60643 |
| DOCKET NUMBER: | NH 13-G-0282 |
| LICENSEE INFO: | Belhaven Nursing and Rehab Center, LLC |
| LICENSEE ADDRESS: | 150 Fencl Lane |
| LICENSEE CITY, STATE, ZIP: | Hillside, IL 60162 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | The Gardens of LaGrange (Meadowbrook Manor) |
| FACILITY ADDRESS: | 339 9th Ave. |
| FACILITY CITY, STATE, ZIP: | La Grange, IL 60525 |
| DOCKET NUMBER: | NH 05-S175 |
| LICENSEE INFO: | Butterfield Health Care VII, LLC |
| LICENSEE ADDRESS: | 161 N. Clark St, Suite 4200 |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60601 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Grove at the Lake Living and Rehab Center |
| FACILITY ADDRESS: | 2534 Elim Ave. |
| FACILITY CITY, STATE, ZIP: | Zion, IL 60099 |
| DOCKET NUMBER: | NH 14-G089 |
| LICENSEE INFO: | Grove at the Lake Living and Rehab Center, LLC |
| LICENSEE ADDRESS: | 801 Adlai Stevenson Dr |
| LICENSEE CITY, STATE, ZIP: | Springfield, IL 62703 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Capitol Healthcare and Rehab Center |
| FACILITY ADDRESS: | 555 West Carpenter |
| FACILITY CITY, STATE, ZIP: | Springfield, IL 62702 |
| DOCKET NUMBER: | NH 14-G057 |
| LICENSEE INFO: | Capitol Healthcare and Rehab Centre, LLC |
| LICENSEE ADDRESS: | 4600 West Touhy Ave., Suite 200 |
| LICENSEE CITY, STATE, ZIP: | Lincolnwood, IL 60712 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Lake Shore Healthcare and Rehab |
| FACILITY ADDRESS: | 7200 North Sheridan Road |
| FACILITY CITY, STATE, ZIP: | Chicago, IL 60626 |
| DOCKET NUMBER: | NH 14-C0314 |
| LICENSEE INFO: | Lake Shore Healthcare and Rehab Center, LLC |
| LICENSEE ADDRESS: | 4600 W. Touhy Ave., #200 |
| LICENSEE CITY, STATE, ZIP: | Lincolnwood, IL 60712 |
| Survey Date – 6/12/14 | |
| Type B violation for violating one or more sections: 300.610a), 300.1210b), 300.1210d)6), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | Manorcare of Kankakee |
| FACILITY ADDRESS: | 900 West River Place |
| FACILITY CITY, STATE, ZIP: | Kankakee, IL 60901 |
| DOCKET NUMBER: | NH 14-C0312 |
| LICENSEE INFO: | Manor Care of Kankakee, LLC |
| LICENSEE ADDRESS: | 208 S. LaSalle St., Suite 814 |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60604 |
| Survey Date – 6/27/14 | |
| Type B violation for violating one or more sections: 300.610a), 300.1210b), 300.1210d)6), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation:300.1210b), 300.1210d)6), and 300.3240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | Heartland of Canton |
| FACILITY ADDRESS: | 2081 N. Main St. |
| FACILITY CITY, STATE, ZIP: | Canton, IL 61520 |
| DOCKET NUMBER: | NH 14-S0315 |
| LICENSEE INFO: | Heartland of Canton, LLC |
| LICENSEE ADDRESS: | 208 S. LaSalle St., Suite 814 |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60604 |
| Survey Date – 6/19/14 | |
| Type B violation for violating one or more sections: 300.1210b), 300.1210d)6), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), 300.3240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | Bellwood Developmental Center |
| FACILITY ADDRESS: | 105 Eastern Ave. |
| FACILITY CITY, STATE, ZIP: | Bellwood, IL 60104 |
| DOCKET NUMBER: | NH 14-C0311 |
| LICENSEE INFO: | Bellwood Nursing Center |
| LICENSEE ADDRESS: | 5750 Old Orchard Road, Suite 420 |
| LICENSEE CITY, STATE, ZIP: | Skokie, IL 60077 |
| Survey Date – 6/25/14 | |
| Type A violation for violating one or more sections: 350.620a), 350.1210, 350.1230d)1), and 350.3240a). For a total fine of $10,000.00 | |
| FACILITY NAME: | Pittsfield Manor |
| FACILITY ADDRESS: | 610 Lowry St. |
| FACILITY CITY, STATE, ZIP: | Pittsfield, IL 62363 |
| DOCKET NUMBER: | NH 14-C0316 |
| LICENSEE INFO: | UDI #9, LLC |
| LICENSEE ADDRESS: | 285 South Farnham St. |
| LICENSEE CITY, STATE, ZIP: | Galesburg, IL 61401 |
| Survey Date – 7/9/14 | |
| Type A violation for violating one or more sections: 300.610a), 300.1030b), 300.1210b), 300.1630d), 300.3220f), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b) and 300.3240a). For a total fine of $25,000.00. | |
| FACILITY NAME: | West Chicago Terrace Nursing Home |
| FACILITY ADDRESS: | 928 Joliet Road |
| FACILITY CITY, STATE, ZIP: | West Chicago, IL 60185 |
| DOCKET NUMBER: | NH 14-G-0055 |
| LICENSEE INFO: | WTC Care, LLC |
| LICENSEE ADDRESS: | 1S443 Summitt Ave., Suite 204 |
| LICENSEE CITY, STATE, ZIP: | OakBrook Terrace, IL 60181 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Lexington of LaGrange |
| FACILITY ADDRESS: | 4735 Willow Springs Road |
| FACILITY CITY, STATE, ZIP: | LaGrange, IL 60525 |
| DOCKET NUMBER: | NH 14-S0313 |
| LICENSEE INFO: | Lexington Health Care Center of LaGrange, INC |
| LICENSEE ADDRESS: | 654 West North Ave. |
| LICENSEE CITY, STATE, ZIP: | Lombard, IL 60148 |
| Survey Date – 6/26/14 | |
| Type B violation for violating one or more sections: 300.610a), 300.12100b), 300.1210d)6), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | Oak Lawn Respiratory and Rehab |
| FACILITY ADDRESS: | 9525 S. Mayfield |
| FACILITY CITY, STATE, ZIP: | Oak Lawn, IL 60453 |
| DOCKET NUMBER: | NH 14-G-0236 |
| LICENSEE INFO: | Oak Lawn Respiratory and Rehab Center, LLC |
| LICENSEE ADDRESS: | 9525 Mayfield Ave. |
| LICENSEE CITY, STATE, ZIP: | Oak Lawn, IL 60453 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Greenwood Care |
| FACILITY ADDRESS: | 1406 Chicago Ave. |
| FACILITY CITY, STATE, ZIP: | Evanston, IL 60201 |
| DOCKET NUMBER: | NH 13-G110 |
| LICENSEE INFO: | Greenwood Care, INC |
| LICENSEE ADDRESS: | 6840 N. Lincoln Ave. |
| LICENSEE CITY, STATE, ZIP: | Lincolnwood, IL 60712 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | VIP Manor |
| FACILITY ADDRESS: | 393 Edwardsville Road |
| FACILITY CITY, STATE, ZIP: | Wood River, IL 62095 |
| DOCKET NUMBER: | NH 14-G-0217 |
| LICENSEE INFO: | SA-ENC VIPManor, LLC |
| LICENSEE ADDRESS: | 801 Adlai Stevenson Dr. |
| LICENSEE CITY, STATE, ZIP: | Springfield, IL 62703 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Mid America Care Center |
| FACILITY ADDRESS: | 4920 North Kenmore Ave. |
| FACILITY CITY, STATE, ZIP: | Chicago, IL 60640 |
| DOCKET NUMBER: | NH 13-C0514 |
| NH 13-S0540 | |
| LICENSEE INFO: | Mid America Care Center, LLC |
| LICENSEE ADDRESS: | 3553 West Peterson Ave., Suite 300 |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60659 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Alden Poplar Creek Rehab and HCC |
| FACILITY ADDRESS: | 1545 Barrington Road |
| FACILITY CITY, STATE, ZIP: | Hoffman Estates, IL 60194 |
| DOCKET NUMBER: | NH 02-S065 |
| LICENSEE INFO: | Alden Poplar Creek Rehab and HCC |
| LICENSEE ADDRESS: | 4200 W Peterson Ave., Suite 140 |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60646 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Atrium HC and Rehab Center- Cahokia |
| FACILITY ADDRESS: | 3354 Jerome Ln |
| FACILITY CITY, STATE, ZIP: | Cahokia, IL 62206 |
| DOCKET NUMBER: | NH 14-S0197 |
| LICENSEE INFO: | Atrium Health Care and Rehab Center of Cahokia |
| LICENSEE ADDRESS: | 465 Central Ave., #100 |
| LICENSEE CITY, STATE, ZIP: | Northfield, IL 60093 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | St. Vincent’s Home |
| FACILITY ADDRESS: | 1440 North 10th St. |
| FACILITY CITY, STATE, ZIP: | Quincy, IL 62301 |
| DOCKET NUMBER: | NH 14-S0323 |
| LICENSEE INFO: | St. Vincent’s Home, INC |
| LICENSEE ADDRESS: | 1 W. Old State Capitol, Suite 600, BX2117 |
| LICENSEE CITY, STATE, ZIP: | Springfield, IL 62705 |
| Survey Date - N/A | |
| Type B violation for violating one or more sections: 300.610a), 300.1210b), 300.1210d)5), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)5), and 300.3240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | Villa Health Care East |
| FACILITY ADDRESS: | 100 Marian Parkway, P.O. Box 109 |
| FACILITY CITY, STATE, ZIP: | Sherman, IL 62684 |
| DOCKET NUMBER: | NH 14-S0322 |
| LICENSEE INFO: | Villa Health Care, INC |
| LICENSEE ADDRESS: | 313 Saratoga Chase |
| LICENSEE CITY, STATE, ZIP: | Sherman, IL 62684 |
| Survey Date – 7/11/14 | |
| Type A violation for violating one or more sections: 300.610a), 300.1210b), 300.1210d)6), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210b), 300.1210d)6), and 300.3240a). For a total fine of $25,000.00 | |
| Type B violation for violating one or more sections: 300.610a), 300.1210b), 300.1220b)2), 300.1810h), 300.2040b), 300.2040d) and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation:300.1210b) and 300.3240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | Presence Ballard Nursing Center |
| FACILITY ADDRESS: | 9300 Ballard Road |
| FACILITY CITY, STATE, ZIP: | Des Plaines, IL 60016 |
| DOCKET NUMBER: | NH 14-G230 |
| LICENSEE INFO: | Presence RHC Senior Services |
| LICENSEE ADDRESS: | 7435 West Talcott |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60631 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Heartland of Decatur |
| FACILITY ADDRESS: | 444 West Harrison St. |
| FACILITY CITY, STATE, ZIP: | Decatur, IL 62526 |
| DOCKET NUMBER: | NH 14- C0325 |
| LICENSEE INFO: | Heartland of Decatur IL, LLC |
| LICENSEE ADDRESS: | 208 S. LaSalle St., Suite 814 |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60604 |
| Survey Date – 8/7/14 | |
| Type B violation for violating one or more sections: 300.1210a), 300.1210b), 300.1210c), 300.1210d)6), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). For a total fine of $2,200.00 | |
| Type B violation for violating one or more sections: 300.610a), 300.696c)4), 300.1210b), 300.1210d)2), 300.1210d)3), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.696c)4), 300.1210b), and 300.3240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | Cornerstone Rehab and HC |
| FACILITY ADDRESS: | 5533 North Galena Road |
| FACILITY CITY, STATE, ZIP: | Peoria Heights, IL 61616 |
| DOCKET NUMBER: | NH 14-S0329 |
| LICENSEE INFO: | Midwest Health Operations, LLC |
| LICENSEE ADDRESS: | 830 W. Trailcreek Drive |
| LICENSEE CITY, STATE, ZIP: | Peoria, IL 61614 |
| Survey Date – 7/17/14 | |
| Type B violation for violating one or more sections: 300.610a), 300.1210b), 300.1210d)5), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)5), and 300.3240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | Morton Terrace H & R Centre |
| FACILITY ADDRESS: | 191 East Queenwood Road |
| FACILITY CITY, STATE, ZIP: | Morton, IL 61550 |
| DOCKET NUMBER: | NH 14-S0332 |
| LICENSEE INFO: | Morton Terrace Healthcare and Rehab Centre, LLC |
| LICENSEE ADDRESS: | 4600 West Touhy Ave., Suite 200 |
| LICENSEE CITY, STATE, ZIP: | Lincolnwood, IL 60712 |
| Survey Date – 6/24/14 | |
| Type A violation for violating one or more sections: 300.610a), 300.1210b), 300.3240a), 300.3240b), 300.3240d), 300.3240f). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation:300.1210b), 300.3240a), 300.3240d). For a total fine of $25,000.00 | |
| FACILITY NAME: | Asta Care Center of Elgin |
| FACILITY ADDRESS: | 134 North McLean Blvd |
| FACILITY CITY, STATE, ZIP: | Elgin, IL 60123 |
| DOCKET NUMBER: | NH 14-S0330 |
| LICENSEE INFO: | Asta Care Center of Elgin, LLC |
| LICENSEE ADDRESS: | 134 North McLean Blvd |
| LICENSEE CITY, STATE, ZIP: | Elgin, IL 60123 |
| Survey Date – 7/10/14 | |
| Type A violation for violating one or more sections: 300.610a), 300.1210b), 300.3240a), 300.3240b), 300.3240d), and 300.3240e). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.3240a), 300.3240d), and 300.3240e). For a total fine of $25,000.00 | |
| FACILITY NAME: | Asta Care of Colfax |
| FACILITY ADDRESS: | 402 South Harrison |
| FACILITY CITY, STATE, ZIP: | Colfax, IL 61728 |
| DOCKET NUMBER: | NH 14-C0328 |
| LICENSEE INFO: | Asta Care Center of Colfax, LLC |
| LICENSEE ADDRESS: | 134 N. McLean Blvd |
| LICENSEE CITY, STATE, ZIP: | Elgin, IL 60123 |
| Survey Date – 7/10/14 | |
| Type A violation for violating one or more sections: 300.610a), 300.1210b), 300.1220b)10), 300.3240a), 300.3240b), and 300.3240f). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b) and 300.3240a). For a total fine of $25,000.00 | |
| FACILITY NAME: | Aperion Care Decatur |
| FACILITY ADDRESS: | 2650 North Monroe |
| FACILITY CITY, STATE, ZIP: | Decatur, IL 62526 |
| DOCKET NUMBER: | NH 14-C0342 |
| LICENSEE INFO: | Lincoln Rehabilitation Center, LLC |
| LICENSEE ADDRESS: | 8131 Monticello Ave. |
| LICENSEE CITY, STATE, ZIP: | Skokie, IL 60076 |
| Survey Date – 7/3/14 | |
| Type B violation for violating one or more sections: 300.610a), 300.1010g)3), 300.1010h), 300.1210d)5), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210d)5) and 300.3240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | Tri-State Nursing and Rehab Center |
| FACILITY ADDRESS: | 2500 East 175th Street |
| FACILITY CITY, STATE, ZIP: | Lansing, IL 60438 |
| DOCKET NUMBER: | NH 14-S0334 |
| LICENSEE INFO: | Tri-State Nursing and Rehab Center, INC |
| LICENSEE ADDRESS: | 8320 Skokie Blvd |
| LICENSEE CITY, STATE, ZIP: | Skokie, IL 60077 |
| Survey Date – 7/18/14 | |
| Type B violation for violating one or more sections: 300.1210a), 300.1210b), 300.1210d)6), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | Apostolic Christian Timber Ridge |
| FACILITY ADDRESS: | 2125 Veterans Road |
| FACILITY CITY, STATE, ZIP: | Morton, IL 61550 |
| DOCKET NUMBER: | NH 14-S0335 |
| LICENSEE INFO: | Apostolic Christian Home for the Handicapped |
| LICENSEE ADDRESS: | 2125 Veterans Road |
| LICENSEE CITY, STATE, ZIP: | Morton, IL 61550 |
| Survey Date – 7/16/14 | |
| Type B violation for violating one or more sections: 350.1210, 350.1410a) and 350.3240a). For a total fine of $750.00 | |
| FACILITY NAME: | Paramount of Oak Park Rehab and Nursing Center |
| FACILITY ADDRESS: | 625 North Harlem |
| FACILITY CITY, STATE, ZIP: | Oak Park, IL 60302 |
| DOCKET NUMBER: | NH 13-G476 |
| LICENSEE INFO: | Paramount of Oak Park Rehab and Nursing Center |
| LICENSEE ADDRESS: | 191 N. Wacker Dr., Suite 1800 |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60606 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Lieberman Center for Health and Rehab |
| FACILITY ADDRESS: | 9700 Gross Point Road |
| FACILITY CITY, STATE, ZIP: | Skokie, IL 60076 |
| DOCKET NUMBER: | NH 14-G-0149 |
| LICENSEE INFO: | Council for Jewish Elderly |
| LICENSEE ADDRESS: | 3003 West Touhy Ave. |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60645 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Kewanee Care Home |
| FACILITY ADDRESS: | 144 Junior Ave. |
| FACILITY CITY, STATE, ZIP: | Kewanee, IL 61443 |
| DOCKET NUMBER: | NH 14-G-0021 |
| LICENSEE INFO: | Petersen Health Care, INC |
| LICENSEE ADDRESS: | 830 West Trailcreek Dr. |
| LICENSEE CITY, STATE, ZIP: | Peoria, IL 61614 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Montebello Healthcare Center |
| FACILITY ADDRESS: | 1599 Keokuk St |
| FACILITY CITY, STATE, ZIP: | Hamilton, IL 62341 |
| DOCKET NUMBER: | NH 13-G-481 |
| LICENSEE INFO: | SSC Hamilton Operating Company. LLC |
| LICENSEE ADDRESS: | 208 South LaSalle St., Suite 814 |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60604 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Lexington of Wheeling |
| FACILITY ADDRESS: | 730 West Hintz Road |
| FACILITY CITY, STATE, ZIP: | Wheeling, IL 60090 |
| DOCKET NUMBER: | NH 13-G253 |
| LICENSEE INFO: | Lexington Health Care Center of Wheeling, INC |
| LICENSEE ADDRESS: | 665 West North Ave. |
| LICENSEE CITY, STATE, ZIP: | Lombard, IL 60148 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | GlenLake Terrace Nursing and Rehab Center |
| FACILITY ADDRESS: | 2222 West 14th St |
| FACILITY CITY, STATE, ZIP: | Waukegan, IL 60085 |
| DOCKET NUMBER: | NH 13-G154 |
| LICENSEE INFO: | Pinnacle Inc |
| LICENSEE ADDRESS: | 191 North Wacker Dr., Suite 1800 |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60606 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | St. Mary’s Square Living Center |
| FACILITY ADDRESS: | 239 South Cherry Street |
| FACILITY CITY, STATE, ZIP: | Galesburg, IL 61401 |
| DOCKET NUMBER: | NH 13-C0297 |
| LICENSEE INFO: | Community Residential Centers, INC |
| LICENSEE ADDRESS: | 239 South Cherry St. |
| LICENSEE CITY, STATE, ZIP: | Galesburg, IL 61401 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Burgin Manor of Olney |
| FACILITY ADDRESS: | 900 East Scott St |
| FACILITY CITY, STATE, ZIP: | Olney, IL 62450 |
| DOCKET NUMBER: | NH 14-S0179 |
| LICENSEE INFO: | Burgin Manor of Olney, INC |
| LICENSEE ADDRESS: | 858 Sunnyhill Ln |
| LICENSEE CITY, STATE, ZIP: | Columbia, IL 62236 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Hillcrest Retirement Village |
| FACILITY ADDRESS: | 1740 North Circuit Dr. |
| FACILITY CITY, STATE, ZIP: | Round Lake Beach, IL 60073 |
| DOCKET NUMBER: | NH 14-S0037 |
| LICENSEE INFO: | Hillcrest Retirement Village |
| LICENSEE ADDRESS: | 1740 North Circuit Dr. |
| LICENSEE CITY, STATE, ZIP: | Round Lake Beach, IL 60073 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Stephenson Nursing Center |
| FACILITY ADDRESS: | 2946 South Walnut Road |
| FACILITY CITY, STATE, ZIP: | Freeport, IL 61032 |
| DOCKET NUMBER: | NH 14-C152 |
| NH 14-S153 | |
| LICENSEE INFO: | Stephenson County Board of Supervisors |
| LICENSEE ADDRESS: | 50 West Douglas St., Suite 1002 |
| LICENSEE CITY, STATE, ZIP: | Freeport, IL 61032 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | North Church Nursing and Rehab |
| FACILITY ADDRESS: | 1021 North Church St. |
| FACILITY CITY, STATE, ZIP: | Jacksonville, IL 62650 |
| DOCKET NUMBER: | NH 13-S0555 |
| NH 13-C0566 | |
| LICENSEE INFO: | North Church Nursing and Rehab, LLC |
| LICENSEE ADDRESS: | 8131 North Monticello Ave. |
| LICENSEE CITY, STATE, ZIP: | Jacksonville, IL 62650 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Lexington of Bloomingdale |
| FACILITY ADDRESS: | 165 South Bloomingdale Road |
| FACILITY CITY, STATE, ZIP: | Bloomingdale, IL 60108 |
| DOCKET NUMBER: | NH 14-G220 |
| LICENSEE INFO: | Lexington Health Care Center of Bloomingdale, INC |
| LICENSEE ADDRESS: | 665 West North Ave. |
| LICENSEE CITY, STATE, ZIP: | Lombard, IL 60148 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Renaissance at Midway |
| FACILITY ADDRESS: | 4437 South Cicero |
| FACILITY CITY, STATE, ZIP: | Chicago, IL 60632 |
| DOCKET NUMBER: | NH 13-G519 |
| LICENSEE INFO: | Renaissance at Midway, INC |
| LICENSEE ADDRESS: | 191 N Wacker Dr., Suite 1800 |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60606 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Meadowbrook Manor |
| FACILITY ADDRESS: | 431 West Remington Blvd |
| FACILITY CITY, STATE, ZIP: | Bolingbrook, IL 60440 |
| DOCKET NUMBER: | NH 14-G248 |
| LICENSEE INFO: | Butterfield Health Care, INC |
| LICENSEE ADDRESS: | 161 N Clark St, Suite 4200 |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60601 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Birchwood Plaza |
| FACILITY ADDRESS: | 1426 West Birchwood |
| FACILITY CITY, STATE, ZIP: | Chicago, IL 60626 |
| DOCKET NUMBER: | NH 13-G138 |
| LICENSEE INFO: | Birchwood Plaza, INC |
| LICENSEE ADDRESS: | 1426 West Birchwood Ave. |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60626 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Niles Nursing and Rehab Center |
| FACILITY ADDRESS: | 9777 Greenwood Ave. |
| FACILITY CITY, STATE, ZIP: | Niles, IL 60714 |
| DOCKET NUMBER: | NH 13-G334 |
| LICENSEE INFO: | Niles Nursing and Rehab Center, LLC |
| LICENSEE ADDRESS: | 321 N Clark St. Suite 2800 |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60610 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Lake Shore Healthcare and Rehab |
| FACILITY ADDRESS: | 7200 North Sheridan Road |
| FACILITY CITY, STATE, ZIP: | Chicago, IL 60626 |
| DOCKET NUMBER: | NH 14-G219 |
| LICENSEE INFO: | Lake Shore Healthcare and Rehab Center, LLC |
| LICENSEE ADDRESS: | 4600 West Toughy Ave. #200 |
| LICENSEE CITY, STATE, ZIP: | Lincolnwood, IL 60712 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Tanner Place |
| FACILITY ADDRESS: | 321 Chestnut St. |
| FACILITY CITY, STATE, ZIP: | Paris, IL 61944 |
| DOCKET NUMBER: | NH 06-C-362 |
| LICENSEE INFO: | Community Living Options, INC |
| LICENSEE ADDRESS: | 285 South Farnham St. |
| LICENSEE CITY, STATE, ZIP: | Galesburg, IL 61401 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Litchfield Care Center |
| FACILITY ADDRESS: | 1024 East Tyler |
| FACILITY CITY, STATE, ZIP: | Litchfield, IL 62056 |
| DOCKET NUMBER: | NH 14-C-0062 |
| LICENSEE INFO: | Litchfield Care Center, LLC |
| LICENSEE ADDRESS: | 8131 N Monticello Ave. |
| LICENSEE CITY, STATE, ZIP: | Skokie, IL 60077 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Peachtree Estates |
| FACILITY ADDRESS: | 1370 State Route 127 South |
| FACILITY CITY, STATE, ZIP: | Jonesboro, IL 62952 |
| DOCKET NUMBER: | NH 14-S0340 |
| NH 14-C0341 | |
| LICENSEE INFO: | R.A.V.E. Residential Services, INC |
| LICENSEE ADDRESS: | 300 North Monroe St. |
| LICENSEE CITY, STATE, ZIP: | Marion, IL 62959 |
| Survey Date – 6/24/14 | |
| Type A violation for violating one or more sections: 350.620a), 350.1210, 350.1220j), 350.1220k), 350.1230d)1), 350.1230s)2), 350.1230d)3), and 350.3240a). For a total fine of $6,250.00 | |
| FACILITY NAME: | Swansea Rehab and Healthcare Center |
| FACILITY ADDRESS: | 1405 North Second St. |
| FACILITY CITY, STATE, ZIP: | Swansea, Il 62226 |
| DOCKET NUMBER: | NH 14-C0333 |
| LICENSEE INFO: | Petersen Healthcare II, INC |
| LICENSEE ADDRESS: | 830 West Trailcreek Dr |
| LICENSEE CITY, STATE, ZIP: | Peoria, IL 61614 |
| Survey Date – 7/10/14 | |
| Type A violation for violating one or more sections: 300.1010h), 300.1210a), 300.1210b)3), 300.1210d)3), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b) and 300.3240a). For a total fine of $25,000.00 | |
| FACILITY NAME: | Courtyard Healthcare Center |
| FACILITY ADDRESS: | 3601 South Harlem Ave. |
| FACILITY CITY, STATE, ZIP: | Berwyn, IL 60402 |
| DOCKET NUMBER: | NH 06-C006 |
| LICENSEE INFO: | Courtyard Healthcare Center, LLC |
| LICENSEE ADDRESS: | 5750 Old Orchard Road, Suite 420 |
| LICENSEE CITY, STATE, ZIP: | Skokie, IL 60077 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Imboden Creek Living Center |
| FACILITY ADDRESS: | 180 West Imboden |
| FACILITY CITY, STATE, ZIP: | Decatur, IL 62521 |
| DOCKET NUMBER: | NH 14-S0354 |
| LICENSEE INFO: | Living Centers, INC |
| LICENSEE ADDRESS: | 20 South Side Country Club |
| LICENSEE CITY, STATE, ZIP: | Decatur, IL 62521 |
| Survey Date – 7-17-14 | |
| Type B violation for violating one or more sections: 300.1010h), 300.1210b), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b) and 300.3240a). For a total fine of $2,200.00 | |
| Type B violation for violating one or more sections: 300.615f). No fine. | |
| Type B violation for violating one or more sections: 300.1230k) and 300.1230l)4). No fine. | |
| FACILITY NAME: | Carlinville Rehab and HCC |
| FACILITY ADDRESS: | 751 North Oak St. |
| FACILITY CITY, STATE, ZIP: | Carlinville, IL 62626 |
| DOCKET NUMBER: | NH 14-S0349 |
| LICENSEE INFO: | Carlinville Rehab and Health Care Center, LLC |
| LICENSEE ADDRESS: | 412 E. Lawrence |
| LICENSEE CITY, STATE, ZIP: | Springfield, IL 62703 |
| Survey Date – 7/25/14 | |
| Type B violation for violating one or more sections: 300.610a), 300.1210b), 300.1210d)5), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)5) and 300.3240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | Mattoon Rehab and HCC |
| FACILITY ADDRESS: | 2121 South 9th St. |
| FACILITY CITY, STATE, ZIP: | Mattoon, IL 61938 |
| DOCKET NUMBER: | NH 14-S0348 |
| LICENSEE INFO: | Mattoon Manor, LLC |
| LICENSEE ADDRESS: | 412 E. Lawrence |
| LICENSEE CITY, STATE, ZIP: | Springfield, IL 62703 |
| Survey Date – 7/18/14 | |
| Type B violation for violating one or more sections: 300.1210a), 300.1210b), 300.1210d)6), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6) and 300.3240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | Heartland of Champaign |
| FACILITY ADDRESS: | 309 East Springfield |
| FACILITY CITY, STATE, ZIP: | Champaign, IL 61920 |
| DOCKET NUMBER: | NH 14-C0358 |
| LICENSEE INFO: | Heartland of Champaign IL, LLC |
| LICENSEE ADDRESS: | 208 S. Lasalle St., Suite 814 |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60604 |
| Survey Date – 7/30/14 | |
| Type B violation for violating one or more sections: 300.1210b), 300.1210d)6), 300.1220b)2), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | Oregon Living and Rehab Center |
| FACILITY ADDRESS: | 811 South 10th St. |
| FACILITY CITY, STATE, ZIP: | Oregon, IL 61061 |
| DOCKET NUMBER: | NH 14-S0360 |
| LICENSEE INFO: | Oregon Living and Rehabilitation Center, LLC |
| LICENSEE ADDRESS: | 7434 Skokie Blvd |
| LICENSEE CITY, STATE, ZIP: | Skokie, IL 60077 |
| Survey Date – 8/14/14 | |
| Type B violation for violating one or more sections: 300.1210b), 300.1210d)6), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | Heritage Health-Springfield |
| FACILITY ADDRESS: | 900 North Rutledge |
| FACILITY CITY, STATE, ZIP: | Springfield, IL 62702 |
| DOCKET NUMBER: | NH 14-S0251 |
| LICENSEE INFO: | Rutledge Joint Ventures LLC |
| LICENSEE ADDRESS: | 115 W. Jefferson St., Suite 401 |
| LICENSEE CITY, STATE, ZIP: | Bloomington, IL 61701 |
| Survey Date – 5/30/14 | |
| Type B violation for violating one or more sections: 300.1210b), 300.1210d)3), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b) and 300.3240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | Pleasant View Luther Home |
| FACILITY ADDRESS: | 505 College Ave. |
| FACILITY CITY, STATE, ZIP: | Ottawa, IL 61350 |
| DOCKET NUMBER: | NH 14-S0128 |
| LICENSEE INFO: | Pleasant View Luther Home, INC |
| LICENSEE ADDRESS: | 800 W. Oakton Street |
| LICENSEE CITY, STATE, ZIP: | Arlington Heights, IL 60004 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Grove at the Lake Living and rehab |
| FACILITY ADDRESS: | 2534 Elim Ave. |
| FACILITY CITY, STATE, ZIP: | Zion, IL 60099 |
| DOCKET NUMBER: | NH 13-C-0515 |
| NH 13-S-0453 | |
| LICENSEE INFO: | Grove at the Lake Living and Rehab Center, LLC |
| LICENSEE ADDRESS: | 801 Adlai Stevenson Dr |
| LICENSEE CITY, STATE, ZIP: | Springfield, IL 62703 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Weber House |
| FACILITY ADDRESS: | 2530 St. James Road |
| FACILITY CITY, STATE, ZIP: | Springfield, IL 62707 |
| DOCKET NUMBER: | NH 14-S-0266 |
| LICENSEE INFO: | Weber Care Corporation |
| LICENSEE ADDRESS: | 1214 South 6th St. |
| LICENSEE CITY, STATE, ZIP: | Springfield, IL 62703 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Jackson Skl Nursg and Living |
| FACILITY ADDRESS: | 5130 West Jackson Blvd |
| FACILITY CITY, STATE, ZIP: | Chicago, IL 60644 |
| DOCKET NUMBER: | NH 14-C0363 |
| LICENSEE INFO: | Jackson Corp. |
| LICENSEE ADDRESS: | 191 North Wacker Dr., Suite 1800 |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60606 |
| Survey Date – 8/12/14 | |
| Type B violation for violating one or more sections: 300.1010h), 300.1210b), 300.1210d)3), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b) and 300.3240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | Waterfront Terrace |
| FACILITY ADDRESS: | 7750South Shore Dr. |
| FACILITY CITY, STATE, ZIP: | Chicago, IL 60649 |
| DOCKET NUMBER: | NH 14-C0366 |
| LICENSEE INFO: | Waterfront Terrace, INC |
| LICENSEE ADDRESS: | 191 North Wacker Dr., Suite 1800 |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60649 |
| Survey Date – 8/27/14 | |
| Type B violation for violating one or more sections: 300.610a), 300.1210b), 300.1210d)6), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | Rehab and Care Center- Jackson County |
| FACILITY ADDRESS: | 1441 North 14th St. |
| FACILITY CITY, STATE, ZIP: | Murphysboro, IL 62966 |
| DOCKET NUMBER: | NH 14-C0365 |
| LICENSEE INFO: | Jackson County |
| LICENSEE ADDRESS: | Jackson County Courthouse |
| LICENSEE CITY, STATE, ZIP: | Murphysboro, IL 62966 |
| Survey Date – 8/14/14 | |
| Type B violation for violating one or more sections: 300.1210b), 300.1210d)6), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | Eagle Court |
| FACILITY ADDRESS: | 1890 East Eagle St. |
| FACILITY CITY, STATE, ZIP: | Kankakee, IL 60901 |
| DOCKET NUMBER: | NH 14-S0350 |
| LICENSEE INFO: | Pinnacle Opportunities, INC |
| LICENSEE ADDRESS: | 285 South Farnham St. |
| LICENSEE CITY, STATE, ZIP: | Galesburg, IL 61401 |
| Survey Date – 7/16/14 | |
| Type A violation for violating one or more sections: 350.620a), 350.1210, 350.1230d)1), 350.1230s)2), 350.1230d)3), and 350.3240a). For a total fine of $6,250.00 | |
| FACILITY NAME: | Glenwood Healthcare & Rehab |
| FACILITY ADDRESS: | 19330 South Cottage Grove |
| FACILITY CITY, STATE, ZIP: | Glenwood, IL 60425 |
| DOCKET NUMBER: | NH 14-C0352 |
| LICENSEE INFO: | Glenwood Healthcare & Rehab, INC |
| LICENSEE ADDRESS: | 5750 Old Orchard Road, Suite 420 |
| LICENSEE CITY, STATE, ZIP: | Skokie, IL 60077 |
| Survey Date – 7/10/14 | |
| Type AA violation for violating one or more sections: 300.610a), 300.1210b), 300.1210d)6), 300.1220b)3), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | Frankfort Terrace Nursing Center |
| FACILITY ADDRESS: | 40 North Smith St. |
| FACILITY CITY, STATE, ZIP: | Frankfort, IL 60423 |
| DOCKET NUMBER: | NH 14-G247 |
| LICENSEE INFO: | FT Care, LLC |
| LICENSEE ADDRESS: | 1S443 Summit Ave., Suite 204 |
| LICENSEE CITY, STATE, ZIP: | Oakbrook Terrace, IL 60181 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Meadowbrook Manor of Naperville |
| FACILITY ADDRESS: | 720 Raymond Dr. |
| FACILITY CITY, STATE, ZIP: | Naperville, IL 60563 |
| DOCKET NUMBER: | NH 14-G249 |
| LICENSEE INFO: | Butterfield Healthcare IL, LLC |
| LICENSEE ADDRESS: | 161 N. Clark St.. Suite 4200 |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60601 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | The Parc at Joliet |
| FACILITY ADDRESS: | 222 North Hammes Ave. |
| FACILITY CITY, STATE, ZIP: | Joliet, IL 60435 |
| DOCKET NUMBER: | NH 14-G229 |
| LICENSEE INFO: | Parc at Joliet, LLC |
| LICENSEE ADDRESS: | 5750 Old Orchard Road, Suite 420 |
| LICENSEE CITY, STATE, ZIP: | Skokie, IL 60077 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Timbercreek Rehab and Healthcare Center |
| FACILITY ADDRESS: | 2220 State Street |
| FACILITY CITY, STATE, ZIP: | Pekin, IL 61554 |
| DOCKET NUMBER: | NH 14-G110 |
| LICENSEE INFO: | Petersen Health Operations, LLC |
| LICENSEE ADDRESS: | 830 West Trailcreek Dr. |
| LICENSEE CITY, STATE, ZIP: | Peoria, IL 61614 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | California Gardens Nursing and Rehab Center |
| FACILITY ADDRESS: | 2829 South California Blvd |
| FACILITY CITY, STATE, ZIP: | Chicago, IL 60608 |
| DOCKET NUMBER: | NH 14-G300 |
| LICENSEE INFO: | California Gardens Corp |
| LICENSEE ADDRESS: | 191 North Wacker Dr., Suite 1800 |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60606 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Wynscape |
| FACILITY ADDRESS: | 2180 Manchester Road |
| FACILITY CITY, STATE, ZIP: | Wheaton, IL 90187 |
| DOCKET NUMBER: | NH 14-G0170 |
| LICENSEE INFO: | Wynemere LLC |
| LICENSEE ADDRESS: | 200 Wynemere Circle |
| LICENSEE CITY, STATE, ZIP: | Wheaton, IL 60187 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Abbington Rehab and Nursing Center |
| FACILITY ADDRESS: | 31 West Central |
| FACILITY CITY, STATE, ZIP: | Roselle, IL 60172 |
| DOCKET NUMBER: | NH 12-G071 |
| LICENSEE INFO: | Abbington Nursing and Rehab Center. LTD |
| LICENSEE ADDRESS: | 191 North Wacker Dr., Suite 1800 |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60606 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | United Methodist Village |
| FACILITY ADDRESS: | 1616 Cedar |
| FACILITY CITY, STATE, ZIP: | Lawrenceville, IL 62439 |
| DOCKET NUMBER: | NH 13-C0494 |
| LICENSEE INFO: | The United Methodist Village, INC |
| LICENSEE ADDRESS: | 1616 Cedar St. |
| LICENSEE CITY, STATE, ZIP: | Lawrenceville, IL 62439 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | South Suburban Rehab Center |
| FACILITY ADDRESS: | 19000 South Halsted St. |
| FACILITY CITY, STATE, ZIP: | Homewood, IL 60430 |
| DOCKET NUMBER: | NH 14-C0369 |
| LICENSEE INFO: | South Suburban Rehabilitation Center, LLC |
| LICENSEE ADDRESS: | 2201 West Main Street |
| LICENSEE CITY, STATE, ZIP: | Evanston, IL 60202 |
| Survey Date – 8/12/14 | |
| Type A violation for violating one or more sections: 300.610a), 300.1210a), 300.1210b), 300.1210d)6), 300.1220b)2), 300.1220b)3), 300.1220b)9), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). For a total fine of $25,000.00 | |
| FACILITY NAME: | Royal Oaks Care Center |
| FACILITY ADDRESS: | 605 East Church St, Box 600 |
| FACILITY CITY, STATE, ZIP: | Kewanee, IL 61443 |
| DOCKET NUMBER: | NH 14-S0377 |
| LICENSEE INFO: | Petersen Health Care II, LLC |
| LICENSEE ADDRESS: | 830 West Trailcreek Dr. |
| LICENSEE CITY, STATE, ZIP: | Peoria, IL 61614 |
| Survey Date – 8/8/14 | |
| Type B violation for violating one or more sections: 300.610a), 300.1210b), 300.3220f), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). For a total fine of $2,200.00 | |
| Type Administrative Warning of an occurrence for violating one or more of sections: 300.670c)1), 300.670c)2), and 300.670c)3). No fine. | |
| Type Administrative Warning of an occurrence for violating one or more of sections: 300.4090a)1). No fine. | |
| FACILITY NAME: | Alden Alma Nelson Manor |
| FACILITY ADDRESS: | 550 South Mulford Ave. |
| FACILITY CITY, STATE, ZIP: | Rockford, IL 61108 |
| DOCKET NUMBER: | NH 14-S0371 |
| NH 14-C0372 | |
| LICENSEE INFO: | Alden- Alma Nelson Manor, INC |
| LICENSEE ADDRESS: | 4200 West Peterson |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60646 |
| Survey Date – 8/1/14 | |
| Type AA violation for violating one or more sections: 300.610a), 300.1030a)1), 300.1030a)2), 300.1210b), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b) and 300.3240a). For a total fine of $50,000.00 | |
| FACILITY NAME: | Sharon Healthcare Elms |
| FACILITY ADDRESS: | 3611 North Rochelle |
| FACILITY CITY, STATE, ZIP: | Peoria, IL 61604 |
| DOCKET NUMBER: | NH 14-C0384 |
| LICENSEE INFO: | Sharon Health Care Elms, INC |
| LICENSEE ADDRESS: | 465 Central Ave., Suite 100 |
| LICENSEE CITY, STATE, ZIP: | Northfield, IL 60093 |
| Survey Date – 8/19/14 | |
| Type AA violation for violating one or more sections: 300.1210b), 300.1210c), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation:300.1210b) and 300.3240a). For a total fine of $50,000.00 | |
| The Administrative warning of an occurrence for violating one or more sections 300.695a), 300.695b), and 300.695c). No fine. | |
| FACILITY NAME: | Helia Health Care of Carbondale |
| FACILITY ADDRESS: | 500 Lewis Ln |
| FACILITY CITY, STATE, ZIP: | Carbondale, IL 62901 |
| DOCKET NUMBER: | NH 14-S0380 |
| LICENSEE INFO: | Helia Healthcare of Carbondale, LLC |
| LICENSEE ADDRESS: | 600 South Second St. |
| LICENSEE CITY, STATE, ZIP: | Springfield, Il 62704 |
| Survey Date – 8/31/14 | |
| Type A violation for violating one or more sections: 300.1210a), 300.1210b), 300.1210d)3), 300.1210d)6), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). For a total fine of $25,000.00 | |
| FACILITY NAME: | Illini Restorative Care |
| FACILITY ADDRESS: | 1455 Hospital Road |
| FACILITY CITY, STATE, ZIP: | Silvis, IL 61282 |
| DOCKET NUMBER: | NH 14-C0379 |
| LICENSEE INFO: | Genesis Health System |
| LICENSEE ADDRESS: | 801 Illinois Drive |
| LICENSEE CITY, STATE, ZIP: | Silvis, IL 61282 |
| Survey Date – 7/31/14 | |
| Type B violation for violating one or more sections300.1210b), 300.1210d)5), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)5), and 300.3240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | Douglas Nursing and Rehab Center |
| FACILITY ADDRESS: | 3516 Powell Land |
| FACILITY CITY, STATE, ZIP: | Mattoon, IL 61938 |
| DOCKET NUMBER: | NH 14-S0351 |
| LICENSEE INFO: | Douglas Rehab and Care Center. LLC |
| LICENSEE ADDRESS: | 1625 S. 6th St. |
| LICENSEE CITY, STATE, ZIP: | Springfield, IL 62703 |
| Survey Date – 7/24/14 | |
| Type B violation for violating one or more sections: 300.610a), 300.1210b), 300.1210d)6), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). For a total fine of $2,200.00 | |
| FACILITY NAME: | Rock Island Nursing and Rehab |
| FACILITY ADDRESS: | 2545 24th Street |
| FACILITY CITY, STATE, ZIP: | Rock Island, IL 61201 |
| DOCKET NUMBER: | NH 13-G048 |
| LICENSEE INFO: | Rock Island Nursing and Rehab, LLC |
| LICENSEE ADDRESS: | 6840 North Lincoln Ave. |
| LICENSEE CITY, STATE, ZIP: | Lincolnwood, IL 60712 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Capitol Healthcare and Rehab Center |
| FACILITY ADDRESS: | 555 West Carpenter |
| FACILITY CITY, STATE, ZIP: | Springfield, IL 62702 |
| DOCKET NUMBER: | NH 13-C0517 |
| LICENSEE INFO: | Capitol Healthcare and Rehab Center, LLC |
| LICENSEE ADDRESS: | 4600 West Touhy Ave., Suite 200 |
| LICENSEE CITY, STATE, ZIP: | Lincolnwood, IL 60712 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Capitol Healthcare and Rehab Center |
| FACILITY ADDRESS: | 555 West Carpenter |
| FACILITY CITY, STATE, ZIP: | Springfield, IL 62702 |
| DOCKET NUMBER: | NH 13-C0516 |
| LICENSEE INFO: | Capitol Healthcare and Rehab Center, LLC |
| LICENSEE ADDRESS: | 4600 West Touhy Ave., Suite 200 |
| LICENSEE CITY, STATE, ZIP: | Lincolnwood, IL 60712 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Mar Ka Nursing Home |
| FACILITY ADDRESS: | 201 South 10th Street |
| FACILITY CITY, STATE, ZIP: | Mascoutah, IL 62258 |
| DOCKET NUMBER: | NH 13-S0363 |
| LICENSEE INFO: | Community Care Center of Mascoutah, Inc |
| LICENSEE ADDRESS: | 201 South 10th Street |
| LICENSEE CITY, STATE, ZIP: | Mascoutah, IL 62258 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | The Grove of LaGrange Park |
| FACILITY ADDRESS: | 701 North Lagrange Road |
| FACILITY CITY, STATE, ZIP: | Lagrange, IL 60526 |
| DOCKET NUMBER: | NH-S0394 |
| LICENSEE INFO: | The Grove of Lagrange Park, LLC |
| LICENSEE ADDRESS: | 5750 Old Orchard Road, Suite 420 |
| LICENSEE CITY, STATE, ZIP: | Skokie. IL 60077 |
| Survey Date – 8/14/14 | |
| Type B violation for violating one or more sections: 300.610a), 300.1210b), 300.1210d)6), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210d)6), 300.3240a). For a total fine of $2,200.00 | |
| Type Administrative warning pf an occurrence for violating one or more of sections 300.615f). No fine. | |
| Type Administrative warning pf an occurrence for violating one or more of sections 300.670c). No fine. | |
| FACILITY NAME: | Highview in the Woods |
| FACILITY ADDRESS: | 1000 Falcon Point Place |
| FACILITY CITY, STATE, ZIP: | Rockton, IL 61072 |
| DOCKET NUMBER: | NH 12-S-0374 |
| LICENSEE INFO: | Highview Retirement Home Association |
| LICENSEE ADDRESS: | 800 N. Church St. |
| LICENSEE CITY, STATE, ZIP: | Rockford, IL 61103 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Lakeshore Healthcare and Rehab |
| FACILITY ADDRESS: | 7200 North Sheridan Road |
| FACILITY CITY, STATE, ZIP: | Chicago, IL 60626 |
| DOCKET NUMBER: | NH 14-G088 |
| LICENSEE INFO: | Lakeshore Healthcare and Rehab Centre, LLC |
| LICENSEE ADDRESS: | 4600 Toughy Ave. #200 |
| LICENSEE CITY, STATE, ZIP: | Lincolnwood, IL 60712 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Heartland of Champaign |
| FACILITY ADDRESS: | 309 East Springfield |
| FACILITY CITY, STATE, ZIP: | Champaign, IL 61820 |
| DOCKET NUMBER: | NH 11-G-382 |
| LICENSEE INFO: | Heartland of Champaign IL, LLC |
| LICENSEE ADDRESS: | 208 S. LaSalle St., Suite 814 |
| LICENSEE CITY, STATE, ZIP: | Chicago, IL 60604 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
| FACILITY NAME: | Rosewood Care Center of Joliet |
| FACILITY ADDRESS: | 3401 Hennepin Dr |
| FACILITY CITY, STATE, ZIP: | Joliet, IL 60431 |
| DOCKET NUMBER: | NH 11-C0314 |
| LICENSEE INFO: | Bravo Care of Joliet, INC |
| LICENSEE ADDRESS: | 412 E. Lawrence |
| LICENSEE CITY, STATE, ZIP: | Springfield, IL 62703 |
| FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn. | |
Illinois Department of Public Health
535 West Jefferson St.
Springfield, Illinois 62761
Phone 217-782-4977
Fax 217-782-3987
TTY 800-547-0466
Questions or Comments
535 West Jefferson St.
Springfield, Illinois 62761
Phone 217-782-4977
Fax 217-782-3987
TTY 800-547-0466
Questions or Comments