Nursing Homes in Illinois

QUARTERLY REPORT

October - December 2005


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 Illinois Department of Healthcare and Family Services, or the Secretary of the U.S. Department of Health and Human Services for violations in relation to patient care, pursuant to Titles XVIII and XIX of the Social Security Act.
 

FACILITY NAME: Alden Village Health Facility
FACILITY ADDRESS: 267 East Lake Street
Bloomingdale, Illinois 60108

DOCKET #: NH 05-C0223
NAME OF OWNER OR LICENSEE: Alden Village Health Facility for Children and Young Adts.
ADDRESS: 4200 W. Peterson Ave., Ste. 140
Chicago, Illinois 60646

On November 8, 2005, sent Notice of Type "A" Violation relating to the area of policy and procedure and Notice of Fine Assessment of $10,000. A hearing has been requested.

 

FACILITY NAME: Anchorage of Bensenville
FACILITY ADDRESS: 111 East Washington
Bensenville, Illinois 60106

DOCKET #: NH 05-C0232
NAME OF OWNER OR LICENSEE: Bensenville Home Society
ADDRESS: 331 South York Road
Bensenville, Illinois 60106

On November 15, 2005, sent Notice of Type "A" Violation relating to the area of policy and procedure and Notice of Fine Assessment of $10,000. A hearing has been requested.

 

FACILITY NAME: Asta Care Center of Bloomington
FACILITY ADDRESS: 1509 North Calhoun Street
Bloomington, Illinois 61701

DOCKET #: NH 05-S0202
NAME OF OWNER OR LICENSEE: Asta Care Center of Bloomington, L.L.C.
ADDRESS: 134 McLean Boulevard
Elgin, Illinois 60123

On October 24, 2005, sent Notice of Type "A" Violation relating to the area of nursing and Notice of Fine Assessment of $6,000. A hearing has been requested.

 

FACILITY NAME: Asta Care Center of Rockford
FACILITY ADDRESS: 707 West Riverside Boulevard
Rockford, Illinois 61103

DOCKET #: NH 05-S0133
NAME OF OWNER OR LICENSEE: Asta Care Center of Rockford, L.L.C.
ADDRESS: 134 North McLean Boulevard
Elgin, Illinois 60123

By Final Order, Violation Affirmed, Fine Assessment Reduced in consideration of federal fine paid and Notice of Conditional License Withdrawn.

 

FACILITY NAME: Boxwood Health Care Center
FACILITY ADDRESS: Memorial Drive, P.O. Box 319
Newman, Illinois 61942

DOCKET #: NH 05-S0239
NAME OF OWNER OR LICENSEE: Asta Care Center of Rockford. L.L.C.
ADDRESS: 134 North McLean Boulevard
Elgin, Illinois 60123

On November 22, 2005, sent Notice of Type "A" Violation relating to the area of nursing and Notice of Fine Assessment of $25,000. A hearing has been requested.

 

FACILITY NAME: California Gardens N & Rehab C
FACILITY ADDRESS: 2829 South California Boulevard
Chicago, Illinois 60608

DOCKET #: NH 05-C0224
NAME OF OWNER OR LICENSEE: California Gardens Corporation
ADDRESS: 10 South Wacker Drive, 40 th Floor
Chicago, Illinois 60606

On November 10, 2005, sent Notice of Type "A" Violation relating to the area of nursing and Notice of Fine Assessment of $10,000. A hearing has been requested.

FACILITY NAME: Capitol Care Center
FACILITY ADDRESS: 555 West Carpenter
Springfield, Illinois 62702

DOCKET #: NH 03-C0161 & 03-S0162
NAME OF OWNER OR LICENSEE: Capitol Care Center, L.L.C.
ADDRESS: 525 West Monroe Street, Ste. 1600
Springfield, Illinois 60661

By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

 

FACILITY NAME: Champaign Terrace
FACILITY ADDRESS: 808 North Third
Saint Joseph, Illinois 61873

DOCKET #: NH 05-S0262
NAME OF OWNER OR LICENSEE: The Residential Developers, Inc.
ADDRESS: 30 Main Street, P.O. Box 560
Champaign, Illinois 61824

On December 29, 2005, sent Notice of Type "A" Violation relating to the area of policy and procedure and Notice of Fine Assessment of $10,000. A hearing has been requested.

 

FACILITY NAME: Chevy Chase N & Rehab Center
FACILITY ADDRESS: 3400 South Indiana
Chicago, Illinois 60616

DOCKET #: NH 05-C0247
NAME OF OWNER OR LICENSEE: Chevy Chase Corporation
ADDRESS: 10 South Wacker Dr., 40 th Floor
Chicago, Illinois 60606

On December 16, 2005, sent Notice of Type "A" Violation relating to the area of nursing and Notice of Fine Assessment of $10,000. A hearing has been requested.

 

FACILITY NAME: Lewis and Clark Manor
FACILITY ADDRESS: 56 Chouteau Trace Parkway
Pontoon Beach, Illinois 62040

DOCKET #: NH 05-S0233
NAME OF OWNER OR LICENSEE: Challenge Unlimited, Inc.
ADDRESS: 4 Emmie L. Kaus Lane
Alton, Illinois 62002

On November 14, 2005, sent Notice of Type "A" Violation relating to the area of policy and procedure and Notice of Fine Assessment of $5,000. A hearing has been requested.

 

FACILITY NAME: Collinsville Care Center
FACILITY ADDRESS: 614 North Summit
Collinsville, Illinois 62234

DOCKET #: NH 05-C0057
NAME OF OWNER OR LICENSEE: First Careamerica Corporation
ADDRESS: 824 S. 59 th Street
Belleville, Illinois 62223

By Final Order, Violation Reduced, Fine Assessment Affirmed and Notice of Conditional License Withdrawn.

 

FACILITY NAME: Countryside Healthcare Center
FACILITY ADDRESS: 1635 East 154 th Street
Dolton, Illinois 60419

DOCKET #: NH 05-C0216 & 05-C0217
NAME OF OWNER OR LICENSEE: Countryside Healthcare Center, Inc.
ADDRESS: 30 South Wacker Drive. 29 th Floor
Chicago, Illinois 60606

On October 28, 2005, sent 2 Notices of Type "A" Violation relating to the areas of nursing and Notices of Fine Assessment totaling $15,000. A hearing has been requested.

 

FACILITY NAME: Crestwood Care Centre
FACILITY ADDRESS: 14255 South Cicero Avenue
Crestwood, Illinois 60445

DOCKET #: NH 05-C0225
NAME OF OWNER OR LICENSEE: Crestwood Care Centre, LP
ADDRESS: 801 Skokie Boulevard, Ste.100
Northbrook, Illinois 60062

On December 1, 2005, sent Notice of Type "A" Violation relating to the area of nursing and Notice of Fine Assessment of $10,000. A hearing has been requested.

 

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

DOCKET #: NH 05-S0143
NAME OF OWNER OR LICENSEE: Danville Care Center, LTD
ADDRESS: 111 East Wacker Drive, Ste. 2800
Chicago, Illinois 60601

By Final Order, Violation Affirmed, Fine Assessment Reduced in recognition of federal fine paid and Notice of Conditional License Withdrawn.

 

FACILITY NAME: Embassy Care Center, Inc.
FACILITY ADDRESS: 555 Kahler
Wilmington, Illinois 60481  

DOCKET #: NH 05-C0219
NAME OF OWNER OR LICENSEE: Embassy Care Center, Inc.
ADDRESS: 30 South Wacker Drive, 29 th Floor
Chicago, Illinois 60606

On November 9, 2005, sent Notice of Type "A" Violation relating to the area of nursing and Notice of Fine Assessment of $50,000. A hearing has been requested.

 

FACILITY NAME: Fairmont Care Center
FACILITY ADDRESS: 5061 North Pulaski Road
Chicago, Illinois 60630

DOCKET #: NH 05-C0215
NAME OF OWNER OR LICENSEE: Fairmont Care Center, Inc.
ADDRESS: 5061 North Pulaski Road
Chicago, Illinois 60630

On October 28, 2005, sent Notice of Type "A" Violation relating to the area of nursing and Notice of Fine Assessment of $5,000. A hearing has been requested.

 

FACILITY NAME: Flora Pavilion Nsg Hm Center
FACILITY ADDRESS: 701 Shadwell Avenue, P.O. Box 309
Flora, Illinois 62839

DOCKET #: NH 04-S0029
NAME OF OWNER OR LICENSEE: Flora Pavilion Nsg Hm Center, Inc.
ADDRESS: 111 E. Wacker Dri., Ste 2800
Chicago, Illinois 60601

By Final Order, Violation Amended, Fine Assessment Reduced in consideration of federal fine paid and Notice of Conditional License Withdrawn.

 

FACILITY NAME: The Fountains At Crystal Lake
FACILITY ADDRESS: 1000 East Brighton Lane
Crystal Lake, Illinois 60012

DOCKET #: NH 05-S0221
NAME OF OWNER OR LICENSEE: Sunrise IV Crystal Lake SL, L.L.C.
ADRESS: 208 South LaSalle Street, Ste. 814
Chicago, Illinois 60604

On October 28, 2005, sent Notice of Type "A" Violation relating to the area of nursing and Notice of Fine Assessment of $5,000. A hearing has been requested.

 

FACILITY NAME: Freeport Rehab & Health Care Center
FACILITY ADDRESS: 900 South Kiwanis Drive
Freeport, Illinois 61032 

DOCKET #: NH 05-S0229
NAME OF OWNER OR LICENSEE: MidAmerica Care Foundation
ADDRESS: 926 South 7th
Springfield, Illinois 62703

On November 10, 2005, sent Notice of Type "A" Violation relating to the area of policy and procedure and Notice of Fine Assessment of $10,000. A hearing has been requested.

 

FACILITY NAME: Good Samaritan Home
FACILITY ADDRESS: 2130 Harrison Street
Quincy, Illinois 62301

DOCKET #: NH 04-S0116
NAME OF OWNER OR LICENSEE: Good Samaritan Home of Quincy
ADDRESS: 2130 Harrison Street
Quincy, Illinois 62301

By Final Order, Violation Affirmed, Fine Assessment Reduced in consideration of federal fine paid and Notice of Conditional License Withdrawn.

 

FACILITY NAME: Halsted Terrace Nursing Center
FACILITY ADDRESS: 10935 South Halsted Street
Chicago, Illinois 60628  

DOCKET #: NH 05-S0261
NAME OF OWNER OR LICENSEE: Halsted Terrace Nursing Center, Inc.
ADDRESS: 6633 North Lincoln
Lincolnwood, Illinois 60645

On December 29, 2005, sent Notice of Type "A" Violation relating to the area of nursing and Notice of Fine Assessment of $5,000.

 

FACILITY NAME: Heritage Manor-Gibson City
FACILITY ADDRESS: 620 East First Street
Gibson CIty, Illinois 60936  

DOCKET #: NH 05-C0220
NAME OF OWNER OR LICENSEE: Heritage Enterprises, Inc.
ADDRESS: 115 West Jefferson St., Ste. 401
Bloomington, Illinois 61701

On November 9, 2005, sent Notice of Type "A" Violation relating to the area of nursing and Notice of Fine Assessment of $50,000. A hearing has been requested.

 

FACILITY NAME: Independence Place
FACILITY ADDRESS: 1705 South Park Avenue
Herrin, Illinois 62948

DOCKET #: NH 05-C0207
NAME OF OWNER OR LICENSEE: Independence Place, Inc.
ADDRESS: 15755 Nixon Road
Nashville, Illinois 62263

On October 24, 2005, sent Notice of Type "A" Violation relating to the area of policy and procedure and Notice of Fine Assessment of $10,000. A hearing has been requested.

 

FACILITY NAME: Kankakee Nsg & Rehab Center
FACILITY ADDRESS: 1050 Jeffrey Street
Kankakee, Illinois 60901  

DOCKET #: NH 03-C0077
NAME OF OWNER OR LICENSEE: Kankakee Nsg & Rehab Center, L.L.C.
ADDRESS: 30 South Wacker Drive, 29 th Floor
Chicago, Illinois 60606

By Final Order, Violation Affirmed, Fine Assessment Affirmed and Notice of Conditional License Affirmed.

 

FACILITY NAME: Lee County Nursing & Rehab Center
FACILITY ADDRESS: 800 Division Street
Dixon, Illinois 61021

DOCKET #: NH 05-C0254
NAME OF OWNER OR LICENSEE: Dixon Manor, L.L.C.
ADDRESS: 926 South Seventh
Springfield, Illinois 62703

On December 29, 2005, sent Notice of Type "A" Violation relating to the area of nursing and Notice of Fine Assessment of $10,000. A hearing has been requested.

 

FACILITY NAME: Little Angels Nursing Home
FACILITY ADDRESS: 1435 Summit St.
Elgin, Illinois 60120

DOCKET #: NH 99-S0263
NAME OF OWNER OR LICENSEE: Little Angels Nursing Home, Inc.
ADDRESS: 1250 Larkin Avenue
Elgin, Illinois 60123

By Final Order, Violation Reduced, Fine Assessment Reduced and Notice of Conditional License Wthdrawn.

 

FACILITY NAME: Manorcare At Oak Lawn/Kostner
FACILITY ADDRESS: 9401 South Kostner Avenue
Oak Lawn, Illinois 60453

DOCKET #: NH 05-C0268
NAME OF OWNER OR LICENSEE: Manorcare Health Services, Inc.
ADDRESS: 208 South LaSalle Street
Chicago, Illinois 60604

On December 29, 2005, sent Notice of Type "A" Violation relating to the area of policy and procedure and Notice of Fine Assessment of $5,000. A hearing has been requested.

 

FACILITY NAME: Mercer County Nursing Home
FACILITY ADDRESS: 309 N. W. 9 th Avenue
Aledo, Illinois 61231

DOCKET #: NH 05-S0205
NAME OF OWNER OR LICENSEE: Mercer County
ADDRESS: Mercer County Courthouse
Aledo, Illinois 61231

On October 24, 2005, sent Notice of Type "A" Violation relating to the area of nursing and Notice of Fine Assessment of $5,000. A hearing has been requested.

 

FACILITY NAME: Mercy Health Care Rehab Center
FACILITY ADDRESS: 19000 Halsted Street
Homewood, Illinois 60430

DOCKET #: NH 05-S0226
NAME OF OWNER OR LICENSEE: Mercy Nursing & Rehab Center, L.L.C.
ADDRESS: 10 South Wacker Drive, 40 th Floor
Chicago, Illinois 60606

On November 10, 2005, sent Notice of Type "A" Violation relating to the area of nursing and Notice of Fine Assessment of $50,000. A hearing has been requested.

 

FACILITY NAME: Mulberry Manor
FACILITY ADDRESS: 612 East Davie Street, P.O. Box 88
Anna, Illinois 62906

DOCKET #: NH 05-S0206
NAME OF OWNER OR LICENSEE: Mulberry Manor, Inc.
ADDRESS: 614 East Davie Street, P.O. Box 88
Anna, Illinois 62906

On October 24, 2005, sent Notice of Type "A" Violation relating to the area of policy and procedure and Notice of Fine Assessment of $5,000.

 

FACILITY NAME: The Neighbors
FACILITY ADDRESS: P.O. Box 585
Byron, Illinois 61010

DOCKET #: NH 03-S0254
NAME OF OWNER OR LICENSEE: Neighbors, Inc.
ADDRESS: 811 West Second, P.O. Box 585
Byron, Illinois 61010

By Final Order, Violation Reduced, Fine Assessment Withdrawn and Notice of Conditional License Withdrawn.

 

FACILITY NAME: North Adams Home
FACILITY ADDRESS: 2259 East 1100 th Street
Mendon, Illinois 62351

DOCKET #: NH 05-S0208
NAME OF OWNER OR LICENSEE: North Adams Home, Inc.
ADDRESS: 237 N. 6 th Street, Ste. 200
Quincy, Illinois 62301

On October 24, 2005, sent Notice of Type "A" Violation relating to the area of nursing and Notice of Fine Assessment of $5,000. A hearing has been requested.

 

FACILITY NAME: Orchard Court
FACILITY ADDRESS: 1430 State Route 127 South
Jonesboro, Illinois 62952

DOCKET #: NH 05-S0248
NAME OF OWNER OR LICENSEE: R.A.V.E. Residential Services, Inc.
ADDRESS: 309 Division Street
Cairo, Illinois 62914

On December 29, 2005, sent Notice of Type "A" Violation relating to the area of policy and procedure and Notice of Fine Assessment of $15,000. A hearing has been requested.

 

FACILITY NAME: Pinckneyville Health Care Center |
FACILITY ADDRESS: 708 Virginia Court
Pinckneyville, Illinois 62274

DOCKET #: NH 04-S0151
NAME OF OWNER OR LICENSEE: Pinckneyville Health Care Center, L.L.C.
ADDRESS: 5260 South Sixth Street
Springfield, Illinois 62703

By Final Order, Violation Amended, Fine Assessment Reduced in consideration of Federal Fine paid and Notice of Conditional License Withdrawn.

FACILITY NAME: Raintree Terrace
FACILITY ADDRESS: 501 East Chestnut
Carbondale, Illinois 62901

DOCKET #: NH 05-C0124
NAME OF OWNER OR LICENSEE: Living In A Family Environment Management Corp.
ADDRESS: 208 North Market
Marion, Illinois 62959

By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

 

FACILITY NAME: River Bluffs of Cahokia Nsg Hm
FACILITY ADDRESS: 3354 Jerome Lane
Cahokia, Illinois 62206

DOCKET #: NH 01-S0238
NAME OF OWNER OR LICENSEE: River Bluffs of Cahokia Nsg & Rehab Ctr., L.L. C.
ADDRESS: 6116 North Monticello Avenue
Chicago, Illinois 60659

By Final Order, Violation Amended, Fine Assessment Amended in consideration of federal fine paid and Notice of Conditional License Withdrawn.

 

FACILITY NAME: River View Manor, LTD
FACILITY ADDRESS: 6131 Park Ridge Road
Loves Park, Illinois 61111

DOCKET #: NH 05-C0131
NAME OF OWNER OR LICENSEE: East Bank Center, L.L.C.
ADDRESS: 107 South Third Street
Bloomingdale, Illinois 60108

By Final Order, Violation Affirmed, Fine Assessment Reduced in consideration of federal fine paid and Notice of Conditional License Withdrawn.

 

FACILITY NAME: Riverview Terrace
FACILITY ADDRESS: 201 Spring Street
Rosiclare, Illinois 62982

DOCKET #: NH 03-S0281
NAME OF OWNER OR LICENSEE: Son Kist, Inc.
ADDRESS: R.R. # 1, Box 276E
Elizabethtown, Illinois 62931

By Final Order, Violation Affirmed, Fine Assessment Reduced, and Notice of Conditional License Withdrawn.

 

FACILITY NAME: Rose Garden Convalescent Center
FACILITY ADDRESS: 1629 Gardner Lane
Peoria Heights, Illinois 61614

DOCKET #: NH 05-C0243
NAME OF OWNER OR LICENSEE: Rose Garden Care Center, Inc.
ADDRESS: 30 South Wacker Drive, 29 th Floor
Chicago, Illinois 60606

On November 30, 2005, sent Notice of Type "A" Violation relating to the area of policy and procedure and Notice of Fine Assessment of $10,000. A hearing has been requested.

 

FACILITY NAME: Rosewood Care Center of Peoria
FACILITY ADDRESS: 1500 West Northmoor Road
Peoria, Illinois 61614

DOCKET #: NH 05-C0008
NAME OF OWNER OR LICENSEE: Rosewood Care Center Inc. of Peoria
ADDRESS: 926 South 7th
Springfield, Illinois 62703

By Final Order, Violation Reduced, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

 

FACILITY NAME: Sharon Health Care Willows
FACILITY ADDRESS: 3520 North Rochelle
Peoria, Illinois 61604

DOCKET #: NH 04-S0206 & 04-M0228
NAME OF OWNER OR LICENSEE: Sharon Health Care Willows, Inc.
ADDRESS: 465 Central Avenue, Ste 100
Northfield, Illinois 60093

By Final Order, Violation Affirmed, Fine Assessments Reduced and Notice of Conditional License Withdrawn.

 

FACILITY NAME: Stephenson Nursing Center
FACILITY ADDRESS: 2946 South Walnut Road
Freeport, Illinois 61032

DOCKET #: NH 05-C0027
NAME OF OWNER OR LICENSEE: Stephenson County Board of Supervisors
ADDRESS: 15 North Galena Avenue
Freeport, Illinois 61032

By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Taylorville Terrace
FACILITY ADDRESS: 921 East Market Street
Taylorville, Illinois 62568

DOCKET #: NH 05-C0201
NAME OF OWNER OR LICENSEE: Residential Centers, Inc.
ADDRESS: 4239 War Memorial Dr., Ste. 302
Peoria, Illinois 61614

On October 24, 2005, sent Notice of Type "A" Violation relating to the area of policy and procedure and Notice of Fine Assessment of $10,000. A hearing has been requested.

FACILITY NAME: Victorian Manor Healthcare and Rehab
FACILITY ADDRESS: 339 South 9 th Avenue
LaGrange, Illinois 60525

DOCKET #: NH 03-C0183
NAME OF OWNER OR LICENSEE: BILHC III LLC
ADDRESS: 700 South Second Street
Springfield, Illinois 62704

By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

 

FACILITY NAME: Villa Health Care East
FACILITY ADDRESS: 100 Marian Parkway, P.O. Box 109
Sherman, Illinois 62684

DOCKET #: NH 05-S0222
NAME OF OWNER OR LICENSEE: Villa Health Care, Inc.
ADDRESS: 313 Saratoga Chase
Sherman, Illinois 62684

On October 28, 2005, sent Notice of Type "A" Violation relating to the area of nursing and Notice of Fine Assessment of $10,000. A hearing has been requested.

 

FACILITY NAME: Warren Park Nursing Pavilion
FACILITY ADDRESS: 6700 North Damen Avenue
Chicago, Illinois 60645

DOCKET #: NH 05-C0193
NAME OF OWNER OR LICENSEE: Warren Park Nursing Pavilion, LTD.
ADRESS: 10 South Wacker Drive, 40th Floor
Chicago, Illinois 60606

On October 4, 2005, sent Notice of Type "A" Violation relating to the area of nursing and Notice of Fine Assessment of $10,000. A hearing has been requested.

FACILITY NAME: Waterfront Terrace
FACILITY ADDRESS: 7750 South Shore Drive
Chicago, Illinois 60649

DOCKET #: NH 05-C0258
NAME OF OWNER OR LICENSEE: Waterfront Terrace, Inc.
ADDRESS: 10 South Wacker Drive, 40th Floor
Chicago, Illinois 60606

On December 29, 2005, sent Notice of Type "A" Violation relating to the area of policy and procedure and Notice of Fine Assessment of $5,000. A hearing has been requested.

 

 



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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