FACILITY NAME: Alden Alma Nelson Manor
FACILITY ADDRESS: 550 South Mulford Avenue
Rockford, Illinois 61108
DOCKET #: NH 06-C0169
NAME OF OWNER OR LICENSEE: Alden – Alma Nelson Manor, Inc.
ADDRESS: 4200 West Peterson
Chicago, Illinois 60646
By Final Order, Violation Affirmed, Fine Assessment Reduced in consideration of federal fine paid and Notice of Conditional License Withdrawn.
FACILITY NAME: Alden of Waterford
FACILITY ADDRESS: 2021 Randi Drive
Aurora, Illinois 60504
DOCKET #: NH 07-C0153
NAME OF OWNER OR LICENSEE: Alden of Waterford, L.L.C.
ADDRESS: 4200 West Peterson, Suite 140
Chicago, Illinois 60646
By Final Order, Violation Affirmed, Fine Assessment Reduced, and Notice of Conditional License Withdrawn.
FACILITY NAME: Alden Village North
FACILITY ADDRESS: 7464 North Sheridan Road
Chicago, Illinois 60626
DOCKET #: NH 09-C0009
NAME OF OWNER OR LICENSEE: Alden Village North, Inc.
ADDRESS: 4200 West Peterson Ave., Ste.140
Chicago, Illinois 60646
On January 26, 2009, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $35,000. A hearing has been requested.
FACILITY NAME: Asta Care Center of Bloomington
FACILITY ADDRESS: 1509 North Calhoun Street
Bloomington, Illinois 61701
DOCKET #: NH 08-C0027
NAME OF OWNER OR LICENSEE: Asta Care Center of Bloomington, L.L.C.
ADDRESS: 134 McLean Boulevard
Elgin, Illinois 60123
By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Asta Care Center of Rockford
FACILITY ADDRESS: 707 West Riverside Boulevard
Rockford, Illinois 61103
DOCKET #: NH 08-C0141
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By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Ballard Nursing Center
FACILITY ADDRESS: 9300 Ballard Road
Des Plaines, Illinois 60016
DOCKET #: NH 07-C0294
NAME OF OWNER OR LICENSEE: Ballard Nursing Center, Inc.
ADDRESS: 9300 Ballard Road
Des Plaines, Illinois 60016
By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Beverly Farm Foundation
FACILITY ADDRESS: 6301 Humbert Road
Godfrey, Illinois 62035
DOCKET #: NH 09-C0007
NAME OF OWNER OR LICENSEE: Beverly Farm Foundation
ADDRESS: 227 West Monroe Street, Ste. 3400
Chicago, Illinois 60606
On January 15, 2009, 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: Beverly Farm Foundation
FACILITY ADDRESS: 6301 Humbert Road
Godfrey, Illinois 62035
DOCKET #: NH 09-C0010
NAME OF OWNER OR LICENSEE: Beverly Farm Foundation
ADDRESS: 227 West Monroe Street, Ste. 3400
Chicago, Illinois 60606
On January 27, 2009, sent Notice of Type "A" Violation relating to the area of nursing and Notice of Fine Assessment of $20,000. A hearing has been requested.
FACILITY NAME: Clearbrook-Wright Home
FACILITY ADDRESS: 34377 North Almond Road
Gurnee, Illinois 60031
DOCKET #: NH 07-S0023
NAME OF OWNER OR LICENSEE: Clearbrook
ADDRESS: 1835 West Central Road
Arlington Heights, Illinois 60005
By Final Order, Violation Reduced, Fine Assessment Dismissed and Notice of Conditional License Withdrawn.
FACILITY NAME: Clearbrook East
FACILITY ADDRESS: 3802 South Old Wilke Road Rolling Meadows, Illinois 60008
DOCKET #: NH 09-S0004
NAME OF OWNER OR LICENSEE: Clearbrook
ADDRESS: 1835 West Central Road
Arlington Heights, Illinois 60005
On January 8, 2009, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $15,000. A hearing has been requested.
FACILITY NAME: Clinton Manor Living Center-DD
FACILITY ADDRESS: 111 East Illinois Street
New Baden, Illinois 62265
DOCKET #: NH 08-C0321
NAME OF OWNER OR LICENSEE: Southern Illinois Living Centers, Inc.
ADDRESS: 1 W. Old State Capitol Plaza, #600
Springfield, Illinois 62701
On January 6, 2009, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $15,000. A hearing has been requested.
FACILITY NAME: Embassy Health Care Center
FACILITY ADDRESS: 555 West Kahler
Wilmington, Illinois 60481
DOCKET #: NH 06-C0417 & 07-S0138
NAME OF OWNER OR LICENSEE: Embassy Holdings LLC
ADDRESS: 7520 Skokie Boulevard
Skokie, Illinois 60077
By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Faith Care Center
FACILITY ADDRESS: 100 Faith Drive
Highland, Illinois 62249
DOCKET #: NH 09-S0054
NAME OF OWNER OR LICENSEE: Faith Care, L.L.C.
ADDRESS: 1320 Broadway
Highland, Illinois 62249
On March 23, 2009, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $5000.
FACILITY NAME: Fox River Pavilion
FACILITY ADDRESS: 400 East New York Street
Aurora, Illinois 60505
DOCKET #: NH 09-S0030
NAME OF OWNER OR LICENSEE: Fox River Pavilion, Limited Partnership
ADDRESS: 8950 Gross Point Road, Suite E
Skokie, Illinois 60077
On February 9, 2009, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $5000.
FACILITY NAME: Helia Healthcare of Urbana
FACILITY ADDRESS: 907 North Lincoln
Urbana, Illinois 61801
DOCKET #: NH 08-C0320
NAME OF OWNER OR LICENSEE: Helia Healthcare of Urbana, L.L.C.
ADDRESS: 600 S. 2 nd Street, Ste. 103
Springfield, Illinois 62704
On January 8, 2009, sent Notice of Type ”A” Violation relating to the area of nursing and Notice of Fine Assessment of $22,500.
FACILITY NAME: Lawrence Community Healthcare Center
FACILITY ADDRESS: 900 East Corporation Street
Bridgeport, Illinois 62417
DOCKET #: NH 06-S0355
NAME OF OWNER OR LICENSEE: Lawrence Community Healthcare Center, Inc.
ADDRESS: 324 North Main Street
Bridgeport, Illinois 62417
By Final Order, Violation Reduced, Fine Assessment Reduced in consideration of federal fine paid and Notice of Conditional License Withdrawn.
FACILITY NAME: Leroy Manor
FACILITY ADDRESS: 509 South Buck Road, P.O. Box 149
Leroy, Illinois 61752
DOCKET #: NH 06-S0326
NAME OF OWNER OR LICENSEE: UDI #4, L.L.C.
ADDRESS: 115 East South Street
Galesburg, Illinois 61401
By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Manorcare at Palos Heights
FACILITY ADDRESS: 7850 West College Drive
Palos Heights, Illinois 60463
DOCKET #: NH 02-C0209
NAME OF OWNER OR LICENSEE: Manorcare Health Services, Inc.
ADRESS: 208 South LaSalle Street
Chicago, Illinois 60604
By Final Order, Violation Affirmed, Fine Assessment Reduced in consideration of federal fine paid, and Notice of Conditional License Withdrawn.
FACILITY NAME: Meadows
FACILITY ADDRESS: 3250 South Plum Grove Road
Rolling Meadows, Illinois 60008
DOCKET #: NH 09-S0042
NAME OF OWNER OR LICENSEE: Meadows Sheltered Care, Inc.
ADDRESS: 3250 South Plum Grove Road
Rolling Meadows, Illinois 60008
On March 2, 2009, sent Notice of Type “A” Violation relating to the areas of policy/ procedure and nursing and Notice of Fine Assessment of $10,000.
FACILITY NAME: North Adams Home
FACILITY ADDRESS: 2259 East 1100th Street
Mendon, Illinois 62351
DOCKET #: NH 08-S0140
NAME OF OWNER OR LICENSEE: North Adams Home, Inc.
ADDRESS: 237 N. 6th Street, Ste. 200
Quincy, Illinois 62301
By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Phoenix Court
FACILITY ADDRESS: 17312 Clyde Avenue
South Holland, Illinois 60473
DOCKET #: NH 08-C0313
NAME OF OWNER OR LICENSEE: New Hope Center, Inc.
ADDRESS: 321 North Clark Street, Suite 3400
Skokie, Illinois 60076
On January 6, 2009, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $20,000. A hearing has been requested.
FACILITY NAME: Provena St. Anne Center
FACILITY ADDRESS: 4405 Highcrest Road
Rockford, Illinois 61107
DOCKET #: NH 05-C0088
NAME OF OWNER OR LICENSEE: Provena Senior Services
ADDRESS: 19065 Hickory Creek Drive
Mokena, Illinois 60448
By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Affirmed.
FACILITY NAME: Rest Haven West Christian Nursing Center
FACILITY ADDRESS: 3450 Saratoga Avenue
Downers Grove, Illinois 60515
DOCKET #: NH 07-S0042
NAME OF OWNER OR LICENSEE: Rest Haven Illiana Christian Convalescent Home
ADDRESS: 18061 North Creek Drive
Tinley Park, Illinois 60477
By Final Order, Violation Reduced, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Rest Haven Central
FACILITY ADDRESS: 13259 South Central Avenue
Palos Heights, Illinois 60463
DOCKET #: NH 08-C0194
NAME OF OWNER OR LICENSEE: Rest Haven Illiana Christian Convalescent Home
ADDRESS: 18601 North Creek Drive
Tinley Park, Illinois 60477
By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Rockford Healthcare & Rehab Center
FACILITY ADDRESS: 1920 North Main Street
Rockford, Illinois 61103
DOCKET #: NH 09-C0031
NAME OF OWNER OR LICENSEE: Rockford Healthcare & Rehabilitation Center, L.L.C.
ADDRESS: 200 West Adams Street
Chicago, Illinois 60606
On February 10, 2009, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $15,000.
FACILITY NAME: Royal Living Center
FACILITY ADDRESS: 200 South 9th Street
New Baden, Illinois 62265
DOCKET #: NH 08-C0221
NAME OF OWNER OR LICENSEE: Royal Living Center, Inc.
ADDRESS: 5312 West Main Street, #A
Belleville, Illinois 62223
By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Somerset Place
FACILITY ADDRESS: 5009 North Sheridan
Chicago, Illinois 60640
DOCKET #: NH 09-S0027
NAME OF OWNER OR LICENSEE: Somerset Place, L.L.C.
ADDRESS: 2201 Main Street
Evanston, Illinois 60202
On February 9, 2009, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $25,000.
FACILITY NAME: South Shore Nursing & Rehab Center
FACILITY ADDRESS: 2649 East 75th Street
Chicago, Illinois 60649
DOCKET #: NH 08-C0314
NAME OF OWNER OR LICENSEE: Southshore Care Center, L.L.C.
ADDRESS: 4101 West Main
Skokie, Illinois 60076
On January 6, 2009, 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: Southview Manor
FACILITY ADDRESS: 3311 Michigan Avenue
Chicago, Illinois 60616
DOCKET #: NH 09-S0002
NAME OF OWNER OR LICENSEE: Southview Manor Operator, L.L.C.
ADDRESS: 6865 North Lincoln Avenue
Lincolnwood, Illinois 60712
On January 8, 2009, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $5000.
FACILITY NAME: Southview Manor
FACILITY ADDRESS: 3311 South Michigan Avenue
Chicago, Illinois 60616
DOCKET #: NH 09-C0029
NAME OF OWNER OR LICENSEE: Southview Manor Operator, L.L.C.
ADDRESS: 6865 North Lincoln Avenue
Lincolnwood, Illinois 60712
On February 18, 2009, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $15,000. A hearing has been requested.
FACILITY NAME: Thomas Herbstritt House
FACILITY ADDRESS: 4003 N Rtes 1 & 17, P.O. Box 260
Momence, Illinois 60954
DOCKET #: NH 09-S0003
NAME OF OWNER OR LICENSEE: Good Shepherd Manor Group Homes, Inc.
ADDRESS: 4129 N Rtes 1 & 17, P.O. Box 260
Momence, Illinois 60954
On January 8, 2009, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $20,000. A hearing has been requested.
FACILITY NAME: Three Springs Lodge Nursing Home
FACILITY ADDRESS: 161 Three Springs Road
Chester, Illinois 62233
DOCKET #: NH 09-C0040
NAME OF OWNER OR LICENSEE: Three Springs Lodge Nursing Home, Inc.
ADDRESS: 1001 East Main Street, Bldg. 4
Carbondale, Illinois 62901
On February 18, 2009, sent Notice of Type “A” Violation relating to the area of policy and procedure and Notice of Fine Assessment of $20,000. A hearing has been requested.
FACILITY NAME: Watseka Rehab & Health Care Center
FACILITY ADDRESS: 715 East Raymond Road
Watseka, Illinois 60970
DOCKET #: NH 07-S0283
NAME OF OWNER OR LICENSEE: Petersen Health Care II, Inc.
ADDRESS: 830 West Trailcreek Drive
Peoria, Illinois 61614
By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Westshire Nursing & Rehab Center
FACILITY ADDRESS: 5825 West Cermak Road
Cicero, Illinois 60804
DOCKET #: NH 07-C0102
NAME OF OWNER OR LICENSEE: Westshire Nursing & Rehabilitation Center, L.L.C.
ADDRESS: 2201 West Main Street
Evanston, Illinois 60202
By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Westshire Nursing & Rehab Center
FACILITY ADDRESS: 5825 West Cermak Road
Cicero, Illinois 60804
DOCKET #: NH 09-C0028
NAME OF OWNER OR LICENSEE: Westshire Nursing & Rehabilitation Center, L.L.C.
ADDRESS: 2201 West Main Street
Evanston, Illinois 60202
On February 18, 2009, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $35,000. A hearing has been requested.
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