Nursing Homes in Illinois

QUARTERLY REPORT

October - December 2010


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 Gardens of Waterford
FACILITY ADDRESS: 1955 Randi Drive
Aurora, Illinois 60504

DOCKET #: NH 10-C0286
NAME OF OWNER OR LICENSEE: Alden Gardens of Waterford, L.L.C.
ADDRESS: 4200 W. Peterson Ave.
Chicago, Illinois 60646

On October 28, 2010, sent Type “A” Notice of Violations relating to the area of policy and procedure and Notice of Fine Assessment of $10,000. A hearing has been requested.

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

DOCKET #: NH 10-S0278
NAME OF OWNER OR LICENSEE: Alden Village North, Inc.
ADDRESS: 4200 W. Peterson Ave., Ste 140
Chicago, Illinois 60646

On November 9, 2010, sent Notice of Type “A” Violations 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 Rockford
FACILITY ADDRESS: 707 West Riverside Boulevard
Rockford, Illinois 61103

DOCKET #: NH 10-C0291
NAME OF OWNER OR LICENSEE: Asta Care Center of Rockford, L.L.C.
ADDRESS: 134 North McLean Boulevard
Elgin, Illinois 60123

On November 16, 2010, sent Type “A” Notice of Violation relating to the area of nursing and Notice of Fine Assessment of $10,000. A hearing has been requested.

FACILITY NAME: Astoria Place Living & Rehab
FACILITY ADDRESS: 6300 North California Avenue
Chicago, Illinois 60659

DOCKET #: NH 10-S0338
NAME OF OWNER OR LICENSEE: Astoria Place Living and Rehabilitation Center, LLC
ADDRESS: 5750 Old Orchard Rd, Ste.420
Skokie, Illinois 60077

On December 22, 2010, sent Notice of Type “A” Violation relating to the area of policy and procedure and Notice of Fine Assessment of $12,500. A hearing has been requested.

FACILITY NAME: Aurora Rehab & Living Center
FACILITY ADDRESS: 1601 North Farnsworth Avenue
Aurora, Illinois 60505

DOCKET #: NH 09-S0081
NAME OF OWNER OR LICENSEE: Aurora Manor, Inc.
ADDRESS: 321 North Clark St., Ste. 2800
Chicago, Illinois 60610

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

FACILITY NAME: Bellefontaine Place
FACILITY ADDRESS: 98 Debra Lane, P.O. Box 225
Waterloo, Illinois 62298

DOCKET #: NH 09-S0044
NAME OF OWNER OR LICENSEE: Community Living Option, Inc.
ADDRESS: 285 South Farnham Street
Galesburg, Illinois 61401

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

FACILITY NAME: Bloomington Rehabilitation & HCC
FACILITY ADDRESS: 1925 South Main Street
Bloomington, Illinois 61701

DOCKET #: NH 10-S0287
NAME OF OWNER OR LICENSEE: Petersen Healthcare Operations, L.L.C.
ADDRESS: 830 West Trailcreek Drive
Peoria, Illinois 61614

On October 29, 2010, sent Notice of Type ”A” Violation relating to the area of policy and procedure and Notice of Fine Assessment of $12,500. A hearing has been requested.

FACILITY NAME: Burnsides Community Health Center
FACILITY ADDRESS: 410 North Second Street
Marshall, Illinois 62441

DOCKET #: NH 10-S0328
NAME OF OWNER OR LICENSEE: Burnsides Nursing Home, NFP
ADDRESS: 410 North Second Street
Marshall, Illinois 62441

On December 1, 2010, sent Notice of Type “A” Violation relating to the area of policy and procedure and Notice of Fine Assessment of $6,250. A hearing has been requested.

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

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

On December 15, 2010, sent Notice of Type “A” Violations relating to the area of nursing and Notice of Fine Assessment of $25,000. A hearing has been requested.

FACILITY NAME: Chateau Nursing and Rehab Center
FACILITY ADDRESS: 7050 Madison Street Willowbrook, Illinois 60521

DOCKET #: NH 10-S0304
NAME OF OWNER OR LICENSEE: Chateau Nursing and Rehabilitation, L.L.C.
ADDRESS: 2201 Main Street
Evanston, Illinois 60202

On November 5, 2010, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $6,250. A hearing has been requested.

FACILITY NAME: Chestnut Manor
FACILITY ADDRESS: 1404 South 14th Street
Herrin, Illinois 62948

DOCKET #: NH 10-S0301
NAME OF OWNER OR LICENSEE: New Way Developers, Inc.
ADDRESS: 105 S. Commercial, P.O. Box 972
Harrisburg, Illinois 62946

On November 5, 2010, sent Notice of Type “A” Violations relating to the area of nursing and Notice of Fine Assessment of $20,000.

FACILITY NAME: Comfort Harbor Home
FACILITY ADDRESS: 114 West 2nd Street
Milan, Illinois 61264

DOCKET #: NH 10-S0349
NAME OF OWNER OR LICENSEE: Professional Care Management, Inc.
ADDRESS: 114 West 2nd Street
Milan, Illinois 61264

On December 22, 2010, sent Notice of Type “Repeat B” Violation relating to the area building requirements and Notice of Fine Assessment of $1,000.

FACILITY NAME: Evergreen Health Care Center
FACILITY ADDRESS: 10124 South Kedzie
Evergreen Park, Illinois 60805

DOCKET #: NH 10-o0254
NAME OF OWNER OR LICENSEE: Evergreen Health Care Center, L.L.C.
ADDRESS: 6400 Schafer Court, Ste. 600
Rosemont, Illinois 60018

October 14, 2010, sent Notice of Type “A” Violations relating to the area of nursing and Notice of Fine Assessment of $10,000. A hearing has been requested.

FACILITY NAME: Fairview Nursing Plaza
FACILITY ADDRESS: 321 Arnold Avenue
Rockford, Illinois 61108

DOCKET #: NH 10-S0353
NAME OF OWNER OR LICENSEE: Fairview Nursing Plaza, Inc.
ADDRESS: 2201 Main Street
Evanston, Illinois 60202

On December 22, 2010, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $12,500. A hearing has been requested.

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

DOCKET #: NH 10-C0300
NAME OF OWNER OR LICENSEE: Residential Alternatives of Illinois, Inc.
ADDRESS: 285 South Farnham Street
Galesburg, Illinois 61401

On November 5, 2010, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $12,500 A hearing has been requested.

FACILITY NAME: Glenwood Healthcare & Rehab
FACILITY ADDRESS: 19330 South Cottage Grove
Glenwood, Illinois 60425

DOCKET #: NH 10-C0285
NAME OF OWNER OR LICENSEE: Glenwood Healthcare & Rehab, Inc.
ADDRESS: 5750 Old Orchard Rd., Ste. 420
Skokie, Illinois 60077

On October 25, 2010, sent Notice of Type “A” Violations relating to the area of nursing and Notice of Fine Assessment of $15000. A hearing has been requested.

FACILITY NAME: Hillcrest Retirement Village
FACILITY ADDRESS: 1740 North Circuit Drive
Round Lake Beach, Illinois 60073

DOCKET #: NH 10-S0271
NAME OF OWNER OR LICENSEE: Hillcrest Retirement Village, Ltd.
ADDRESS: 1740 North Circuit Drive
Round Lake Beach, Illinois 60073

On October 22, 2010, sent Notice of Type “A” Violation relating to the area of policy and procedure and Notice of Fine Assessment of $6,250. A hearing has been requested.

FACILITY NAME: Hillview Health Care Center
FACILITY ADDRESS: 512 North 11th Street
Vienna, Illinois 62995

DOCKET #: NH 10-S0273
NAME OF OWNER OR LICENSEE: N & R of Vienna, L.L.C.
ADRESS: 512 North 11th Street
Vienna, Illinois 62995

On October 22, 2010, 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: Hope Creek Care Center
FACILITY ADDRESS: 4343 Kennedy Drive
East Moline, Illinois 61244

DOCKET #: NH 10-S0272
NAME OF OWNER OR LICENSEE: Rock Island County
ADDRESS: 1504 Third Avenue
Rock Island, Illinois 61201

On October 22, 2010, 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: Lake Cook Terrace Nursing Center
FACILITY ADDRESS: 263 Skokie Boulevard
Northbrook, Illinois 60062

DOCKET #: NH 10-S0290
NAME OF OWNER OR LICENSEE: GAF Lake Cook Terrace, Inc.
ADDRESS: 465 Central Avenue, Suite #100
Northfield, Illinois 60093

On November 16, 2010, 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: Lakeview Living Center
FACILITY ADDRESS: 7270 South Shore Drive
Chicago, Illinois 60649

DOCKET #: NH 10-S0138
NAME OF OWNER OR LICENSEE: Progressive Housing, Inc.
ADDRESS: 2514 N. Sheridan Rd., Box 10528
Peoria, Illinois 61612

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

FACILITY NAME: LaSalle County Nursing Home
FACILITY ADDRESS: 1380 North 27th Road
Ottawa, Illinois 61350

DOCKET #: NH 10-C0279
NAME OF OWNER OR LICENSEE: LaSalle County
ADDRESS: 707 Etna Road
Ottawa, Illinois 61350

On November 9, 2010, sent Notice of Type “A” Violations relating to the area of policy and procedures and Notice of Fine Assessment of $20,000. A hearing has been requested.

FACILITY NAME: Lexington of Orland Park
FACILITY ADDRESS: 14601 South John Humphrey Drive
Orland Park, Illinois 60462

DOCKET #: NH 10-C0284
NAME OF OWNER OR LICENSEE: Lexington Health Care Center of Orland Park, Inc.
ADDRESS: 665 West North Avenue
Lombard, Illinois 60148

On October 25, 2010, sent Notice of Type ”A” Violations relating to the area of nursing and Notice of Fine Assessment of $30,000. A hearing has been requested.

FACILITY NAME: Lynwood Terrace
FACILITY ADDRESS: 2317 East 207th Street
Lynwood, Illinois 61081

DOCKET #: NH 10-S0294
NAME OF OWNER OR LICENSEE: Pioneer Concepts, Inc.
ADDRESS: 285 South Farnham, Street
Galesburg, Illinois 61401

On November 3, 2010, sent Notice of Type “A” Violations relating to the area of policy and procedure and Notice of Fine Assessment of $10,000. A hearing has been requested.

FACILITY NAME: Manor Court of Peoria
FACILITY ADDRESS: 6900 North Stalworth
Peoria, Illinois 61615

DOCKET #: NH 07-C0211
NAME OF OWNER OR LICENSEE: Residential Alternatives of Illinois, Inc.
ADDRESS: 239 S. Cherry Street
Galesburg, Illinois 61401

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

FACILITY NAME: Metropolis Nursing & Rehab Center
FACILITY ADDRESS: 2299 Metropolis Street
Metropolis, Illinois 62960

DOCKET #: NH 10-C0270
NAME OF OWNER OR LICENSEE: Metropolis Health Care Center, LLC
ADDRESS: 412 East Lawrence
Springfield, Illinois 62703

On October 8, 2010, sent Notice of Type “A” Violations relating to the area of nursing and Notice of Fine Assessment of $20,000. A hearing has been requested.

FACILITY NAME: Montebello Healthcare Center
FACILITY ADDRESS: 1599 Keokuk Street
Hamilton, Illinois 62341

DOCKET #: NH 10-S0317
NAME OF OWNER OR LICENSEE: SSC Hamilton Operating Company.LLC
ADDRESS: 208 South LaSalle St., Ste.814
Chicago, Illinois 60604

On November 16, 2010, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $10,000.

FACILITY NAME: Moore House
FACILITY ADDRESS: 9135 South Brandon Avenue
Chicago, Illinois 60617

DOCKET #: NH 10-S0352
NAME OF OWNER OR LICENSEE: Ada S McKinley Community Services, Inc.
ADDRESS: 725 South Wells, Suite 1-A
Chicago, Illinois 60607

On December 23, 2010, sent Notice of Type “A” Violations relating to the area of policy and procedure and Notice of Fine Assessment of $20,000. A hearing has been requested.

FACILITY NAME: Oak Hill
FACILITY ADDRESS: 623 Hamacher Street
Waterloo, Illinois 62298

DOCKET #: NH 10-S0293
NAME OF OWNER OR LICENSEE: County of Monroe
ADDRESS: 100 South Main Street
Waterloo, Illinois 62298

On November 3, 2010, sent Notice of Type “A” Violations relating to the area of nursing and Notice of Fine Assessment of $10,000. A hearing has been requested.

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

DOCKET #: NH 10-S0354
NAME OF OWNER OR LICENSEE: R.A.V.E. Residential Services, Inc.
ADDRESS: 300 North Monroe Street
Marion, Illinois 62959

On December 21, 2010, sent Notice of Type “A” Violations relating to the area of nursing and Notice of Fine Assessment of $10,000. A hearing has been requested.

FACILITY NAME: Park Place
FACILITY ADDRESS: 205 Park Avenue
Pana, Illinois 62557

DOCKET #: NH 10-S0053
NAME OF OWNER OR LICENSEE: Progressive Housing, Inc.
ADDRESS: 2514 N. Sheridan Rd., P.O. Box 10528
Peoria, Illinois 61612

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

FACILITY NAME: Plaza Nursing and Rehab Center
FACILITY ADDRESS: 3249 West 147th Street
Midlothian, Illinois 60445

DOCKET #: NH 10-S0333
NAME OF OWNER OR LICENSEE: Plaza Nursing & Rehab Center, LLC
ADDRESS: 8320 Skokie Boulevard
Skokie, Illinois 60077

On December 15, 2010, 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: Reservoir Manor
FACILITY ADDRESS: 419 East Main, P.O. Box 467
Shelbyville, Illinois 62565

DOCKET #: NH 10-S0340
NAME OF OWNER OR LICENSEE: Developmental Planning & Services, Inc.
ADDRESS: RR #1
Xenia, Illinois 62899

On December 6, 2010, sent Notice of Type “A” Violations relating to the area of policy and procedure and Notice of Fine Assessment of $10,000.

FACILITY NAME: Rosewood Care Center of Rockford
FACILITY ADDRESS: 1660 South Mulford
Rockford, Illinois 61108

DOCKET #: NH 10-C0302
NAME OF OWNER OR LICENSEE: Bravo Care of Rockford, Inc.
ADDRESS: 412 E. Lawrence
Springfield, Illinois 62703

On November 5, 2010, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $12,500.

FACILITY NAME: Timber Point Healthcare Center
FACILITY ADDRESS: 205 East Spring Street
Camp Point, Illinois 62320

DOCKET #: NH 10-S0319
NAME OF OWNER OR LICENSEE: Timber Point Healthcare Center, Inc.
ADDRESS: 8320 Skokie Boulevard
Skokie, Illinois 60077

On December 1, 2010, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $6,250. A hearing has been requested.




idph online home
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