FACILITY NAME: Alden Estates of Evanston
FACILITY ADDRESS: 2520 Gross Point Road
Evanston, IL 60201
DOCKET #: NH 12-S0054
NAME OF OWNER OR LICENSEE: Alden Estates of Evanston, Inc.
ADDRESS: 4200 West Peterson, Suite 140
Chicago, IL 60646
Re: Survey of 1-20-12 On March 5, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.
FACILITY NAME: Alden - Long Grove Rehabilitation & Health Care Center
FACILITY ADDRESS: Box 2308 RFD, Old Hicks Road
Long Grove, IL 60047
DOCKET #: NH 12-C0049
NAME OF OWNER OR LICENSEE: Alden – Long Grove Rehabilitation and Health Care Center, Inc.
ADDRESS: 4200 W. Peterson Ave, Suite 140
Chicago, IL 60646
Re: Survey of 12-22-11 On February 23, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.
FACILITY NAME: Alden - Long Grove Rehabilitation & Health Care Center
FACILITY ADDRESS: Box 2308 RFD, Old Hicks Road
Long Grove, IL 60047
DOCKET #: NH 12-S0050
NAME OF OWNER OR LICENSEE: Alden – Long Grove Rehabilitation and Health care Center, Inc.
ADDRESS: 4200 W. Peterson Ave, Suite 140
Chicago, IL 60646
Re: Survey of 12-22-11 On February 22, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.
FACILITY NAME: Alden Northmoor Rehabilitation and Health Care Center
FACILITY ADDRESS: 5831 North Northwest Highway
Chicago, IL 60631
DOCKET #: NH 12-S0115
NAME OF OWNER OR LICENSEE: Alden – Northmoor Rehabilitation and Health Care Center, Inc.
ADDRESS: 4200 West Peterson Ave, Suite 140
Chicago, IL 60645
Re: Survey of 2-28-12 On March 29, 2012, sent Notice of Type “B” Violation relating to the area of policy and procedure and Notice of Fine Assessment of $2,200.
FACILITY NAME: Alden – Town Manor Rehabilitation & Healthcare Center
FACILITY ADDRESS: 6120 West Ogden
Cicero, IL 60804
DOCKET #: NH 11-C0426
NAME OF OWNER OR LICENSEE: Alden – Town Manor Rehabilitation & Health Care Center, Inc.
ADDRESS: 4200 W. Peterson Ave, Suite 140
Chicago, IL 60646
Re: Survey of 12-1-11 On January 5, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200. A hearing has been requested.
FACILITY NAME: Alden Village North
FACILITY ADDRESS: 7464 North Sheridan Road
Chicago, IL 60626
DOCKET #: NH 10-S0278
NAME OF OWNER OR LICENSEE: Alden Village North, Inc.
ADDRESS: 4200 West Peterson Ave, Suite 140
Chicago, IL 60646
Re: Survey of 8-18-10 By Final Order, Violations Dismissed, Fine Assessment Dismissed and Notice of Conditional License Withdrawn.
FACILITY NAME: All Faith Pavilion
FACILITY ADDRESS: 3500 South Giles Ave
Chicago, IL 60653
DOCKET #: NH 11-C0415
NAME OF OWNER OR LICENSEE: PHWD, LLC
ADDRESS: 8320 Skokie Boulevard
Skokie, IL 60077
Re: Survey of 11-10-11 On January 10, 2012, sent Notice of Type “A” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $25,000. A hearing has been requested.
FACILITY NAME: All Faith Pavilion
FACILITY ADDRESS: 3500 South Giles Ave
Chicago, IL 60653
DOCKET #: NH 12-C0078
NAME OF OWNER OR LICENSEE: PHWD, LLC
ADDRESS: 8320 Skokie Boulevard
Skokie, IL 60077
Re: Survey of 2-14-12 On March 21, 2012, sent Notice of Type “A” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $25,000. A hearing has been requested.
FACILITY NAME: All Faith Pavilion
FACILITY ADDRESS: 3500 South Giles Ave
Chicago, IL 60653
DOCKET #: NH 12-O-0051
NAME OF OWNER OR LICENSEE: PHWD, LLC
ADDRESS: 8320 Skokie Boulevard
Skokie, IL 60077
On March 9, 2012, sent Notice of License Revocation. A hearing has been requested.
FACILITY NAME: Alton Rehabilitation and Nursing Center
FACILITY ADDRESS: 3523 Wickenhauser
Alton, IL 62002
DOCKET #: NH 12-C0095
NAME OF OWNER OR LICENSEE: Alton Rehabilitation and Nursing Center, LLC.
ADDRESS: 8170 McCormick Blvd, Suite 219
Skokie, IL 60076
Re: Survey of 2-3-12 On March 28, 2012, sent Notice of Type “A” & “B” violations relating to the areas of nursing and policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $25,500.
FACILITY NAME: Arlington Rehabilitation & Living Center
FACILITY ADDRESS: 1666 RFD (Checker Road)
Long Grove, IL 60047
DOCKET #: NH 12-S0026
NAME OF OWNER OR LICENSEE: Long Grove Manor, Inc.
ADDRESS: 161 N. Clark Street, Suite 4200
Chicago, IL 60601
Re: Survey of 11-10-11 On February 9, 2012, sent Notice of Type ”B” Violation relating to the area of policy and procedure and Notice of Fine Assessment of $1,100.
FACILITY NAME: The Arthur Home
FACILITY ADDRESS: 423 Eberhardt Drive
Arthur, IL 61911
DOCKET #: NH 12-S0013
NAME OF OWNER OR LICENSEE: Community Retirement, Inc.
ADDRESS: 506 South Pine
Arthur, IL 61911
Re: Survey of 12-13-11 On February 7, 2012, sent Notice of Type “A” & “B” Violations relating to the areas of nursing and policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $18,300. A hearing has been requested.
FACILITY NAME: Asta Care Center of Bloomington
FACILITY ADDRESS: 1509 North Calhoun Street
Bloomington, IL 61701
DOCKET #: NH 12-C0114
NAME OF OWNER OR LICENSEE: Asta Care Center of Bloomington, LLC
ADDRESS: 134 McLean Boulevard
Elgin, IL 60123
Re: Survey of 2-7-12 On March 29, 2012, sent Notice of Type “B” Violations relating to the area of policy & procedure and Notice of Fine Assessment of $3,300.
FACILITY NAME: Asta Care Center of Elgin
FACILITY ADDRESS: 134 North McLean Boulevard
Elgin, IL 60123
DOCKET #: NH 12-S0111
NAME OF OWNER OR LICENSEE: Asta Care Center of Elgin, LLC
ADDRESS: 134 North McLean Boulevard
Elgin, IL 60123
Re: Survey of 2-28-12 On March 29, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $3,300.
FACILITY NAME: Belleville Healthcare and Rehabilitation
FACILITY ADDRESS: 150 North 27th Street
Belleville, IL 62226
DOCKET #: NH 11-S0259
NAME OF OWNER OR LICENSEE: Belleville Healthcare & Rehabilitation Center, Inc.
ADDRESS: 465 Central Avenue, Suite 100
Northfield, IL 60093
Re: Survey of 8-4-11 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Bloomington Rehabilitation and Health Care Center
FACILITY ADDRESS: 1925 South Main Street
Bloomington, IL 61701
DOCKET #: NH 12-C0120
NAME OF OWNER OR LICENSEE: Petersen Health Operations, LLC
ADDRESS: 830 West Trailcreek Drive
Peoria, IL 61614
Re: Survey of 3-8-12 On March 29, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $2,200.
FACILITY NAME: Brentwood North Health Care and Rehabilitation Center
FACILITY ADDRESS: 3705 Deerfield Road
Riverwoods, IL 60015
DOCKET #: NH 12-C0093
NAME OF OWNER OR LICENSEE: Brentwood North Healthcare and Rehabilitation Centre, Inc.
ADDRESS: 191 North Wacker Drive, Suite 1800
Chicago, IL 60606
Re: Survey of 1-25-12 On March 30, 2012, sent Notice of Type “A” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $20,000. A hearing has been requested.
FACILITY NAME: Bridgeway Christian Village Rehabilitation & SNF
FACILITY ADDRESS: 111 East Washington Street
Bensenville, IL 60106
DOCKET #: NH 11-S0429
NAME OF OWNER OR LICENSEE: Midwest Senior Ministries, Inc.
ADDRESS: 200 North Postville Drive
Lincoln, IL 62656
Re: Survey of 11-22-11 On January 11, 2012, sent Notice of Type “B” Violation and Notice of Fine Assessment of $2,200.
FACILITY NAME: Bryan Manor
FACILITY ADDRESS: 2150 East McCord
Centralia, IL 62801
DOCKET #: NH 11-S0157
NAME OF OWNER OR LICENSEE: Penta Group, Inc.
ADDRESS: 623 East Broadway
Centralia, IL 62801
Re: Survey of 4-7-11 By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Burgin Manor of Olney, Inc.
FACILITY ADDRESS: 900 East Scott Street
Olney, IL 62450
DOCKET #: NH 12-S0016
NAME OF OWNER OR LICENSEE: Burgin Manor of Olney, Inc.
ADDRESS: 858 Sunnyhill Lane
Columbia, IL 62236
Re: Survey of 12-22-11 On February 9, 2012, sent Notice of Type “A” Violation relating the area of nursing, Notice of Conditional License, Notice of Fine Assessment of $25,000. A hearing has been requested.
FACILITY NAME: Cambridge Nursing Rehabilitation Center
FACILITY ADDRESS: 9615 North Knox Avenue
Skokie, IL 60076
DOCKET #: NH 12-S0028
NAME OF OWNER OR LICENSEE: Skokie Meadows Nursing Centers II, LLC
ADDRESS: 9615 North Knox Avenue
Skokie, IL 60076
Re: Survey of 1-3-12 On February 9, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200. A hearing has been requested.
FACILITY NAME: Capitol Care Center
FACILITY ADDRESS: 555 West Carpenter
Springfield, IL 62702
DOCKET #: NH 12-C0021
NAME OF OWNER OR LICENSEE: Capitol Care Center, LLC.
ADDRESS: 8320 Skokie Boulevard
Skokie, IL 60077
Re: Survey of 1-4-12 On February 9, 2012, sent Notice of Type “A” Violations relating to the area of policy & procedure and nursing, Notice of Conditional License and Notice of Fine Assessment of $37,500. A hearing has been requested.
FACILITY NAME: Casey Health Care Center
FACILITY ADDRESS: 100 Northeast 15th
Casey, IL 62420
DOCKET #: NH 12-S0025
NAME OF OWNER OR LICENSEE: Petersen Health Care II, Inc.
ADDRESS: 830 West Trailcreek Drive
Peoria, IL 61614
Re: Survey of 12-30-11 On February 9, 2012, sent Notice of Type “B” Violations relating to the area of nursing and Notice of Fine Assessment of $3,300.
FACILITY NAME: Champaign County Nursing Home
FACILITY ADDRESS: 500 South Art Bartell Drive
Urbana, IL 61802
DOCKET #: NH 12-S0067
NAME OF OWNER OR LICENSEE: Champaign County Board
ADDRESS: 1776 East Washington St
Urbana, IL 61802
Re: Survey of 1-13-12 On March 9, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.
FACILITY NAME: Christian Nursing Home
FACILITY ADDRESS: 1507 7th Street
Lincoln, IL 62656
DOCKET #: NH 12-S0096
NAME OF OWNER OR LICENSEE: Christian Homes, Inc.
ADDRESS: 200 North Postville Drive
Lincoln, IL 62656
Re: Survey of 2-17-12 On March 22, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.
FACILITY NAME: Claremont Rehabilitation and Living Center
FACILITY ADDRESS: 150 North Weiland
Buffalo Grove, IL 60089
DOCKET #: NH 12-C0080
NAME OF OWNER OR LICENSEE: Claremont Extended Healthcare, LLC.
ADDRESS: 191 North Wacker Drive, Suite 1800
Chicago, IL 60606
Re: Survey of 1-11-12 On March 21, 2012, sent Notice of Type “A” Violation relating to the area of nursing, Notice of Conditional License, Notice of Fine Assessment of $20,000.
FACILITY NAME: Clark-Lindsey Village
FACILITY ADDRESS: 101 West Windsor Road
Urbana, IL 61801
DOCKET #: NH 12-S0118
NAME OF OWNER OR LICENSEE: Clark-Lindsey Village, Inc.
ADDRESS: 1729 Georgetown Drive
Champaign, IL 61821
Re: Survey of 3-7-12 On March 29, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.
FACILITY NAME: Clearbrook Center
FACILITY ADDRESS: 3201 West Campbell Street
Rolling Meadows, IL 60008
DOCKET #: NH 12-S0010
NAME OF OWNER OR LICENSEE: Clearbrook
ADDRESS: 1835 West Central Road
Arlington Heights, IL 60005
Re: Survey of 12-1-11 On February 17, 2012, sent Notice of Type “A” Violation relating to the area of policy and procedure, Notice of Conditional License and Notice of Fine Assessment of $5000. A hearing has been requested.
FACILIY NAME: Clearbrook Center
FACILITY ADDRESS: 3201 West Campbell Street
Rolling Meadows, IL 60008
DOCKET #: NH 11-S0320
NAME OF OWNER OR LICENSEE: Clearbrook
ADDRESS: 1835 West Central Road
Arlington Heights, IL 60005
Re: Survey of 8-9-11 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Collinsville Rehabilitation & Health Care Center
FACILITY ADDRESS: 614 North Summit
Collinsville, IL 62234
DOCKET #: NH 11-S0400
NAME OF OWNER OR LICENSEE: Petersen Health Enterprises, LLC
ADDRESS: 830 West Trailcreek Drive
Peoria, IL 61614
Re: Survey of 11-10-11 On January 5, 2012, sent Notice of Type “A & B” Violations relating to the areas of nursing and policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $16,900.
FACILITY NAME: Comfort Harbor Home
FACILITY ADDRESS: 114 West 2nd Street
Milan, IL 61264
DOCKET #: NH 11-S0434
NAME OF OWNER OR LICENSEE: Professional Care Management, Inc.
ADDRESS: 114 West 2nd Avenue
Milan, IL 61264
Re: Survey of 11-3-11 On January 23, 2012, sent Notice of Type “Repeat B” Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $1,100.
FACILITY NAME: Community Nursing and Rehabilitation Center
FACILITY ADDRESS: 1136 North Mill Street
Naperville, IL 60563
DOCKET #: NH 12-S0091
NAME OF OWNER OR LICENSEE: Community Nursing and Rehabilitation Center, LLC.
ADDRESS: 191 North Wacker Dr, Suite 1800
Chicago, IL 60606
Re: Survey of 2-6-12 On March 22, 2012, sent Notice of Type ”B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.
FACILITY NAME: Dyball Sunshine Home
FACILITY ADDRESS: PO Box 176
Fairfield, IL 62837
DOCKET #: NH 12-S0039
NAME OF OWNER OR LICENSEE: Developmental Planning and Services, Inc.
ADDRESS: 29258 Broadway, PO Box 2369
Mt Vernon, IL 62864
Re: Survey of 1-24-12 On March 30, 2012, sent Notice of Type “A” Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $6,250.
FACILITY NAME: Eastview Terrace
FACILITY ADDRESS: 100 Eastview Place
Sullivan, IL 61951
DOCKET #: NH 11-C0403
NAME OF OWNER OR LICENSEE: Petersen Health Care, Inc.
ADDRESS: 830 West Trailcreek Drive
Peoria, IL 61614
Re: Survey of 11-30-11 On January 10, 2012, sent Notice of Type “AA” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $25,000.
FACILITY NAME: The Elms
FACILITY ADDRESS: 1212 Madelyn Avenue
Macomb, IL 61455
DOCKET #: NH 12-S0116
NAME OF OWNER OR LICENSEE: McDonough County
ADDRESS: One Courthouse Square, No. 7
Macomb, IL 61455
Re: Survey of 2-28-12 On March 29, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.
FACILITY NAME: Fair Acres Nursing Home
FACILITY ADDRESS: 514 East Jackson
Du Quoin, IL 62832
DOCKET #: NH 11-S0439
NAME OF OWNER OR LICENSEE: Fair Acres Nursing Home, Inc.
ADDRESS: 1001 East Main Street Bldg. 4
Carbondale, IL 62901
Re: Survey of 12-20-11 On January 23, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Finnie Good Shepherd Nursing Home
FACILITY ADDRESS: 400 South Maincross Street
Galatia, IL 62935
DOCKET #: NH 11-S0424
NAME OF OWNER OR LICENSEE: Finnie Good Shepherd Nursing Homes, Inc.
ADDRESS: 3265 Raleigh Road
El Dorado, IL 62930
Re: Survey of 11-29-11 On January 9, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Fireside House of Centralia
FACILITY ADDRESS: 1030 Martin Luther King
Centralia, IL 62801
DOCKET #: NH 12-S0045
NAME OF OWNER OR LICENSEE: LTC of Illinois – Fireside, Inc.
ADDRESS: 208 S LaSalle St, Suite 814
Chicago, IL 60604
Re: Survey of 1-30-12 On February 22, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $1,100.
FACILITY NAME: Fountainview
FACILITY ADDRESS: 1001 A Jefferson Street
El Dorado, IL 62930
DOCKET #: NH 12-S0041
NAME OF OWNER OR LICENSEE: Fountainview, Inc.
ADDRESS: 511 Dewey, PO Box 355
El Dorado, IL 62930
Re: Survey of 1-19-12 On February 22, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.
FACILITY NAME: Freeburg Terrace
FACILITY ADDRESS: #4 Hill Mine Road
Freeburg, IL 62243
DOCKET #: NH 10-C0255
NAME OF OWNER OR LICENSEE: Community Living Options, Inc.
ADDRESS: 285 South Farnham Street
Galesburg, IL 61401
Re: Survey of 7-22-10 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Good Samaritan Nursing Home - Knoxville
FACILITY ADDRESS: 407 North Hebard Street
Knoxville, IL 61448
DOCKET #: NH 12-S0014
NAME OF OWNER OR LICENSEE: Good Samaritan Sanitarium & Hospital
ADDRESS: 407 North Hebard Street
Knoxville, IL 61448
Re: Survey of 1-5-12 On February 7, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.
FACILITY NAME: Grosse Pointe Manor
FACILITY ADDRESS: 6601 West Touhy
Niles, IL 60714
DOCKET #: NH 12-C0083
NAME OF OWNER OR LICENSEE: Grosse Pointe Manor, LLC.
ADDRESS: 191 North Wacker Drive, Suite 1800
Chicago, IL 60606
Re: Survey of 1-13-12 On March 21, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.
FACILITY NAME: Group Home #3
FACILITY ADDRESS: 302 Bachman
Godfrey, IL 62035
DOCKET #: NH 10-C0198
NAME OF OWNER OR LICENSEE: Beverly Farm Foundation
ADDRESS: 190 South LaSalle St, Suite 3700
Chicago, IL 60603
Re: Survey of 5-24-10 By Final Order, Violations Amended and Reduced, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Harmony Nursing & Rehabilitation Center
FACILITY ADDRESS: 3919 West Foster Avenue
Chicago, IL 60625
DOCKET #: NH 11-S0435
NAME OF OWNER OR LICENSEE: Harmony Nursing & Rehabilitation Center, Inc.
ADDRESS: 6633 North Lincoln Avenue
Lincolnwood, IL 60712
Re: Survey of 11-17-11 On January 23, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $1,100.
FACILITY NAME: Heartland of Galesburg
FACILITY ADDRESS: 280 East Losey Street
Galesburg, IL 61401
DOCKET #: NH 12-S0062
NAME OF OWNER OR LICENSEE: Heartland of Galesburg, IL, LLC.
ADDRESS: 208 South LaSalle St, Suite 814
Chicago, IL 60604
Re: Survey of 1-11-12 On March 8, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Helia Healthcare of Carbondale
FACILITY ADDRESS: 500 Lewis Lane
Carbondale, IL 62901
DOCKET #: NH 12-S0072
NAME OF OWNER OR LICENSEE: Helia Healthcare of Carbondale, LLC.
ADDRESS: 600 South 2nd Street
Springfield, IL 62704
Re: Survey of 2-1-12 On March 9, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Helia Healthcare of Energy
FACILITY ADDRESS: 210 East College, P.O. Box 519
Energy, IL 62933
DOCKET #: NH 11-S0444
NAME OF OWNER OR LICENSEE: Helia Healthcare of Energy, LLC.
ADDRESS: 600 South 2nd Street
Springfield, IL 62704
Re: Survey of 12-14-11 On February 7, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $ 2,200.
FACILITY NAME: Hillcrest Nursing & Rehabilitation Center
FACILITY ADDRESS: 777 Draper Avenue
Joliet, IL 60432
DOCKET #: NH 11-C0417 & NH 11-S0418
NAME OF OWNER OR LICENSEE: Hillcrest Nursing & Rehabilitation Center, LLC.
ADDRESS: 2201 W. Main Street
Evanston, IL 60202
Re: Survey of 11-15-11 On January 10, 2012, sent Notice of Type “A & B” Violations relating to the area of policy & procedure and nursing, Notice of Conditional License and Notice of Fine Assessment of $31,600. A hearing has been requested.
FACILITY NAME: Hillcrest Nursing & Rehabilitation Center
FACILITY ADDRESS: 777 Draper Avenue
Joliet, IL 60432
DOCKET #: NH 12-C0059
NAME OF OWNER OR LICENSEE: Hillcrest Nursing and Rehabilitation Center, LLC.
ADDRESS: 2201 West Main Street
Evanston, IL 60202
Re: Survey of 2-3-12 On March 9, 2012, sent Notice of Type “A” Violations relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $12,500. A hearing has been requested.
FACILITY NAME: Hillcrest Nursing and Rehabilitation Center
FACILITY ADDRESS: 777 Draper Avenue
Joliet, IL 60432
DOCKET #: NH 12-C0075
NAME OF OWNER OR LICENSEE: Hillcrest Nursing and rehabilitation Center, LLC.
ADDRESS: 2201 West Main Street
Evanston, IL 60202
Re: Survey of 2-7-12 On March 12, 2012, sent Notice of Type “AA” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $50,000. A hearing has been requested.
FACILITY NAME: Hitz Memorial Home
FACILITY ADDRESS: 201 Belle Street, P.O. Box 79
Alhambra, IL 62001
DOCKET #: NH 12-S0034
NAME OF OWNER OR LICENSEE: Hitz Memorial Home
ADDRESS: 201 Belle Street, P.O. Box 79
Alhambra, IL 62001
Re: Survey of 12-16-11 On February 17, 2012, sent Notice of Type “A & B” Violations relating to the area of nursing and policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $9,400. A hearing has been requested.
FACILITY NAME: Holy Family Villa
FACILITY ADDRESS: 12220 South Will Cook Road
Palos Park, IL 60464
DOCKET #: NH 12-S0088
NAME OF OWNER OR LICENSEE: Holy Family Villa
ADDRESS: 721 North LaSalle Street
Chicago, IL 60654
Re: Survey of 1-3-12 On March 28, 2012, sent Notice of Type “A” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $15,000. A hearing has been requested.
FACILITY NAME: Hope Creek Care Center
FACILITY ADDRESS: 4343 Kennedy Drive
East Moline, IL 61244
DOCKET #: NH 12-S0097
NAME OF OWNER OR LICENSEE: Rock Island County
ADDRESS: 1504 Third Avenue
Rock Island, IL 61201
Re: Survey of 2-14-12 On March 28, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $2,200.
FACILITY NAME: Lake Cook Terrace Nursing Center
FACILITY ADDRESS: 263 Skokie Boulevard
Northbrook, IL 60062
DOCKET #: NH 11-S0284
NAME OF OWNER OR LICENSEE: GAF Lake Cook Terrace, Inc.
ADDRESS: 465 Central Avenue, Suite 100
Northfield, IL 60093
Re: Survey of 8-26-11 By Final Order, Violation Affirmed and Fine Assessment Reduced.
FACILITY NAME: Lake Forest Place
FACILITY ADDRESS: 1101 Pembridge Drive
Lake forest, IL 60045
DOCKET #: NH 12-S0081
NAME OF OWNER OR LICENSEE: Presbyterian Homes
ADDRESS: 3200 Grant Street
Evanston, IL 60201
Re: Survey of 2-9-12 On March 21, 2012, sent Notice of Type “B” Violations relating to the area of policy & procedure and Notice of Fine Assessment of $3,300.
FACILITY NAME: Lake Shore Healthcare & Rehabilitation
FACILITY ADDRESS: 7200 North Sheridan Road
Chicago, IL 60626
DOCKET #: NH 12-S0074
NAME OF OWNER OR LICENSEE: Lake Shore Healthcare and Rehabilitation Centre, LLC.
ADDRESS: 3553 West Peterson Ave, Suite 300
Chicago, IL 60659
Re: Survey of 12-23-11 On March 8, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.
FACILITY NAME: Lakewood Nursing & Rehabilitation Center
FACILITY ADDRESS: 14716 South Eastern Avenue
Plainfield, IL 60544
DOCKET #: NH 12-C0076
NAME OF OWNER OR LICENSEE: Lakewood Nursing & Rehabilitation Center, LLC.
ADDRESS: 2201 Main Street
Evanston, IL 60202
Re: Survey of 1-31-12 On March 8, 2012, sent Notice of Type “B” Violations relating to the area of nursing and Notice of Fine Assessment of $4,400.
FACILITY NAME: Lebanon Care Center
FACILITY ADDRESS: 1201 North Alton
Lebanon, IL 62254
DOCKET #: NH 12-C0057
NAME OF OWNER OR LICENSEE: Petersen Health Network, LLC.
ADDRESS: 830 West Trailcreek Drive
Peoria, IL 61614
Re: Survey of 1-31-12 On March 8, 2012, sent Notice Type “A” Violations relating to the area of policy & procedure and nursing, Notice of Conditional License and Notice of Fine Assessment of $37,500.
FACILITY NAME: Leroy Manor
FACILITY ADDRESS: 509 South Buck Road, P.O. Box 149
Leroy, IL 61752
DOCKET #: NH 12-C0038
NAME OF OWNER OR LICENSEE: UDI #4, LLC.
ADDRESS: 285 South Farnham Street
Galesburg, IL 61401
Re: Survey of 1-26-12 On February 17, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Lewis Memorial Christian Village
FACILITY ADDRESS: 3400 West Washington
Springfield, IL 62711
DOCKET #: NH 12-C0048
NAME OF OWNER OR LICENSEE: Lewis Memorial Christian Village
ADDRESS: 200 North Postville Drive
Lincoln, IL 62656
Re: Survey of 1-18-12 On February 23, 2012, sent Notice of Type “B” Violations relating to the area of nursing and Notice of Fine Assessment of $3,300.
FACILITY NAME: Lexington Health Care Center - Bloomingdale
FACILITY ADDRESS: 165 South Bloomingdale Road
Bloomingdale, IL 60108
DOCKET #: NH 11-S0175
NAME OF OWNER OR LICENSEE: Lexington Health Care Center of Bloomingdale, Inc.
ADDRESS: 665 West North Avenue
Lombard, IL 60148
Re: Survey of 3-14-11 By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Lexington Health Care Center of Orland Park
FACILITY ADDRESS: 14601 South John Humphrey Drive
Orland Park, IL 60462
DOCKET #: NH 10-C0284
NAME OF OWNER OR LICENSEE: Lexington Health Care Center of Orland Park, Inc.
ADDRESS: 665 West North Avenue
Lombard, IL 60148
Re: Survey of 8-12-10 By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Lincoln Rehabilitation Center, LLC.
FACILITY ADDRESS: 2650 North Monroe
Decatur, IL 62526
DOCKET #: NH 11-S0281
NAME OF OWNER OR LICENSEE: Lincoln Rehabilitation Center, LLC.
ADDRESS: 8131 Monticello Avenue
Skokie, IL 60076
Re: Survey of 9-1-11 By Final Order, Violation Affirmed and Fine Assessment Reduced.
FACILITY NAME: Lydia Healthcare
FACILITY ADDRESS: 13901 South Lydia
Robbins, IL 60472
DOCKET #: NH 11-C0401
NAME OF OWNER OR LICENSEE: Lydia Healthcare I, LLC.
ADDRESS: 16W347 83rd St. #C
Burr Ridge, IL 60527
Re: Survey 11-8-11 On January 5, 2012, sent Notice of Type “A & B” Violations relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $ 13,600. A hearing has been requested.
FACILITY NAME: Lynwood Terrace
FACILITY ADDRESS: 2317 East 207th Street
Lynwood, IL 60411
DOCKET #: NH 10-S0294
NAME OF OWNER OR LICENSEE: Pioneer Concepts, Inc.
ADDRESS: 285 South Farnham Street
Galesburg, IL 61401
Re: Survey of 8-31-10 By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Manor Court of Clinton
FACILITY ADDRESS: 1 Park Lane West
Clinton, IL 61727
DOCKET #: NH 12-C0047
NAME OF OWNER OR LICENSEE: Residential Alternatives of Illinois, Inc.
ADDRESS: 285 South Farnham Street
Galesburg, IL 61401
Re: Survey of 1-24-12 On February 23, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.
FACILITY NAME: Manorcare of Elgin
FACILITY ADDRESS: 180 South State Street
Elgin, IL 60123
DOCKET #: NH 11-S0428
NAME OF OWNER OR LICENSEE: Manor Care of Elgin, IL, LLC.
ADDRESS: 208 South LaSalle Street, Suite 814
Chicago, IL 60604
Re: Survey of 11-8-11 On January 23, 2012, sent Notice of Type “B” Violations relating to the area of nursing and Notice of Fine Assessment of $3,300.
FACILITY NAME: Manorcare or Libertyville
FACILITY ADDRESS: 1500 South Milwaukee Avenue
Libertyville, IL 60048
DOCKET #: NH 11-S0441
NAME OF OWNER OR LICENSEE: Manor Care of Libertyville, IL, LLC.
ADDRESS: 208 South LaSalle Street, Suite 814
Chicago, IL 60604
Re: Survey of 12-8-11 On January 23, 2012, sent Notice of Type “B” Violation and Notice of Fine Assessment of $2,200.
FACILITY NAME: Manorcare of Oak Lawn West
FACILITY ADDRESS: 6300 West 95th Street
Oak Lawn, IL 60453
DOCKET #: NH 12-C0103
NAME OF OWNER OR LICENSEE: Manor Care of Oak Lawn (West) IL, LLC.
ADDRESS: 208 South LaSalle St., Suite 814
Chicago, IL 60604
Re: Survey of 2-16-12 On March 30, 2012, sent Notice of Type “A” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $12,500. A hearing has been requested.
FACILITY NAME: Manorcare of Palos Heights West
FACILITY ADDRESS: 11860 Southwest Highway
Palos Heights, IL 60463
DOCKET #: NH 12-S0090
NAME OF OWNER OR LICENSEE: Manor Care of Palos Heights (West), IL, LLC.
ADDRESS: 208 South LaSalle Street, Suite 814
Chicago, IL 60604
Re: 12-8-11 On March 22, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Manorcare of Westmont
FACILITY ADDRESS: 512 East Ogden Avenue
Westmont, IL 60559
DOCKET #: NH 12-S0009
NAME OF OWNER OR LICENSEE: Manor Care of Westmont, IL, LLC.
ADDRESS: 208 South LaSalle Street, Suite 814
Chicago, IL 60604
Re: Survey of 12-23-11 On February 2, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $3,300.
FACILITY NAME: McAllister Nursing & Rehabilitation
FACILITY ADDRESS: 18300 South Lavergne
Tinley Park, IL 60477
DOCKET #: NH 12-C0011
NAME OF OWNER OR LICENSEE: McAllister Nursing and Rehabilitation, LLC.
ADDRESS: 9777 Greenwood
Niles, IL 60714
Re: Survey of 12-2-11 On January 27, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Meadowbrook Manor
FACILITY ADDRESS: 431 West Remington Boulevard
Bolingbrook, IL 60440
DOCKET #: NH 12-C0042
NAME OF OWNER OR LICENSEE: Butterfield Health Care, Inc.
ADDRESS: 161 North Clark Street, Suite 4200
Chicago, IL 60601
Re: Survey of 1-4-12 On February 17, 2012, sent Notice Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Metropolis Nursing & Rehabilitation Center
FACILITY ADDRESS: 2299 Metropolis Street
Metropolis, IL 62960
DOCKET #: NH 10-C0270
NAME OF OWNER OR LICENSEE: Metropolis Health Care Center, LLC.
ADDRESS: 412 East Lawrence
Springfield, IL 62703
Re: Survey of 8-3-10 By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Midwest Rehabilitation and Respiratory
FACILITY ADDRESS: 727 North 17th Street
Belleville, IL 62226
DOCKET #: NH 12-C0056
NAME OF OWNER OR LICENSEE: Midwest Rehabilitation and Respiratory Center, LLC.
ADDRESS: 8170 McCormick Blvd, Suite 219
Skokie, IL 60076
Re: Survey 1-31-12 On March 8, 2012, sent Notice of Type “A & AA” Violations relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $55,000.
FACILITY NAME: Morris Healthcare & Rehabilitation Center
FACILITY ADDRESS: 1223 Edgewater
Morris, IL 60450
DOCKET #: NH 12-S0053
NAME OF OWNER OR LICENSEE: Morris Healthcare & Rehabilitation Center, LLC
ADDRESS: 200 West Adams Street
Chicago, IL 60606
Re: Survey of 1-13-12 On February 27, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.
FACILITY NAME: Morton Villa Care Center
FACILITY ADDRESS: 190 East Queenwood
Morton, IL 61550
DOCKET #: NH 12-S0008
NAME OF OWNER OR LICENSEE: Morton Villa Care Center, LLC.
ADDRESS: 10 South Wacker Drive, 40th Floor
Chicago, IL 60606
Re: Survey of 12-22-11 On January 27, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.
FACILITY NAME: Neighbors Rehabilitation Center
FACILITY ADDRESS: 811 West 2nd Street
Byron, IL 61010
DOCKET #: NH 11-S0425
NAME OF OWNER OR LICENSEE: Neighbors Rehabilitation Center, LLC
ADDRESS: 6840 North Lincoln Avenue
Lincolnwood, IL 60712
Re: Survey of 11-17-11 On January 9, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $2,200. A hearing has been requested.
FACILITY NAME: North Adams Home
FACILITY ADDRESS: 2259 East 1100th Street
Mendon, IL 62351
DOCKET #: NH 12-C0035
NAME OF OWNER OR LICENSEE: North Adams Home, Inc.
ADDRESS: 237 North 6th Street, Suite 200
Quincy, IL 62301
Re: Survey of 1-5-12 On February 23, 2012, sent Notice of Type “A” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $25,000. A hearing has been requested.
FACILITY NAME: Northwoods Care Centre
FACILITY ADDRESS: 2250 Pearl Street
Belvidere, IL 61008
DOCKET #: NH 12-C0044
NAME OF OWNER OR LICENSEE: Northwoods Care Centre, LP
ADDRESS: 801 Skokie Boulevard, Suite 100
Northbrook, IL 60062
Re: Survey of 1-13-12 On February 23, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200. A hearing has been requested.
FACILITY NAME: Orchard Court
FACILITY ADDRESS: 1430 State Route 127 South
Jonesboro, IL 62952
DOCKET #: NH 10-S0354
NAME OF OWNER OR LICENSEE: R.A.V.E. Residential Services, Inc.
ADDRESS: 300 North Monroe Street
Marion, IL 62959
Re: 10-22-10 By Final Order, Violations Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Parents & Friends of the Specialized Living Center
FACILITY ADDRESS: 1450 Caseyville Avenue
Swansea, IL 62226
DOCKET #: NH 11-S0440
NAME OF OWNER OR LICENSEE: Parents & Friends of the Specialized Living Center
ADDRESS: 1450 Caseyville Avenue
Swansea, IL 62226
Re: 12-2-11 On January 23, 2012, sent Notice of Type “A” Violations relating to the area of policy & procedure and nursing, Notice of Conditional License and Notice of Fine Assessment of $20,000.
FACILITY NAME: Pinckneyville Health Care Center
FACILITY ADDRESS: 705 Virginia Ct Box 205
Pinckneyville, IL 62274
DOCKET #: NH 11-S0427
NAME OF OWNER OR LICENSEE: Pinckneyville Health Care Center, LLC.
ADDRESS: 525 South Macon Street
Moweaqua, IL 62550
Re: Survey of 11-17-11 On January 11, 2012, sent Notice of Type “A” Violation relating to the area of policy & procedure, Notice of Conditional License, and Notice of Fine Assessment of $25,000.
FACILITY NAME: Provena Cor Mariae Center
FACILITY ADDRESS: 3330 Maria Linden Drive
Rockford, IL 61114
DOCKET #: NH 12-S0079
NAME OF OWNER OR LICENSEE: Provena Senior Services
ADDRESS: 19065 Hickory Creek Drive
Mokena, IL 60448
Re: 2-10-12 On March 21, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice Fine Assessment of $2,200.
FACILITY NAME: Provena Pine View Care Center
FACILITY ADDRESS: 611 Allen Lane
St. Charles, IL 60174
DOCKET #: NH 11-C0442
NAME OF OWNER OR LICENSEE: Provena Senior Services
ADDRESS: 19065 Hickory Creek Drive
Mokena, IL 60448
Re: Survey of 11-30-11 On January 26, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.
FACILITY NAME: Providence Downers Grove
FACILITY ADDRESS: 3450 Saratoga Avenue
Downers Grove, IL 60515
DOCKET #: NH 12-S0087
NAME OF OWNER OR LICENSEE: Rest Haven Illiana Christian Convalescent Home
ADDRESS: 18601 North Creek Drive
Tinley Park, IL 60477
Re: 1-26-12 On March 22, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $3,300.
FACILITY NAME: Regency Rehabilitation Center
FACILITY ADDRESS: 6631 Milwaukee Avenue
Niles, IL 60714
DOCKET #: NH 12-S0040
NAME OF OWNER OR LICENSEE: Regency Rehabilitation Center, LLC.
ADDRESS: 6840 North Lincoln Avenue
Lincolnwood, IL 60712
Re: 12-2-11 On February 17, 2012, sent Notice of Type “A” Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $12,500. A hearing has been requested.
FACILITY NAME: The Renaissance at 87th Street
FACILITY ADDRESS: 2940 West 87th Street
Chicago, IL 60652
DOCKET #: NH 11-C0416
NAME OF OWNER OR LICENSEE: Renaissance at 87th Street, Inc.
ADDRESS: 191 North Wacker Drive, Suite 1800
Chicago, IL 60606
Re: Survey of 11-29-11 On January 10, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.
FACILITY NAME: Renaissance at Hillside
FACILITY ADDRESS: 4600 North Frontage Road
Hillside, IL 60162
DOCKET #: NH 12-C0119
NAME OF OWNER OR LICENSEE: Renaissance at Hillside, Inc.
ADDRESS: 10 South Wacker Drive, 40th FL Chicago, IL 60606
Re: 2-28-12 On March 29, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.
FACILITY NAME: Ridge Terrace
FACILITY ADDRESS: 2911 Highlandview Drive
Freeport, IL 61032
DOCKET #: NH 12-S0015
NAME OF OWNER OR LICENSEE: Frances House, Inc.
ADDRESS: 285 South Farnham Street
Galesburg, IL 61401
Re: Survey of 12-12-11 On February 7, 2012, sent Notice of Type “A” Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $30,000. A hearing has been requested.
FACILITY NAME: River Bluff Nursing Home
FACILITY ADDRESS: 4401 North Main Street
Rockford, IL 61103
DOCKET #: NH 12-C0094
NAME OF OWNER OR LICENSEE: Winnebago County
ADDRESS: 404 Elm Street, Room 504
Rockford, IL 61101
Re: Survey of 2-15-12 On March 22, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200. A hearing has been requested.
FACILITY NAME: Robings Manor Rehabilitation & Healthcare
FACILITY ADDRESS: 502 North Main
Brighton, IL 62012
DOCKET #: NH 12-S0027
NAME OF OWNER OR LICENSEE: Petersen Health Care, Inc.
ADDRESS: 830 West Trailcreek Drive
Peoria, IL 61614
Re: Survey of 1-9-12 On February 9, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.
FACILITY NAME: Rochelle Rehabilitation & Healthcare Center
FACILITY ADDRESS: 900 North Third Street
Rochelle, IL 61068
DOCKET #: NH 12-S0060
NAME OF OWNER OR LICENSEE: Petersen Health Network, LLC.
ADDRESS: 830 West Trailcreek Drive
Peoria, IL 61614
Re: Survey of 2-2-12 On March 8, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Rolling Hills Manor
FACILITY ADDRESS: 3615 16th Street
Zion, IL 60099
DOCKET #: NH 12-S0068
NAME OF OWNER OR LICENSEE: Slovak American Charitable Association
ADDRESS: 3521 16th Street
Zion, IL 60099
Re: Survey of 2-2-12 On March 8, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Rosewood Care Center Northbrook
FACILITY ADDRESS: 4101 Lake Cook Road
Northbrook, IL 60062
DOCKET #: NH 12-C0112
NAME OF OWNER OR LICENSEE: Bravo Care of Northbrook, Inc.
ADDRESS: 412 East Lawrence
Springfield, IL 62703
Re: Survey of 2-7-12 On March 30, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100. A hearing has been requested.
FACILITY NAME: Rosewood Care Center of Rockford
FACILITY ADDRESS: 1660 South Mulford Road
Rockford, IL 61108
DOCKET #: NH 10-C0302
NAME OF OWNER OR LICENSEE: Bravo Care of Rockford, Inc.
ADDRESS: 412 East Lawrence
Springfield, IL 62703
Re: Survey of 9-2-10 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: St. Mary’s Square Living Center
FACILITY ADDRESS: 239 South Cherry
Galesburg, IL 61401
DOCKET #: NH 11-S0115
NAME OF OWNER OR LICENSEE: Community Residential Centers, Inc.
ADDRESS: 285 South Farnham Street
Galesburg, IL 61401
Re: Survey of 2-23-11 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Saline Care Center
FACILITY ADDRESS: 120 South Land Street, PO Box 468
Harrisburg, IL 62946
DOCKET #: NH 12-S0089
NAME OF OWNER OR LICENSEE: R D K Management Services, Inc.
ADDRESS: 607 South Commercial
Harrisburg, IL 62946
Re: Survey of 2-9-12 On March 28, 2012, sent Notice of Type “A” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $10,000.
FACILITY NAME: Sandwich Rehabilitation & Healthcare Center
FACILITY ADDRESS: 902 East Arnold Street
Sandwich, IL 60548
DOCKET #: NH 12-C0019
NAME OF OWNER OR LICENSEE: Petersen Health Operations, LLC
ADDRESS: 830 West Trailcreek Drive
Peoria, IL 61614
Re: Survey of 12-8-11 On February 17, 2012, sent Notice of Type “A” Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $20,000. A hearing has been requested.
FACILITY NAME: Scott County Nursing Center
FACILITY ADDRESS: 650 North Main Street, PO Box 110
Winchester, IL 62694
DOCKET #: NH 12-S0058
NAME OF OWNER OR LICENSEE: Scott County
ADDRESS: Scott County Courthouse
Winchester, IL 62694
Re: Survey of 1-6-12 On March 8, 2012, sent Notice of Type “A & B” Violations relating to the area of policy & procedure and nursing, Notice of Conditional License and Notice of Fine Assessment of $26,100. A hearing has been requested.
FACILITY NAME: Shady Oaks West
FACILITY ADDRESS: 16240 Parker Road
Lockport, IL 60441
DOCKET #: NH 12-C0098
NAME OF OWNER OR LICENSEE: Lutheran Social Services of Illinois
ADDRESS: 1001 East Touhy Avenue, St 50
Des Plaines, IL 60018
Re: Survey of 1-19-12 On March 30, 2012, sent Notice of Type “A” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $6,250. A hearing has been requested.
FACILITY NAME: Smith Crossing
FACILITY ADDRESS: 10501 Emilie
Orland Park, IL 60467
DOCKET #: NH 12-S0024
NAME OF OWNER OR LICENSEE: Washington and Jane Smith Community – Orland Park
ADDRESS: 300 North LaSalle Street, Suite 4000
Chicago, IL 60654
Re: Survey of 1-18-12 On February 17, 2012, sent Notice of Type “A” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $20,000.
FACILITY NAME: Stephenson Nursing Center
FACILITY ADDRESS: 2946 South Walnut Road
Freeport, IL 61032
DOCKET #: NH 12-S0046
NAME OF OWNER OR LICENSEE: Stephenson County Board of Supervisors
ADDRESS: 15 North Galena Avenue
Freeport, IL 61032
Re: Survey of 1-27-12 On February 22, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Twin Willows Nursing Center
FACILITY ADDRESS: 1600 North Broadway PO Box 370
Salem, IL 62881
DOCKET #: NH 12-S0030
NAME OF OWNER OR LICENSEE: Twin Willows Nursing Center, Inc.
ADDRESS: 216 South Broadway
Salem, IL 62881
Re: Survey of 12-22-11 On February 9, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $2,200.
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