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: Abbington Rehabilitation and Nursing Center
FACILITY ADDRESS: 31 West Central
Roselle, IL 60172
DOCKET #: NH 11-S0247
NAME OF OWNER OR LICENSEE: Abbington Rehabilitation and Nursing Center, Ltd
ADDRESS: 191 North Wacker Dr., Ste. 1800
Chicago, IL 60606
Re: Survey of 8-9-11 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Alden Estates of Barrington
FACILITY ADDRESS: 1420 South Barrington Rd
Barrington, IL 60010
DOCKET #: NH 12-C0426
NAME OF OWNER OR LICENSEE: Alden Estates of Barrington, Inc.
ADDRESS: 4200 West Peterson Ave, Ste. 140
Chicago, IL 60646
Re: Survey of 8-29-12 On October 15, 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: Belmont Village Geneva Road
FACILITY ADDRESS: 545 Belmont Ln
Carol Stream, IL 60188
DOCKET #: NH 12-C0399
NAME OF OWNER OR LICENSEE: Belmont Village Carol Stream Leasing, LLC
ADDRESS: 208 South LaSalle St, Ste. 814
Chicago, IIL 60604
Re: Survey of 8-22-12 On October 11, 2012, sent Notice of Type "B" Violation relating to the area of policy & procedure and Notice of Fine Assessment of $1,100. A hearing has been requested.
FACILITY NAME: Berkeley Nursing and Rehabilitation Center
FACILITY ADDRESS: 6909 West North Ave
Oak Park, IL 60654
DOCKET #: NH 12-C0476
NAME OF OWNER OR LICENSEE: Berkeley Nursing and Rehabilitation Center, LLC
ADDRESS: 321 North Clark St, Ste. 2800
Chicago, IL 60654
Re: Survey of 11-9-12 On December 4, 2012, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Berkshire Nursing and Rehabilitation Center
FACILITY ADDRESS: 8200 West Roosevelt Road
Forest Park, IL 60130
DOCKET #: NH 12-C0495
NAME OF OWNER OR LICENSEE: Berkshire Nursing and Rehabilitation Center, LLC
ADDRESS: 8131 North Monticello Ave
Skokie, IL 60076
Re: Survey of 11-16-12 On December 18, 2012, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Bloomington Rehabilitation and Health Care Center
FACILITY ADDRESS: 1925 South Main St
Bloomington, IL 61701
DOCKET #: NH 12-C0429
NAME OF OWNER OR LICENSEE: Petersen Health Operations, LLC
ADDRESS: 830 West Trailcreek Dr.
Peoria, IL 61614
Re: Survey of 9-18-12 On October 26, 2012, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Burnham Healthcare
FACILITY ADDRESS: 14500 Manistee
Burnham, IL 60633
DOCKET #: NH 11-O0412
NAME OF OWNER OR LICENSEE: Burnham Healthcare Properties, LLC
ADDRESS: 6865 North Lincoln Ave
Lincolnwood, IL 60712
Re: Survey of 12-16-11 By Final Order, Notice of License Revocation Amended and Fine Assessment Imposed.
FACILITY NAME: Burnsides Community Health Center
FACILITY ADDRESS: 410 North Second St PO Box 219
Marshall, IL 62441
DOCKET #: NH 12-S0373
NAME OF OWNER OR LICENSEE: Burnsides Nursing Home, NFP
ADDRESS: 410 North Second St
Marshall, IL 62441
Re: Survey of 7-27-12 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Calumet City Terrace
FACILITY ADDRESS: 1380 River Dr.
Calumet City, IL 60409
DOCKET #: NH 12-S0401
NAME OF OWNER OR LICENSEE: Pioneer Concepts, Inc.
ADDRESS: 285 South Farnham St
Galesburg, IL 61401
Re: Survey of 7-26-12 On October 10, 2012, sent Notice of Type "B" Violations relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Cambridge Nursing Rehabilitation Center
FACILITY ADDRESS: 9615 North Knox Ave
Skokie, IL 60076
DOCKET #: NH 12-S0028
NAME OF OWNER OR LICENSEE: Skokie Meadows Nursing Centers II, LLC
ADDRESS: 9615 North Knox Ave
Skokie, IL 60076
Re: Survey of 1-2-12 By Final Order, Violation Amended and Fine Assessment Reduced.
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 Blvd
Skokie, IL 60077
Re: Survey of 1-4-12 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Carroll County Good Samaritan Center
FACILITY ADDRESS: 1006 North Lowden
Mt Carroll, IL 61053
DOCKET #: NH 06-S0393
NAME OF OWNER OR LICENSEE: The Evangelical Lutheran Good Samaritan Society
ADDRESS: 208 South LaSalle St
Chicago, IL 60604
Re: Survey of 10-20-06 By Final Order, Violation Reduced, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Center Home Hispanic Elderly
FACILITY ADDRESS: 1401 North California
Chicago, IL 60622
DOCKET #: NH 12-S0428
NAME OF OWNER OR LICENSEE: Center Home Hispanic Elderly, LLC
ADDRESS: 191 N Wacker Dr., Ste. 1800
Chicago, IL 60606
Re: Survey of 9-11-12 On October 26, 2012, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Chateau Nursing and Rehabilitation Center
FACILITY ADDRESS: 7050 Madison St
Willowbrook, IL 60521
DOCKET #: NH 10-S0304
NAME OF OWNER OR LICENSEE: Chateau Nursing and Rehabilitation Center, LLC
ADDRESS: 2201 Main St
Evanston, IL 60202
Re: Survey of 8-20-10 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Chestnut Manor
FACILITY ADDRESS: 1404 S. 14th St
Herrin, IL 62948
DOCKET #: NH 10-S0095
NAME OF OWNER OR LICENSEE: New Way Developers, Inc.
ADDRESS: 105 South Commercial PO Box 972
Harrisburg, IL 62946
Re: Survey of 3-10-10 By Final Order, Violation Affirmed, Fine Assessment Affirmed and Conditional License Affirmed.
FACILITY NAME: Christian Nursing Home
FACILITY ADDRESS: 15007 7th St
Lincoln, IL 62656
DOCKET #: NH 12-C0416
NAME OF OWNER OR LICENSEE: Christian Homes, Inc.
ADDRESS: 200 N Postville Dr.
Lincoln, IL 62656
Re: Survey of 9-4-12 On October 11, 2012, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Claremont Rehabilitation and Living Center
FACILITY ADDRESS: 150 North Weiland
Buffalo Grove, IL 60089
DOCKET #: NH 12-C0432
NAME OF OWNER OR LICENSEE: Claremont Extended Healthcare, LLC
ADDRESS: 191 North Wacker Dr., Ste. 1800
Chicago, IL 60606
Re: Survey of 9-18-12 On October 26, 2012, sent Notice of Type "B" Violation and Notice of Fine Assessment of $1,100.
FACILITY NAME: Clearbrook Center
FACILITY ADDRESS: 3201 West Campbell St
Rolling Meadows, IL 60008
DOCKET #: NH 12-S0010
NAME OF OWNER OR LICENSEE: Clearbrook
ADDRESS: 1835 West Central Rd
Arlington Heights, IL 60005
Re: Survey of 12-1-11 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Clinton Manor Living Center - DD
FACILITY ADDRESS: 111 East Illinois St
New Baden, IL 62265
DOCKET #: NH 12-C0411
NAME OF OWNER OR LICENSEE: Southern Illinois Living Centers, Inc.
ADDRESS: 1 W Old State Capitol Plz, #600
Springfield, IL 62701
Re: Survey of 8-15-12 On October 11, 2012, sent Notice of Type "B" Violation relating to the area of policy & procedure and Notice of Fine Assessment of $550.
FACILITY NAME: Colonial Manor
FACILITY ADDRESS: 300 North Church St
Zeigler, IL 62999
DOCKET #: NH 12-C0105
NAME OF OWNER OR LICENSEE: Colonial Manor, Inc.
ADDRESS: 2001 West Main St, Ste. 1570
Carbondale, IL 62901
Re: Survey of 2-23-12 By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Community Care Center
FACILITY ADDRESS: 4214 South Wabash Ave
Chicago, IL 60653
DOCKET #: NH 12-S0474
NAME OF OWNER OR LICENSEE: CC Care, LLC
ADDRESS: 1S443 Summitt Ave, Ste. 204
Oakbrook Terrace, IL 60181
Re: Survey of 10-15-12 On December 4, 2012, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Dearborn Court
FACILITY ADDRESS: 520 South Dearborn Ave
Kankakee, IL 60901
DOCKET #: NH 12-S0403
NAME OF OWNER OR LICENSEE: Pinnacle Opportunities, Inc.
ADDRESS: 285 South Farnham St
Galesburg, IL 61401
Re: Survey of 8-6-12 On October 12, 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: Elmwood Nursing and Rehabilitation Center
FACILITY ADDRESS: 152 Wilma Dr.
Maryville, IL 62062
DOCKET #: NH 12-S0202
NAME OF OWNER:
OR LICENSEE: Elmwood Nursing and Rehabilitation Center, LLC
ADDRESS: 8170 N McCormick Blvd, Ste. 219
Skokie, IL 60076
Re: Survey of 4-17-12 By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Elmwood Nursing and Rehabilitation Center
FACILITY ADDRESS: 152 Wilma Dr.
Maryville, IL 62062
DOCKET #: NH 12-C0437
NAME OF OWNER OR LICENSEE: Elmwood Nursing and Rehabilitation Center, LLC
ADDRESS: 8170 North McCormick Blvd, Ste. 219
Skokie, IL 60076
Re: Survey of 9-18-12 On November 26, 2012, sent Notice of Type "A" Violations relating to the areas of policy & procedure, and nursing, Notice of Conditional License and Notice of Fine Assessment of $18,750. A hearing has been requested.
FACILITY NAME: Fair Havens Christian Home
FACILITY ADDRESS: 1790 South Fairview Ave
Decatur, IL 62521
DOCKET #: NH 12-C0427
NAME OF OWNER OR LICENSEE: Fair Havens Christian Homes, Inc.
ADDRESS: 200 North Postville Dr.
Lincoln, IL 62656
Re: Survey of 10-2-12 On November 26, 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: Fair Havens Christian Home
FACILITY ADDRESS: 1790 South Fairview Ave
Decatur, IL 62521
DOCKET #: NH 12-S0458
NAME OF OWNER OR LICENSEE: Fair Havens Christian Homes, Inc.
ADDRESS: 200 North Postville Dr.
Lincoln, IL 62656
Re: Survey of 10-26-12 On December 4, 2012, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Fairmont Care Centre
FACILITY ADDRESS: 5061 North Pulaski Rd
Chicago, IL 60630
DOCKET #: NH 12-C0398
NAME OF OWNER OR LICENSEE: Fairmont Care Center, Inc.
ADDRESS: 5061 North Pulaski Rd
Chicago, IL 60630
Re: Survey of 8-31-12 On October 11, 2012, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Foster Health and Rehabilitation Center
FACILITY ADDRESS: 2840 West Foster Ave
Chicago, IL 60625
DOCKET #: NH 12-C0440
NAME OF OWNER OR LICENSEE: Foster Health and Rehabilitation Center, LLC
ADDRESS: 2835 West North shore Ave
Chicago, IL 60645
Re: Survey of 9-6-12 On October 29, 2012, sent Notice of Type "B" Violation relating to the area of policy & procedure and Notice of Fine Assessment of $1,100.
FACILITY NAME: Freeburg Care Center
FACILITY ADDRESS: 746 Urbana Dr.
Freeburg, IL 62243
DOCKET #: NH 12-C0409
NAME OF OWNER OR LICENSEE: Community Living Options, Inc.
ADDRESS: 285 South Farnham St
Galesburg, IL 61401
Re: Survey of 9-13-12 On October 24, 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.
FACILITY NAME: Golfview Developmental Center
FACILITY ADDRESS: 9555 West Golf Road
Des Plaines, IL 60016
DOCKET #: NH 12-S0486
NAME OF OWNER OR LICENSEE: Golfview Developmental Center, Inc.
ADDRESS: 225 West Wacker Dr., Ste. 2800
Chicago, IL 60606
Re: Survey of 9-20-12 On December 19, 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.
FACILITY NAME: Greek American Rehabilitation and Care Center
FACILITY ADDRESS: 220 North First St
Wheeling, IL 60090
DOCKET #: NH 12-C0436
NAME OF OWNER OR LICENSEE: Greek American Rehabilitation and Care Centre, Inc.
ADDRESS: 220 North First St
Wheeling, IL 60090
Re: Survey of 10-5-12 On October 29, 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: Heartland Christian Village
FACILITY ADDRESS: 101 Trowbridge Rd
Neoga, IL 62447
DOCKET #: NH 12-S0431
NAME OF OWNER OR LICENSEE: Heartland Christian Village, LLC
ADDRESS: 200 North Postville Dr.
Lincoln, IL 62656
Re: Survey of 8-24-12 On October 26, 2012, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Heritage Fifty-Three
FACILITY ADDRESS: 4601 53rd St
Moline, IL 61265
DOCKET #: NH 12-S0451
NAME OF OWNER OR LICENSEE: The Arc of the Quad Cities Area
ADDRESS: 4016 9th St
Rock Island, IL 61201
Re: Survey of 9-28-12 On November 26, 2012, sent Notice of Type "A" Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $5000. A hearing has been requested.
FACILITY NAME: Heritage Health - Dwight
FACILITY ADDRESS: 300 East Mazon Ave
Dwight, IL 60420
DOCKET #: NH 12-C0485
NAME OF OWNER OR LICENSEE: Heritage Manor – Dwight, LLC
ADDRESS: 115 West Jefferson, Ste. 4004
Bloomington, IL 61701
Re: Survey of 10-22-12 On December 12, 2012, sent Notice of Type "B" Violation relating to the area of policy & procedure and Notice of Fine Assessment of$1,100.
FACILITY NAME: Illini Heritage Rehabilitation and Health Care Center
FACILITY ADDRESS: 1315 Curt Dr, PO Box 6179
Champaign, IL 61820
DOCKET #: NH 12-S0288
NAME OF OWNER OR LICENSEE: Petersen Health Care
ADDRESS: 830 West Trailcreek Dr.
Peoria, IL 61614
Re: Survey of 5-30-12 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Lake Cook Terrace Nursing Center
FACILITY ADDRESS: 263 Skokie Blvd
Northbrook, IL 60062
DOCKET #: NH 10-S0290
NAME OF OWNER OR LICENSEE: GAF Lake Cook Terrace, Inc.
ADDRESS: 465 Central Ave, Ste. 100
Northfield, IL 60093
Re: Survey of 9-23-12 By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Lebanon Terrace
FACILITY ADDRESS: 221 East Third St
Lebanon, IL 62254
DOCKET #: NH 11-S0233
NAME OF OWNER OR LICENSEE: Home and Environments for Living and Programs, Inc.
ADDRESS: 208 South LaSalle St, Ste. 814
Chicago, IL 60604
Re: Survey of 6-29-11 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Lebanon Terrace
FACILITY ADDRESS: 221 East Third St
Lebanon, IL 62254
DOCKET #: NH 11-S0306
NAME OF OWNER OR LICENSEE: Home and Environments for Living and Programs, Inc.
ADDRESS: 208 South LaSalle St, Ste. 814
Chicago, IL 60604
Re: Survey of 8-23-11 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Lincoln Terrace
FACILITY ADDRESS: 2324 North Kickapoo St
Lincoln, IL 62656
DOCKET #: NH 12-S0405
NAME OF OWNER OR LICENSEE: Community Living Options, Inc.
ADDRESS: 285 South Farnham St
Galesburg, IL 61401
Re: Survey of 8-17-12 On October 3, 2012, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $550.
FACILITY NAME: Lutheran Home for the Aged
FACILITY ADDRESS: 800 West Oakton St
Arlington Heights, IL 60004
DOCKET #: NH 12-C0445
NAME OF OWNER OR LICENSEE: Lutheran Home for the Aged, Inc.
ADDRESS: 800 West Oakton St
Arlington Heights, IL 60004
Re: Survey of 10-9-12 On November 9, 2012, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Lynwood Estates
FACILITY ADDRESS: 301 Roddy Rd
Salem, IL 62881
DOCKET #: NH 12-S0473
NAME OF OWNER OR LICENSEE: Penta Nascent Corp
ADDRESS: 623 East Broadway
Centralia, IL 62801
Re: Survey of 10-12-12 On December 4, 2012, sent Notice of Type "B" Violation relating to the area of policy & procedure and Notice of Fine Assessment of $550.
FACILITY NAME: Manorcare of Highland Park
FACILITY ADDRESS: 2773 Skokie Valley Rd
Highland Park, IL 60035
DOCKET #: NH 12-S0472
NAME OF OWNER OR LICENSEE: Manorcare Health Services, LLC
ADDRESS: 208 South LaSalle St, Ste. 814
Chicago, IL 60604
Re: Survey of 10-22-12 On December 12, 2012, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Midwest Rehabilitation and Respiratory
FACILITY ADDRESS: 727 North 17th St
Belleville, IL 62226
DOCKET #: NH 12-C0056
NAME OF OWNER OR LICENSEE: Midwest Rehabilitation and Respiratory Center, LLC
ADDRESS: 8170 McCormick Blvd, Ste. 219
Skokie, IL 60076
Re: Survey of 1-31-12 By Final Order, Violations Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Milestone – Elmwood Heights
FACILITY ADDRESS: 2662 Elmwood Dr.
Rockford, IL 61103
DOCKET #: NH 12-S0444
NAME OF OWNER OR LICENSEE: Milestone, Inc.
ADDRESS: 4060 McFarland Rd
Rockford, IL 61111
Re: Survey of 9-24-12 On November 9, 2012, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $750. A hearing has been requested.
FACILITY NAME: North Church Nursing and Rehabilitation
FACILITY ADDRESS: 1021 North Church St
Jacksonville, IL 62650
DOCKET #: NH 12-C0438
NAME OF OWNER OR LICENSEE: North Church Nursing and Rehabilitation, LLC
ADDRESS: 8320 Skokie Blvd, Ste. 100
Skokie, IL 60077
Re: Survey of 9-11-12 On October 29, 2012, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Oak Park Healthcare Center
FACILITY ADDRESS: 625 North Harlem
Oak Park, IL 60302
DOCKET #: NH 12-C0293
NAME OF OWNER OR LICENSEE: Oak Park Healthcare Center, LLC
ADDRESS: 8320 Skokie Blvd
Skokie, IL 60077
Re: Survey of 5-18-12 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Oakview Heights Continuing Care and Rehabilitation Center
FACILITY ADDRESS: RR #4, 1320 West 9th St
Mount Carmel, IL 62863
DOCKET #: NH 12-C0400
NAME OF OWNER OR LICENSEE: General Baptist Nursing Home Inc. of Illinois
ADDRESS: 1320 West 9th St
Mt Carmel, IL 62863
Re: Survey of 8-15-12 On October 11, 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: Palos Hills Healthcare
FACILITY ADDRESS: 10426 South Roberts
Palos Hills, IL 60465
DOCKET #: NH 12-C0482
NAME OF OWNER OR LICENSEE: Palos Hills Healthcare, LLC
ADDRESS: 6865 North Lincoln
Lincolnwood, IL 60712
Re: Survey of 11-7-12 On December 12, 2012, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Parents and Friends of the SLC
FACILITY ADDRESS: 1450 Caseyville Ave
Swansea, IL 62226
DOCKET #: NH 12-S0447
NAME OF OWNER OR LICENSEE: Parents and Friends of the Specialized Living Center
ADDRESS: 1450 Caseyville Ave
Swansea, IL 62226
Re: Survey of 9-21-12 On November 26, 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.
FACILITY NAME: Peachtree Estates
FACILITY ADDRESS: 1370 State Rte 127 South
Jonesboro, IL 62952
DOCKET #: NH 12-S0136
NAME OF OWNER OR LICENSEE: R. A. V. E. Residential Services, Inc.
ADDRESS: 300 North Monroe St
Marion, IL 62959
Re: Survey of 3-29-10 By Final Order, Violations Deleted and Reduced, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Piper City Rehabilitation and Living Center
FACILITY ADDRESS: 600 South Maple St, PO Box 68
Piper City, IL 60959
DOCKET #: NH 12-S0425
NAME OF OWNER OR LICENSEE: Midwest Health Operations, LLC
ADDRESS: 830 West Trailcreek Dr.
Peoria, IL 61614
Re: Survey of 9-6-12 On October 15, 2012, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Prairie House
FACILITY ADDRESS: 1770 Sauk Trail
Sauk Village, IL 60411
DOCKET #: NH 12-S0190
NAME OF OWNER OR LICENSEE: Pioneer Concepts, Inc.
ADDRESS: 285 South Farnham St
Galesburg, IL 61401
Re: Survey of 3-15-12 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Presence Our Lady of Victory
FACILITY ADDRESS: 20 Briarcliff Ln
Bourbonnais, IL 60914
DOCKET #: NH 12-S0475
NAME OF OWNER OR LICENSEE: Presence Life Connections
ADDRESS: 19065 Hickory Creek Dr.
Mokena, IL 60448
Re: Survey of 9-28-12 On December 4, 2012, sent Notice of Type "B" Violations relating to the area of nursing and Notice of Fine Assessment of $2,200.
FACILITY NAME: Provena Pine View Care Center
FACILITY ADDRESS: 611 Allen Ln
St. Charles, IL 60174
DOCKET #: NH 12-S0404
NAME OF OWNER OR LICENSEE: Provena Senior Services
ADDRESS: 10965 Hickory Creek Dr.
Mokena, IL 60448
Re: Survey of 8-30-12 On October 11, 2012, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Riverbluff Nursing Home
FACILITY ADDRESS: 4401 North Main St
Rockford, IL 61103
DOCKET #: NH 12-S0173
NAME OF OWNER OR LICENSEE: Winnebago County
ADDRESS: 404 Elm St, Rm 504
Rockford, IL 61101
Re: Survey of 3-6-12 By Final Order, Violation Amended and Fine Assessment Reduced .
FACILITY NAME: Saline Care Center
FACILITY ADDRESS: 120 South Land St
Harrisburg, IL 62946
DOCKET #: NH 12-S0089
NAME OF OWNER OR LICENSEE: RDK Management Services, Inc.
ADDRESS: 607 South Commercial
Harrisburg, IL 62946
Re: Survey of 2-9-12 By Final Order, Violation Reduced, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Scott County Nursing Center
FACILITY ADDRESS: 650 North Main St, 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 By Final Order, Violations Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Shelbyville Manor
FACILITY ADDRESS: 1111 West North 12th St
Shelbyville, IL 62565
DOCKET #: NH 12-C0410
NAME OF OWNER OR LICENSEE: UDI #3, LLC
ADDRESS: 285 South Farnham St
Galesburg, IL 61401
Re: Survey of 8-31-12 On October 11, 2012, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Snow Valley Nursing and Rehabilitation Center
FACILITY ADDRESS: 5000 Lincoln Ave
Lisle, IL 60532
DOCKET #: NH 12-S0182
NAME OF OWNER OR LICENSEE: Snow Valley Nursing and Rehabilitation Center, LLC
ADDRESS: 2201 Main St
Evanston, IL 60202
Re: Survey of 3-2-12 By Final Order, Violations Affirmed and Fine Assessment Reduced.
FACILITY NAME: Sunny Acres Nursing Home
FACILITY ADDRESS: 19130 Sunny Acres Rd
Petersburg, IL 62675
DOCKET #: NH 12-C0493
NAME OF OWNER OR LICENSEE: Menard County
ADDRESS: Route 97, Sixth St
Petersburg, IL 62675
Re: Survey of 11-21-12 On December 17, 2012, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Sunny Hill Nursing Home of Will County
FACILITY ADDRESS: 421 Doris Ave
Joliet, IL 60433
DOCKET #: NH 12-S0500
NAME OF OWNER OR LICENSEE: Will County
ADDRESS: 302 North Chicago St
Joliet, IL 60431
Re: Survey of 10-30-12 On December 20, 2012, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Sunset Rehabilitation and Health Care
FACILITY ADDRESS: 129 South 1st Ave
Canton, IL 61520
DOCKET #: NH 12-S0460
NAME OF OWNER OR LICENSEE: Petersen Health Care, Inc.
ADDRESS: 830 West Trailcreek Dr.
Peoria, IL 61614
Re: Survey of 11-1-12 On December 4, 2012, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Sunset Rehabilitation and Health Care
FACILITY ADDRESS: 129 South 1st Ave
Canton, IL 61520
DOCKET #: NH 12-S0439
NAME OF OWNER OR LICENSEE: Petersen Health Care, Inc.
ADDRESS: 830 West Trailcreek Dr.
Peoria, IL 61614
Re: Survey of 9-25-12 On November 26, 2012, sent Notice of Type "A" Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $8000. A hearing has been requested.
FACILITY NAME: Symphony of Crestwood
FACILITY ADDRESS: 14255 South Cicero Ave
Crestwood, IL 60445
DOCKET #: NH 12-S0430
NAME OF OWNER OR LICENSEE: Symphony Crestwood, LLC
ADDRESS: 801 Adlai Stevenson Dr.
Springfield, IL 62703
Re: Survey of 9-4-12 On October 26, 2012, sent Notice of Type "B" Violation relating to the area of nursing and Noticed of Fine Assessment of $1,100.
FACILITY NAME: Taylorville Care Center
FACILITY ADDRESS: 600 South Houston
Taylorville, IL 62568
DOCKET #: NH 12-C0435
NAME OF OWNER OR LICENSEE: Taylorville Care Center, Inc.
ADDRESS: 935 South Mill
Nashville, IL 62263
Re: Survey of 9-26-12 On October 30, 2012, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Valley Hi Nursing Home
FACILITY ADDRESS: 2406 Hartland Rd
Woodstock, IL 60098
DOCKET #: NH 12-C0188
NAME OF OWNER OR LICENSEE: McHenry County
ADDRESS: 2200 North Seminary Ave
Woodstock, IL 60098
Re: Survey of 4-2-12 By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Wabash Christian Retirement
FACILITY ADDRESS: 216 College Blvd
Carmi, IL 62821
DOCKET #: NH 12-C0402
NAME OF OWNER OR LICENSEE: Christian Homes, Inc.
ADDRESS: 200 North Postville Dr.
Lincoln, IL 62656
Re: Survey of 8-28-12 On October 24, 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: Westminster Village
FACILITY ADDRESS: 2025 East Lincoln St
Bloomington, IL 61701
DOCKET #: NH 12-C0386
NAME OF OWNER OR LICENSEE: Westminster Village, Inc.
ADDRESS: 2025 East Lincoln St
Bloomington, IL 61701
Re: Survey of 8-8-12 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Westmont Nursing and Rehabilitation Center
FACILITY ADDRESS: 6501 South Cass Ave
Westmont, IL 60559
DOCKET #: NH 11-C0280
NAME OF OWNER OR LICENSEE: Westmont Nursing and Rehabilitation Center, LLC
ADDRESS: 6865 North Lincoln Ave
Lincolnwood, IL 60712
Re: Survey of 8-3-11 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
FACILITY NAME: Winchester House
FACILITY ADDRESS: 1125 North Milwaukee Ave
Libertyville, IL 60048
DOCKET #: NH 12-C0442
NAME OF OWNER OR LICENSEE: County of Lake
ADDRESS: 18 North County St
Waukegan, IL 60085
Re: Survey of 10-1-12 On October 31, 2012, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Winning Wheels
FACILITY ADDRESS: 701 East 3rd St
Prophetstown, IL 61277
DOCKET #: NH 12-S0396
NAME OF OWNER OR LICENSEE: Winning Wheels, Inc.
ADDRESS: 701 East 3rd St
Prophetstown, IL 61277
Re: Survey of 8-9-12 On October 3, 2012, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.
FACILITY NAME: Wood Glen Nursing and Rehabilitation Center
FACILITY ADDRESS: 30 West 300 North Ave
West Chicago, IL 60185
DOCKET #: NH 12-S0496
NAME OF OWNER OR LICENSEE: Wood Glen Pavilion, LLC
ADDRESS: 10 South Wacker Dr., 40th Flr
Chicago, IL 60606
Re: Survey of 10-26-12 On December 17, 2012, sent Notice of Type "B" Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.