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: Alden Estates of Evanston
FACILITY ADDRESS: 2250 Gross Point Road
Evanston, IL 60201
DOCKET #: NH 13-S0091
LICENSEE INFO: Alden Management Services, Inc.
ADDRESS: 4200 W. Peterson Avenue, Suite 140
Chicago, IL 60646
Re: Survey Date – February 15, 2013
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.
FACILITY NAME: Alden Orland Park Rehab & HCC
FACILITY ADDRESS: 16450 South 97th Avenue
Orland Park, IL 60462
DOCKET #: NH 12-C0174
LICENSEE INFO: Alden Management Services – Corporate Councel
ADDRESS: 4200 W. Peterson Avenue, Suite 102
Chicago, IL 60646
Re: Survey Date – March 8, 2012
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.
FACILITY NAME: Alden Lakeland Rehab & Healthcare Center
FACILITY ADDRESS: 4200 West Peterson Avenue
Chicago, IL
DOCKET #: NH 13-0450
LICENSEE INFO:
ADDRESS:
Re: Survey Date – December 4, 2013
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.
FACILITY NAME: Alden Town Manor
FACILITY ADDRESS:
DOCKET #: NH 13-G229
LICENSEE INFO:
ADDRESS:
Re: Survey Date – November 3, 2013
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.
FACILITY NAME: Alden Wentworth Rehab & HCC
FACILITY ADDRESS: 201 West 69th St.
Chicago, IL 60621
DOCKET #: NH 09-S0191
LICENSEE INFO: Alden – Wentworth Rehab & Health Care Center, Inc
ADDRESS: 4200 West Peterson Avenue, Suite 140
Chicago, IL 60646
Re: Survey Date – May 9, 2009
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.
FACILITY NAME: Asta Care Center
FACILITY ADDRESS: 707 W Riverside Blvd
Rockford, IL 61103
DOCKET #: NH 13-0041
LICENSEE INFO:
ADDRESS:
Re: Survey Date – December 13, 2013
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.
FACILITY NAME: Asta Care Center of Rockford
FACILITY ADDRESS: 707 West Riverside Boulevard
Rockford, IL 61103
DOCKET #: NH 13-C0499
LICENSEE INFO: Asta Care Center of Rockford
ADDRESS: 134 North McLean Boulevard
Elgin, IL 60123
Re: Survey Date – October 24, 2013
Type B violation for violating one or more sections; 300.810a)300.810b1)2)3)4), 300.820f), 300.840, 300.1210b). Type B violation for violating section 300.661. For a total fine of $1,100.00
FACILITY NAME: Asta Care Center of Rockford
FACILITY ADDRESS: 707 West Riverside Boulevard
Rockford, IL 61103
DOCKET #: NH 13-0486
LICENSEE INFO: Asta Care Center of Rockford
ADDRESS: 134 North McLean Boulevard
Elgin, IL 60123
Re: Survey Date – October 3, 2013
Type A Violation for violating one or more sections; 300.610a), 300.610c)1), 300.1210a), 300.1210b), 300.1210d)3)6), 300.1220b)3)10), 300.3240a), 300.3240b), 300.3240c), 300.3240d), and 300.3240f), a fine of $25,000. The fine was doubled in this instance in accordance with 300.282i) and (j) of Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), 300.3240a), and 300.3240d).
Type B violation for violating one or more sections 300.615e) and 300.615f), for a total of no fine.
FACILITY NAME: Belhaven
FACILITY ADDRESS:
DOCKET #: NH 13 – G273
LICENSEE INFO:
ADDRESS:
Re: Survey Date – December 18, 2013
FINAL ORDER – The Department shall reinvestigate complaint number 1381509. The results of the reinvestigation shall not entitle the complaint to an additional hearing.
FACILITY NAME: Bellwood Developmental Center
FACILITY ADDRESS: 105 Eastern Avenue
Bellwood, IL 60104
DOCKET #: NH 13-C0356
LICENSEE INFO: Bellwood Nursing Center, LLC
ADDRESS: 5750 Old Orchard Road, Suite 420
Skokie, IL 60077
Re: Survey Date – July 26, 2013
Type B violation for violating one or more sections of 350.620a), 350.1060e), 350.240a). For a total fine of $750.00
FACILITY NAME: Brentwood North HCC, LCC
FACILITY ADDRESS:
DOCKET #: NH 06-G281
NH 06-G282
LICENSEE INFO:
ADDRESS:
Re: Survey Date – July 10, 2013
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.
FACILITY NAME: Bronzeville Park Nursing & Living Center
FACILITY ADDRESS: 3400 South Indiana
Chicago, IL 60616
DOCKET #: NH 13-C0416
LICENSEE INFO: Chevy Chase Corp.
ADDRESS: 191 North Wacker Drive, Suite 1800
Chicago, Illinois 60606
Re: Survey Date – August 9, 2013
Type B Violation for violating one or more sections 300.610a, 300.1210a), 300.1210b), 300.1210d)6), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and (j) of the Code due to the violation of the following sections of the code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). For a total fine of $ 2,200.00
FACILITY NAME: Brother James Court
FACILITY ADDRESS: 2508 St. James Road
Springfield, IL 62707
DOCKET #: NH 13-S0398
LICENSEE INFO: Brother James Court
ADDRESS: 1214 South 8th St.
Springfield, IL 62703
Re: Survey Date – August 22, 2013
FACILITY NAME: Capitol Healthcare & Rehab Center
FACILITY ADDRESS: 555 West Carpenter St.
Springfield, IL 62702
DOCKET #: NH 13-C0517
LICENSEE INFO: Capitol Healthcare & Rehabilitation Centre, LLC
ADDRESS: 4600 West Touhy Avenue, Suite 200
Lincolnwood, IL 60712
Re: Survey Date – September 18, 2013
Type B violation for violating one or more sections; 300.610a), 300.1010h), 300.1210a), 300.1210b)4), 300.1210d)3), and 300.3240a), a fine of $2,200.00. The fine was doubled in this instance in accordance with 300.282i) and (j) of the Code due to the violation of the following sections of the Code with a high risk of designation: 300.1210b) and 300.3240a). For a total fine of $ 2,200.00
FACILITY NAME: Carlton at the Lake
FACILITY ADDRESS:
DOCKET #: NH 12-G0503
LICENSEE INFO:
ADDRESS:
Re: Survey Date – August 19, 2013
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.
FACILITY NAME: Center Home Hispanic Elderly
FACILITY ADDRESS: 1401 North California
Chicago, IL 60622
DOCKET #: NH 13-C0426
LICENSEE INFO: Center Home Hispanic Elderly, LLC
ADDRESS: 191 North Wacker Drive, Suite 1800
Chicago, IL 60606
Re: Survey Date – August 21.2013
Type B violation for violating one or more sections; 300.1210b), 300.1210d)3), 300.3240a), and 300.3240f). The fine was doubled in this instance in according with 300.282i) and (j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b) and 300.3240a). For a total fine of $ 2,200.00
FACILITY NAME: Chalet Living & Rehab Center
FACILITY ADDRESS: 7350 North Sheridan Road
Chicago, IL 60626
DOCKET #: NH 13-C080
LICENSEE INFO: The Chalet Living & Rehabilitation Center, LLC
ADDRESS: 191 North Wacker Drive, Suite 1800
Chicago, IL 60606
Re: Survey Date – November 25, 2013
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.
FACILITY NAME: Chalet Living & Rehab Center
FACILITY ADDRESS: 7350 North Sheridan Road
Chicago, IL 60626
DOCKET #: NH 13-S0409
LICENSEE INFO: The Chalet Living & Rehabilitation Center, LLC
ADDRESS: 191 North Wacker Drive, Suite 1800
Chicago, IL 60606
Re: Survey Date – August 15, 2013
Type B violation for violating one or more sections; 300.1210a), 300.1210b), 300.1210d)3), 300.3240a), and 300.3240f). The fine was doubled in this instance in according with 300.282i) and (j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b) and 300.3240a). For a total fine of $ 2,200.00
FACILITY NAME: Chateau Nursing & Rehab Center
FACILITY ADDRESS: 7050 Madison St.
Willowbrook, IL 60521
DOCKET #: NH 13-S0466
LICENSEE INFO: Chateau Nursing & Rehabilitation Center, LLC
ADDRESS: 2201 North Main St.
Evanston, IL 60202
Re: Survey Date – September 3, 2013
Type B violation for violating one or more sections; 300.610a), 300.610c)2), 300.1210a), 300.1210b), 300.1210d)3)6), 300.3240a). The fine was doubled in this instance in according with 300.282i) and (j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). For a total fine of $ 2,200.00
FACILITY NAME: Cornerstone Rehab & HC
FACILITY ADDRESS: 5533 North Galena Road
Peoria Road, IL 61616
DOCKET #: NH 13-S0444
LICENSEE INFO: Midwest Health Operations, LLC
ADDRESS: 830 West Trailcreek Drive
Peoria, IL 61614
Re: Survey Date – September 5, 2013
Type B violation for violating one or more sections; 300.610a), 300.1210a), 300.1210b), 300.1210c), 300.1210d)2)3), 300.3240a). The fine was doubled in this instance in according with 300.282i) and (j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b) and 300.1210d)5), and 300.3240a). For a total fine of $ 2,200.00
FACILITY NAME: Crestwood Care Center
FACILITY ADDRESS:
DOCKET #: NH 12-G349
LICENSEE INFO:
ADDRESS:
Re: Survey Date – November 27, 2013
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.
FACILITY NAME: Countryside Care Center
FACILITY ADDRESS:
DOCKET #: NH 12-G0043
LICENSEE INFO:
ADDRESS:
Re: Survey Date – August 19, 2013
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.
FACILITY NAME: Decatur Manor Healthcare
FACILITY ADDRESS:
DOCKET #: NH 13-0043
LICENSEE INFO:
ADDRESS:
Re: Survey Date – November 7, 2013
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.
FACILITY NAME: Dixon Rehab & HCC
FACILITY ADDRESS: 800 Division St.
Dixon, IL 61021
DOCKET #: NH 13-C0407
LICENSEE INFO: Dixon Manor, LLC
ADDRESS: 412 East Lawrence
Springfield, IL 62703
Re: Survey Date – August 13, 2013
FACILITY NAME: Exceptional Care, LLC
FACILITY ADDRESS:
DOCKET #: NH 13-G211
LICENSEE INFO:
ADDRESS:
Re: Survey Date – December 4, 2013
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.
FACILITY NAME: Fairview Nursing Plaza
FACILITY ADDRESS: 321 Arnold Avenue
Rockford, IL 61108
DOCKET #: NH 13-S0531
LICENSEE INFO: Fairview Nursing Plaza, Inc.
ADDRESS: 6840 North Lincoln Avenue
Lincolnwood, IL 61712
Re: Survey Date – November 13, 2013
Type A violation for violating one or more sections; 300.610a), 300.1210b), 300.1210c), 300.1210d)6), 300.1220b)3), 300.2040b), 300.2040d), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) a(j) of the Code due to the violation of the sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). a For a fine total of $25,000.00
FACILITY NAME: Florence
FACILITY ADDRESS:
DOCKET #: NH 9-G86
LICENSEE INFO:
ADDRESS:
Re: Survey Date – July 10, 2013
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.
FACILITY NAME: Forest Edge Healthcare Rehab Center
FACILITY ADDRESS: 8001 South Western Avenue
Chicago, IL 60620
DOCKET #: NH 13-C0405
LICENSEE INFO: Forest Edge Healthcare & Rehabilitation Center, LLC
ADDRESS: 191 North Wacker Drive, Suite 1800
Chicago, IL 60606
Re: Survey Date – August 15, 2013
Type B Violations for violating one or more sections; 300.610a), 300.695b)1), 300.695c)2), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and (j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.695b) and 300.3240a). For a fine of $2,200.00
FACILITY NAME: Fosterburg Terrace
FACILITY ADDRESS: 4617 Wonderland Drive
Alton, IL 62002
DOCKET #: NH 13-S0431
LICENSEE INFO: Challenge Unlimited, Inc.
ADDRESS: #4 Emmie L. Kaus Lane
Alton, IL 62002
Re: Survey Date – July 29, 2013
Type B violation for violating one or more sections; 350.620a), 350.1210, 350.1230b)6)7), 350.1230d)2), 350.1230g), and 350.3240a. For a total fine of $550.00
FACILITY NAME: Franklin Grove Group Home
FACILITY ADDRESS: 408 North Elm, PO Box 5
Franklin Grove, IL 61031
DOCKET #: NH 13-S0430
LICENSEE INFO: Kreider Services, Inc.
ADDRESS: 500 Anchor Road, PO Box 366
Dixon, IL 61021
Re: Survey Date – August 22, 2013
Type A violation for violating one or more sections; 350.1235a)3)4) and 350.3240a). For a fine of $6,250.00
FACILITY NAME: Galesburg Terrace, Inc.
FACILITY ADDRESS:
DOCKET #: NH 13-S187
LICENSEE INFO:
ADDRESS:
Re: Survey Date – November 7, 2013
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.
FACILITY NAME: Granite Nursing & Rehab Center
FACILITY ADDRESS: 3500 Century Drive
Granite City, IL 62040
DOCKET #: NH 13-S0447
LICENSEE INFO: Granite Nursing and Rehabilitation Center, LLC
ADDRESS: 901 S. 2nd St., Suite 201
Springfield, IL 62704
Re: Survey Date – September 13, 2013
Type B violation for violating one or more sections of 300.1210a), 300.1210b)5), 300.1210c), 300.1210d)6), 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and (j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6) and 300.3240a). For a fine of $2,200.00
FACILITY NAME: Grove at the Lake Living & Rehab
FACILITY ADDRESS: 534 Elim Avenue
Zion, IL 60099
DOCKET #: NH 13-S0453 & NH 13-C0515
LICENSEE INFO: The Grove at the Lake Living & Rehabilitation Center, LLC
ADDRESS: 8320 Skokie Boulevard, Suite 100
Skokie, IL 60077
Re: Survey Date – September 6, 2013
Type Administrative warning for violating one or more sections of 300.200a)
For a total fine of $ 29,400.00
FACILITY NAME: Grove of LaGrange Park
FACILITY ADDRESS: 701 North LaGrange Road
LaGrange Park, IL 60526
DOCKET #: NH 13-C0479
LICENSEE INFO: The Grove of LaGrange Park, LLC
ADDRESS: 5750 Old Orchard Road, Suite 420
Skokie, IL 60077
Re: Survey Date – August 28, 2013
Type B violation for violating one or more sections of 300.610a), 300.1210b), 300.1210d)6), 300.3240a). The fine was doubled in this instance in accordance with 300.282(i) and (j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). For a fine of $2,200.00
FACILITY NAME: Grove of Skokie
FACILITY ADDRESS:
DOCKET #: NH 13-G423
LICENSEE INFO:
ADDRESS:
Re: Survey Date – November 21, 2013
FINAL ORDER – Case is assigned and transferred.
FACILITY NAME: Heartland of Decatur
FACILITY ADDRESS: 444 West Harrison St.
Decatur, IL 62526
DOCKET #: NH 13-S0532
LICENSEE INFO: Heartland of Decatur, LLC
ADDRESS: 208 S. LaSalle St., Suite 814
Chicago, IL 60604
Re: Survey Date – September 25, 2013
Type B violation for violating one or more sections; 300.610a), 300.1210b), 300.1210d)6), 300.3240a), and 300.3240b), a fine of $2,200.00. The fine was doubled in this instance in accordance with 300.282i) and (j) of the Code due to violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). For a fine of $ 2,200.00
FACILITY NAME: Heartland of Macomb
FACILITY ADDRESS: 8 Doctor Lane
DOCKET #: NH 13-S0470
LICENSEE INFO: Heartland of Macomb IL, LLC
ADDRESS: 208 S. LaSalle St., Suite 814
Chicago, IL 60604
Re: Survey Date – September 16, 2013
Type A violation for violating one or more sections of 300.610a), 300.1210b), 300.1210d)3)6), 300.1220b)2), 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and (j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). For a fine of $25,000.00
FACILITY NAME: Heartland of Peoria
FACILITY ADDRESS: 5600 Glen Elm Drive
Peoria, IL 61614
DOCKET #: NH 13-C0487
LICENSEE INFO: Heartland of Peoria IL , LLC
ADDRESS: 208 South LaSalle St., Suite 814
Chicago, IL 60604
Re: Survey Date – October 10, 2013
FACILITY NAME: Helia Healthcare of Belleville
FACILITY ADDRESS: 40 North 64th St.
Belleville, IL 62223
DOCKET #: NH 13-C0383
LICENSEE INFO: Helia Healthcare of Belleville, LLC
ADDRESS: 600 South Second St., Suite 103
Springfield, IL 62704
Re: Survey Date – July 31, 2013
Type B violation for violating one or more sections; 300.610a), 300.1010h), 300.1210b), 300.1210c), 300.1210d)3), 300.1810h), 300.1220b)2)3), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and (j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b) and 300.3240a). For a total fine of $2,200.00
FACILITY NAME: Helia Healthcare of Benton
FACILITY ADDRESS: 1310 Mark Franklin Louis St.
Benton, IL 62812
DOCKET #: NH 13-C0485
LICENSEE INFO: Helia Healthcare of Benton, LLC
ADDRESS: 600 South Second St., Suite 103
Springfield, IL 62704
Re: Survey Date – October 4, 2013
FACILITY NAME: Homestead House
FACILITY ADDRESS: 905 North Jefferson
West Frankfort, IL 62896
DOCKET #: NH 13-C0523
LICENSEE INFO: William J., Christine A. Mattingly
ADDRESS: 1120 North Division
Carterville, IL 62918
Re: Survey Date – October 15, 2013
Type A violation for violating one or more of sections; 350.620a), 350.1210, 350.1220j), 300.1220m), 350.1230b)7), 350.1230d)1), 350.3240a), 350.3240e). A fine for $6,250.00
FACILITY NAME: IL Veteran’s Home at Manteno
FACILITY ADDRESS: One Veteran’s Drive
Manteno, IL 60950
DOCKET #: NH 13-S0351
LICENSEE INFO: Illinois Department of Veterans’ Affairs
ADDRESS: 833 South Spring St., Box 19432
Springfield, IL 62794
Re: Survey Date – July 19, 2013
Type A violation for violating one or more sections; 340.1310d), 340.1440f), 340.1505b), 340.1505d)3), and 340.1505g). The fine was doubled in this instance in accordance with 300.282i) and (j) of the Code due to the violation of the following sections of the Code with a high risk designation: 340.1505b) and 340.1505g). For a total fine of $25,000.00
FACILITY NAME: Illinois Knights Templar
FACILITY ADDRESS: 450 Fulton St., PO Box 49
Paxton, IL 60957
DOCKET #: NH 13-S0305
LICENSEE INFO: Illinois Knights Templar
ADDRESS: 190 South LaSalle St., Suite 3700
Chicago, IL 60603
Re: Survey Date – May 15, 2013
FACILITY NAME: Lewis Memorial Christian Village
FACILITY ADDRESS:
DOCKET #: NH 13-G276
LICENSEE INFO:
ADDRESS:
Re: Survey Date – December 16, 2013
FINAL ORDER – Complaint will be reinvestigated, constituting a formal finding and a recommendation of the administrative law judge, the complainant shall not be entitled to additional hearings or to a rehearsing of the case.
FACILITY NAME: Leiberman Center for Health & Rehab
FACILITY ADDRESS: 9700 Gross Point Road
Skokie, IL 60076
DOCKET #: NH 13-S0402
LICENSEE INFO: Council for Jewish Elderly
ADDRESS: 3003 West Touhy Avenue
Chicago, IL 60645
Re: Survey Date – August 14, 2013
Type B violation for violating one or more sections; 300.120b), 300.1210d)6), 300.1220b)3) and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and (j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6) and 300.3240a). A fine total for $ 2,200.00
FACILITY NAME: Lutheran Home for the Aged
FACILITY ADDRESS: 800 West Oakton St.
Arlington Heights, IL 60004
DOCKET #: NH 13-C0521
LICENSEE INFO: Lutheran Home for the Ages, Inc
ADDRESS: 800 West Oakton St.
Arlington Heights, IL 60004
Re: Survey Date – October 17, 2013
Type A violation for violating one or more sections; 300.610a), 300.1010h), 300.1010i), 300.1030a)3), 300.1210a), 300.1210b), 300.1210c), 300.1210d)3)6), 300.1220b)1)2)3)9)10), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and (j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6) and 300.3240a). For a total fine of $25,000.00
FACILITY NAME: Manor Care of Naperville
FACILITY ADDRESS: 200 Martin Avenue
Naperville, IL 60540
DOCKET #: NH 13-C0406
LICENSEE INFO: Manor Care of Naperville IL, LLC
ADDRESS: 208 South LaSalle St., Suite 814
Chicago, IL 60604
Re: Survey Date – August 15, 2013
Type B violation for violating one or more sections; 300.1210b), 300.1220b)3) and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and (j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b) and 300.3240a). For a total fine of $2,200.00
FACILITY NAME: Maryhaven Nursing & Rehabilitation
FACILITY ADDRESS: 1700 East Lake Avenue
Glenview, IL 60025
DOCKET #: NH 11-C0255
LICENSEE INFO: Resurrection Senior Services
ADDRESS: 7435 West Talcott Avenue
Chicago, IL 60631
Re: Survey Date – August 17, 2011
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.
FACILITY NAME: Mayfield Care Center
FACILITY ADDRESS:
DOCKET #: NH 13-G0218
LICENSEE INFO:
ADDRESS:
Re: Survey Date – August 1, 2013
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.
FACILITY NAME: Mayfield Care Center
FACILITY ADDRESS: 5905 West Washington
Chicago, IL 60644
DOCKET #: NH 13-C0451
LICENSEE INFO: Mayfield Care Center, Inc
ADDRESS: 3553 West Peterson, Suite 300
Chicago, IL 60659
Re: Survey Date – September 17, 2013
Type B violation for violating one or more sections of 300.610a), 300.1210a), 300.1210b)5), 300.1210c), 300.1210d)6), 300.1220b)1)2)3), 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and (j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). A fine total is $2,200.00
FACILITY NAME: McAllister Nursing & Rehab
FACILITY ADDRESS: 18300 S. Lavergne
Tinley Park, IL 60477
DOCKET #: NH 13-S0435
LICENSEE INFO: McAllister Nursing & Rehab LLC
ADDRESS: 9100 Karlov Avenue
Skokie, IL 60076
Re: Survey Date – August 27, 2013
Type B violation for violating one or more sections of 300.610a), 300.1210b), 300.1210c), 300.1220b)3), 300.3100d)2), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and (j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b) and 300.3240a). A fine total is $2,200.00
FACILITY NAME: Mid America Care Center
FACILITY ADDRESS: 4920 North Kenmore Avenue
Chicago, IL 60640
DOCKET #: NH 13-C0514 & NH 13-S0540
LICENSEE INFO: Mid America Care Center, LLC
ADDRESS: 3553 West Peterson Avenue, Suite 300
Chicago, IL 60659
Re: Survey Date – October 23, 2013
Type B violation for violating one or more sections of 300.610a), 300.1210b)5), 300.1210d)6), 300.1220b)3), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and (j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). A fine total is $2,200.00
FACILITY NAME: Mooring Health Center
FACILITY ADDRESS: 761 Old Barn Lane
Arlington Heights, IL 60005
DOCKET #: NH 13-S0393
LICENSEE INFO: Presbyterian Home
ADDRESS: 3200 Grant St.
Evanston, IL 60201
Re: Survey Date – August 8, 2013
Type B violation for violating one or more sections of 300.610a), 300.1010h), 300.1210b), 300.1210d)6), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and (j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). A fine total is $2,200.00
FACILITY NAME: Niles Nursing & Rehabilitation Center, LLC
FACILITY ADDRESS: 9777 Greenwood Avenue
Niles, IL 60714
DOCKET #: NH 13-G355
LICENSEE INFO: Niles Nursing & Rehabilitation Center, LLC
ADDRESS: 321 N. Clark St., Suite 2800
Chicago, IL 60610
Re: Survey Date – September 17, 2013
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.
FACILITY NAME: North Church Nursing & Rehab
FACILITY ADDRESS:
DOCKET #: NH 13-0066
LICENSEE INFO:
ADDRESS:
Re: Survey Date – October 31, 2013
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.
FACILITY NAME: Oregon Healthcare Center
FACILITY ADDRESS:
DOCKET #: NH 11-G160
LICENSEE INFO:
ADDRESS:
Re: Survey Date – December 6, 2013
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.
FACILITY NAME: Parents & Friends of the SLC
FACILITY ADDRESS: 1450 Caseyville Avenue
Swansea, IL 62226
DOCKET #: NH 13-C0415
LICENSEE INFO: Parents & Friends of the Specialized Living Center
ADDRESS: 1450 Caseyville Avenue
Swansea, IL 62226
Re: Survey Date – July 25, 2013
Type B Violations for violating one or more sections of 350.620a), 350.1210, 350.1230b)6)7), 350.1230d)2), 350.1230g), and 350.3240a). For a total fine of $1,100.00
FACILITY NAME: Presence Ballard Nursing Center
FACILITY ADDRESS: 9300 Ballard Road
Des Plains, IL 60016
DOCKET #: NH 13-C0534
LICENSEE INFO: Presence RHC Senior Services
ADDRESS: 7435 West Talcott
Chicago, IL 60631
Re: Survey Date – September 4, 2013
Type B violation for violating one or more sections of 300.610a), 3000.210b), 300.1210d)6), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and (j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). For a Fine total of $2,200.00
FACILITY NAME: Renaissance at South Shore
FACILITY ADDRESS:
DOCKET #: NH 13-G308
LICENSEE INFO:
ADDRESS:
Re: Survey Date – September 17, 2013
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.
FACILITY NAME: Rochelle Gardens Care Center
FACILITY ADDRESS: 1021 Caron Road
Rochelle, IL 61068
DOCKET #: NH 13-C0332
LICENSEE INFO: Petersen Health Network, LLC
ADDRESS: 830 Trailcreek Drive
Peoria, IL 61614
Re: Survey Date – June 24, 2013
Type B violation for violating one or more sections of 300.610a), 300.1210b), 300.3240a), and 300.3240e). The fine was doubled in this instance in accordance with 300.282i) and (j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.3240a), and 300.3240e). For a Fine total of $2,200.00
FACILITY NAME: Rosewood Care Center
FACILITY ADDRESS:
DOCKET #: NH 13-0107
LICENSEE INFO:
ADDRESS:
Re: Survey Date – December 19, 2013
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.
FACILITY NAME: Sharon Health Care Elms
FACILITY ADDRESS: 3611 North Rochelle
Peoria, IL 61604
DOCKET #: NH 13-C0413 & NH 13-S0414
LICENSEE INFO: Sharon Health Care Elms, Inc.
ADDRESS: 465 Central Avenue, Suite 100
Northfield, IL 60093
Re: Survey Date – August 22, 2013
Type A violation for violating one or more sections of 300.610a), 300.1210a), 300.1210b), 300.1210c), 300.1210d)3)6), 300.1220b)2)3), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and (j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). For a Fine total of $25,000.00
FACILITY NAME: Shawnee Christian Nursing Center
FACILITY ADDRESS: 1901 North 13th St.
Herrin, IL 62948
DOCKET #: NH 13-S0551
LICENSEE INFO: Franciscan Communities, Inc.
ADDRESS: 208 South LaSalle St., Suite 814
Chicago, IL 60604
Re: Survey Date – October 18, 2013
Type A violation for violating one or more sections of 300.65b)1), 300.1210b), 300.3240a), 300.3240b) and 300.3240e). The fine was doubled in this instance in accordance with 300.282i) and (j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.3240a) and 300.3240e). For a Fine total of $25,000.00
FACILITY NAME: Southpoint Nursing & Rehab Center
FACILITY ADDRESS: 1010 West 95th St.
Chicago, IL 60643
DOCKET #: NH 13-C0424
LICENSEE INFO: Southpoint Nursing & Rehabilitation Center, LLC
ADDRESS: 321 North Clark St., Suite 2800
Chicago, IL 60654
Re: Survey Date – August 8, 2013
Type A violation for violating one or more sections of 300.610a), 300.1040, 300.1210a), 300.1210b), 300.1220b)2)3)7), 300.3240a), 300.3240d), and 300.3240f). The fine was doubled in this instance in accordance with 300.282i) and (j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.3240a) and 300.3240d). For a Fine total of $25,000.00
FACILITY NAME: Sunsent Rehabilitation & Healthcare
FACILITY ADDRESS: 129 South 1st Avenue
Canton, IL 61520
DOCKET #: NH 12-S0439
LICENSEE INFO: Petersen Health Care, Inc
ADDRESS: 830 West Trailcreek Drive
Peoria, IL 61614
Re: Survey Date – September 25, 2012
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.
FACILITY NAME: Torrence Place
FACILITY ADDRESS: 223rd St.
Sauk Village, IL 60411
DOCKET #: NH 13-S0388
LICENSEE INFO: Pioneer Concepts, Inc.
ADDRESS: 285 South Farnham St.
Galesburg, IL 61401
Re: Survey Date – August 23, 2013
Type B violation for violating one or more sections of 350.620a), 350.1060e), 350.1060h), 350.3240a). For a Fine total of $550.00
FACILITY NAME: Toulon Rehab & Health Care Center
FACILITY ADDRESS: 17 East, PO Box 249
Toulon, IL 61483
DOCKET #: NH 13-S0484
LICENSEE INFO: Petersen Management Company, LLC
ADDRESS: 830 West Trailcreek Drive
Peoria, IL 61614
Re: Survey Date – October 7, 2013
Type A violation for violating one or more sections of 300.610a), 300.695a)3), 300.695b)3), 300.695c)1)3), 300.695d), 300.1210a), 300.1210b), 300.1210c), 300.1210d)1)3)6), 300.1220b)2)3), 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and (j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.695b), 300.1210b), 300.1210d)6), and 300.3240a). For a Fine total of $25,000.00
FACILITY NAME: Turner Manor
FACILITY ADDRESS: PO Box 303, 901 Oglesby Road
Harrisburg, IL 62946
DOCKET #: NH 13-S0448
LICENSEE INFO: Turner Manor, Inc
ADDRESS: 105 South Commercial St., PO Box 972
Harrisburg, IL 62946
Re: Survey Date – September 3, 2013
Type B violation for violating one or more sections of 350.620a), 350.1060a), 350.1060e), 350.1060f), 350.1060j), 350.1080a), 350.1082a)1)2)3)4), 350.1082b), 350.1082c), 350.1082d), 350.1082h), 350.1082i), 350.1210, 350.3240a). For a Fine total of $750.00
FACILITY NAME: United Methodist Village
FACILITY ADDRESS: 1616 Cedar
Lawrenceville, IL 62439
DOCKET #: NH 13-C0494
LICENSEE INFO: United Methodist Village, Inc
ADDRESS: 1616 Cedar
Lawrenceville, IL 62439
Re: Survey Date – September 10, 2013
Type B violation for violating one or more sections of 300.610a), 300.1010h), 300.1210b), 300.1210d)1), 300.1220b)2), 300.1630d) and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and (j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b) and 300.3240a). For a Fine total of $2,200.00
FACILITY NAME: Wauconda Healthcare and Rehab
FACILITY ADDRESS: 176 Thomas Court
Wauconda, IL 60084
DOCKET #: NH 13-S0394
LICENSEE INFO: Wauconda Healthcare & rehabilitation Centre, LLC
ADDRESS: 8170 North McCormick Boulevard, Suite 219
Skokie, IL 60076
Re: Survey Date – August 15, 2013
Type B violation for violating one or more sections of 300.1210b), 300.1210d)6), 300.2420j) and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and (j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). For a Fine total of $2,200.00
FACILITY NAME: Way-Fair Nursing & Rehab
FACILITY ADDRESS: 305 Northwest 11th St.
Fairfield, IL 62837
DOCKET #: NH 13-C0455
LICENSEE INFO: Way-Fair Nursing & Rehabilitation Center, LLC
ADDRESS: 8170 McCormick Boulevard, Suite 219
Skokie, IL 60076
Re: Survey Date – September 26, 2013
Type B violation for violating one or more sections of 300.1210b)5), 300.1210c), 300.1210d)6), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and (j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). For a Fine total of $2,200.00