QUARTERLY REPORT

January - March 2014

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 Shorewood
FACILITY ADDRESS: 710 West Black Road
Shorewood, IL 60404

DOCKET #: NH 14-S0069
LICENSEE INFO: Alden Estates of Shorewood, Inc.
ADDRESS: 4200 W. Peterson Ave., Suite 140
Chicago, IL 60646

Re: Survey Date – December 19, 2013
Type A violation for violating one or more sections: 300.610a), 300.696c)3), 300.1210b), 300.1210d)1), 300.1210d)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: 300.696c)3), 300.1210b) and 300.3240a). For a total fine of $25,000.00

FACILITY NAME: Alden Long Grove Rehab & HCC
FACILITY ADDRESS: Box 308, RFD Old Hicks Road
Long Grove, IL 60047

DOCKET #: NH 11-C0301
LICENSEE INFO: Alden – Long Grove Rehabilitation & Health Care Center
ADDRESS: 4200 W. Peterson Ave., Suite #140
Chicago, IL 60646

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Alden of Waterford
FACILITY ADDRESS: 2021 Randi Drive
Aurora, IL 60504

DOCKET #: NH 13-S0246
LICENSEE INFO: Alden of Waterford, LLC
ADDRESS: 4200 West Peterson, Suite 140
Chicago, IL 60646

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Alden Terrace of McHenry Rehab
FACILITY ADDRESS: 803 Royal Drive, Room 314-2
McHenry, IL 60050

DOCKET #: NH 13-G0417
LICENSEE INFO: Alden Management Services, Inc.
ADDRESS: 4200 W. Peterson Ave., Suite 102
Chicago, IL 60646

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Alden Terrace of McHenry Rehab
FACILITY ADDRESS: 803 Royal Drive
McHenry, IL 60050

DOCKET #: NH 13-G0482
LICENSEE INFO: Alden Terrace of McHenry Rehabilitation & Health Care Center
ADDRESS: 4200 W. Peterson Ave., Suite 140
Chicago, IL 60646

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Alden Terrace of McHenry Rehab
FACILITY ADDRESS: 803 Royal Drive, Room 314-2
McHenry, IL 60050

DOCKET #: NH 11-S0019
LICENSEE INFO: Alden Management Services, Inc.
ADDRESS: 4200 W. Peterson Ave., Suite 102
Chicago, IL 60646

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Alden Town Manor Rehabilitation
FACILITY ADDRESS: 4200 West Peterson, Suite 140
Chicago, IL 60646

DOCKET #: NH 13-G0422
LICENSEE INFO: Alden Town Manor Rehabilitation
ADDRESS: 1921 N Nordica
Chicago, IL 60707

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Amberwood Care Centre
FACILITY ADDRESS: 2313 North Rockton Ave.
Rockford, IL 61103

DOCKET #: NH 11-G0250
LICENSEE INFO: Amberwood Healthcare Centre, LLC
ADDRESS: 8140 Rive Drive
Morton Grove, IL 60053

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Asta Care Center of Elgin
FACILITY ADDRESS: 134 North McLean Boulevard
Elgin, IL 60123

DOCKET #: NH 14-C0094
LICENSEE INFO: Asta Care Center of Elgin, LLC
ADDRESS: 134 North McLean Boulevard
Elgin, IL 60123

Re: Survey Date – January 2, 2014
Type B violation for violating one or more sections: 300.1010h), 300.1210b), 300.1210d)2), 300.1210d)3), 300.1220b)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). For a total fine of $2,200.00

FACILITY NAME: Asta Care Center of Elgin
FACILITY ADDRESS: 134 North McLean Boulevard
Elgin, IL 60123

DOCKET #: NH 14-C0106
LICENSEE INFO: Asta Care Center of Elgin, LLC
ADDRESS: 134 North McLean Boulevard
Elgin, IL 60123

Re: Survey Date – January 31, 2014
Type B violation for violating one or more sections: 300.1210b), 300.1210d)1), 300.1210d)2), 300.1210d)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: Bellwood Developmental Center
FACILITY ADDRESS: 105 Eastern Ave.
Bellwood, IL 60104

DOCKET #: NH 14-S0032
LICENSEE INFO: Bellwood Nursing Center, LLC
ADDRESS: 5750 Old Orchard Road, Suite 420
Skokie, IL 6077

Re: Survey Date – December 23, 2013
Type B violation for violating one or more sections; 350.620a), 350.690a), 350.690b), 350.690c), 350.690d), 350.690e), and 350.3240a). For a total fine of $750.00

FACILITY NAME: Bement Health Care Center
FACILITY ADDRESS: 601 North Morgan
Bement, IL 61813

DOCKET #: NH 13-C0278
LICENSEE INFO: Petersen Health Care, Inc.
ADDRESS: 830 West Trailcreek Drive
Peoria, IL 61614

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Bethany Rehab & HCC
FACILITY ADDRESS: 3298 Resource Parkway
Dekalb, IL 60115

DOCKET #: NH 13-C0542
LICENSEE INFO: Bethany Health, LLC
ADDRESS: 412 E. Lawrence Ave.
Springfield, IL 602703

Re: Survey Date – November 27, 2013
Type A violation for violating one or more sections: 300.1010h), 300.1210b), 300.1210c), 300.1210d)3), 300.1220b)1), 300.1220b)2) and 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: 300.1210d), 300.3240a). For a total fine of $25,000.00

FACILITY NAME: Blu-Fountain Manor
FACILITY ADDRESS: 1623-29 West Delmar
Godfrey, IL 62035

DOCKET #: NH 13-S0553
LICENSEE INFO: SA-ENC Blu Fountain, LLC
ADDRESS: 1315 W Lawrence Ave.
Springfield, IL 62704

Re: Survey Date – November 14, 2013
Type B violation for violating one or more sections: 300.610a), 300.696a), 300.696c)2)7), 300.1210b) and 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: 300.1210d) and 300.3240a).

Type B violation for violating one or more sections: 300.1210b)5), 300.1210d)6), and 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: 300.1210d)6) and 300.3240a). For a total fine of $2,200.00

FACILITY NAME: Casey Health Care Center
FACILITY ADDRESS: 100 N.E. 15th
Casey, IL 62420

DOCKET #: NH 14-S0025
LICENSEE INFO: Petersen Management Company, LLC
ADDRESS: 830 W. Trailcreek Drive
Peoria, IL 61614

Re: Survey Date – December 12, 2013
Type B violation for violating one or more sections: 300.610), 300.1210B), 300.1210d)5), and 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)5), and 300.3240a).

Type B violation for violating one or more sections: 300.1210b), 300.1210d)6) and 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) 300.3240a).

Type B violation for violating one or more sections: 300.610a), 300.1210b), 300.1220b)2) and 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), 300.3240a). For a total fine of $2,200.00

FACILITY NAME: Caseyville Nursing & Rehabilitation Center
FACILITY ADDRESS: 601 West Lincoln Ave.
Caseyville, IL 62232

DOCKET #: NH 13-C0179
LICENSEE INFO: Polsinelli PC
ADDRESS: 161 N. Clark, Suite 4200
Chicago, IL 60601

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Center Home for the Hispanic Elderly
FACILITY ADDRESS: 1401 North California
Chicago, IL 60622

DOCKET #: NH 13-G0352
LICENSEE INFO: Center Home for the Hispanic Elderly, LLC
ADDRESS: 191 Wacker Drive, Suite 1800
Chicago, IL 60606

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Chateau Nursing & Rehab Center
FACILITY ADDRESS: 7050 Madison St.
Willowbrook, IL 60521

DOCKET #: NH 13-G0120
LICENSEE INFO: Chateau Nursing & Rehabilitation Center, LLC
ADDRESS: 2201 Main St.
Evanston, IL 60202

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Chester Rehab & Nursing Center
FACILITY ADDRESS: 770 State St.
Chester, IL 62233

DOCKET #: NH 13-C0036
LICENSEE INFO: Chester Rehabilitation & Nursing Center, LLC
ADDRESS: 8170 North McCormick Boulevard, Suite 219
Skokie, IL 60076

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Christian Nursing Home
FACILITY ADDRESS: 1507 7th St.
Lincoln, IL 62656

DOCKET #: NH 14-C0023 NH 14-S0053
LICENSEE INFO: Christian Homes, Inc.
ADDRESS: 200 N. Postville Drive
Lincoln, IL 62656

Re: Survey Date – December 13, 2013
Type B violation for violating one or more sections: 300.610a), 300.1210d)6), and 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: 300.1210d)6), 300.3240a).

Type B violation for violating one or more sections: 300.670c)1), 300.670c)2), 300.670c)3), 300.670d), 300.670e), 300.670f) and 300.670g). For a total fine of $2,200.00

FACILITY NAME: Colonial Healthcare & Rehab Center
FACILITY ADDRESS: 515 Bureau Valley Parkway
Princeton, IL 61356

DOCKET #: NH 13-C0113
LICENSEE INFO: Colonial Healthcare & Rehabilitation Centre, LLC
ADDRESS: 4600 West Touhy Ave., Suite 200
Lincolnwood, IL 60712

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Community Nursing & Rehab Center
FACILITY ADDRESS: 1136 North Mill St.
Naperville, IL 60563

DOCKET #: NH 14-C0024
LICENSEE INFO: Community Nursing & Rehabilitation Center, LLC
ADDRESS: 191 North Wacker Drive, Suite 1800
Chicago, IL 60606

Re: Survey Date – December 5, 2013
Type B violation for violating one or more sections: 300.610a), 300.1210b), 300.1210d)3), 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), 300.3240a). For a total fine of $2,200.00

FACILITY NAME: Covenant Health Care Center - Batavia
FACILITY ADDRESS: 831 North Batavia Ave.
Batavia, IL 60510

DOCKET #: NH 13-C0549
LICENSEE INFO: Covenant Health Care Center, Inc.
ADDRESS: 801 Adlai Stevenson Drive
Springfield, IL 62703

Re: Survey Date – November 21, 2013
Type B violation for violating one or more sections: 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: 300.1210d)6), 300.3240a). For a total fine of $2,200.00

FACILITY NAME: Eden Village Care Center
FACILITY ADDRESS: 400 South Station Road
Glen Carbon, IL 62034

DOCKET #: NH 13-S0547
LICENSEE INFO: Eden Retirement Center, Inc.
ADDRESS: 400 South Station Road
Glen Carbon, IL 62034

Re: Survey Date – December 13, 2013
Type B violation for violating one or more sections: 300.610a), 300.1210a), 300.1210b), 300.1210c), 300.1210d)6), and 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), 300.3240a). For a total fine of $2,200.00

FACILITY NAME: Embassy Health Care Center
FACILITY ADDRESS: 555 West Kahler Road
Wilmington, IL 60481

DOCKET #: NH 12-G0492
LICENSEE INFO: Embassy Health Care Center
ADDRESS: 161 North Clark St., Suite 4200
Chicago, IL 60601

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Flora Rehab & Health Care Center
FACILITY ADDRESS: 232 Given St.
Flora, IL 62839

DOCKET #: NH 14-S0036
LICENSEE INFO: Petersen Management Company, LLC
ADDRESS: 830 Trailcreek Drive
Peoria, IL 61614

Re: Survey Date – December 19, 2013
Type B violation for violating one or more sections: 300.1210b), 300.1210d)5), and 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)5), 300.3240a). For a total fine of $2,200.00

FACILITY NAME: Friendship Manor
FACILITY ADDRESS: 1209 21st Ave.
Rock Island, IL 61201

DOCKET #: NH 14-C0034
LICENSEE INFO: Friendship Manor, Inc.
ADDRESS: 4101 John Deere Road, Suite A
Moline, IL 61265

Re: Survey Date – December 13, 2013
Type B violation for violating one or more sections: 300.1210b), 300.1210d)6), and 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 total fine of $2,200.00

FACILITY NAME: The Gardens of Belvidere
FACILITY ADDRESS: 1701 West 5th Ave.
Belvidere, IL 61008

DOCKET #: NH 13-C0544
LICENSEE INFO: The Gardens of Belvidere, LLC
ADDRESS: 8170 McCormick Boulevard, #124
Skokie, Illinois 60076

Re: Survey Date – October 16, 2013
Type B violation for violating one or more sections: 300.610a), 300.1010h), 300.1030a)5), 300.1030b), 300.1210b), 300.1210d)3), and 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) and 300.3240a). For a total fine of $25,000.00

FACILITY NAME: Glen Bridge N & Rehab Centre
FACILITY ADDRESS: 8333 West Golf Road
Niles, IL 60714

DOCKET #: NH 14-C0093
LICENSEE INFO: Glenbridge Nursing and Rehabilitation Centre, LTD
ADDRESS: 191 North Wacker Drive, Suite 1800
Chicago, IL 60606

Re: Survey Date – February 18, 2014
Type B violation for violating one or more sections: 300.120b), 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: Glenshire
FACILITY ADDRESS: 2257 171st St.
Hazel Crest, IL 60429

DOCKET #: NH 13-G0039
LICENSEE INFO: Glenshire
ADDRESS: 191 N. Wacker Drive, Suite 1800
Chicago, IL 60606

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Glenwood Healthcare & Rehab
FACILITY ADDRESS: 19330 S. Cottage Grove
Glenwood, IL 60425

DOCKET #: NH 13-G0520
LICENSEE INFO: Glenwood Healthcare & Rehab, Inc.
ADDRESS: 5750 Old Orchard Road, Suite 420
Skokie, IL 60077

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Grove of LaGrange Park
FACILITY ADDRESS: 701 North LaGrange Road
LaGrange Park, IL 60526

DOCKET #: NH 13-S0385
LICENSEE INFO: Grove of LaGrange Park, LLC
ADDRESS: 5750 Old Orchard Road, Suite 420
Skokie, IL 60077

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Grove of Northbrook L & R
FACILITY ADDRESS: 263 Skokie Boulevard
Northbrook, IL 60062

DOCKET #: NH 13-C0029
LICENSEE INFO: Grove of Northbrook Living & Rehab Center, LLC
ADDRESS: 7040 North Ridgeway Ave.
Lincolnwood, IL 60712

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Grove of Skokie
FACILITY ADDRESS: 9000 N. Lavergne Ave.
Skokie, IL 60077

DOCKET #: NH 13-G0423
LICENSEE INFO: Grove of Skokie
ADDRESS: 191 N. Wacker Drive, Suite 1800
Chicago, IL 60606

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Harmony Nursing & Rehab
FACILITY ADDRESS: 3919 West Foster Ave.
Chicago, IL 60645

DOCKET #: NH 12-G0491
LICENSEE INFO: Harmony Nursing & Rehab Center, Inc.
ADDRESS: 6633 North Lincoln Ave.
Lincolnwood, IL 60712

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Heartland Healthcare Center
FACILITY ADDRESS: 280 E. Losey St.
Galesburg, IL 61401

DOCKET #: NH 13-C0109
LICENSEE INFO: Heartland Healthcare Center
ADDRESS: 280 E. Losey St.
Galesburg, IL 61401

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Helia Healthcare of Champaign
FACILITY ADDRESS: 1915 South Mattis St.
Champaign, IL 61821

DOCKET #: NH 14-C0118
LICENSEE INFO: Helia Healthcare of Champaign, LLC
ADDRESS: 600 South 2nd St., Suite 103
Springfield, IL 62704

Re: Survey Date – February 11, 2014
Type B violation for violating one or more sections: 300.610a), 300.1210b), 300.1210d)2), 300.1210d)3), 300.1210d)5), 300.1220b)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), 300.1210d)5), 300.3240a). For a total fine of $25,000.00

FACILITY NAME: Helia Healthcare of Champaign
FACILITY ADDRESS: 1915 S. Mattis St.
Champaign, IL 61821

DOCKET #: NH 14-S0039 NH 14-C0040
LICENSEE INFO: Helia Healthcare of Champaign, LLC
ADDRESS: 600 S. 2nd St., Suite 103
Springfield, IL 62704

Re: Survey Date – December 13, 2013 Type B violation for violating one or more sections: 300.610a), 300.1010h), 300.1210a), 300.1210b), 300.1210d)3), 300.1210d)5(, and 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)5), and 300.3240a). For a total fine of $2,200.00

FACILITY NAME: Heritage Health - Bloomington
FACILITY ADDRESS: 700 E. Walnut St.
Bloomington, IL 61701

DOCKET #: NH 13-S0078
LICENSEE INFO: Heritage Manor – Bloomington, LLC
ADDRESS: 115 W. Jefferson St., Suite 400
Bloomington, IL 61701

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

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

DOCKET #: NH 14-S0037
LICENSEE INFO: Hillcrest Retirement Village
ADDRESS: 1740 North Circuit Drive
Round Lake Beach, IL 60073

Re: Survey Date – November 13, 2013
Type B violation for violating one or more sections: 300.1210a), 300.1210d)5), 300.1220b)3), and 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: 300.1210d)5) and 300.3240a). For a total fine of $2,200.00

FACILITY NAME: Hilltop Skilled Nursing & Rehab
FACILITY ADDRESS: 910 West Polk St.
Charleston, IL 61920

DOCKET #: NH 14-S0041
LICENSEE INFO: Covenant Care Hilltop, LLC
ADDRESS: 208 S. LaSalle St., Suite 814
Chicago, IL 60604

Re: Survey Date – December 20, 2013
Type A violation for violating one or more sections: 300.610a), 300.1210d)6), 300.2210b)6), and 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: 300.1210d)6) and 300.3240a).

Type B violation for violating one or more sections: 300.610a), 300.1210b)5), 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 total fine of $27,200.00

FACILITY NAME: International Nursing & Rehab Center
FACILITY ADDRESS: 4815 South Western Ave.
Chicago, IL 60609

DOCKET #: NH 13-C0374
LICENSEE INFO: International Nursing & Rehab Center, LLC
ADDRESS: 8131 North Monticello
Skokie, IL 60076

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Iona Glos SLC
FACILITY ADDRESS: 50 South Fairbank St.
Addison, IL 60101

DOCKET #: NH 14-S0026
LICENSEE INFO: Ray Graham Association for People with Disabilities
ADDRESS: 901 Warrenville Road, Suite 500
Lisle, IL 60532

Re: Survey Date – November 1, 2013
Type B violation for violating one or more sections; 350.12100, 350.1230d)1), 350.1230d)2), 350.1230d)3), 350.3240a), 350.3240b), and 350.3240d). For a total fine of $1,100.00

FACILITY NAME: Lake Shore Healthcare & Rehab
FACILITY ADDRESS: 7200 North Sheridan Road
Chicago, IL 60626

DOCKET #: NH 14-S0098
LICENSEE INFO: Lake Shore Healthcare & Rehabilitation Centre, LLC
ADDRESS: 4600 West Toughy Ave., #200
Lincolnwood, IL 60712

Re: Survey Date – January 10, 2014
Type B violation for violating one or more sections: 300.610a), 300.1010h), 300.1210b), 300.1210d)1), 300.1210d)2), 300.1610a)1), 300.1630a), 300.1630e), 300.3220f), 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).

Type B violation for violating one or more sections: 300.610a), 300.1010h), 300.1210a), 300.1210b), 300.1210c), 300.1210d)1), 300.1210d)3), 300.1220b)2), 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).

Type B violation for violating one or more sections 300.625f)3)A). For a total fine of $4,400.00

FACILITY NAME: Lexington of Orland Park
FACILITY ADDRESS: 14601 South John Humphrey Drive
Orland Park, IL 60642

DOCKET #: NH 14-C0029
LICENSEE INFO: Lexington Health Care Center of Orland Park, Inc.
ADDRESS: 665 West North Ave.
Lombard, IL 60148

Re: Survey Date – January 3, 2014
Type B violation for violating one or more sections: 300.610a), 300.1010h), 300.1210a), 300.1210c), 300.1210d)5), and 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: 300.1210d)5) and 300.3240a). For a total fine of $2,200.00

FACILITY NAME: Litchfield Care Center
FACILITY ADDRESS: 1024 East Tyler
Litchfield, IL 62056

DOCKET #: NH 14-C0062
LICENSEE INFO: Litchfield Care Center, LLC
ADDRESS: 8131 N. Monticello Ave.
Skokie, IL 60077

Re: Survey Date – January 28, 2014
Type B violation for violating one or more sections: 300.1210b), 300.1210d)6), and 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 total fine of $2,200.00

FACILITY NAME: Manor Care of Homewood
FACILITY ADDRESS: 940 Maple Ave.
Homewood, IL 60430

DOCKET #: NH 13-C0548
LICENSEE INFO: Manor Care of Homewood IL, LLC
ADDRESS: 208 S. LaSalle St., Suite 814
Chicago, IL 60604

Re: Survey Date – November 22, 2013
Type B violation for violating one or more sections: 300.610a), 300.1210b), 300.1210d)1)2), and 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) and 300.3240a). For a total fine of $2,200.00

FACILITY NAME: Mason Point
FACILITY ADDRESS: One Masonic Way
Sullivan, IL 61951

DOCKET #: NH 14-S0075
LICENSEE INFO: Petersen Health Care VII, LLC
ADDRESS: 830 W Trailcreek Drive
Peoria, IL 61614

Re: Survey Date – January 23, 2014
Type A violation for violating one or more sections: 300.610a), 300.1210a), 300.1210b), 300.1210d)6), 300.1220b)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), & 300.3240a). For a total fine of $25,000.00

FACILITY NAME: Meadowbrook Manor - Naperville
FACILITY ADDRESS: 720 Raymond Drive
Naperville, IL 60563

DOCKET #: NH 13-S0546
LICENSEE INFO: Butterfield Health Care II, Inc.
ADDRESS: 161 N Clark St., Suite 4200
Chicago, IL 60601

Re: Survey Date – October 10, 2013
Type A violation for violating one or more sections: 300.610a), 300.1010h), 300.1210b), 300.1210c), 300.1210d)3), 300.1210d)6), 300.1220b)2), 300.1220b)3), and 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 total fine of $25,000.00

FACILITY NAME: Meridian Village Care Center
FACILITY ADDRESS: 27 Auerbach Place
Glen Carbon, IL 62034

DOCKET #: NH 14-S0048
LICENSEE INFO: Meridian Village Care Center
ADDRESS: 27 Auerbach Place
Glen Carbon, IL 62034

Re: Survey Date – December 17, 2013
Type B violation for violating one or more sections: 300.610a), 300.1210b), 300.1210d)6), and 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 total fine of $2,200.00

FACILITY NAME: Miller Healthcare Center
FACILITY ADDRESS: 1601 Butterfield Trail
Kankakee, IL 60901

DOCKET #: NH 14-C0066
LICENSEE INFO: Riverside Senior Living Center
ADDRESS: 350 North Wall St.
Kankakee, IL 60901

Re: Survey Date – January 24, 2014
Type B violation for violating one or more sections: 3300.610a), 300.1010h), 300.1210b), 300.1210d)2), 300.1210d)3), 300.1210d)5), 300.3220f), 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)5), and 300.3240a). For a total fine of $2,200.00

FACILITY NAME: Monroe Pavilion Health and Treatment Center
FACILITY ADDRESS: 1400 West Monroe St.
Chicago, IL 60607

DOCKET #: NH 10-S0263
LICENSEE INFO: Monroe Corp
ADDRESS: 191 North Wacker Road, Suite 1800
Chicago, IL 60606

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Neighbors Rehabilitation
FACILITY ADDRESS: 811 West 2nd St.
Byron, IL 61010

DOCKET #: NH 14-S0042
LICENSEE INFO: Neighbors Rehabilitation Center, LLC
ADDRESS: 6840 North Lincoln Ave.
Lincolnwood, IL 60712

Re: Survey Date – November 25, 2013
Type B violation for violating one or more sections of the Code: 300.3240a) and 300.3240e). 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: 300.3240a) and 300.3240e). For a total fine of $2,200.00

FACILITY NAME: Palm Terrace of Mattoon
FACILITY ADDRESS: 1000 Palm Ave.
Mattoon, IL 61938

DOCKET #: NH 14-S0083
LICENSEE INFO: Petersen Management Company, LLC
ADDRESS: 830 W Trailcreek Drive
Peoria, IL 61614

Re: Survey Date – January 17, 2014
Type B violation for violating one or more sections: 300.610a), 300.1210a), 300.1210b)5), 300.1210d)6), and 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).

Type B violation for violating one or more sections: 300.4010c)1) and 300.4020b)1). For a total fine of $2,200.00

FACILITY NAME: Parkshore Estates Nursing & Rehab
FACILITY ADDRESS: 6125 South Kenwood
Chicago, IL 60637

DOCKET #: NH 13-G0324
LICENSEE INFO: Parkshore Estates Nursing & Rehabilitation Center, LLC
ADDRESS: 150 Fencl Lane
Hillside, IL 60162

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Parkshore Estates Nursing & Rehab
FACILITY ADDRESS: 6125 South Kenwood
Chicago, IL 60637

DOCKET #: NH 11-G0254
LICENSEE INFO: Parkshore Estates Nursing & Rehabilitation Center, LLC
ADDRESS: 150 Fencl Lane
Hillside, IL 60162

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Plaza Nursing & Rehab Center
FACILITY ADDRESS: 3249 West 147th St.
Midlothian, IL 60445

DOCKET #: NH 13-C0123
LICENSEE INFO: Plaza Nursing & Rehab Center LLC
ADDRESS: 8131 North Monticello
Skokie, IL 60076

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Prairie Rose Health Care Center
FACILITY ADDRESS: 900 South Chestnut St.
Pana, IL 62557

DOCKET #: NH 13-S0554
LICENSEE INFO: SJL Health Systems, Inc.
ADDRESS: 830 West Trailcreek Drive
Peoria, IL 61614

Re: Survey Date – December 5, 2013
Type B violation for violating one or more sections: 300.1210a), 300.1210b), 300.1210d)3), 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: Presence Cor Mariae Center
FACILITY ADDRESS: 3330 Maria Linden Drive
Rockford, IL 61114

DOCKET #: NH 14-S0092
LICENSEE INFO: Presence Life Connections
ADDRESS: 19065 Hickory Linden Drive
Mokena, IL 60448

Re: Survey Date – January 16, 2014
Type B violation for violating one or more sections: 300.1210b), 300.1210c), 300.1210d)5), and 300.1220b)3). 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 300.1210d)5). For a total fine of $2,200.00

FACILITY NAME: Presence Pine View Care Center
FACILITY ADDRESS: 611 Allen Lane
St. Charles, IL 60174

DOCKET #: NH 13-S0178 NH 13-C0379
LICENSEE INFO: Presence Life Connections
ADDRESS: 19065 Hickory Creek Drive
Mokena, IL 60448

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Rainbow Beach Care Center
FACILITY ADDRESS: 7325 South Exchange St.
Chicago, IL 60649

DOCKET #: NH 12-S0012
LICENSEE INFO: Rainbow Beach QOC, LLC
ADDRESS: 2201 West Main St.
Evanston, IL 60202

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Rainbow Beach Care Center
FACILITY ADDRESS: 7325 South Exchange St.
Chicago, IL 60649

DOCKET #: NH 10-O0076 NH 10-C0207
LICENSEE INFO: Rainbow Beach QOC, LLC
ADDRESS: 2201 West Main St.
Evanston, IL 60202

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Randolph House
FACILITY ADDRESS: 404 1st St., PO Box 279
Vandalia, IL 62471

DOCKET #: NH 14-S0061
LICENSEE INFO: Developmental Planning and Services, Inc.
ADDRESS: 62 Sugarapple Drive
Xenia, IL 62899

Re: Survey Date – January 2, 2014
Type B violation for violating one or more sections of the Code: 350.1210d), 350.1220j), 350.1230b)6), 350.1230b)7), 350.1230d)1), 350.1230e), 350.3220f), and 350.3240a).

Type B violation for violating one or more sections: 350.620a), 350.1060e), 350.1060h), 350.1060j), 350.1210, 350.1230b)6), 350.1230b)7), 350.1230d)1), 350.3240a), 350.3240b), 350.3240c), 350.3240d), and 350.3240f). For a total fine of $1,100.00

FACILITY NAME: Ridgeview Rehab & Nursing Center
FACILITY ADDRESS: 6450 N. Ridge Boulevard, # 109
Chicago, IL 60626

DOCKET #: NH 13-G0418
LICENSEE INFO: Ridgeview Rehab & Nursing Center, LLC
ADDRESS: 191 N. Wacker Drive, Suite 1800
Chicago, IL 60606

Re: Survey Date – N/A FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Ridgeview Rehab & Nursing Center
FACILITY ADDRESS: 6450 N. Ridge Boulevard, # 109
Chicago, IL 60626

DOCKET #: NH 14-C0030 NH 14-S0031
LICENSEE INFO: Ridgeview Rehab & Nursing Center, LLC
ADDRESS: 191 N. Wacker Drive, Suite 1800
Chicago, IL 60606

Re: Survey Date – December 5, 2013
Type B violation for violating one or more sections: 300.1210b), 300.3240a), and 300.3240b). 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) and 300.3240a). For a total fine of $2,200.00

FACILITY NAME: St. Vincent’s Home
FACILITY ADDRESS: 1440 North 10th St.
Quincy, IL 62301

DOCKET #: NH 13-S0550
LICENSEE INFO: St. Vincent’s Home, Inc.
ADDRESS: 1W. Old State Capital, Suite 600, Box 2117
Springfield, IL 62705

Re: Survey Date – November 27, 2013
Type B violation for violating one or more sections: 300.610a), 300.1010h), 300.1210b), 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 total fine of $2,200.00

FACILITY NAME: Salem Village Nursing & Rehab
FACILITY ADDRESS: 1314 Rowell Ave.
Joliet, IL 60433

DOCKET #: NH 14-S0068
LICENSEE INFO: Salem Village Nursing and Rehabilitation Center, LLC
ADDRESS: 111 N. Ottawa St.
Joliet, IL 60432

Re: Survey Date – December 10, 2013
Type B violation for violating one or more sections: 300.610a), 300.695a)3), 300.695b)3), 300.695c)1), 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: 300.695b)3), 300.3240a), and 3003240e). For a total fine of $25,000.00

FACILITY NAME: Shawnee Christian Nursing Center
FACILITY ADDRESS: 1901 North 13Th St.
Herrin, IL 62948

DOCKET #: NH 14-C0065
LICENSEE INFO: Shawnee Christian Nursing Center, LLC
ADDRESS: 200 North Postville Road
Lincoln, IL 62656

Re: Survey Date – January 16, 2014
Type B violation for violating one or more sections: 300.610a), 300.1210b)5), 300.1210c), 300.1210d)6), and 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 total fine of $2,200.00

FACILITY NAME: Sheridan Shores Care & Rehab Center
FACILITY ADDRESS: 5838 North Sheridan Road
Chicago, IL 60660

DOCKET #: NH 11-S0212
LICENSEE INFO: Sheridan Shores Care and Rehabilitation Center, Inc.
ADDRESS: 2201 Main St.
Evanston, IL 60202

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Stonebridge Senior Living Center
FACILITY ADDRESS: 902 S. McLeansboro St., Box 968
Benton, IL 62812

DOCKET #: NH 13-C0223
LICENSEE INFO: Stonebridge Senior Living Center, LLC
ADDRESS: 607 S. Commercial St.
Harrisburg, IL 62946

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Stuart Estates
FACILITY ADDRESS: 13 Northbrook
McLeansboro, IL 62859

DOCKET #: NH 14-S0051
LICENSEE INFO: TDL Group, Inc.
ADDRESS: 11340 Arcadoa Lake Road
Marion, IL 62959

Re: Survey Date – December 17, 2013
Type B violation for violating one or more sections of the Code: 350.620a), 350.1060c)1), 350.1060c)2), 350.1060d), 350.1060e), 3501210, 350.3240a), and 350.3240f). For a total fine of $550.00

FACILITY NAME: Tower Hill Healthcare Center
FACILITY ADDRESS: 750 Kane St. South
Elgin, IL 60177

DOCKET #: NH 14-C0067 NH 14-S0078
LICENSEE INFO: Tower Hill Rehabilitation, LLC
ADDRESS: 7434 Skokie Boulevard
Skokie, IL 60077

Re: Survey Date – January 24, 2014
Type B violation for violating one or more sections: 300.610a), 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 total fine of $2,200.00

FACILITY NAME: University Nursing & Rehab Center
FACILITY ADDRESS: 1095 University Drive
Edwardsville, IL 62025

DOCKET #: NH 14-S0086
LICENSEE INFO: Edwardsville Health Care Center Investors, LLC
ADDRESS: 8170 N. McCormick Boulevard, Suite 219
Skokie, IL 60076

Re: Survey Date – January 28, 2014
Type B violation for violating one or more sections: 300.610a), 300.1210b), 300.1210d)6), 300.1220b)2), 300.1220b)3), and 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 total fine of $2,200.00

FACILITY NAME: Village at Victory Lakes
FACILITY ADDRESS: 1055 East Grand Ave.
Lindenhurst, IL 60046

DOCKET #: NH 14-S0084
LICENSEE INFO: Franciscan Communities, Inc.
ADDRESS: 208 S. LaSalle St., Suite 814
Chicago, IL 60604

Re: Survey Date – January 17, 2014
Type B violation for violating one or more sections: 300.610a), 300.1010h), 300.1210b), 300.1210d)3), 300.1210d)5), and 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)5), and 300.3240a). For a total fine of $2,200.00

FACILITY NAME: Village at Victory Lakes
FACILITY ADDRESS: 1055 East Grand Ave.
Lindenhurst, IL 60046

DOCKET #: NH 14-S0551
LICENSEE INFO: Franciscan Communities, Inc.
ADDRESS: 208 S. LaSalle St., Suite 814
Chicago, IL 60604

Re: Survey Date – October 24, 2013
Type A violation for violating one or more sections: 300.695b)1), 300.1210b), 300.3240a), 300.3240b), and 300.3240e). 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), 300.3240a), and 300.3240e). For a total fine of $25,000.00

FACILITY NAME: Walnut Grove Village
FACILITY ADDRESS: 1095 Twilight Drive
Morris, IL 60450

DOCKET #: NH 14-C0060
LICENSEE INFO: Morris SNF Management, LLC
ADDRESS: 1315 W. Lawrence Ave.
Springfield, IL 62704

Re: Survey Date – December 5, 2013
Type B violation for violating one or more sections: 300.610a), 300.1210b), 300.1210c), 300.1210d)6), 300.1220b)2), and 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 total fine of $2,200.00

FACILITY NAME: Westmont Nursing & Rehab Center
FACILITY ADDRESS: 3501 S. Cass Ave.
Westmont, IL 60559

DOCKET #: NH 12-0338
LICENSEE INFO: Westmont Nursing & Rehabilitation Center, LLC
ADDRESS: 6865 N. Lincoln Ave.
Lincolnwood, IL 60712

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Windmill Nursing Pavilion
FACILITY ADDRESS: 16000 South Wabash
South Holland, IL 60473

DOCKET #: NH 13-G0518
LICENSEE INFO: Windmill Nursing Pavilion, LTD
ADDRESS: 191 North Wacker Drive, Suite 1800
Chicago, IL 60606

Re: Survey Date – N/A
FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.