QUARTERLY REPORT

April - June 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 Alma Nelson Manor
FACILITY ADDRESS: 550 South Mulford Avenue
FACILITY CITY, STATE, ZIP: Rockford, Illinois 61108

DOCKET NUMBER: NH 14-C0231

LICENSEE INFO: Alden – Alma Nelson Manor, Inc.
LICENSEE ADDRESS: 4200 West Peterson
LICENSEE CITY, STATE, ZIP: Chicago, Illinois 60646

Survey Date – May 12, 2014
Type B violation for violating one or more sections: 300.610a), 300.1210b)5), 300.1210d06) 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: Alden Estates of Naperville
FACILITY ADDRESS: 1525 South Oxford Lane
FACILITY CITY, STATE, ZIP: Naperville, IL 60565

DOCKET NUMBER: NH 11-C0399

LICENSEE INFO: Alden Estates of Naperville, Inc.
LICENSEE ADDRESS: 4200 West Peterson Avenue, Suite 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646

Survey Date - N/A
FINAL ORDER- Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.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 Street
FACILITY CITY, STATE, ZIP: Chicago, IL 60626

DOCKET NUMBER: NH 13-C0433

LICENSEE INFO: Alden- Wentworth Rehabilitation & Health Care Center, Inc.
LICENSEE ADDRESS: 4200 W Peterson Avenue, Suite 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646

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FINAL ORDER- Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Alpine Fireside Health Center
FACILITY ADDRESS: 3650 North Alpine Road
FACILITY CITY, STATE, ZIP: Rockford, IL 61114

DOCKET NUMBER: NH 13-S0465

LICENSEE INFO: Alpine Fireside Health Center, LTD
LICENSEE ADDRESS: 3650 North Alpine Road
LICENSEE CITY, STATE, ZIP: Rockford, IL 61114

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 Avenue
FACILITY CITY, STATE, ZIP: Rockford, IL 61103

DOCKET NUMBER: NH 14-C0227

LICENSEE INFO: Amberwood Healthcare Centre, LLC
LICENSEE ADDRESS: 8140 River Drive
LICENSEE CITY, STATE, ZIP: Morton Grove, IL 60053

Survey Date – April 15, 2014
Type AA violation for violating one or more sections: 300.610a), 300.1010h), 300.1210b), 300.1210d)3), 300.1220b)8) 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 $50,000.00

FACILITY NAME: Aperion Care Bridgeport
FACILITY ADDRESS: 900 East Corporation St.
FACILITY CITY, STATE, ZIP: Bridgeport, IL 62417

DOCKET NUMBER: NH 14-S0237

LICENSEE INFO: Aperion Care Bridgeport, LLC
LICENSEE ADDRESS: 8131 Monticello Ave.
LICENSEE CITY, STATE, ZIP: Bridgeport, IL 62417

Survey Date – May 12, 2014
Type A violation for violating one or more sections: 300.1210b), 300.2930c)5), 300.1210d)6), 3002930c)6)A), 300.2930c)6)B) 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: Apostolic Christian Home
FACILITY ADDRESS: 1102 West Randolph, P.O. Box 530
FACILITY CITY, STATE, ZIP: Roanoke, IL 61561

DOCKET NUMBER: NH 14-S0222

LICENSEE INFO: Apostolic Christian Home of Roanoke, Illinois, Inc.
LICENSEE ADDRESS: 1102 West Randolph
LICENSEE CITY, STATE, ZIP: Roanoke, IL 61561

Survey Date – March 20, 2014
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 300.282i) 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: Applewood Rehabilitation Center
FACILITY ADDRESS: 21020 Kostner Avenue
FACILITY CITY, STATE, ZIP: Matteson, IL 60443

DOCKET NUMBER: NH 12-S0287

LICENSEE INFO: Applewood Rehabilitation Center, LLC
LICENSEE ADDRESS: 6840 North Lincoln Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712

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
FACILITY CITY, STATE, ZIP: Elgin, IL 60123

DOCKET NUMBER: NH 14-S0189

LICENSEE INFO: Asta Care Center of Elgin, LLC
LICENSEE ADDRESS: 134 North Mclean Boulevard
LICENSEE CITY, STATE, ZIP: Elgin, IL 60123

Survey Date - March 24, 2014
Type A violation for violating one or more sections: 300.1010h), 300.120b), 300.1210d)2), 300.1210d)3), 300.1210d)5) 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 $25,000.00

FACILITY NAME: Asta Care Center of Toluca
FACILITY ADDRESS: 101 East Via Ghiglieri
FACILITY CITY, STATE, ZIP: Toluca, IL 61369

DOCKET NUMBER: NH 14-S0178

LICENSEE INFO: Asta Care Center of Toluca, LLC
LICENSEE ADDRESS: 134 North Mclean Boulevard
LICENSEE CITY, STATE, ZIP: Elgin, IL 60123

Survey Date - March 13, 2014
Type B violation for violating one or more sections: 300.610a), 300.3240a), 300.3240b), 300.3240d) 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: 300.3240a), 300.3240d) and 300.3240e). For a total fine of $2,200.00

FACILITY NAME: Atrium HC & Rehab Center- Cahokia
FACILITY ADDRESS: 3354 Jerome Lane
FACILITY CITY, STATE, ZIP: Cahokia, IL 62206

DOCKET NUMBER: NH 14-S0197

LICENSEE INFO: Atrium Health Care & Rehabilitation Center of Cahokia, LLC
LICENSEE ADDRESS: 465 Central Avenue #100
LICENSEE CITY, STATE, ZIP: Northfield, IL 60093

Survey Date - March 29, 2014
Type B violation for violating one or more sections: 300.610a), 300.1210a), 300.1210b)5), 300.1210d)6), 300.1220b)3) and 3003240a). 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: 300.120b), 300.1210d)6) and 300.3240a). For a total fine of $2,200.00

FACILITY NAME: Beverly Farm Foundation
FACILITY ADDRESS: 6301 Humbert Road
FACILITY CITY, STATE, ZIP: Godfrey, IL 62035

DOCKET NUMBER: NH 14-C0207   NH 14-S0223

LICENSEE INFO: Beverly Farm Foundation
LICENSEE ADDRESS: 190 South LaSalle Street, Suite 3700
LICENSEE CITY, STATE, ZIP: Chicago, IL 60603

Survey Date - March 24, 2014
Type A violation for violating one or more sections of the Code: 350.620a), 350.1210, 350.3240a) and 350.3240b). For a total fine of $12,500.00

FACILITY NAME: Beverly Farm Foundation
FACILITY ADDRESS: 6301 Humbert Road
FACILITY CITY, STATE, ZIP: Godfrey, IL 62035

DOCKET NUMBER: NH 13-S0389

LICENSEE INFO: Beverly Farm Foundation
LICENSEE ADDRESS: 190 South LaSalle Street, Suite 3700
LICENSEE CITY, STATE, ZIP: Chicago, IL 60603

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

FACILITY NAME: Brentwood Sub-Acute Healthcare Center
FACILITY ADDRESS: 5400 West 87th Street
FACILITY CITY, STATE, ZIP: Burbank, IL 60459

DOCKET NUMBER: NH 14-S0213

LICENSEE INFO: Brentwood Operating Company, LLC
LICENSEE ADDRESS: 208 South LaSalle Street, Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604

Survey Date – April 4, 2014
Type B violation for violating one or more sections: 300.1210b), 300.1220d)5) 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: 300.120b), 300.1210d)6) and 300.3240a). For a total fine of $2,200.00

FACILITY NAME: Briar Place
FACILITY ADDRESS: 6800 West Joliet
FACILITY CITY, STATE, ZIP: Indian Head Park, IL 60525

DOCKET NUMBER: NH 10-S0331

LICENSEE INFO: Briar Place, LTO
LICENSEE ADDRESS: 2201 Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202

Survey Date - N/A
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
FACILITY CITY, STATE, ZIP: Chicago, IL 60616

DOCKET NUMBER: NH 14-C0242

LICENSEE INFO: Chevy Chase Corp.
LICENSEE ADDRESS: 191 North Wacker Drive, Suite 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606

Survey Date – April 24, 2014
Type A violation for violating one or more sections: 300.610a), 300.1010h), 300.1210b), 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 $25,000.00

FACILITY NAME: Burgin Manor of Olney, Inc.
FACILITY ADDRESS: 900 East Scott Street
FACILITY CITY, STATE, ZIP: Olney, IL 62450

DOCKET NUMBER: NH 14-S0179

LICENSEE INFO: Burgin Manor of Olney, Inc.
LICENSEE ADDRESS: 858 Sunnyhill Lane
LICENSEE CITY, STATE, ZIP: Columbia, IL 62236

Survey Date – March 11, 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 300.282i) 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: Cahokia Nursing & Rehab Center
FACILITY ADDRESS: 2 Annable Court
FACILITY CITY, STATE, ZIP: Cahokia, IL 62206

DOCKET NUMBER: NH 14-S0228

LICENSEE INFO: Cahokia Nursing & Rehabilitation Center, Inc.
LICENSEE ADDRESS: 7434 North Skokie Boulevard
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077

Survey Date – April 15, 2014
Type B violation for violating one or more sections: 300.1210b), 300.1220d)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: Center Home Hispanic Elderly
FACILITY ADDRESS: 1404 North California
FACILITY CITY, STATE, ZIP: Chicago, IL 60622

DOCKET NUMBER: NH 14-S0158

LICENSEE INFO: Center Home Hispanic Elderly, LLC
LICENSEE ADDRESS: 191 N. Wacker Drive, Suite 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606

Survey Date – March 13, 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 300.282i) 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: Chalet Living & Rehab Center
FACILITY ADDRESS: 7350 North Sheridan Road
FACILITY CITY, STATE, ZIP: Chicago, IL 60626

DOCKET NUMBER: NH 13-S0409

LICENSEE INFO: Chalet Living & Rehabilitation Center, LLC
LICENSEE ADDRESS: 191 N. Wacker Drive, Suite 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606

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

FACILITY NAME: Columbus Manor Res Care Home
FACILITY ADDRESS: 5107-21 West Jackson Boulevard
FACILITY CITY, STATE, ZIP: Chicago, IL 60644

DOCKET NUMBER: NH 14-S0191

LICENSEE INFO: YSL Care, Inc.
LICENSEE ADDRESS: 1440 Maple Avenue, Suite 6A
LICENSEE CITY, STATE, ZIP: Lisle, IL 60532

Survey Date – April 10, 2014
Type A violation for violating one or more sections: 300.610a), 300.1010h), 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 $25,000.00

FACILITY NAME: Countryside Nursing & Rehab Center
FACILITY ADDRESS: 1635 East 154th Street
FACILITY CITY, STATE, ZIP: Dolton, IL 60419

DOCKET NUMBER: NH 14-S0190

LICENSEE INFO: Countryside Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 2201 West Main Street
LICENSEE CITY, STATE, ZIP: Dolton, IL 60419

Survey Date – April 4, 2014
Type A 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 300.282i) 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: Courtyard Healthcare Center
FACILITY ADDRESS: 3601 South Harlem Avenue
FACILITY CITY, STATE, ZIP: Berwyn, IL 60402

DOCKET NUMBER: NH 14-C0124

LICENSEE INFO: Courtyard Healthcare Center, LLC
LICENSEE ADDRESS: 5750 Old Orchard Road, Suite 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077

Survey Date – February 7, 2014
Type A violation for violating one or more sections: 300.610a), 300.1210b), 300.1210d)6), 300.2900d)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)6) and 300.3240a). For a total fine of $25,000.00

FACILITY NAME: Coventry Living Center
FACILITY ADDRESS: 612 West St. Mary's Street
FACILITY CITY, STATE, ZIP: Sterling, IL 61081

DOCKET NUMBER: NH 14-C0193

LICENSEE INFO: Sterling SNF Management, LLC
LICENSEE ADDRESS: 1315 West Lawrence Avenue
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704

Survey Date – April 15, 2014
Type B violation for violating one or more sections: 300.1210b), 300.3220f) and 300.3240a). The fine was doubled in this instance in accordance with 300.2820i) 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: Crestwood Terrace Nursing Center
FACILITY ADDRESS: 13301 South Central Avenue
FACILITY CITY, STATE, ZIP: Crestwood, IL 60445

DOCKET NUMBER: NH 14-C0167   NH 14-S0168

LICENSEE INFO: CT Care, LLC
LICENSEE ADDRESS: 1S443 Summit Avenue, Suite 204
LICENSEE CITY, STATE, ZIP: Oakbrook Terrace, IL 60181

Survey Date – February 20, 2014
Type A violation for violating one or more sections: 300.610a), 300.1210b) 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 $25,000.00

FACILITY NAME: Crossroads Care Center Woodstock
FACILITY ADDRESS: 309 McHenry Avenue
FACILITY CITY, STATE, ZIP: Woodstock, IL 60098

DOCKET NUMBER: NH 14-S0203

LICENSEE INFO: Crossroads Care Center of Woodstock, LLC
LICENSEE ADDRESS: 5750 Old Orchard Road, Suite 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077

Survey Date – April 2, 2014
Type B violation for violating one or more sections: 300.610a), 300.1210a), 300.1210b), 300.1210d)5) 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).
Type B violation for violating one or more sections: 300.1210a), 300.1210b), 300.1210d)2), 300.1210d)5) 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 $4,400.00

FACILITY NAME: Crossroads Care Center - Woodstock
FACILITY ADDRESS: 309 McHenry Avenue
FACILITY CITY, STATE, ZIP: Woodstock, IL 60098

DOCKET NUMBER: NH 14-G0056

LICENSEE INFO: Crossroads Care Center of Woodstock, LLC
LICENSEE ADDRESS: 5750 Old Orchard Road, Suite 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077

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

FACILITY NAME: Ellner Terrace
FACILITY ADDRESS: 801 Market Street
FACILITY CITY, STATE, ZIP: Evansville, IL 62242

DOCKET NUMBER: NH 14-C0210   NH 14-S0225

LICENSEE INFO: Progressive Housing, Inc.
LICENSEE ADDRESS: 3615 Park Drive, Suite 100
LICENSEE CITY, STATE, ZIP: Olympia Fields, IL 60461

Survey Date – March 27, 2014
Type A violation for violating one or more sections of the Code: 350.620a), 350.1060f), 350.3240a), 350.3240d), and 320.3240e). For a total fine of $6,250.00

FACILITY NAME: The Elms
FACILITY ADDRESS: 1212 Madelyn Avenue
FACILITY CITY, STATE, ZIP: Macomb, IL 61455

DOCKET NUMBER: NH 14-S0195

LICENSEE INFO: McDonough County
LICENSEE ADDRESS: One Courthouse Square, No. 7
LICENSEE CITY, STATE, ZIP: Macomb, IL 61455

Survey Date – April 7, 2014
Type B violation for violating one or more sections: 300.610a), 300.1210a), 300.1210b)5), 300.121Od)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: Emeritus at Hoffman Estates
FACILITY ADDRESS: 2150 West Golf Road
FACILITY CITY, STATE, ZIP: Hoffman Estates, IL 60169

DOCKET NUMBER: NH 14-C0215

LICENSEE INFO: Emericare, Inc.
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703

Survey Date – April 28, 2014
Type A violation for violating one or more sections: 330.785b)3), 330.4240c), and 330.4240d). 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: 330.785b) and 330.4240d). For a total fine of $25,000.00

FACILITY NAME: Fair Oaks Health Care Center
FACILITY ADDRESS: 471 Terra Cotta Avenue
FACILITY CITY, STATE, ZIP: Crystal Lake, Illinois 60014

DOCKET NUMBER: NH 14-S0232

LICENSEE INFO: Wisconsin Illinois Senior Housing
LICENSEE ADDRESS: 471 Terra Cotta Avenue
LICENSEE CITY, STATE, ZIP: Crystal Lake, IL 60014

Survey Date – April 25, 2014
Type B violation for violating one or more sections: 300.610a), 300.1210b), 300.1210d)5) 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: Gardenview Manor
FACILITY ADDRESS: 14792 Catlin-Tilton Road
FACILITY CITY, STATE, ZIP: Danville, IL 61834

DOCKET NUMBER: NH 14-S0209

LICENSEE INFO: Gardenview Manor, LLC
LICENSEE ADDRESS: 5750 Old Orchard Road, Suite 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077

Survey Date – April 14, 2014
Type B violation for violating one or more sections: 300.610a), 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: 300.1210d)6) and 300.3240a). For a total fine of $2,200.00

FACILITY NAME: Gilman Healthcare Center
FACILITY ADDRESS: 1390 South Crescent Street
FACILITY CITY, STATE, ZIP: Gilman, IL 60938

DOCKET NUMBER: NH 14-80054

LICENSEE INFO: Gilman Healthcare Center, LLC
LICENSEE ADDRESS: 4711 Golf Road, Suite 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076

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

FACILITY NAME: Glenshire Nursing & Rehab Centre
FACILITY ADDRESS: 22660 South Cicero Avenue
FACILITY CITY, STATE, ZIP: Richton Park, IL 60471

DOCKET NUMBER: NH 14-C0199

LICENSEE INFO: Glenshire Nursing & Rehabilitation Centre, LTD
LICENSEE ADDRESS: 191 North Wacker Drive, Suite 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606

Survey Date – March 27, 2014
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: Good Samaritan Society- Geneseo VIllage
FACILITY ADDRESS: 704 South Illinois Street
FACILITY CITY, STATE, ZIP: Geneseo, IL 61254

DOCKET NUMBER: NH 14-S0182

LICENSEE INFO: Good Samaritan Society- Geneseo Village
LICENSEE ADDRESS: 208 South LaSalle Street
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604

Survey Date – February 27, 2014
Type B violation for violating one or more sections: 300.1210b), 300.1210d)6), 300.1220b)30 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: 300.1210d)6) and 300.3240a). For a total fine of $2,200.00

FACILITY NAME: Grosse Pointe Manor
FACILITY ADDRESS: 6601 West Touhy
FACILITY CITY, STATE, ZIP: Niles, IL 60714

DOCKET NUMBER: NH 14-S0142

LICENSEE INFO: Grosse Pointe Manor, LLC
LICENSEE ADDRESS: 191 North Wacker Drive, Suite 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606

Survey Date – February 27, 2014
Type B violation for violating one or more sections: 300.610a), 300.1210a), 300.1210b), 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 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.120d)6) and 300.3240a). For a total fine of $2,200.00

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

DOCKET NUMBER: NH 14-G0059

LICENSEE INFO: Grove of Northbrook Living & Rehab Center, LLC
LICENSEE ADDRESS: 7040 North Ridgeway Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712

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

FACILITY NAME: H&S Care Center
FACILITY ADDRESS: 310 Third Street, P.O. Box 376
FACILITY CITY, STATE, ZIP: Tamms, IL 62988

DOCKET NUMBER: NH 14-C0241

LICENSEE INFO: Tweedy, Inc.
LICENSEE ADDRESS: 101 W. Market Street, P.O. Box I
LICENSEE CITY, STATE, ZIP: Jonesboro, IL 62952

Survey Date – May 22, 2014
Type B violation for violating one or more sections: 330.710a), 330.710c)2), 330.780b), 330.785b02), 330.785c)1-5), 330.785d), 330.1110f), 330.4240b), 330.4240d) and 330.4240f). 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: 330.780, 330.785b) and 330.4240d). For a total fine of $25,000.00

FACILITY NAME: Harbor Crest Home
FACILITY ADDRESS: 817 1ihStreet
FACILITY CITY, STATE, ZIP: Fulton, IL 61252

DOCKET NUMBER: NH 14-S0159

LICENSEE INFO: Harbor Crest
LICENSEE ADDRESS: 817 17th Street
LICENSEE CITY, STATE, ZIP: Fulton, IL 61252

Survey Date – March 6, 2014
Type B violation for violating one or more sections: 300.1210a), 300.1210d)2), 300.1210d)50, 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)5) and 300.3240a). For a total fine of $2,200.00

FACILITY NAME: Havana Health Care Center
FACILITY ADDRESS: 609 North Harpham Street
FACILITY CITY, STATE, ZIP: Havana, IL 62644

DOCKET NUMBER: NH 14-C0196

LICENSEE INFO: Petersen Health Care, Inc.
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614

Survey Date – April 16, 2014
Type A violation for violating one or more sections: 300.610a), 300.1035a)2), 300.1210a), 300.1210c), 300.3220f) and 300.3240a). For a total fine of $12,500.00

FACILITY NAME: Havana Health Care Center
FACILITY ADDRESS: 609 North Harpham Street
FACILITY CITY, STATE, ZIP: Havana, IL 62644

DOCKET NUMBER: NH 14-S0211

LICENSEE INFO: Peterson Health Care, Inc.
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614

Survey Date – April 28, 2014
Type B violation for violating one or more sections: 300.1210b), 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: 300.1210d)6) and 300.3240a).
Type B violation for violating one or more sections 300.615e) and 300.615f). For a total fine of $2,200.00

FACILITY NAME: Havana Health Care Center
FACILITY ADDRESS: 609 North Harpham Street
FACILITY CITY, STATE, ZIP: Havana, IL 62644

DOCKET NUMBER: NH 13-S0320

LICENSEE INFO: Petersen Health Care, Inc.
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614

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

FACILITY NAME: Heddington Oaks
FACILITY ADDRESS: 2223 West Heading Avenue
FACILITY CITY, STATE, ZIP: Peoria, IL 61604

DOCKET NUMBER: NH 14-C0184

LICENSEE INFO: Peoria County Board
LICENSEE ADDRESS: 324 Main Street, Room 502
LICENSEE CITY, STATE, ZIP: Peoria, IL 61602

Survey Date – March 13, 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 300.282i) 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: Helia Healthcare of Energy
FACILITY ADDRESS: 210 East College, P.O. Box 519
FACILITY CITY, STATE, ZIP: Energy, IL 62933

DOCKET NUMBER: NH 13-G0274

LICENSEE INFO: Helila Healthcare of Energy, LLC
LICENSEE ADDRESS: 600 South 2nd Street
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704

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

FACILITY NAME: Heritage Health- Jacksonville
FACILITY ADDRESS: 873 Grove Street
FACILITY CITY, STATE, ZIP: Jacksonville, IL 62650

DOCKET NUMBER: NH 13-C0176

LICENSEE INFO: ADDRESS: Barton W. Stone, Jacksonville, LLC
LICENSEE ADDRESS: 115 W. Jefferson Street, Suite 4004
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61701

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

FACILITY NAME: Heritage Health Springfield
FACILITY ADDRESS: 900 North Rutledge
FACILITY CITY, STATE, ZIP: Springfield, IL 62702

DOCKET NUMBER: NH 14-S0251

LICENSEE INFO: Rutledge Joint Ventures L.L.C
LICENSEE ADDRESS: 115 W. Jefferson St., Ste 401
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61701

Survey Date – May 30, 2014
Type B violation for violating one or more sections: 300.1210b)4), 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: Hope Creek Care Center
FACILITY ADDRESS: 4343 Kennedy Drive
FACILITY CITY, STATE, ZIP: East Moline, IL 61244

DOCKET NUMBER: NH 14-C0141

LICENSEE INFO: Rock Island County
LICENSEE ADDRESS: 1504 Third Avenue
LICENSEE CITY, STATE, ZIP: Rock Island, IL 61201

Survey Date – March 6, 2014
Type A violation for violating one or more sections: 300.610a), 300.3240b), 300.3240d), 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), 300.3240d), and 300.3240e). For a total fine of $25,000.00

FACILITY NAME: Imboden Creek Living Center
FACILITY ADDRESS: 180 West Imboden
FACILITY CITY, STATE, ZIP: Decatur, IL 62521

DOCKET NUMBER: NH 14-C0260

LICENSEE INFO: Living Centers, Inc.
LICENSEE ADDRESS: 20 South Side Country Club
LICENSEE CITY, STATE, ZIP: Decatur, IL 62521

Survey Date – June 11, 2014
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 300.282i) 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: Kensington Place Nursing & Rehab
FACILITY ADDRESS: 3405 South Michigan Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60616

DOCKET NUMBER: NH 13-G0100

LICENSEE INFO: Kensington Place Nursing & Rehabilitation Center, LLC
LICENSEE ADDRESS: 8170 McCormick Boulevard, Suite 219
LICENSEE CITY, STATE, ZIP: Skokie, IL 60079

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

FACILITY NAME: Leroy Manor
FACILITY ADDRESS: 509 South Buck Road, P.O. Box 149
FACILITY CITY, STATE, ZIP: Leroy, IL 61752

DOCKET NUMBER: NH 14-C0157

LICENSEE INFO: UDI #4, LLC
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401

Survey Date – March 6, 2014
Type A violation for violating one or more sections: 300.510e), 300.610a), 300.1010h), 300.1210b), 300.3240a), 300.3240c) 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) and 300.3240a). For a total fine of $25,000.00

FACILITY NAME: Lexington Health Care Center- Bloomingdale
FACILITY ADDRESS: 165 South Bloomingdale Road
FACILITY CITY, STATE, ZIP: Bloomingdale, IL 60108

DOCKET NUMBER: NH 14-C0127

LICENSEE INFO: Lexington Health Care Center of Bloomingdale, Inc.
LICENSEE ADDRESS: 665 West North Avenue
LICENSEE CITY, STATE, ZIP: Lombard, IL 60148

Survey Date – January 22, 2014
Type B violation for violating one or more sections: 300.610a), 300.1210b), 300.1210c) 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: 300.120b) and 300.3240a). For a total fine of $2,200.00

FACILITY NAME: Lexington Health Care Center - Bloomingdale
FACILITY ADDRESS: 165 South Bloomingdale Road
FACILITY CITY, STATE, ZIP: Bloomingdale, IL 60108

DOCKET NUMBER: NH 14-C0235

LICENSEE INFO: Lexington Health Care Center of Bloomingdale, Inc.
LICENSEE ADDRESS: 665 West North Avenue
LICENSEE CITY, STATE, ZIP: Lombard, IL 60148

Survey Date – May 6, 2014
Type A 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 300.282i) 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: Lexington of Elmhurst
FACILITY ADDRESS: 420 W. Butterfield Rd
FACILITY CITY, STATE, ZIP: Elmhurst, IL 60126

DOCKET NUMBER: NH 14-C0250

LICENSEE INFO: Lexington Health Care Center of Elmhurst Inc.
LICENSEE ADDRESS: 665 West North Ave.
LICENSEE CITY, STATE, ZIP: Lombard, IL 60148

Survey Date – May 6, 2014
Type A violation for violating one or more sections: 300.1210b) 300.1210d), 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)6), 300.1210d)6) and 300.3240a) For a total fine of $25,000.00

FACILITY NAME: Lexington Health Care Center- Lombard
FACILITY ADDRESS: 2100 South Finley Road
FACILITY CITY, STATE, ZIP: Lombard, IL 60148

DOCKET NUMBER: NH 14-C0172

LICENSEE INFO: Lexington Health Care Center of Lombard, Inc.
LICENSEE ADDRESS: 665 West North Avenue
LICENSEE CITY, STATE, ZIP: Lombard, IL 60148

Survey Date – April 1, 2014
Type A violation for violating one or more sections: 300.1210b), 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). For a total fine of $25,000.00

FACILITY NAME: Lieberman Center for Health & Rehab
FACILITY ADDRESS: 9700 Gross Point Road
FACILITY CITY, STATE, ZIP: Skokie, IL 60076

DOCKET NUMBER: NH 13-G0475

LICENSEE INFO: Council for Jewish Elderly
LICENSEE ADDRESS: 3003 West Touhy Avenue
LICENSEE CITY, STATE, ZIP: Chicago, IL 60645

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

FACILITY NAME: Lincoln Rehabilitation Center
FACILITY ADDRESS: 2650 North Monroe
FACILITY CITY, STATE, ZIP: Decatur, IL 62526

DOCKET NUMBER: NH 14-S0129

LICENSEE INFO: Lincoln Rehabilitation Center, LLC
LICENSEE ADDRESS: 8131 Monticello Avenue
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076

Survey Date – January 30, 2014
Type B violation for violating one or more sections: 300.1210b), 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).
Type B violation for violating one or more sections: 300.40301), 300.1090b)1)A), 300.1090b)1)B), 300.4090c)1) and 300.4090c)3).
Type B violation for violating one or more sections: 300.1230d)1), 300.1230d)2), 300.1230k), and 300.12301)5). For a total fine of $2,200.00

FACILITY NAME: Lutheran Home for the Aged
FACILITY ADDRESS: 800 West Oakton Street
FACILITY CITY, STATE, ZIP: Arlington Heights, IL 60004

DOCKET NUMBER: NH 13-C0521

LICENSEE INFO: Lutheran Home for the Aged, Inc.
LICENSEE ADDRESS: 800 West Oakton Street
LICENSEE CITY, STATE, ZIP: Arlington Heights, IL 60004

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

FACILITY NAME: Lydia Healthcare
FACILITY ADDRESS: 13901 South Lydia
FACILITY CITY, STATE, ZIP: Robbins, IL 60472

DOCKET NUMBER: NH 11-C0401

LICENSEE INFO: Lydia Healthcare, LLC
LICENSEE ADDRESS: 13901 South Lydia Avenue
LICENSEE CITY, STATE, ZIP: Robbins, IL 60472

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

FACILITY NAME: Manor Court of Clinton
FACILITY ADDRESS: 1 Park Lane West
FACILITY CITY, STATE, ZIP: Clinton, IL 61727

DOCKET NUMBER: NH 14-S0173

LICENSEE INFO: Residential Alternatives of Illinois, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401

Survey Date – March 7, 2014
Type B violation for violating one or more sections: 300.1210b) 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: Manor Court of Maryville
FACILITY ADDRESS: 6955 State Route 162
FACILITY CITY, STATE, ZIP: Maryville, IL 62062

DOCKET NUMBER: NH 14-C0204

LICENSEE INFO: UDI #2, LLC
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401

Survey Date – April 22, 2014
Type B violation for violating one or more sections: 300.1210b), 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: Manor Care of Oak Lawn West
FACILITY ADDRESS: 6300 West 95th Street
FACILITY CITY, STATE, ZIP: Oak Lawn, IL 60453

DOCKET NUMBER: NH 14-C0121

LICENSEE INFO: Manor Care of Oak Lawn West IL, LLC
LICENSEE ADDRESS: 208 South LaSalle Street, Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604

Survey Date – February 13, 2014
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 300.282i) 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: Manorcare of Highland Park
FACILITY ADDRESS: 2773 Skokie Valley Road Highland Park, IL 60035

DOCKET NUMBER: NH 12-G0246

LICENSEE INFO: Manorcare Health Services, Inc.
LICENSEE ADDRESS: 208 S. LaSalle Street, Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604

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

FACILITY NAME: Manorcare of Hinsdale
FACILITY ADDRESS: 600 West Ogden Avenue
FACILITY CITY, STATE, ZIP: Hinsdale, IL 60521

DOCKET NUMBER: NH 12-G0466

LICENSEE INFO: Manor Care of Hinsdale IL, LLC
LICENSEE ADDRESS: 208 S. LaSalle Street, Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604

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

FACILITY NAME: Manorcare of Oak Lawn East
FACILITY ADDRESS: 9401 South Kostner Ave
FACILITY CITY, STATE, ZIP: Oak Lawn, IL60453

DOCKET NUMBER: NH 14-C0252

LICENSEE INFO: Manorcare of Oak Lawn (East) IL, LLC
LICENSEE ADDRESS: 208 S. LaSalle St, Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604

Survey Date – May 8, 2014
Type A violation for violating one or more sections: 300.610a), 300.1210b), 300.1210d06), 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: Manorcare of Westmont
FACILITY ADDRESS: 512 East Ogden Avenue
FACILITY CITY, STATE, ZIP: Westmont, IL 60559

DOCKET NUMBER: NH 14-S0109

LICENSEE INFO: Manor Care of Westmont IL, LLC
LICENSEE ADDRESS: 208 LaSalle Street, Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604

Survey Date – February 14, 2014
Type B violation for violating one or more sections: 300.610a), 300.1210b), 300.120d)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: 300.1210d) and 300.3240a).
Type B violation for violating one or more sections: 300.1210b), 300.1210d)6), 300.1220b)2), 300.1220b)3) and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) 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 $4,400.00

FACILITY NAME: Meadowbrook Manor LaGrange
FACILITY ADDRESS: 339 9th Avenue
FACILITY CITY, STATE, ZIP: LaGrange, IL 60525

DOCKET NUMBER: NH 14-S0186

LICENSEE INFO: Butterfield Health Care VII, LLC
LICENSEE ADDRESS: 161 North Clark Street, Suite 4200
LICENSEE CITY, STATE, ZIP: Chicago, IL 60601

Survey Date – March 19, 2014
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 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.120d)6) and 300.3240a). For a total fine of $2,200.00

FACILITY NAME: Neighbors Rehabilitation Center
FACILITY ADDRESS: 811 West 2nd Street
FACILITY CITY, STATE, ZIP: Byron, 1161010

DOCKET NUMBER: NH 14-C0162

LICENSEE INFO: Neighbors Rehabilitation Center, LLC
LICENSEE ADDRESS: 6840 North Lincoln Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712

Survey Date – February 26, 2014
Type B violation for violating one or more sections: 300.1210b), 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 300.282i) 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: P A Peterson Center for Health
FACILITY ADDRESS: 1311 Parkview Ave.
FACILITY CITY, STATE, ZIP: Rockford, IL 61107

DOCKET NUMBER: NH 14-S0254

LICENSEE INFO: Lutheran Social Services for Illinois
LICENSEE ADDRESS: 1001 E. Touhy Ave, Ste 50
LICENSEE CITY, STATE, ZIP: Des Plaines, IL 60018

Survey Date – May 21, 2014
Type B violation for violating one or more sections: 300.610a), 300.1210b), 300.1210d)3), 300.1210d)5), 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)5) and 300.3240a) For a total fine of $2,200.00
Type B violation for violating one or more sections: 300.615e), 300.625a), 300.625b) 300.625c)1), 300.625c)2), 300.625k) and 300.625l). No fine.

FACILITY NAME: Pleasant View Luther Home
FACILITY ADDRESS: 505 College Avenue
FACILITY CITY, STATE, ZIP: Ottawa, IL 61350

DOCKET NUMBER: NH 14-S0128

LICENSEE INFO: Pleasant View Luther Home, Inc.
LICENSEE ADDRESS: 800 West Oakton Street
LICENSEE CITY, STATE, ZIP: Arlington Heights, IL 60004

Survey Date – February 4, 2014
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 300.282i) 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: Prairie City Rehab & HC
FACILITY ADDRESS: 825 E. Main Street, RR #2 Box 97
FACILITY CITY, STATE, ZIP: Prairie City, IL 61470

DOCKET NUMBER: NH 14-C0226

LICENSEE INFO: Midwest Health Operations, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614

Survey Date – April 23, 2014
Type B violation for violating one or more sections: 300.610a), 300.1210b), 300.1210d01), 300.1210d)2), 300.1620a), 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), 300.3240a). For a total fine of $25,000.00

FACILITY NAME: Raintree Terrace
FACILITY ADDRESS: 501 East Chestnut
FACILITY CITY, STATE, ZIP: Carbondale, IL 62901

DOCKET NUMBER: NH 14-C0221

LICENSEE INFO: Living in a Family Environment Management Corp.
LICENSEE ADDRESS: 208 North Market
LICENSEE CITY, STATE, ZIP: Marion, IL 62959

Survey Date – April 11, 2014
Type A violation for violating one or more sections: 350.620a), 350.1060e), 350.1060f), 350.1210, 350.3240a) and 350.3240f). For a total fine of $6,250.00

FACILITY NAME: Randolph County Care Center
FACILITY ADDRESS: 312 West Belmont
FACILITY CITY, STATE, ZIP: Sparta, IL 62286

DOCKET NUMBER: NH 14-C0258

LICENSEE INFO: Randolph County Board
LICENSEE ADDRESS: #1 Taylor St.
LICENSEE CITY, STATE, ZIP: Chester, IL 62233

Survey Date – May 19, 2014
Type B violation for violating one or more sections: 300.610a), 300.1210b), 3001210d)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: Regency Nursing Care Residence
FACILITY ADDRESS: 2120 West Washington
FACILITY CITY, STATE, ZIP: Springfield, Illinois 62702

DOCKET NUMBER: NH 14-S0192

LICENSEE INFO: Parentech, LLC
LICENSEE ADDRESS: 109 South 7th Street
LICENSEE CITY, STATE, ZIP: Springfield, Illinois 62701

Survey Date – March 24, 2014
Type B violation for violating one or more sections: 300.610a), 300.1010h), 300.1210a), 300.1210d)2), 300.1210d)5) 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 $25,000.00

FACILITY NAME: Renaissance Park South
FACILITY ADDRESS: 10935 South Halsted Street
FACILITY CITY, STATE, ZIP: Chicago, IL 60628

DOCKET NUMBER: NH 11-G0392

LICENSEE INFO: Renaissance Park South, LLC
LICENSEE ADDRESS: 10 South Wacker Drive, 40th Floor
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606

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

FACILITY NAME: River Crossing Rehab
FACILITY ADDRESS: 1145 Frank Street
FACILITY CITY, STATE, ZIP: Galesburg, IL 61401

DOCKET NUMBER: NH 14-C0200   NH 14-S0201

LICENSEE INFO: Galesburg Terrace
LICENSEE ADDRESS: 3553 West Peterson, Suite #101
LICENSEE CITY, STATE, ZIP: Chicago, IL 60659

Survey Date – March 18, 2014
Type A violation for violating one or more sections: 300.610a), 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).
Type A violation for violating one or more sections: 300.610a), 300.610b), 300.1210b), 300.1210c) 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 A violation for violating one or more sections: 300.610a), 300.610b), 300.610c)2) and 300.3240a). For a total fine of $62,500.00

FACILITY NAME: River Oaks Healthcare Rehab Center
FACILITY ADDRESS: 14500 South Manistee
FACILITY CITY, STATE, ZIP: Burnham, IL 60633

DOCKET NUMBER: NH 14-G0058

LICENSEE INFO: River Oaks Healthcare & Rehabilitation Center, LLC
LICENSEE ADDRESS: 191 North Wacker Drive, Suite 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606

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

FACILITY NAME: Riverwood Rehab
FACILITY ADDRESS: 430 South 30th Avenue
FACILITY CITY, STATE, ZIP: East Moline, IL 61244

DOCKET NUMBER: NH 12-G0085

LICENSEE INFO: Riverwood Rehab, LLC
LICENSEE ADDRESS: 8131 North Monticello
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076

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

FACILITY NAME: Rochelle Rehab and Healthcare Center
FACILITY ADDRESS: 900 North Third St.
FACILITY CITY, STATE, ZIP: Rochelle, IL 61068

DOCKET NUMBER: NH 14-S0257

LICENSEE INFO: Petersen Health Network, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Dr.
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614

Survey Date – May 16, 2014
Type B violation for violating one or more sections: 300.610a), 300.1010h). 300.1210a), 300.1210b), 300.1210d)5), 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)5), and 300.3240a). For a total fine of $2,200.00

FACILITY NAME: Rock Falls Rehab & Health Care Center
FACILITY ADDRESS: 430 Martin Road
FACILITY CITY, STATE, ZIP: Rock Falls, IL 61071

DOCKET NUMBER: NH 14-C0181

LICENSEE INFO: Petersen Health Operations, LLC
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Rock Falls, IL 61614

Survey Date – April 3, 2014
Type B violation for violating one or more sections: 300.610a), 300.1210b)5), 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: Rosewood Care Center of Alton
FACILITY ADDRESS: 3490 Humbert Road
FACILITY CITY, STATE, ZIP: Alton, IL 62002

DOCKET NUMBER: NH 12-G0406

LICENSEE INFO: Bravo Care of Joliet, Inc.
LICENSEE ADDRESS: 412 East Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703

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

FACILITY NAME: Snyders'- Vaughn Haven
FACILITY ADDRESS: 135 South Morgan Street
FACILITY CITY, STATE, ZIP: Rushville, IL 62681

DOCKET NUMBER: NH 14-S0198

LICENSEE INFO: Snyders'- Vaughn Haven, Inc.
LICENSEE ADDRESS: 135 South Morgan
LICENSEE CITY, STATE, ZIP: Rushville, IL 62681

Survey Date – March 17, 2014
Type A violation for violating one or more sections: 300.1210b), 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), 300.1210d06) and 300.3240a).
Type A violation for violating one or more sections: 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 total fine of $50,000.00

FACILITY NAME: South Suburban Rehab Center
FACILITY ADDRESS: 19000 South Halsted Street
FACILITY CITY, STATE, ZIP: Homewood, IL 60430

DOCKET NUMBER: NH 14-S0019

LICENSEE INFO: South Suburban Rehabilitation Center, LLC
LICENSEE ADDRESS: 2201 West Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202

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

FACILITY NAME: Southgate Health Care Center
FACILITY ADDRESS: 900 E. Ninth Street, P.O. Box 843
FACILITY CITY, STATE, ZIP: Metropolis, IL 62960

DOCKET NUMBER: NH 14-S0177

LICENSEE INFO: Southgate Health Care, Inc.
LICENSEE ADDRESS: 900 E. 9th Street
LICENSEE CITY, STATE, ZIP: Metropolis, IL 62960

Survey Date – March 18, 2014
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 300.282i) 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: St. James Wellness Rehab Villas
FACILITY ADDRESS: 1251 East Richton Road
FACILITY CITY, STATE, ZIP: Crete, Illinois 60417

DOCKET NUMBER: NH 14-C0234

LICENSEE INFO: St James Wellness Rehab and Villas, LLC
LICENSEE ADDRESS: 2201 Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202

Survey Date – May 13, 2014
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 300.282i) 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: Stephenson Nursing Center
FACILITY ADDRESS: 2946 South Walnut Road
FACILITY CITY, STATE, ZIP: Freeport, IL 61032

DOCKET NUMBER: NH 14-C0152   NH 14-S0153

LICENSEE INFO: Stephenson County Board of Supervisors
LICENSEE ADDRESS: 50 West Douglas Street, Suite 1002
LICENSEE CITY, STATE, ZIP: Freeport, IL 61032

Survey Date – March 17, 2014
Type B violation for violating one or more sections: 300.610a}, 300.690a), 300.1010i), 300.1210b)5), 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: 300.690a), 300.121-b), 300.121-d)6) and 300.3240a). For a total fine of $2,200.00

FACILITY NAME: Sterling Pavilion
FACILITY ADDRESS: 105 East 23rd Street
FACILITY CITY, STATE, ZIP: Sterling, IL 61081

DOCKET NUMBER: NH 14-S0243

LICENSEE INFO: Sterling Pavilion, LTD.
LICENSEE ADDRESS: 191 North Wacker Drive, Suite1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606

Survey Date – April 30, 2014
Type A violation for violating one or more sections: 300.1010h), 300.1210d)2), 300.1210d)3) and 300.3240a). For a total fine of $12,500.00

FACILITY NAME: Sterling Pavilion
FACILITY ADDRESS: 105 East 23rd Street
FACILITY CITY, STATE, ZIP: Sterling, IL 61081

DOCKET NUMBER: NH 14-C0155

LICENSEE INFO: Sterling Pavilion, LTD
LICENSEE ADDRESS: 191 North Wacker Drive, Suite 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606

Survey Date – March 21, 2014
Type B violation for violating one or more sections: 300.610a), 300.1210b), 300.1210d)3), 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: Timbercreek Rehab & HCC
FACILITY ADDRESS: 2220 State Street
FACILITY CITY, STATE, ZIP: Pekin, IL 61554

DOCKET NUMBER: NH 14-C0166

LICENSEE INFO: Petersen Heath Operations, LLC
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614

Survey Date – March 19, 2014
Type B violation for violating one or more sections: 300.1210a), 300.1210b), 300.1210c), 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: 300.1210b) and 300.3240a). For a total fine of $25,000.00

FACILITY NAME: Waterford Nursing & Rehab
FACILITY ADDRESS: 7445 North Sheridan Road
FACILITY CITY, STATE, ZIP: Chicago, IL 60626

DOCKET NUMBER: NH 14-C0206

LICENSEE INFO: The Waterford Nursing & Rehabilitation Center, Inc.
LICENSEE ADDRESS: 191 North Wacker Drive, Suite 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606

Survey Date – March 6, 2014
Type A violation for violating one or more sections: 300.610a), 300.1210b) 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 $25,000.00.

FACILITY NAME: Wesley Place
FACILITY ADDRESS: 1415 West Foster Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60640

DOCKET NUMBER: NH 13-G0234

LICENSEE INFO: Chicagoland Methodist Senior Services
LICENSEE ADDRESS: 1466 Techny Road
LICENSEE CITY, STATE, ZIP: Northbrook, IL 60062

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

FACILITY NAME: Westchester Health & Rehab Center
FACILITY ADDRESS: 2901 South Wolf Road
FACILITY CITY, STATE, ZIP: Westchester, IL 60154

DOCKET NUMBER: NH 13-G0419

LICENSEE INFO: SSC Westchester Operating Company, LLC
LICENSEE ADDRESS: 208 South LaSalle Street, Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604

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

FACILITY NAME: Winning Wheels
FACILITY ADDRESS: 701 East 3rd Street
FACILITY CITY, STATE, ZIP: Prophetstown, IL 61277

DOCKET NUMBER: NH 14-C0239

LICENSEE INFO: Winning Wheels
LICENSEE ADDRESS: 701 East 3rd Avenue
LICENSEE CITY, STATE, ZIP: Prophetstown, IL 61277

Survey Date – May 15, 2014
Type B violation for violating one or more sections: 300.610a), 300.1210a), 300.1210b), 300.1210d)3), 300.1210d)5), 300.1220b03), 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: Wood Glen Nursing & Rehab Center
FACILITY ADDRESS: 30 West 300 North Avenue
FACILITY CITY, STATE, ZIP: West Chicago, IL 60185

DOCKET NUMBER: NH 14-G0150

LICENSEE INFO: Wood Glen Pavilion, LLC
LICENSEE ADDRESS: 10 South Wacker Drive, 40th Floor
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606

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