Quarterly Report January - March 2015

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: Aperion Care International
FACILITY ADDRESS: 4815 S. Western Ave.
FACILITY CITY, STATE, ZIP: Chicago, IL 60609
DOCKET NUMBER: NH 14-C-0154
LICENSEE INFO: International Nursing and Rehab Center, LLC
LICENSEE ADDRESS: 8131 N Monticello
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Aperion Care Decatur
FACILITY ADDRESS: 2650 N. Monroe
FACILITY CITY, STATE, ZIP: Decatur, IL 62526
DOCKET NUMBER: NH 14-C0123
LICENSEE INFO: Lincoln Rehabilitation Center, LLC
LICENSEE ADDRESS: 8131 Monticello Ave
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Alden Estates of Shorewood
FACILITY ADDRESS: 710 West Black Road
FACILITY CITY, STATE, ZIP: Shorewood, IL 60404
DOCKET NUMBER: NH 14-S0539
LICENSEE INFO: Alden Estates of Shorewood, Inc
LICENSEE ADDRESS: 4200 W Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 11/26/14
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: Pontiac Healthcare and Rehab
FACILITY ADDRESS: 300 W. Lowell
FACILITY CITY, STATE, ZIP: Pontiac, IL 61764
DOCKET NUMBER: NH 14-S0540
LICENSEE INFO: Pontiac Healthcare and Rehab, LLC
LICENSEE ADDRESS: 8170 McCormick Blvd., Ste 219
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 11/13/14
Type B violation for violating one or more sections: 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: Wesley Village
FACILITY ADDRESS: 1200 East Grant St.
FACILITY CITY, STATE, ZIP: Macomb, IL61455
DOCKET NUMBER: NH 14-S0542
LICENSEE INFO: Wesley Village, Inc
LICENSEE ADDRESS: 1200 East Grant St.
LICENSEE CITY, STATE, ZIP: Macomb, IL 61455
Survey Date – 12/4/14
Type B violation for violating one or more sections: 300.610a), 300.1210a), 300.1210b), 300.1220b)3), 300.3240a), and 300.3240d). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.3240a), and 300.3240d). For a total fine of $2,200.00
FACILITY NAME: Arcola Healthcare Center
FACILITY ADDRESS: 422 East 4th St.
FACILITY CITY, STATE, ZIP: Arcola, IL 61910
DOCKET NUMBER: NH 14-S0543
LICENSEE INFO: Petersen Health Quality, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Dr
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 11/19/14
Type B violation for violating one or more sections: 300.1210b), 300.1210b)2), 300.1210b)5), 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). For a total fine of $2,200.00
FACILITY NAME: Prairie Manor Nursing and Rehab Center
FACILITY ADDRESS: 345 Dixie Highway
FACILITY CITY, STATE, ZIP: Chicago Heights, IL 60411
DOCKET NUMBER: NH 15-C0006
LICENSEE INFO: Prairie Manor Nursing and Rehab Center, LLC
LICENSEE ADDRESS: 2201 West Main St.
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 12/14/14
Type B violation for violating one or more sections: 300.610a), 300.1010h), 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: 300.1210d)6) and 300.3240a). For a total fine of $2,200.00
FACILITY NAME: Renaissance Care Center
FACILITY ADDRESS: 1675 East Ash St.
FACILITY CITY, STATE, ZIP: Canton, IL 61520
DOCKET NUMBER: NH 15-C0003
LICENSEE INFO: Renaissance Care Center, Inc
LICENSEE ADDRESS: 5750 Old Orchard Road, Ste 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 12/5/14
Type B violation for violating one or more sections: 300.610a), 300.1010h), 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: Sharon Health Care Elms
FACILITY ADDRESS: 3611 North Rochelle
FACILITY CITY, STATE, ZIP: Peoria, IL 61604
DOCKET NUMBER: NH 15-C0001
LICENSEE INFO: Sharon Health Care Elms, Inc
LICENSEE ADDRESS: 465 Central Ave, Ste 100
LICENSEE CITY, STATE, ZIP: Northfield, IL 60093
Survey Date – 11/19/14
Type B violation for violating one or more sections: 300.1210b), 300.1210d)6), and 300.32140a). 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: Lexington of Orland Park
FACILITY ADDRESS: 14601 S. John Humphrey Dr.
FACILITY CITY, STATE, ZIP: Orland Park, IL 60462
DOCKET NUMBER: NH 15-C0005
LICENSEE INFO: Lexington Health Care Center of Orland Park, Inc
LICENSEE ADDRESS: 665 West North Ave
LICENSEE CITY, STATE, ZIP: Lombard, IL 60148
Survey Date – 11/19/14
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: Eagle Court
FACILITY ADDRESS: 1890 East Eagle St.
FACILITY CITY, STATE, ZIP: Kankakee, IL 60901
DOCKET NUMBER: NH 14-S0350
LICENSEE INFO: Pinnacle Opportunities, Inc
LICENSEE ADDRESS: 285 S. Farnham St.
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Alden Town Manor Rehab and HCC
FACILITY ADDRESS: 6120 West Ogden
FACILITY CITY, STATE, ZIP: Cicero, IL 60804
DOCKET NUMBER: NH 15-C0011
LICENSEE INFO: Alden Town Manor Rehab and HCC, Inc
LICENSEE ADDRESS: 4200 W. Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 12/12/14
Type B violation for violating one or more sections: 955.165c)h)4)5). No Fine
FACILITY NAME: Prairie Crossing Living and Rehab
FACILITY ADDRESS:  409 West Comanche Ave
FACILITY CITY, STATE, ZIP: Shabbona, IL 60550
DOCKET NUMBER: NH 15-S0019
LICENSEE INFO: Prairie Crossing Living and Rehab Center, LLC
LICENSEE ADDRESS: 7434 Skokie Blvd
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 11/25/14
Type B violation for violating one or more sections:  300.661 and 300.615e). No Fine
FACILITY NAME: Aperion Care Decatur
FACILITY ADDRESS: 2650 North Monroe  
FACILITY CITY, STATE, ZIP: Decatur, IL 62526
DOCKET NUMBER: NH 15-S0015
LICENSEE INFO: Lincoln Rehab Center, LLC
LICENSEE ADDRESS: 8131 Monticello Ave
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 12/11/14
Type B violation for violating one or more sections:  300.6251, 300.1230j)5), 300.1230k), and 300.3260c). No Fine.
FACILITY NAME: Sandwich Rehab and HCC
FACILITY ADDRESS: 902 East Arnold St.  
FACILITY CITY, STATE, ZIP: Sandwich, IL 60548
DOCKET NUMBER: NH 15-S0010
LICENSEE INFO: Petersen Health & Wellness, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Dr
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 12/5/14
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 300.3242a)..  For a total fine of $2,200.00
FACILITY NAME: Rivershores Health and Rehab Center
FACILITY ADDRESS: 578 West Commercial St.  
FACILITY CITY, STATE, ZIP: Marseilles, IL 61341
DOCKET NUMBER: NH 15-C0007
LICENSEE INFO: Rivershores Healthcare and Rehab Centre, LLC
LICENSEE ADDRESS: 4600 West Touhy, Ste 200
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 11/21/14
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).  For a total fine of $2,200.00
FACILITY NAME: Manorcare of  Oak Lawn East
FACILITY ADDRESS: 9401 S. Kostner Ave  
FACILITY CITY, STATE, ZIP: Oak Lawn, IL 60453
DOCKET NUMBER: NH 15-C0012
LICENSEE INFO: Manor Care of Oak Lawn (East) IL, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 12/11/14
Type B violation for violating one or more sections:  300.610a), 300.1010h), 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: Bria of Geneva
FACILITY ADDRESS: 1101 East State St.  
FACILITY CITY, STATE, ZIP: Geneva, IL 60134
DOCKET NUMBER: NH 15-C0009
LICENSEE INFO: Geneva Nursing and Rehab Center, LLC
LICENSEE ADDRESS: 4711 Golf Road., Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 12/5/14
Type B violation for violating one or more sections:  300.1210b), 300.1210d)3), 300.1220b)1), 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: Thomas Herbstritt House
FACILITY ADDRESS: 4003 N Rt 1 & 17, PO Box 260  
FACILITY CITY, STATE, ZIP: Momence, IL 60954
DOCKET NUMBER: NH 14-C0431
LICENSEE INFO: Good Shepherd Manor, Inx
LICENSEE ADDRESS: 4129 N Rt 1 & 17, PO Box 260
LICENSEE CITY, STATE, ZIP: Momence, IL 60954

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: St. Paul’s Home
FACILITY ADDRESS: 1021 West E St.
FACILITY CITY, STATE, ZIP: Belleville, IL 62220
DOCKET NUMBER: NH 15-S0042
NH 15-C0043
LICENSEE INFO: St. Paul’s Home for the Aged
LICENSEE ADDRESS: 23 Public Square #300
LICENSEE CITY, STATE, ZIP: Belleville, IL 62220
Survey Date – 11/24/14

Type A violation for violating one or more sections:  300.610a), 300.690a), 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: 300.690a), 300.1210b), and 300.3240a).  For a total fine of $25,000.00

Type A 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 $25,000.00

Type A violation for violating one or more sections:  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 $25,000.00

FACILITY NAME: Lake Shore Healthcare and Rehab
FACILITY ADDRESS: 7200 North Sheridan Road  
FACILITY CITY, STATE, ZIP: Chicago, IL 60626
DOCKET NUMBER: NH 14-S-98
LICENSEE INFO: Lake Shore Healthcare and Rehab Centre, LLC
LICENSEE ADDRESS: 4600 W Toughy Ave #200
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Waterford Nursing and Rehab
FACILITY ADDRESS: 7445 North Sheridan Road  
FACILITY CITY, STATE, ZIP: Chicago, IL 60626
DOCKET NUMBER: NH 14-C-0206
LICENSEE INFO: Waterford Nursing and Rehab Center, Inc
LICENSEE ADDRESS: 191 N Wacker Dr, Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Aperion Care Decatur
FACILITY ADDRESS: 2650 North Monroe  
FACILITY CITY, STATE, ZIP: Decatur, IL 62526
DOCKET NUMBER: NH 14-S0129
LICENSEE INFO: Lincoln Rehab Center, LLC
LICENSEE ADDRESS: 8131 Monticello
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Stockton Healthcare and Rehab
FACILITY ADDRESS: 501 Front St.  
FACILITY CITY, STATE, ZIP: Stockton, IL 61085
DOCKET NUMBER: NH 14-S-399
LICENSEE INFO: Stockton Healthcare and Rehab Center. Inc
LICENSEE ADDRESS: 5750 Old Orchard Road, Ste 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Symphony of Lincoln
FACILITY ADDRESS: 2202 N. Kickapoo St.  
FACILITY CITY, STATE, ZIP: Lincoln, IL 62656
DOCKET NUMBER: NH 15-S0028
LICENSEE INFO: Symphony Maple Ridge, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Dr
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 1/9/15
Type B violation for violating one or more sections:  300.626c). No Fine
FACILITY NAME: Belhaven Nursing and Rehab Center
FACILITY ADDRESS: 11401 S. Oakley Ave  
FACILITY CITY, STATE, ZIP: Chicago, IL 60643
DOCKET NUMBER: NH 15-C0029
LICENSEE INFO: Belhaven Nursing and Rehab Center, LLC
LICENSEE ADDRESS: 150 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 11/25/14
Type B violation for violating one or more sections:  300.660a)b)1) and 300.661. No fine.
FACILITY NAME: Manorcare of Palos Heights East
FACILITY ADDRESS: 7850 W. College Dr.  
FACILITY CITY, STATE, ZIP: Palos Heights, IL 60463
DOCKET NUMBER: NH 15-C0032
LICENSEE INFO: Manor Care of Palos Heights IL, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 12/15/14
Type C violation for violating one or more sections:  300.696. No Fine.
FACILITY NAME: Rosewood Care Center St. Charles
FACILITY ADDRESS: 850 Dunham Road 
FACILITY CITY, STATE, ZIP: St. Charles, IL 60174
DOCKET NUMBER: NH 15-S0031
LICENSEE INFO: Bravo Care of St. Charles, Inc
LICENSEE ADDRESS: 412 E. Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 12/10/14
Type C violation for violating one or more sections:  300.1630d). No fine.
FACILITY NAME: Heritage Health - Mt. Zion
FACILITY ADDRESS: 1225 Woodland Drive   
FACILITY CITY, STATE, ZIP: Mt Zion, IL 62549
DOCKET NUMBER: NH 15-S0021
LICENSEE INFO: Heritage Manor- Mt Zion, LLC
LICENSEE ADDRESS: 115 W. Jefferson St., Ste 400
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61701
Survey Date – 12/17/14
Type B violation for violating one or more sections:  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: Brookdale Burr Ridge
FACILITY ADDRESS: 6801 Highgrove Blvd
FACILITY CITY, STATE, ZIP: Burr Ridge, IL 60527
DOCKET NUMBER: NH 15-S0035
LICENSEE INFO: S-H OPCO Burr Ridge, LLC
LICENSEE ADDRESS: 6801 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 12/17/14
Type B violation for violating one or more sections:  300.696c)2)7), 300.1620a), 300.2030e)f)h)i), 300.2220a)1)d), 300.2230a)2)A)D), and 300.3220f)
FACILITY NAME: Three Springs Lodge Nursing Home
FACILITY ADDRESS: 161 Three Springs Road  
FACILITY CITY, STATE, ZIP: Chester, IL 62233
DOCKET NUMBER: NH 15-S0024
LICENSEE INFO: Three Springs Lodge Nursing Home, LLC
LICENSEE ADDRESS: 1001 E. Main St.
LICENSEE CITY, STATE, ZIP: Carbondale, IL 62901
Survey Date – 12/17/14
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: Alden Long Grove Rehab and HCC
FACILITY ADDRESS: Box 2308, RFD Old Hicks Road  
FACILITY CITY, STATE, ZIP: Long Grove, IL 60047
DOCKET NUMBER: NH 15-S0018
LICENSEE INFO: Alden- Long Grove Rehab and Healthcare Center, Inc
LICENSEE ADDRESS: 4200 W. Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60047
Survey Date – 12/11/14
Type A violation for violating one or more sections:  300.610a), 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), and 300.3240a).  For a total fine of $25,000.00
FACILITY NAME: Meadows
FACILITY ADDRESS: 3250 S. Plum Grove Road  
FACILITY CITY, STATE, ZIP: Rolling Meadows, IL 60008
DOCKET NUMBER: NH 15-C0039
LICENSEE INFO: Meadows Sheltered Care, Inc
LICENSEE ADDRESS: 3250 S. Plum Grove Road
LICENSEE CITY, STATE, ZIP: Rolling Meadows, IL 60008
Survey Date – 11/20/14
Type A violation for violating one or more sections:  350.620a), 350.1210, 350.3240a), and 350.3240d). For a total fine of $10,000.00.
FACILITY NAME: Homestead House
FACILITY ADDRESS: 905 North Jefferson
FACILITY CITY, STATE, ZIP: West Frankfort, IL 62896
DOCKET NUMBER: NH 15-S0033
LICENSEE INFO: William J., Christine A. Mattingly
LICENSEE ADDRESS: 1120 North Division
LICENSEE CITY, STATE, ZIP: Carterville, IL 62918
Survey Date – 11/25/14

Type A violation for violating one or more sections:  350.620a), 350.1060e), 350.1060h), 350.1060j), 350.1210, 350.1220m), 350.3240a), 350.3240b), 350.3240c), 350.3240d), and 350.3240f). For a total fine of $6,250.00

Type A violation with fine of an occurrence for violating one or more of the following sections of the code: 350.1225, 350.1230b)7), and 350.3240a). For a fine of $6,250.00

FACILITY NAME: Countryview Care Center- Macomb
FACILITY ADDRESS: 400 West Grant St.  
FACILITY CITY, STATE, ZIP: Macomb, IL 61455
DOCKET NUMBER: NH 15-S0023
LICENSEE INFO: Petersen Health Properties, LLC
LICENSEE ADDRESS: 830 West Trailcreek Dr
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 11/11/14

Type A violation for violating one or more sections:  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: 300.3240a) and 300.3240e).  For a total fine of $25,000.00.

Type A 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: 300.3240a) and 300.3240a).  For a total fine of $25,000.00.

FACILITY NAME: Jerseyville Nursing and Rehab Center
FACILITY ADDRESS: 1001 S. State St.  
FACILITY CITY, STATE, ZIP: Jerseyville, IL 62052
DOCKET NUMBER: NH 15-S0036
LICENSEE INFO: Jerseyville Nursing and Rehab Center, Inc
LICENSEE ADDRESS: 1001 S. State St.
LICENSEE CITY, STATE, ZIP: Jerseyville, IL 62052
Survey Date – 12/19/14
Type A violation for violating one or more sections: 300.310a), 300.1010h), 300.1210b), 300.1210c), 300.1210d)1), 300.1210d)2), 300.1630e), 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) and 300.3240a).  For a total fine of $25,000.00
FACILITY NAME: Lewis Memorial Christian Village
FACILITY ADDRESS: 3400 West Washington  
FACILITY CITY, STATE, ZIP: Springfield, IL 62711
DOCKET NUMBER: NH 15-C0016
LICENSEE INFO: Lewis Memorial Christian Village
LICENSEE ADDRESS: 200 North Postville Road
LICENSEE CITY, STATE, ZIP: Lincoln, IL 62656
Survey Date – 12/1/14
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: Waterfront Terrace
FACILITY ADDRESS: 7750 South Shore Drive  
FACILITY CITY, STATE, ZIP: Chicago, IL 60649
DOCKET NUMBER: NH 15-C0037
LICENSEE INFO: Waterfront Terrace, Inc
LICENSEE ADDRESS: 191 North Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 12/17/14
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: Grasmere Place
FACILITY ADDRESS: 4621 North Sheridan  
FACILITY CITY, STATE, ZIP: Chicago, IL 60640
DOCKET NUMBER: NH 15-C0040
NH 15-S0041
LICENSEE INFO: Grasmere Place, LLC
LICENSEE ADDRESS: 2201 Main St.
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 1/15/15 Type C violation for violating one or more sections:  300.696a), 300.1210b)d)1), 300.1630b), 300.2100, 750.810, 300.3140e)2), and 300.3300b)d)
FACILITY NAME: Sycamore Healthcare Center
FACILITY ADDRESS: 720 Sycamore St.  
FACILITY CITY, STATE, ZIP: Quincy, IL 62301
DOCKET NUMBER: NH 15-S0030
LICENSEE INFO: SH Care, LLC
LICENSEE ADDRESS: 1S442 Summitt Ave, Ste 204
LICENSEE CITY, STATE, ZIP: Oakbrook, Terrace, IL 60181
Survey Date – 1/7/14
Type B violation for violating one or more sections: 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), 300.3240a).  For a total fine of $2,200.00.
FACILITY NAME: Thorton Heights Terrace
FACILITY ADDRESS: 160 West 10th St.  
FACILITY CITY, STATE, ZIP: Chicago Heights, IL 60411
DOCKET NUMBER: NH 15-C0047
LICENSEE INFO: Thorton Heights Terrace, LTD
LICENSEE ADDRESS: 465 Central Ave, Ste 100
LICENSEE CITY, STATE, ZIP: Northfield, IL 60093
Survey Date – 1/22/15
Type B violation for violating one or more sections:  300.625I). No fine.
FACILITY NAME: Illinois Presbyterian Home
FACILITY ADDRESS: 2005 West Lawrence  
FACILITY CITY, STATE, ZIP: Springfield, IL 62704
DOCKET NUMBER: NH 15-S0048
LICENSEE INFO: Illinois Presbyterian Home
LICENSEE ADDRESS: 205 S. 5th St, Ste 700
LICENSEE CITY, STATE, ZIP: Springfield, IL 62701
Survey Date – 1/29/15
Type B violation for violating one or more sections:  300.1210a)b). 300.1210d)6), and 330.1110f)d)3)B). No fine.
FACILITY NAME: Magnolia Manor Shelter Care HM
FACILITY ADDRESS: 1100 Grant  
FACILITY CITY, STATE, ZIP: Eldorado, IL 62930
DOCKET NUMBER: NH 15-C0046
LICENSEE INFO: John Zink
LICENSEE ADDRESS: 150 S. Route 45, PO Box 250
LICENSEE CITY, STATE, ZIP: Louisville, IL 62858
Survey Date – 1/20/15
Type B violation for violating one or more sections:  330.4300C)1)2)d). No fine.
FACILITY NAME: Paxton Healthcare and Rehab
FACILITY ADDRESS: 1240 North Market St.  
FACILITY CITY, STATE, ZIP: Paxton, IL 60957
DOCKET NUMBER: NH 15-S0049
LICENSEE INFO: Paxton Healthcare and Rehab, LLC
LICENSEE ADDRESS: 8170 McCormick Blvd
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 1/22/15
Type B violation for violating one or more sections:   300.670b), 300.1210d)6), and 300.1620. No fine.
FACILITY NAME: Hillsboro Rehab and HCC
FACILITY ADDRESS: 1300 East Tremont St.  
FACILITY CITY, STATE, ZIP: Hillsboro, IL 62049
DOCKET NUMBER: NH 14-S0264
LICENSEE INFO: Hillsboro Rehab and Health Care Center, LLC
LICENSEE ADDRESS: 412 E. Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Glen Bridge Nursing and Rehab Centre
FACILITY ADDRESS: 8333 West Golf Road  
FACILITY CITY, STATE, ZIP: Niles, IL 60714
DOCKET NUMBER: NH 15-S0052
  NH 15-C0053
LICENSEE INFO: Glen Bridge Nursing and Rehab Centre, LTD
LICENSEE ADDRESS: 191 North Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 1/8/15 Type B violation for violating one or more sections:  300.1210. No Fine.
FACILITY NAME: Moweaqua Nursing and Rehab Center
FACILITY ADDRESS: 525 S. Macon St.  
FACILITY CITY, STATE, ZIP: Moweaqua, IL 62550
DOCKET NUMBER: NH 15-S0057
LICENSEE INFO: Moweaqua Nursing Ventures, LLC
LICENSEE ADDRESS: 480 S. Meadowbrook Road
LICENSEE CITY, STATE, ZIP: Springfield, IL 62707
Survey Date – 1/13/15
Type B violation for violating one or more sections:  300.615e). No fine.
FACILITY NAME: Skokie Meadows Nursing Center #2
FACILITY ADDRESS: 4600 West Golf Road  
FACILITY CITY, STATE, ZIP: Skokie, IL 60076
DOCKET NUMBER: NH 15-S0017
LICENSEE INFO: Skokie Meadows Nursing Centers II, LLC
LICENSEE ADDRESS: 9615 North Knox Ave
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 1/16/15

Type B violation for violating one or more sections:  300..610a), 300.686a), 300.686F)3), 300.686F)5), 300.1010h), 300.1210a), 300.1210b), 300.1210b)4), 300.1210d)2), 300.1420, 300.1620a), 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: 300.686, 300.1210b), and 300.3240a). For a total fine of $2,200.00

Type B violation for violating one or more sections:  300.610a), 300.2100 (Department’s rules entitled “Food Service Sanitation” (77 Ill. Adm. Code 750) (750.250 and 750.820e)2. Fine of $1,100.00.

Type B violation for violating one or more sections:  300.610a), 300.1010h), 300.1210a), 300.1210b)4), 300.1410a), 300.1410g), 300.1410h), 300.3240a), 300.4010b), 300.4010c), 300.4010c)3)A), 300.4010c)3)B), 300.4010c)3)D), 300.4010c)3)E), 300.4010c)7)A), 300.4010c)7)B), 300.4010d), 300.4020b), 300.4020b)3), 300.4020b)4), 300.4040a), 300.4040a)4), 300.4040b), 300.4040c)1), 300.4040c)7), 300.4050a), 300.4050b), 300.4090b)C)4), and 300.4090b)3)C)5) For a total fine of $1,100.00

FACILITY NAME: Marigold Rehab Health Care Center
FACILITY ADDRESS: 275 East Carl Sandburg Dr.  
FACILITY CITY, STATE, ZIP: Galesburg, IL 61401
DOCKET NUMBER: NH 15-S0058
LICENSEE INFO: Petersen Health Network, LLC
LICENSEE ADDRESS: 830 West Trailcreek Dr.
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 1/27/15
Type B violation for violating one or more sections:  300.696a)c)2)7), 300.1210d)1)2), 300.1210d)6), 300.1630a)3), 300.1640e), 300.2210b)1)2)9), 300.3200f)1), and 300.3200l). No Fine.
FACILITY NAME: Bellwood Developmental Center
FACILITY ADDRESS: 105 Eastern Ave
FACILITY CITY, STATE, ZIP: Bellwood, IL 60104
DOCKET NUMBER: NH 14-C-311
LICENSEE INFO: Bellwood Nursing Center
LICENSEE ADDRESS: 5750 Old Orchard Road., Ste 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Shawnee Christian Nursing Center
FACILITY ADDRESS: 1901 North 13th St.  
FACILITY CITY, STATE, ZIP: Herrin, IL 62948
DOCKET NUMBER: NH 15-C0044
LICENSEE INFO: Shawnee Christian Nursing Center, LLC
LICENSEE ADDRESS: 200 North Postville Road
LICENSEE CITY, STATE, ZIP: Lincoln, IL 62656
Survey Date – 12/11/14
Type AA violation for violating one or more sections:  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).  For a total fine of $50,000.00
FACILITY NAME: Alden Orland Park Rehab & HCC
FACILITY ADDRESS: 16450 S. 97th Ave  
FACILITY CITY, STATE, ZIP: Orland Park, IL 60462
DOCKET NUMBER: NH 15-C0050
LICENSEE INFO: Alden-Orland Park Rehab and Health Care Center, Inc
LICENSEE ADDRESS: 4200 W. Peterson Ave, Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 12/18/14
Type B violation for violating one or more sections:  300.610a), 300.1010h), 300.1210a), 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: John C Proctor Endowment Home
FACILITY ADDRESS: 2624 West Reservoir   
FACILITY CITY, STATE, ZIP: Peoria, IL 61615
DOCKET NUMBER: NH 15-S0061
LICENSEE INFO: Trustees J.C. Proctor Endowment
LICENSEE ADDRESS: 2724 West Reservoir
LICENSEE CITY, STATE, ZIP: Peoria, IL 61615
Survey Date – 2/5/15
Type C violation for violating one or more sections:   300.1210d)6) and 300.2100. No fine.
FACILITY NAME: Jerseyville Nursing and Rehab Center
FACILITY ADDRESS: 1001 S. State St.  
FACILITY CITY, STATE, ZIP: Jerseyville, IL 62052
DOCKET NUMBER:  
LICENSEE INFO: Jerseyville Nursing and Rehab Center, Inc
LICENSEE ADDRESS: 1001 S. State St.
LICENSEE CITY, STATE, ZIP: Jerseyville, IL 62052

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Gardenview Manor
FACILITY ADDRESS: 14792 Catlin-Tilton Road  
FACILITY CITY, STATE, ZIP: Danville, IL 61834
DOCKET NUMBER: NH 15-C0056
LICENSEE INFO: Gardenview Manor, LLC
LICENSEE ADDRESS: 5750 Old Orchard Road, Ste 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 1/8/15
Type B violation for violating one or more sections:  300.610a), 300.1010h), 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: Bridge Care Suites
FACILITY ADDRESS: 3089 Old Jacksonville Road  
FACILITY CITY, STATE, ZIP: Springfield, IL 62704
DOCKET NUMBER: NH 15-S0055
LICENSEE INFO: OJCC, LLC
LICENSEE ADDRESS: 2920 W. Coyle Ave
LICENSEE CITY, STATE, ZIP: Chicago, IL 60645
Survey Date – 1/16/15
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: Grove at the Lake Living and Rehab
FACILITY ADDRESS: 2534 Elim Ave   
FACILITY CITY, STATE, ZIP: Zion, IL 60099
DOCKET NUMBER: NH 15-C0060
LICENSEE INFO: The Grove at the Lake Living and Rehab Center, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Dr.
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 1/9/15
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: Pittsfield Manor
FACILITY ADDRESS: 610 Lowry St.  
FACILITY CITY, STATE, ZIP: Pittsfield, IL 62363
DOCKET NUMBER: NH 14-C0316
LICENSEE INFO: UDI #9, LLC
LICENSEE ADDRESS: 285 S. Farnham St.
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Stockton Healthcare and Rehab
FACILITY ADDRESS: 501 Front St.  
FACILITY CITY, STATE, ZIP: Stockton, IL 61085
DOCKET NUMBER: NH 15-C0065
LICENSEE INFO: Stockton Healthcare and Rehab Center, Inc
LICENSEE ADDRESS: 5750 Old Orchard Road, Ste 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 1/16/15
Type B violation for violating one or more sections:  300.661 and 300.650d). No Fine.
FACILITY NAME: Generations HCN at Oakton Pavilion
FACILITY ADDRESS: 1660 Oakton Place  
FACILITY CITY, STATE, ZIP: Des Plaines, IL 60018
DOCKET NUMBER: NH 15-C0067
LICENSEE INFO: Generations Health Care Network at Oakton Pavilion, LLC
LICENSEE ADDRESS: 6840 N. Lincoln Ave.
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 1/15/15
Type B violation for violating one or more sections:  300.610a), 300.1010h), 300.1210b), and 300.3240a). No Fine.
FACILITY NAME: The Ponds of Wealshire
FACILITY ADDRESS: 170 Jamestown Lane   
FACILITY CITY, STATE, ZIP: Lincolnshire, IL 60069
DOCKET NUMBER: NH 15-S0071
LICENSEE INFO: The Ponds of Wealshire, LLC
LICENSEE ADDRESS: 77 West Washington St., 1211
LICENSEE CITY, STATE, ZIP: Chicago, IL 60602
Survey Date – 1/22/15
Type C violation for violating one or more sections:  330.710a), 330.1510a)c)g), and 330.2000. No Fine.
FACILITY NAME: Spring Valley Nursing
FACILITY ADDRESS: 1300 North Greenwood St.  
FACILITY CITY, STATE, ZIP: Spring Valley, IL 61362
DOCKET NUMBER: NH 15-S0069
LICENSEE INFO: Spring Valley Nursing Center-A limited Partnership
LICENSEE ADDRESS: 1300 N Green St.
LICENSEE CITY, STATE, ZIP: Spring Valley, IL 61362
Survey Date – 1/30/15
Type B violation for violating one or more sections:  300.615e)f) and 300.625a)b)c)1)2)d)e)f). No Fine.
FACILITY NAME: Oakbrook Healthcare Centre
FACILITY ADDRESS: 2013 Midwest Road  
FACILITY CITY, STATE, ZIP: Oakbrook, IL 60523
DOCKET NUMBER: NH 15-S0068
LICENSEE INFO: Oakbrook Healthcare Centre, LTD
LICENSEE ADDRESS: 5061 N Pulaski Road
LICENSEE CITY, STATE, ZIP: Chicago, IL 60630
Survey Date – 2/9/15
Type B violation for violating one or more sections:  300.615e). No Fine.
FACILITY NAME: Aperion Care Plum Grove
FACILITY ADDRESS: 24 S Plum Grove Road.  
FACILITY CITY, STATE, ZIP: Palatine, IL 60067
DOCKET NUMBER:  
LICENSEE INFO: Plum Grove Nursing and Rehab, LLC
LICENSEE ADDRESS: 8131 N Monticello
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Watseka Rehab and Health Care Center
FACILITY ADDRESS: 715 East Raymond Road.  
FACILITY CITY, STATE, ZIP: Watseka, IL 60970
DOCKET NUMBER: NH 15-C0054
LICENSEE INFO: Petersen Health Care II, Inc
LICENSEE ADDRESS: 830 West Trailcreek Dr.
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 1/16/15
Type A violation for violating one or more sections:  300.610a), 300.1210b), 300.1210d)6), 300.1220b)7), 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: Regency Rehab Center
FACILITY ADDRESS: 6631 Milwaukee Ave 
FACILITY CITY, STATE, ZIP: Niles, IL 60714
DOCKET NUMBER: NH 15-C0064
LICENSEE INFO: Regency Rehab Center, LLC
LICENSEE ADDRESS: 6840 N Lincoln Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 12/26/14
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: Arden Courts of Hazel Crest
FACILITY ADDRESS: 3701 West 183rd St.  
FACILITY CITY, STATE, ZIP: Hazel Crest, IL 60429
DOCKET NUMBER: NH 15-S0074
LICENSEE INFO: Arden Courts of Hazel Crest IL, LLC
LICENSEE ADDRESS: 208 LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 1/29/15
Type C violation for violating one or more sections: 330.1110f) and 330.1710d). No fine
FACILITY NAME: Morton Terrace H & R Centre
FACILITY ADDRESS: 191 East Queenwood Road  
FACILITY CITY, STATE, ZIP: Morton, IL 61550
DOCKET NUMBER: NH 14-S-0332
LICENSEE INFO: Morton Terrace Healthcare and Rehab Centre, LLC
LICENSEE ADDRESS: 4600 West Touhy Ave, Ste 200
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Abington of Glenview
FACILITY ADDRESS: 3901 Glenview Road
FACILITY CITY, STATE, ZIP: Glenview, IL 60025
DOCKET NUMBER: NH 15-S0077
LICENSEE INFO: Glen Ridge Associates II Limited Partnership
LICENSEE ADDRESS: 3901 Glenview Road
LICENSEE CITY, STATE, ZIP: Glenview, IL 60025
Survey Date – 1/22/15
Type B violation for violating one or more sections:  300.615e)
FACILITY NAME: Asta Care Center of Colfax
FACILITY ADDRESS: 402 S. Harrison
FACILITY CITY, STATE, ZIP: Colfax, IL 61728
DOCKET NUMBER: NH 14-S0425
NH 14-C0426
LICENSEE INFO: Asta Care Center of Colfax, LLC
LICENSEE ADDRESS: 134 N McLean Blvd
LICENSEE CITY, STATE, ZIP: Elgin, IL 60123

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: The British Home
FACILITY ADDRESS: 8700 West 31st St.  
FACILITY CITY, STATE, ZIP: Brookfield, IL 60513
DOCKET NUMBER: NH 14-C0516
LICENSEE INFO: The British Home for Retired Men and Women
LICENSEE ADDRESS: 31St St. & McCormick Ave
LICENSEE CITY, STATE, ZIP: Brookfield, IL 60513

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Park Pointe Healthcare and Rehab
FACILITY ADDRESS: 123 Edgewater Dr.   
FACILITY CITY, STATE, ZIP: Morris, IL 60532
DOCKET NUMBER: NH 15-C0072
LICENSEE INFO: Park Pointe Healthcare and Rehab Center, LLC
LICENSEE ADDRESS: 1001 Warrenville Road, Ste 500
LICENSEE CITY, STATE, ZIP: Lisle, IL 60532
Survey Date – 1/9/15
Type A violation for violating one or more sections:  300.610a), 300.1010h), 300.1210b), 300.1210d)6), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a).  For a total fine of $25,000.00
FACILITY NAME: Bement Health Care Center
FACILITY ADDRESS: 601 North Morgan  
FACILITY CITY, STATE, ZIP: Bement, IL 61813
DOCKET NUMBER: NH 15-S0075
LICENSEE INFO: Petersen Health Quality, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Dr
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 1/29/15
Type B violation for violating one or more sections:  300.1210a), 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: 300.1210d)6) and 300.3240a)  For a total fine of $2,200.00
FACILITY NAME: South Lawn Sheltered Care
FACILITY ADDRESS: 512 S. Franklin  
FACILITY CITY, STATE, ZIP: Bunker Hill, IL 62014
DOCKET NUMBER: NH 15-C0079
LICENSEE INFO: South Lawn Sheltered Care, Inc
LICENSEE ADDRESS: RR#1, Route 159, PO Box H
LICENSEE CITY, STATE, ZIP: Bunker Hill, IL 62014
Survey Date – N/A
Type B violation for violating one or more sections:  330.710a), 330.780a)b)c), 330.785a)b)3)c)1)4)5)d)e), 330.4240a)c)e)f), and 330.1710c)f). No fine.
FACILITY NAME: Aperion Care of Springfield
FACILITY ADDRESS: 525 S. Martin Luther King Dr. 
FACILITY CITY, STATE, ZIP: Springfield, IL 62703
DOCKET NUMBER: NH 14-S0294
LICENSEE INFO: Springfield Care Center, LLC
LICENSEE ADDRESS: 8131 N Monticello Ave.
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Casey Health Care Center
FACILITY ADDRESS: 100 N. E. 15th
FACILITY CITY, STATE, ZIP: Casey, IL 62420
DOCKET NUMBER: NH 15-S0084
LICENSEE INFO: Petersen Management Company
LICENSEE ADDRESS: 830 W. Trailcreek Dr.
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 2/5/15
Type B violation for violating one or more sections:  300.4090a)1), 300.4090b)1)A)B), and 300.4090b)3)A)B). No Fine.
FACILITY NAME: Westminster Village
FACILITY ADDRESS: 2025 East Lincoln St. 
FACILITY CITY, STATE, ZIP: Bloomington, IL 61701
DOCKET NUMBER: NH 15-S0087
LICENSEE INFO: Westminster Village, Inc
LICENSEE ADDRESS: 2025 E. Lincoln St.
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61701
Survey Date – 2/17/15
Type B violation for violating one or more sections:  300.1210d)5). No fine.
FACILITY NAME: ManorCare of Hinsdale
FACILITY ADDRESS: 600  West Ogden Ave
FACILITY CITY, STATE, ZIP: Hinsdale, IL 60521
DOCKET NUMBER: NH 15-C0081
LICENSEE INFO: Manor Care Of Hinsdale, IL, LLC
LICENSEE ADDRESS: 208 S LaSalle St., Ste. 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 1/20/15
Type B violation for violating one or more sections:  300.610a), 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: River Crossing Rehab
FACILITY ADDRESS: 1145 Frank St.  
FACILITY CITY, STATE, ZIP: Galesburg, IL 61401
DOCKET NUMBER: NH 14-C0200
  NH 14-S0201
LICENSEE INFO: River Crossing Rehab, LLC
LICENSEE ADDRESS: 8131 Monticello Ave
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076

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 St.  
FACILITY CITY, STATE, ZIP: Burbank, IL 60459
DOCKET NUMBER: NH14-S-213
LICENSEE INFO: Brentwood Operating Company, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Carbondale Rehab and Nrsg Center II
FACILITY ADDRESS: 500 S. Lewis Lane
FACILITY CITY, STATE, ZIP: Carbondale, IL 62901
DOCKET NUMBER: NH 14-S-0380
LICENSEE INFO: Carbondale rehab and Nrsg Centre II, LLC
LICENSEE ADDRESS: 8707 Skokie Blvd, Ste 310
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Clayton Residential Home
FACILITY ADDRESS: 2026 North Clark St. 
FACILITY CITY, STATE, ZIP: Chicago, IL 60093
DOCKET NUMBER: NH 15-S0090
LICENSEE INFO: Clayton Residential Home, Inc
LICENSEE ADDRESS: 465 Central Ave, Ste 100
LICENSEE CITY, STATE, ZIP: Northfield, IL 60093
Survey Date – 2/26/15
Type B violation for violating one or more sections:  300.1010e)h), 300.3240f), and 300.4020.
FACILITY NAME: Presence St. Joseph Center
FACILITY ADDRESS: 659 East Jefferson St.  
FACILITY CITY, STATE, ZIP: Freeport, IL 61032
DOCKET NUMBER: NH 15-C0083
LICENSEE INFO: Presence Life Connections
LICENSEE ADDRESS: 9223 West Saint Frances Road
LICENSEE CITY, STATE, ZIP: Frankfort, IL 60423
Survey Date – 1/29/15
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)5), 300.1210d)6), and 300.3240a).  For a total fine of $2,200.00
FACILITY NAME: Aperion Care Bridgeport
FACILITY ADDRESS: 900 East Corporation St. 
FACILITY CITY, STATE, ZIP: Bridgeport, IL 62417
DOCKET NUMBER: NH 14-S-0420
LICENSEE INFO: Aperion Care Bridgeport, LLC
LICENSEE ADDRESS: 8131 Monticello Ave
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Arden Courts of South Holland
FACILITY ADDRESS: 2045 East 170th St. 
FACILITY CITY, STATE, ZIP: South Holland, IL 60473
DOCKET NUMBER: NH 15-S0093
LICENSEE INFO: Arden Courts of South Holland IL, LLC
LICENSEE ADDRESS: 208 S LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 2/19/15

Type B violation for violating one or more sections: 330.1710b)

Type C violation for violating one or more sections: 330.1110a)

FACILITY NAME: Park Ridge Care Center
FACILITY ADDRESS: 665 Busse Highway  
FACILITY CITY, STATE, ZIP: Park Ridge, IL 60068
DOCKET NUMBER: NH 15-S0095
LICENSEE INFO: Park Ridge Care Center, LTD
LICENSEE ADDRESS: 191 North Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 2/19/15
Type B violation for violating one or more sections:  300.615e)
FACILITY NAME: Titus Memorial Presbyterian Home
FACILITY ADDRESS: 513 North Worth St.  
FACILITY CITY, STATE, ZIP: Sullivan, IL 61951
DOCKET NUMBER: NH 15-S0096
LICENSEE INFO: Joseph and Louise Titus Memorial Presbyterian Home, Inc
LICENSEE ADDRESS: 513 North Worth St.
LICENSEE CITY, STATE, ZIP: Sullivan, IL 61951
Survey Date – 2/6/15
Type A violation for violating one or more sections:  330.1110g), 330.1125a)1), 330.1125e), and 330.4240a). 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: 330.4240a). For a total fine of $25,000.00
FACILITY NAME: Lewis Memorial Christian Village
FACILITY ADDRESS: 3400 West Washington St. 
FACILITY CITY, STATE, ZIP: Springfield, IL 62711
DOCKET NUMBER: NH 15-C0098
LICENSEE INFO: Lewis Memorial Christian Village
LICENSEE ADDRESS: 200 North Postville Road
LICENSEE CITY, STATE, ZIP: Lincoln, IL 62656
Survey Date – 2/6/15

Type A violation for violating one or more sections:  300.610a), 300.1010h), 300.1030a)3), 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 $25,000.00

Type A 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 $25,000.00

FACILITY NAME: Riverview Rehab Center
FACILITY ADDRESS: 50 North Jane   
FACILITY CITY, STATE, ZIP: Elgin, IL 60123
DOCKET NUMBER: NH 14-S0439
LICENSEE INFO: River View Rehab Center, LLC
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Waterfront Terrace
FACILITY ADDRESS: 7750 South Shore Dr.
FACILITY CITY, STATE, ZIP: Chicago, IL 60649
DOCKET NUMBER: NH 15-C0097
LICENSEE INFO: Waterfront Terrace, Inc
LICENSEE ADDRESS: 191 North Wacker Dr., Ste. 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 1/29/15
Type B violation for violating one or more sections:  300.610a), 300.1210a), 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 $2,200.00
FACILITY NAME: Sauk Valley Senior Living
FACILITY ADDRESS: 1000 Dixion Ave  
FACILITY CITY, STATE, ZIP: Rock Falls, IL 61071
DOCKET NUMBER: NH 15-S0105
LICENSEE INFO: Midwest Health Operations, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Dr.
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 3/5/15
Type B violation for violating one or more sections:  300.3130c)4). No fine.
FACILITY NAME: Aperion Care Decatur
FACILITY ADDRESS: 2650 North Monroe   
FACILITY CITY, STATE, ZIP: Decatur, IL 62526
DOCKET NUMBER: NH 15-S0106
LICENSEE INFO: Lincoln Rehab Center, LLC
LICENSEE ADDRESS: 8131 Monticello Ave
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 2/24/15
Type B violation for violating one or more sections:  300.1230j)5), 300.1230k), and 300.3260c). No fine
FACILITY NAME: Champaign Urbana Nursing & Rehab
FACILITY ADDRESS: 302 Burwash Ave  
FACILITY CITY, STATE, ZIP: Savoy, IL 61874
DOCKET NUMBER: NH 15-C0104
LICENSEE INFO: Champaign Urbana Nursing and Rehab, LP
LICENSEE ADDRESS: 5750 Old Orchard Road, Ste 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 2/18/15
Type B violation for violating one or more sections:  300.1230d)2)j)5). No fine
FACILITY NAME: Trafford Estates
FACILITY ADDRESS: 813 West Center  
FACILITY CITY, STATE, ZIP: Fairfield, IL 62837
DOCKET NUMBER: NH 15-C0078
LICENSEE INFO: TDL Group, Inc
LICENSEE ADDRESS: 11340 Arcadia Lake Road
LICENSEE CITY, STATE, ZIP: Marion, IL 62959
Survey Date – 1/6/15
Type A violation for violating one or more sections:  350.620a), 350.1060e), 350.1210, 350.1430a)2), 350.1430d), 350.3220f), and 350.3240a).  For a total fine of $10,000.00
FACILITY NAME: Crossroads Care Center Woodstock
FACILITY ADDRESS: 309 McHenry Ave  
FACILITY CITY, STATE, ZIP: Woodstock, IL 60098
DOCKET NUMBER: NH 15-S0086
LICENSEE INFO: Crossroads Care Center of Woodstock, LLC
LICENSEE ADDRESS: 5750 Old Orchard Road., Ste 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 1/13/15
Type A violation for violating one or more sections:  300.610a), 300.1210b), 300.1210d)6), 300.2210a), 300.2210b)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: Mulberry Manor
FACILITY ADDRESS: 612 East Davie St., Box 88  
FACILITY CITY, STATE, ZIP: Anna, IL 62906
DOCKET NUMBER: NH 15-S0092
LICENSEE INFO: Mulberry Manor, Inc
LICENSEE ADDRESS: 159 E. Vienna St. PO Box 88
LICENSEE CITY, STATE, ZIP: Anna, IL 62906
Survey Date – 1/23/15
Type B violation for violating one or more sections: 350.620a), 350.1210 and 350.3240a). For a total fine of $750.00
FACILITY NAME: Midwest Rehab and Respiratory
FACILITY ADDRESS: 727 North 17th St.  
FACILITY CITY, STATE, ZIP: Belleville, IL 62226
DOCKET NUMBER: NH 15-C0100
LICENSEE INFO: Midwest Rehab and Respiratory Center, LLC
LICENSEE ADDRESS: 8170 McCormick Blvd, Ste 219
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 2/17/15

Type A violation for violating one or more sections:  300.610a), 300.1010h), 300.1210b), 300.1210d)3), 300.1210d)5), 300.1220b)3), 300.1620a), 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.

Type A violation for violating one or more sections:  300.610a), 300.690a), 300.1210b), 300.1210d)6), 300.1230b) 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), 300.3240a).  For a total fine of $25,000.00.

FACILITY NAME: Cedar Ridge Health and Rehab Center
FACILITY ADDRESS: One Perryman St.  
FACILITY CITY, STATE, ZIP: Lebanon, IL 62254
DOCKET NUMBER: NH 15-C0091
NH 15-S0110
LICENSEE INFO: Covenant Care Midwest, Inc
LICENSEE ADDRESS: 208 S. LaSalle, Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 1/15/15

Type A violation for violating one or more sections:  300.610a), 300.1010h), 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).  For a total fine of $25,000.00.

Type B violation for violating one or more sections:  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 $2,200.00.

Type B violation for violating one or more sections:  300.1210b), 300.1220b)3), and 300.3240a).. The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b) and 300.3240a).  For a total fine of $2,200.00.

Type B violation for violating one or more sections:  300.1210b)3), 300.1210d)4)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) and 300.3240a).  For a total fine of $2,200.00.

FACILITY NAME: Glen Bridge Nursing and Rehab Centre
FACILITY ADDRESS: 8333 West Golf Road
FACILITY CITY, STATE, ZIP: Niles, IL 60714
DOCKET NUMBER: NH 15-C0102
LICENSEE INFO: Glenbridge Nursing and Rehab Centre, LTD
LICENSEE ADDRESS: 191 North Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 1/28/15
Type B violation for violating one or more sections:  300.690a)b)c). No fine.
FACILITY NAME: Gardenview Manor
FACILITY ADDRESS: 14792 Catlin-Tilton Road  
FACILITY CITY, STATE, ZIP: Danville, IL 61834
DOCKET NUMBER: NH 15-C0108
LICENSEE INFO: Gardenview Manor, LLC
LICENSEE ADDRESS: 5750 Old Orchard Road, Ste 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 3/3/15
Type B violation for violating one or more sections:  300.1230j)5) and 300.1230k). No fine.
FACILITY NAME: Chicago Ridge Nursing Center
FACILITY ADDRESS: 10602 Southwest Highway  
FACILITY CITY, STATE, ZIP: Chicago, Ridge, IL 60415
DOCKET NUMBER: NH 15-C0101
LICENSEE INFO: BM of Chicago Ridge, LLC
LICENSEE ADDRESS: 8170 N McCormick Blvd, Ste. 219
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 2/24/15
Type B violation for violating one or more sections: 300.690b)c). No fine.
FACILITY NAME: Burgin Manor of Olney
FACILITY ADDRESS: 900 East Scott St.  
FACILITY CITY, STATE, ZIP: Olney, IL 62450
DOCKET NUMBER: NH 15-S0107
LICENSEE INFO: Burgin Manor of Olney, Inc
LICENSEE ADDRESS: 858 Sunnyhill Lane
LICENSEE CITY, STATE, ZIP: Columbia, IL 62236
Survey Date – 2/11/15
Type A violation for violating one or more sections:  300.610a), 300.1210a), 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).  For a total fine of $25,000.00.
FACILITY NAME: St. Joseph Nursing Home
FACILITY ADDRESS: 401 9th St.   
FACILITY CITY, STATE, ZIP: Lacon, IL 61540
DOCKET NUMBER: NH 15 S-0113
LICENSEE INFO: St. Joseph Nursing Home, Inc Lacon, Illinois
LICENSEE ADDRESS: 401 9th St.
LICENSEE CITY, STATE, ZIP: Lacon, IL 61540
Survey Date – 2/25/15
Type B violation for violating one or more sections: 300.615e). No fine.
FACILITY NAME: Sterling Pavilion
FACILITY ADDRESS: 105 East 23rd St.  
FACILITY CITY, STATE, ZIP: Sterling, IL 61081
DOCKET NUMBER: NH 15-C0109
LICENSEE INFO: Sterling Pavilion, LTD
LICENSEE ADDRESS: 191 North Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 1/30/15
Type B 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 $2,200.00
FACILITY NAME: Manor Court of Clinton
FACILITY ADDRESS: 1 Park Lane West  
FACILITY CITY, STATE, ZIP: Clinton, IL 61727
DOCKET NUMBER: NH 15-S0117
LICENSEE INFO: Residential Alternatives of Illinois, Inc
LICENSEE ADDRESS: 285 S. Farnham St.
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 2/6/15
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), 300.3240a).  For a total fine of $2,200.00
FACILITY NAME: Community Care Center
FACILITY ADDRESS: 4314 S. Wabash Ave  
FACILITY CITY, STATE, ZIP: Chicago, IL 60653
DOCKET NUMBER: NH 15-S0114
LICENSEE INFO: CC Care, LLC
LICENSEE ADDRESS: 1S443 Summit Ave, Ste 204
LICENSEE CITY, STATE, ZIP: Oakbrook Terrace, IL 60181
Survey Date – N/A
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: Manorcare of South Holland
FACILITY ADDRESS: 2145 East 170th St.  
FACILITY CITY, STATE, ZIP: South Holland, IL 60473
DOCKET NUMBER: NH 14-C0292
LICENSEE INFO: Manorcare of South Holland IL, LLC
LICENSEE ADDRESS: 208 S LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: The Estates of Hyde Park
FACILITY ADDRESS: 4505 S. Drexel Blvd  
FACILITY CITY, STATE, ZIP: Chicago, IL 60653
DOCKET NUMBER: NH 15-C0116
LICENSEE INFO: The Estates of Hyde Park, LLC
LICENSEE ADDRESS: 4711 Golf Road., Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 2/9/15
Type B violation for violating one or more sections:  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), 300.3240a).  For a total fine of $2,200.00
FACILITY NAME: Sharon Health Care Elms
FACILITY ADDRESS: 3611 North Rochelle  
FACILITY CITY, STATE, ZIP: Peoria, IL 61604
DOCKET NUMBER: NH 15-C-0001
LICENSEE INFO: Sharon Health Care Elms, Inc
LICENSEE ADDRESS: 465 Central Ave, Suite 100
LICENSEE CITY, STATE, ZIP: Northfield, IL 60093

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Snyders-Vaughn Haven
FACILITY ADDRESS: 135 S. Morgan St.  
FACILITY CITY, STATE, ZIP: Rushville, IL 62681
DOCKET NUMBER: NH 14-S-0198
LICENSEE INFO: Synders’-Vaughn Haven, Inc
LICENSEE ADDRESS: 135 S. Morgan
LICENSEE CITY, STATE, ZIP: Rushville, IL 62681

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Glenview Terrace Nursing Center
FACILITY ADDRESS: 1511 Greenwood Road  
FACILITY CITY, STATE, ZIP: Glenview, IL 60025
DOCKET NUMBER: NH 15-C0120
LICENSEE INFO: Glenview Terrace Nursing Center
LICENSEE ADDRESS: 6633 North Lincoln Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 2/5/15
Type B violation for violating one or more sections:  300.610a), 300.1010h), 300.1210b), 300.1210d)2)3), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the following sections of the Code with a high risk designation: 300.1210b) and 300.3240a).  For a total fine of $2,200.00
FACILITY NAME: Heritage Manor - El Paso
FACILITY ADDRESS: 555 East Clay  
FACILITY CITY, STATE, ZIP: El Paso, IL 61738
DOCKET NUMBER: NH 15-S0121
LICENSEE INFO: Heritage Manor- El Paso, LLC
LICENSEE ADDRESS: 202 N. Center
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61701
Survey Date – 2/19/15
Type B 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 $2,200.00
FACILITY NAME: Hickory Nursing Pavilion
FACILITY ADDRESS: 9246 S. Roberts Road  
FACILITY CITY, STATE, ZIP: Hickory Hills, IL 60457
DOCKET NUMBER: NH 15-S0119
LICENSEE INFO: Hickory Nursing Pavilion, Inc
LICENSEE ADDRESS: 10 S. Wacker Dr, 40th floor
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 2/13/15
Type B violation for violating one or more sections:  300.610a), 300.1010b), 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), 300.3240a).  For a total fine of $2,200.00
FACILITY NAME: Sycamore Healthcare Center
FACILITY ADDRESS: 720 Sycamore St.  
FACILITY CITY, STATE, ZIP: Quincy, IL 62301
DOCKET NUMBER: NH 15-C0122
LICENSEE INFO: SH Care, LLC
LICENSEE ADDRESS: 1S443 Sumitt Ave, Ste 204
LICENSEE CITY, STATE, ZIP: Oakbrook Terrace, IL 60181
Survey Date – 2/18/15
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), 300.3240a).  For a total fine of $2,200.00
FACILITY NAME: Avanti Wellness and Rehab
FACILITY ADDRESS: 694 West Touhy Ave  
FACILITY CITY, STATE, ZIP: Niles, IL 60714
DOCKET NUMBER: NH 15-S0115
LICENSEE INFO: Forest Villa Nursing and Rehab Center, LLC
LICENSEE ADDRESS: 7257 North Lincoln Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 2/6/15
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), 300.3240a).  For a total fine of $25,000.00
FACILITY NAME: Jerseyville Manor
FACILITY ADDRESS: 1251 North State St.  
FACILITY CITY, STATE, ZIP: Jerseyville, IL 62052
DOCKET NUMBER: NH 15-C0118
LICENSEE INFO: UDI #11, LLC
LICENSEE ADDRESS: 285 S. Farnham St.
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 2/24/15
Type B violation for violating one or more sections:  300.610a), 300.1210a), 300.1210b)1)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), 300.3240a).  For a total fine of $2,200.00
FACILITY NAME: Manor Care of Homewood IL
FACILITY ADDRESS: 940 Maple Ave.,  
FACILITY CITY, STATE, ZIP: Homewood, IL 60430
DOCKET NUMBER: NH 15-C0123
LICENSEE INFO: Manor Care of Homewood IL, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., STE 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 3/10/15
Type B violation for violating one or more sections: 300.1210d)6)
FACILITY NAME: Meadows Mennonite Home
FACILITY ADDRESS: 24599 Church St. 
FACILITY CITY, STATE, ZIP: Chenoa, IL 61726
DOCKET NUMBER: NH 15-C0085
LICENSEE INFO: Meadows Mennonite Retirement Community Association, Inc
LICENSEE ADDRESS: 24588 Church St.
LICENSEE CITY, STATE, ZIP: Chenoa, IL 61726
Survey Date – 1/21/15
Type A violation for violating one or more sections:  of the code:300.610a),300.690; 300.690a):300.1210b), 300.1210d)6); 300.1220b)1); 300.1220b)2); 300.1220b)3); 300.1220b)6); 300.1220b)7); 300.3240a); 300.3240b) and 300.3240d. 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:300.690; 300.1210b); 300.1210d)6); 300.3240a) and 300.3240d.  For a total fine of $25,000.00
FACILITY NAME: White Oak Rehabilitation HCC
FACILITY ADDRESS: 1700 White St. 
FACILITY CITY, STATE, ZIP: Mount Vernon, IL 62864
DOCKET NUMBER: NH 15-C0125
LICENSEE INFO: Petersen Management Company, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61814
Survey Date – 2/18/15
Type A violation for violating one or more sections of the code: 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: Moweaqua NRSG & retirement CTR
FACILITY ADDRESS: Maple and Macon Streets
FACILITY CITY, STATE, ZIP: Moweaqua, IL 62550
DOCKET NUMBER: NH 15-C0127
LICENSEE INFO: Moweaqua Nursing Ventures LLC
LICENSEE ADDRESS: 480 S. Meadowbrook Road
LICENSEE CITY, STATE, ZIP: Springfield, IL 62707
Survey Date – 3/30/15
Type B violation for violating one or more sections:  300.610a), 300.1210b), 300.1610a)10, 300.1830b), 300.3210g), 300.3240a), and 300.3240b). 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 $2,200.00
FACILITY NAME: Pleasant View Rehab & HCC
FACILITY ADDRESS:  500 North Jackson St.
FACILITY CITY, STATE, ZIP: Morrison, IL 61270
DOCKET NUMBER: NH 15-S0128
LICENSEE INFO: Petersen Health Operations III, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 2/26/15
Type B violation for violating one or more sections:  300.610a), 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) and300.3240a).  For a total fine of $2,200.00
FACILITY NAME: Forest City Rehab & NRSG CTR
FACILITY ADDRESS:  321 Arnold Ave.
FACILITY CITY, STATE, ZIP: Rockford, IL. 61108
DOCKET NUMBER: NH 15-S0129
LICENSEE INFO: Forest City Rehab and nursing center
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 1/22/15
Type B violation for violating one or more sections: 300.625c).
FACILITY NAME: Meadows Mennonite Home
FACILITY ADDRESS:   24588 Church St.
FACILITY CITY, STATE, ZIP: Chenoa, IL 61726
DOCKET NUMBER: NH 15-C0132
LICENSEE INFO: Meadows Mennonite Retirement Community Association Inc
LICENSEE ADDRESS: 24588 Church St.
LICENSEE CITY, STATE, ZIP: Chenoa, IL 61726
Survey Date – 3/17/15
Type B violation for violating one or more sections: 300.690b), 300.690c).
FACILITY NAME: Brookdale Burr Ridge
FACILITY ADDRESS: 6801 Highgrove Blvd 
FACILITY CITY, STATE, ZIP: Burr Ridge, IL 60527
DOCKET NUMBER: NH 15-S0124
LICENSEE INFO: S-H OPCO Burr Ridge, LLC
LICENSEE ADDRESS: 208 S. LaSalle St, Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 3/4/15
Type B violation for violating one or more sections:  300.2030e)f)h)i). No fine.