2019 3rd Quarterly Report

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 Address: 450 Fulton Street
Facility City, State, Zip: Paxton, IL 60957

Docket Number: NH 19-C0380

Licensee Info: Accolade Healthcare Of Paxton Senior Living
Licensee Address: 1900 E Golf Road, Suite 950a
Licensee City, State, Zip: Schaumburg, IL 60173

Survey Date – 06/20/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)5), and 300.3240a). A fine of $2,200.00

Facility Address: 6120 West Ogden
Facility City, State, Zip: Cicero, IL 60804

Docket Number: NH 19-C0342

Licensee Info: Alden Town Manor Rehabilitation & Health Care Center, Inc.
Licensee Address: 4200 W. Peterson Avenue, Suite 140
Licensee City, State, Zip: Chicago, IL 60646

Survey Date – 05/08/2019
Type A violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 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 sections of the code with a high risk designation: 300.3240a). A fine of $25,000.00

Facility Address: 2313 North Rockton Avenue
Facility City, State, Zip: Rockford, IL 61103

Docket Number: NH 19-C0310

Licensee Info: Amberwood Healthcare Centre, Llc
Licensee Address: 8140 River Drive
Licensee City, State, Zip: Morton Grove, IL 60053

Survey Date – 05/30/2019
Type A violation of an occurrence for violating one or more of the following sections of the code: 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)5) and 300.3240a). A fine of $25,000.00

Facility Address: 1509 North Calhoun Street
Facility City, State, Zip: Bloomington, IL 61701

Docket Number: NH 19-C0415

Licensee Info: Aperion Care Bloomington, Llc
Licensee Address: 208 South Lasalle Street, Ste 814
Licensee City, State, Zip: Chicago, IL 60604

Survey Date – 07/11/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1210b), 300.1210c)1)3), 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 sections of the code with a high risk designation: 300.1210b) and 300.3240a). A fine of $2,200.00

Facility Address: 2001 Cedar Street
Facility City, State, Zip: Cairo, IL 62914

Docket Number: NH 19-C0315
NH 19-S0335

Licensee Info: Aperion Care Cairo, Llc
Licensee Address: 208 South Lasalle Street, Ste 814
Licensee City, State, Zip: Chicago, IL 60604

Survey Date – 05/23/2019 Type A violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)6) and 300.3240a). A fine of %25,000.00. Type A violation of an occurrence for violating one or more of the following 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)6) and 300.3240a). A fine of $25,000.00. Type A violation of an occurrence for violating one or more of the following sections of the code: 300.1210b), 300.1210d)2)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 sections of the code with a high risk designation: 300.1210b), 300.1210d)5) and 300.3240a). A fine of $25,000.00.
Total Fines $75,000.00

Facility Address: 555 West Carpenter
Facility City, State, Zip: Springfield, IL 62702

Docket Number: NH 19-C0349

Licensee Info: Aperion Care Capitol, Llc
Licensee Address: 208 S. Lasalle Street, Suite 814
Licensee City, State, Zip: Chicago, IL 60604

Survey Date – 06/10/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1210b), 300.1210d)2)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 sections of the code with a high risk designation: 300.1210b), 300.1210d)5) and 300.3240a). A fine of $2,200.00

Facility Address: 8200 West Roosevelt Road
Facility City, State, Zip: Forest Park, IL 60130

Docket Number: NH 19-C0305

Licensee Info: Berkshire Nursing & Rehab Center, Llc
Licensee Address: 208 South Lasalle Street, Ste 814
Licensee City, State, Zip: Chicago, IL 60604

Survey Date – 05/23/2019
Type AA violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1210b), 300.3220f) and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the code due to the violation of the sections of the code with a high risk designation: 300.1210b) and 300.3240a). A fine of $50,000.00

Facility Address: 1250 W. Carl Sandburg Drive
Facility City, State, Zip: Galesburg, IL 61401

Docket Number: NH 19-S0336

Licensee Info: Aperion Care Galesburg North, Llc
Licensee Address: 208 S. Lasalle Street, Suite 814
Licensee City, State, Zip: Chicago, IL 60604

Survey Date – 06/20/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)6) and 300.3240a). A fine of $2,200.00

Facility Address: 555 West Kahler
Facility City, State, Zip: Wilmington, IL 60481

Docket Number: NH 19-S0351

Licensee Info: Island City Rehabilitation Center, Llc
Licensee Address: 208 South Lasalle Street, Ste 814
Licensee City, State, Zip: Chicago, IL 60604

Survey Date – 06/26/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.2100), 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 sections of the code with a high risk designation: 300.3240a). A fine of $2,200.00

Facility Address: 1666 Rfd (Checker Road)
Facility City, State, Zip: Long Grove, IL 60047

Docket Number: NH 19-C0312

Licensee Info: Long Grove Pac, Llc
Licensee Address: 7040 N. Ridgeway Avenue
Licensee City, State, Zip: Lincolnwood, IL 60712

Survey Date – 06/04/2019
Type A violation of an occurrence for violating one or more of the following sections of the code: 300.1010c), 300.1010e), 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 sections of the code with a high risk designation: 300.1210b) and 300.3240a). A fine of $25,000.00.

Facility Address: 1950 Larkin Avenue
Facility City, State, Zip: Elgin, IL 60123

Docket Number: NH 19-S0258

Licensee Info: Elgin Skilled Nursing Facility, Llc
Licensee Address: 3450 Oakton Street
Licensee City, State, Zip: Skokie, IL 60076

Survey Date – 05/15/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1210a), 300.1210b), 300.1210d)5) and 300.1220b)3). The fine was doubled in this instance in accordance with 300.282i) and j) of the code due to the violation of the sections of the code with a high risk designation: 300.1210b) and 300.1210d)5). A fine of $2,200.00

Facility Address: 1950 Larkin Avenue
Facility City, State, Zip: Elgin, IL 60123

Docket Number: NH 19-S0331

Licensee Info: Elgin Skilled Nursing Facility, Llc
Licensee Address: 3450 Oakton Street
Licensee City, State, Zip: Skokie, IL 60076

Survey Date – 06/12/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1210a), 300.1210b), 300.1210c), 300.1210d)2)3)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 sections of the code with a high risk designation: 300.1210b), 300.1210d)5) and 300.3240a). A fine of $2,200.00

Facility Address: 4538 North Beacon
Facility City, State, Zip: Chicago, IL 60640

Docket Number: NH 19-C0320

Licensee Info: Beacon Health Center, Llc
Licensee Address: 1900 E. Golf Road, Suite 950
Licensee City, State, Zip: Schaumburg, IL 60173

Survey Date – 05/08/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1210b), 300.1210d)2)3)5), 300.1630a)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 sections of the code with a high risk designation: 300.1210b), 300.1210d)5) and 300.3240a). A fine of $2,200.00

Facility Address: 4538 North Beacon
Facility City, State, Zip: Chicago, IL 60640

Docket Number: NH 19-C0329

Licensee Info: Beacon Health Center, Llc
Licensee Address: 1900 E. Golf Road, Suite 950
Licensee City, State, Zip: Schaumburg, IL 60173

Survey Date – 06/11/2019
Type B violation of an occurrence for violating one or more of the following 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)6) and 300.3240a). A fine of $2,200.00

Facility Address: 1035 Madison Street
Facility City, State, Zip: Oak Park, IL 60302

Docket Number: NH 19-S0381
NH 19-C0382

Licensee Info: Belmont Village Oak Park Tenant, Llc
Licensee Address: 801 Adlai Stevenson Drive
Licensee City, State, Zip: Springfield, IL 62703

Survey Date – 07/03/2019
Type A violation of an occurrence for violating one or more of the following sections of the code: 330.710a), 330.710b), 330.780c), 330.1110f), 330.1110g), and 330.4240a). The fine was doubled in this instance in accordance with 330.282i) and j) of the code due to the violation of the sections of the code with a high-risk designation: 330.780 and 330.4240a). A fine of $25,000.00.

Facility Address: 815 South Prairie Street
Facility City, State, Zip: Bethalto, IL 62010

Docket Number: NH 19-C0420

Licensee Info: Bethalto Care Center, Inc.
Licensee Address: 815 South Prairie Street
Licensee City, State, Zip: Bethalto, IL 62010

Survey Date – 07/24/2019
Type A violation of an occurrence for violating one or more of the following sections of the code: 300.110g), 300.510e), 300.810a), 300.1210b), 300.1220b)5), 300.2020, and 300.3300d)y). The fine was doubled in this instance in accordance with 300.282i) and j) of the code due to the violation of the sections of the code with a high risk designation: 300.1210b). A fine of $25,000.00

Facility Address: 150 North Street
Facility City, State, Zip: Belleville, IL 62226

Docket Number: NH 19-C0314

Licensee Info: Belleville Healthcare & Rehabilitation Center, Inc.
Licensee Address: 465 Central Avenue, Suite 100
Licensee City, State, Zip: Northfield, IL 60093

Survey Date – 05/08/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 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 sections of the code with a high risk designation: 300.1210b) and 300.3240a). A fine $2,200.00

Facility Address: 150 North 27^Th Street
Facility City, State, Zip: Belleville, IL 62226

Docket Number: NH 19-S0353

Licensee Info: Belleville Healthcare & Rehabilitation Center, Inc.
Licensee Address: 465 Central Avenue Suite 100
Licensee City, State, Zip: Northfield, IL 60093

Survey Date – 06/07/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1210a), 300.1210b), 300.1210c), 300.1210d)2)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 sections of the code with a high risk designation: 300.1210b), 300.1210d)5) and 300.3240a). A fine of $2,200.00
Type B violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1210a), 300.1210b)5), 300.1210c), 300.1210d)6) and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the code due to the violation of the sections of the code with a high risk designation: 300.1210b), 300.1210d)6) and 300.3240a). A fine of $2,200.00
Total Fine $4,400.00

Facility Address: 10426 South Roberts
Facility City, State, Zip: Palos Hills, IL 60465

Docket Number: NH 19-C0395

Licensee Info: Palos Hills Healthcare, Llc
Licensee Address: 5151 Church Street
Licensee City, State, Zip: Skokie, IL 60077

Survey Date – 07/09/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1010h), 300.1210b), 300.1210c)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 sections of the code with a high risk designation: 300.1210b) and 300.3240a). A fine of $2,200.00

Facility Address: 3089 Old Jacksonville Road
Facility City, State, Zip: Springfield, IL 62704

Docket Number: NH 19-C0418

Licensee Info: Ojcc, Llc
Licensee Address: 208 South Lasalle Street, Ste 814
Licensee City, State, Zip: Chicago, IL 60604

Survey Date – 07/16/2019
Type A violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1210b), 300.1210c)1), 300.1630d), 300.3220f), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the code due to the violation of the sections of the code with a high risk designation: 300.1210b) and 300.3240a). A fine of $25,000.00

Facility Address: 1635 East 154^Th Street
Facility City, State, Zip: Dolton, IL 60419

Docket Number: NH 19-C0306

Licensee Info: Countryside Nursing & Rehabilitation Center, Llc
Licensee Address: 2201 W. Main Street
Licensee City, State, Zip: Evanston, IL 60202

Survey Date – 05/15/2019
Type A violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1210a), 300.1210b), 300.1220b)3), and 300.3240a)f). The fine was doubled in this instance in accordance with 300.282i) and j) of the code due to the violation of the sections of the code with a high risk designation: 300.1210b) and 300.3240a). A fine of $25,000.00

Facility Address: 1400 East Washington Street
Facility City, State, Zip: Pittsfield, IL 62363

Docket Number: NH 19-S0364

Licensee Info: Petersen Health Operations, Llc
Licensee Address: 830 West Trailcreek Drive
Licensee City, State, Zip: Peoria, IL 61614

Survey Date – 06/20/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)5) and 300.3240a). A fine of $2,200.00

Facility Address: 1017 West Galena
Facility City, State, Zip: Aurora, IL 60506

Docket Number: NH 19-S0398

Licensee Info: Elmwood Terrace Healthcare Center, Inc.
Licensee Address: 2201 Main Street, Ste 180
Licensee City, State, Zip: Evanston, IL 60202

Survey Date – 07/18/2019
Type A violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 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 sections of the code with a high risk designation: 300.1210b) and 300.3240a). A fine of $25,000.00

Facility Address: 901 Illini Drive
Facility City, State, Zip: East Peoria, IL 61611

Docket Number: NH 19-C0328

Licensee Info: Petersen Health Operations, Llc
Licensee Address: 830 West Trailcreek Drive
Licensee City, State, Zip: Peoria, IL 61614

Survey Date – 06/05/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1210a), 300.1210b), 300.1210c), 300.1210d)2)5), 300.1810f)1), 300.1810h), 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)5) and 300.3240a). A fine of $2,200.00

Facility Address: 350 West Schaumburg Road
Facility City, State, Zip: Schaumburg, IL 60194

Docket Number: NH 19-C0346

Licensee Info: Evangelical Retirement Homes Of Greater Chicago, Inc.
Licensee Address: 350 West Schaumburg Road
Licensee City, State, Zip: Schaumburg, IL 60194

Survey Date – 06/11/2019
Type B violation of an occurrence for violating one or more of the following 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)6) and 300.3240a). A fine of $2,200.00

Facility Address: 14792 Catlin-Tilton Road
Facility City, State, Zip: Danville, IL 61834

Docket Number: NH 19-C0344

Licensee Info: Gardenview Manor, Llc
Licensee Address: 5750 Old Orchard Road, Ste 420
Licensee City, State, Zip: Skokie, IL 60077

Survey Date – 06/05/2019
Type A violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1210b), 300.1210d)2)3), 300.1630c), 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 sections of the code with a high risk designation: 300.1210b) and 300.3240a). A fine of $25,000.00

Facility Address: 6631 Milwaukee Avenue
Facility City, State, Zip: Niles, IL 60714

Docket Number: NH 19-S0401

Licensee Info: Generations At Regency, Llc
Licensee Address: 6840 North Lincoln Avenue
Licensee City, State, Zip: Lincolnwood, IL 60712

Survey Date – 07/11/2019
Type A violation of an occurrence for violating one or more of the following sections of the code: 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)6) and 300.3240a). A fine of $25,000.00

Facility Address: 2545 24^Th Street
Facility City, State, Zip: Rock Island, IL 61201

Docket Number: NH 19-C0387
NH 19-S0388

Licensee Info: Generations At Rock Island, Llc
Licensee Address: 6840 North Lincoln Avenue
Licensee City, State, Zip: Lincolnwood, IL 60712

Survey Date – 07/02/2019
Type A violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1210b), 300.1210d)2)6), 300.3220f), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the code due to the violation of the sections of the code with a high risk designation: 300.1210b), 300.1210d)6) and 300.3240a). A fine of $25,000.00

Facility Address: 1390 South Crescent Street
Facility City, State, Zip: Gilman, IL 60938

Docket Number: NH 19-C0343

Licensee Info: Gilman Healthcare Center, Llc
Licensee Address: 4711 Golf Road, Ste 200
Licensee City, State, Zip: Skokie, IL 60076

Survey Date – 07/02/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1210b)5), 300.1210d)2)3)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 sections of the code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). A fine of $2,200.00

Facility Address: 2130 Harrison Street
Facility City, State, Zip: Quincy, IL 62301

Docket Number: NH 19-C0386

Licensee Info: The Good Samaritan Home Of Quincy
Licensee Address: 2130 Harrison Street
Licensee City, State, Zip: Quincy, IL 62301

Survey Date – 06/20/2019
Type A violation of an occurrence for violating one or more of the following sections of the code: 300.510c), 300.510e), 300.610a), 300.650f)2), 300.695b)3), 300.695c)5), 300.695d), 300.840, 300.1040b)1)2)3)4), 300.1040c), 300.1040d), 300.3240a), 300.3240c), 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 sections of the code with a high risk designation: 300.695b), 300.3240a), 300.3240d), and 300.3240e). A fine of $25,000.00

Facility Address: 500 Asbury Avenue
Facility City, State, Zip: Evanston, IL 60202

Docket Number: NH 19-C0367

Licensee Info: Evanston Skilled Nursing Facility, Llc
Licensee Address: 801 Adlai Stevenson Drive
Licensee City, State, Zip: Springfield, IL 62703

Survey Date – 07/05/2019
Type A violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 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 sections of the code with a high risk designation: 300.1210b) and 300.3240a). A fine of $25,000.00

Facility Address: 1601 N. Farnsworth Avenue
Facility City, State, Zip: Aurora, IL 60505

Docket Number: NH 19-C0298

Licensee Info: Aurora Pac, Llc
Licensee Address: 801 Adlai Stevenson Drive
Licensee City, State, Zip: Springfield, IL 62703

Survey Date – 06/06/2019
Type A violation of an occurrence for violating one or more of the following sections of the code: 300.1210b), 300.1210c), 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)6) and 300.3240a). A fine of $25,000.00

Facility Address: 611 Allen Lane
Facility City, State, Zip: St. Charles, IL 60174

Docket Number: NH 19-S0326

Licensee Info: St. Charles Skilled Nursing Facility, Llc
Licensee Address: 3450 Oakton Street
Licensee City, State, Zip: Skokie, IL 60076

Survey Date – 06/12/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1210b), 300.1210d)4)a)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 sections of the code with a high risk designation: 300.1210b), 300.1210d)5) and 300.3240a). A fine of $2,200.00

Facility Address: 920 North Seminary Avenue
Facility City, State, Zip: Woodstock, IL 60098

Docket Number: NH 19-S0397

Licensee Info: Woodstock Christian Life Services
Licensee Address: 920 North Seminary Avenue
Licensee City, State, Zip: Woodstock, IL 60098

Survey Date – 07/05/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 330.720b) and 330.4220f). A fine of $1,100.00 Type B violation of an occurrence for violating one or more of the following sections of the code: 330.4220f). A fine of $1,100.00

Total Fine $2,200.00

Facility Address: 873 Grove Street
Facility City, State, Zip: Jacksonville, IL 62650

Docket Number: NH 19-S0361

Licensee Info: Barton W. Stone Jacksonville, Llc
Licensee Address: 115 West Jefferson Street, Ste 401
Licensee City, State, Zip: Bloomington, IL 61701

Survey Date – 06/27/2019 Type B violation of an occurrence for violating one or more of the following sections of the code: 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)5), and 300.3240a). A fine of $2,200.00

Facility Address: 180 West Imboden
Facility City, State, Zip: Decatur, IL 62521

Docket Number: NH 19-S0370

Licensee Info: Living Center, Inc.
Licensee Address: 20 South Side Country Club
Licensee City, State, Zip: Decatur, IL 62521

Survey Date – 06/26/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). A fine of $2,200.00

Facility Address: 1251 North State Road
Facility City, State, Zip: Jerseyville, IL 62052

Docket Number: NH 19-C0341

Licensee Info: Udi #11, Llc
Licensee Address: 285 S. Farnham Street
Licensee City, State, Zip: Galesburg, IL 61401

Survey Date – 06/17/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)6) and 300.3240a). A fine of $2,200.00

Facility Address: 14716 S. Eastern Avenue
Facility City, State, Zip: Plainfield, IL 60544

Docket Number: NH 19-S0272

Licensee Info: Lakewood Nursing & Rehabilitation Center, Llc
Licensee Address: 2201 Main Street
Licensee City, State, Zip: Evanston, IL 60202

Survey Date – 05/15/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1210b), 300.1210d)2)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 sections of the code with a high risk designation: 300.1210b), 300.1210d)5) and 300.3240a). A fine of $2,200.00

Facility Address: 9300 Ballard Road
Facility City, State, Zip: Des Plaines, IL 60016

Docket Number: NH 19-C0321

Licensee Info: Landmark Of Des Plaines Rehabilitation Center, Llc
Licensee Address: 5683 North Lincoln Avenue
Licensee City, State, Zip: Chicago, IL 60659

Survey Date – 05/28/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1210b), and 300.1210d)1). The fine was doubled in this instance in accordance with 300.282i) and j) of the code due to the violation of the sections of the code with a high risk designation: 300.1210b). A fine of $2,200.00

Facility Address: 1380 North 27^Th Road
Facility City, State, Zip: Ottawa, IL 61350

Docket Number: NH 19-S0319

Licensee Info: Lasalle County
Licensee Address: 707 Etna Road, Lcbo Rm 245
Licensee City, State, Zip: Ottawa, IL 61350

Survey Date – 06/20/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1210b), 300.1210d)6), 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). A fine of $2,200.00

Facility Address: 3400 West Washington
Facility City, State, Zip: Springfield, IL 62711

Docket Number: NH 19-C0404

Licensee Info: Lewis Memorial Christian Village
Licensee Address: 208 South Lasalle Street, Ste 814
Licensee City, State, Zip: Chicago, IL 60604

Survey Date – 07/10/2019
Type B violation of an occurrence for violating one or more of the following 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). A fine of $2,200.00

Facility Address: 900 South Rand Road
Facility City, State, Zip: Lake Zurich, IL 60047

Docket Number: NH 19-S0303

Licensee Info: Lexington Health Care Center Of Lake Zurich, Inc.
Licensee Address: 665 West North Avenue
Licensee City, State, Zip: Lombard, IL 60148

Survey Date – 04/22/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 300.1210b) and 300.1210d)6). The fine was doubled in this instance in accordance with 300.282i) and j) of the code due to the violation of the sections of the code with a high risk designation: 300.1210b) and 300.1210d)6). A fine of $2,200.00.

Facility Address: 900 South Rand Road
Facility City, State, Zip: Lake Zurich, IL 60047

Docket Number: NH 19-S0307

Licensee Info: Lexington Health Care Center Of Lake Zurich, Inc.
Licensee Address: 665 West North Avenue
Licensee City, State, Zip: Lake Zurich, IL 60148

Survey Date – 05/08/2019
Type AA violation of an occurrence for violating one or more of the following sections of the code: 300.1035a), 300.1035b)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 sections of the code with a high risk designation: 300.3240a). A fine of $50,000.00

Facility Address: 700 N. Main Street
Facility City, State, Zip: Eureka, IL 61530

Docket Number: NH 19-C0358

Licensee Info: Loft Rehabilitation & Nursing, Llc
Licensee Address: 191 N. Wacker Drive, Suite 1800
Licensee City, State, Zip: Chicago, IL 60606

Survey Date – 06/11/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 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 sections of the code with a high risk designation: 300.1210b) and 300.3240a). A fine of $2,200.00 Type B violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1210b), 300.1210d)c, 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 sections of the code with a high risk designation: 300.1210b) and 300.3240a). A fine of $2,200.00
Total Fine $4,400.00

Facility Address: 700 North Main Street
Facility City, State, Zip: Eureka, IL 61530

Docket Number: NH 19-C0408

Licensee Info: The Loft Rehabilitation & Nursing, Llc
Licensee Address: 191 North Wacker Drive, Ste 1800
Licensee City, State, Zip: Chicago, IL 60606

Survey Date – 06/25/2019
Type B violation of an occurrence for violating one or more of the following 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). A fine of $2,200.00

Facility Address: 800 West Oakton Street
Facility City, State, Zip: Arlington Heights, IL 60004

Docket Number: NH 19-C0273

Licensee Info: Lutheran Home For The Aged, Inc.
Licensee Address: 800 West Oakton Street
Licensee City, State, Zip: Arlington Heights, IL 60004

Survey Date – 05/15/2019 Type B violation of an occurrence for violating one or more of the following sections of the code: 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)6) and 300.3240a). A fine $2,200.00.

Facility Address: 201 S. 10^Th Street
Facility City, State, Zip: Mascoutah, IL 62258

Docket Number: NH 19-C0371

Licensee Info: Community Care Center Of Mascoutah, Inc.
Licensee Address: 201 S. 10^Th Street
Licensee City, State, Zip: Mascoutah, IL 62258

Survey Date – 07/10/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1210b)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 sections of the code with a high risk designation: 300.1210b), 300.1210d)5), and 300.3240a). A fine of $2,200.00 Type B violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). A fine of $2,200.00
Total Fine Of $4,400.00

Facility Address: 3240 Barney Avenue
Facility City, State, Zip: Pekin, IL 61554

Docket Number: NH 19-C0345

Licensee Info: Patterson House, Inc.
Licensee Address: 110 Southbrooke
Licensee City, State, Zip: Decatur, IL 62521

Survey Date – 05/22/2019
Type B violation for violating one or more of the following sections of the code: 350.620a), 350.3240a), 350.3240c) and 350.3240e). A fine of $550.00

Facility Address: 901 North Main
Facility City, State, Zip: Normal, IL 61761

Docket Number: NH 19-S0389

Licensee Info: Mclean County
Licensee Address: 115 East Washington Street, Room 401
Licensee City, State, Zip: Bloomington, IL 61702

Survey Date – 07/18/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1210a), 300.1210b), 300.1210c), 300.1210d)2)3)5), 300.3220f), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the code due to the violation of the sections of the code with a high risk designation: 300.1210b), 300.1210d)5), and 300.3240a). A fine of $2,200.00

Facility Address: 431 West Remington Boulevard
Facility City, State, Zip: Bolingbrook, IL 60440

Docket Number: NH 19-S0304

Licensee Info: Butterfield Health Care. Inc.
Licensee Address: 150 N. Riverside Plaza, #3000
Licensee City, State, Zip: Chicago, IL 60606

Survey Date – 06/11/2019
Type A violation of an occurrence for violating one or more of the following sections of the code: 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)6) and 300.3240a). A fine of $25,000.00

Facility Address: 24588 Church Street
Facility City, State, Zip: Chenoa, IL 61726

Docket Number: NH 19-S0294

Licensee Info: Meadows Mennonite Retirement Community Association, Inc.
Licensee Address: 24588 Church Street
Licensee City, State, Zip: Chenoa, IL 61726

Survey Date – 05/31/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)6) and 300.3240a). A fine of $2,200.00

Facility Address: 2013 Midwest Road
Facility City, State, Zip: Oak Brook, IL 60523

Docket Number: NH 19-C0332

Licensee Info: Oakbrook Healthcare Center, Ltd
Licensee Address: 5061 North Pulaski Road
Licensee City, State, Zip: Chicago, IL 60630

Survey Date – 06/05/2019
Type A violation of an occurrence for violating one or more of the following 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)6) and 300.3240a). A fine of $25,000.00

Facility Address: 625 North Harlem
Facility City, State, Zip: Oak Park, IL 60302

Docket Number: NH 19-C0333

Licensee Info: Oak Park Oasis, Llc
Licensee Address: 4711 Gold Road, Suite 200
Licensee City, State, Zip: Skokie, IL 60076

Survey Date – 06/11/2019 Type B violation of an occurrence for violating one or more of the following sections of the code: 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)6) and 300.3240a). A fine of $2,200.00

Facility Address: 811 South 10^Th Street
Facility City, State, Zip: Oregon, IL 61061

Docket Number: NH 19-S0260

Licensee Info: Oregon Living & Rehabilitation Center, Llc
Licensee Address: 7434 Skokie Blvd
Licensee City, State, Zip: Skokie, IL 60077

Survey Date – 05/14/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1210b)4)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 sections of the code with a high risk designation: 300.1210b), 300.1210d)6) and 300.3240a). A fine $2,200.00.

Facility Address: 1450 Caseyville Avenue
Facility City, State, Zip: Swansea, IL 62226

Docket Number: NH 19-C0385

Licensee Info: Parents And Friends Of The Specialized Living Center
Licensee Address: 1450 Caseyville Avenue
Licensee City, State, Zip: Swansea, IL 62226

Survey Date – 06/20/2019
Type B violation for violating one or more of the following sections of the code: 350.620a), 350.1210) and 350.2700d)2). A fine of $750.00.

Facility Address: 1701 5^Th Avenue
Facility City, State, Zip: Belvidere, IL 61008

Docket Number: NH 19-C0274

Licensee Info: The Gardens Of Belvidere, Llc
Licensee Address: 8140 Mccormick Blvd, Suite 131
Licensee City, State, Zip: Skokie, IL 60076

Survey Date – 05/14/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)6) and 300.3240a). A fine of $2,200.00

Facility Address: 612 West St. Mary’S Street
Facility City, State, Zip: Sterling, IL 61081

Docket Number: NH 19-S0318

Licensee Info: Sterling Snf Management, Llc
Licensee Address: 1315 W. Lawrence Avenue
Licensee City, State, Zip: Springfield, IL 62704

Survey Date – 06/11/2019
Type A violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1210b), 300.1210d)3)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 sections of the code with a high risk designation: 300.1210b), 300.1210d)6) and 300.3240a). A fine of $25,000.00

Facility Address: 4401 North Main Street
Facility City, State, Zip: Rockford, IL 61103

Docket Number: NH 19-S0325

Licensee Info: Winnebago County
Licensee Address: 404 Elm Street, Room 504
Licensee City, State, Zip: Rockford, IL 61101

Survey Date – 05/17/2019
Type A violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.2040b), 300.2040e), and 300.2040g. A fine of $12,500.00

Facility Address: 7300 34^Th Avenue
Facility City, State, Zip: Moline, IL 61265

Docket Number: NH 19-S0392

Licensee Info: Bravo Care Of Moline, Inc.
Licensee Address: 412 East Lawrence
Licensee City, State, Zip: Springfield, IL 62703

Survey Date – 07/16/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). A fine of $2,200.00

Facility Address: 850 Dunham Road
Facility City, State, Zip: St. Charles, IL 60174

Docket Number: NH 19-S0330

Licensee Info: Bravo Care Of St. Charles, Inc.
Licensee Address: 412 East Lawrence Street
Licensee City, State, Zip: Springfield, IL 62703

Survey Date – 05/23/2019
Type A violation of an occurrence for violating one or more of the following sections of the code: 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 sections of the code with a high risk designation: 300.1210b) and 300.3240a). A fine of $25,000.00

Facility Address: 605 East Church Street, P.O. Box 600
Facility City, State, Zip: Kewanee, IL 61443

Docket Number: NH 19-C0379

Licensee Info: Petersen Health Care Ii, Inc.
Licensee Address: 830 West Trailcreek Drive
Licensee City, State, Zip: Peoria, IL 61614

Survey Date – 06/27/2019
Type A violation of an occurrence for violating one or more of the following sections of the code: 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)5) and 300.3240a). A fine of $25,000.00 Type B violation of an occurrence for violating one or more of the following sections of the code: 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). A fine of $2,200.00
Total Fine $27,200.00

Facility Address: 340 Bryan Avenue
Facility City, State, Zip: Danville, IL 61832

Docket Number: NH 19-S0383

Licensee Info: Community Living Options, Inc.
Licensee Address: 285 South Farnham Street
Licensee City, State, Zip: Galesburg, IL 61401

Survey Date – 06/19/2019
Type B violation for violating one or more of the following sections of the code: 350.620a), 350.1210), 350.3240a), 350.3240d) and 350.3000d)2). A fine of $550.00

Facility Address: 3614 North Rochelle
Facility City, State, Zip: Peoria, IL 61604

Docket Number: NH 19-S0354

Licensee Info: Sharon Health Care Pines, Inc.
Licensee Address: 465 Central Avenue, Suite 100
Licensee City, State, Zip: Northfield, IL 60093

Survey Date – 06/18/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 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 sections of the code with a high risk designation: 300.1210b) and 300.3240a). A fine of $2,200.00

Facility Address: 1111 West North 12^Th Street
Facility City, State, Zip: Shelbyville, IL 62565

Docket Number: NH 19-S0337

Licensee Info: Udi #3, L.L.C.
Licensee Address: 285 South Farnham Street
Licensee City, State, Zip: Galesburg, IL 61401

Survey Date – 06/06/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1210b), 300.1210d)2)4)a)d), 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 sections of the code with a high risk designation: 300.1210b) and 300.3240a). A fine of $2,200.00

Facility Address: 600 Borden Street
Facility City, State, Zip: Woodstock, IL 60098

Docket Number: NH 19-S0400

Licensee Info: Dorr-Wood, Ltd
Licensee Address: 600 Borden Street
Licensee City, State, Zip: Woodstock, IL 60098

Survey Date – 07/03/2019 Type B violation for violating one or more of the following sections of the code: 350.620a), 350.1060e), 350.1060j), 350.1210, 350.3240a) and 350.3240f). A fine of $750.00

Facility Address: 2145 East 170^Th Street
Facility City, State, Zip: South Holland, IL 60743

Docket Number: NH 19-C0275

Licensee Info: South Holland Manor Hrc, Llc
Licensee Address: 2201 Main Street
Licensee City, State, Zip: Evanston, IL 60202

Survey Date – 05/14/2019
Type A violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)6) and 300.3240a). A fine of $25,000.00

Facility Address: 777 Draper Avenue
Facility City, State, Zip: Joliet, IL 60432

Docket Number: NH 19-C0360

Licensee Info: Spring Creek Snf, Llc
Licensee Address: 6302 N Monticello Avenue
Licensee City, State, Zip: Chicago, IL 60659

Survey Date – 06/21/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)6) and 300.3240a). A fine of $2,200.00

Facility Address: 10000 East Brighton
Facility City, State, Zip: Crystal Lake, IL 60012

Docket Number: NH 19-S0311

Licensee Info: The Springs At Crystal Lake, Llc
Licensee Address: 191 North Wacker Drive, Ste 1800
Licensee City, State, Zip: Chicago, IL 60606

Survey Date – 05/24/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.3240a), 300.3300b), 300.3300c)1)a)b)c)d), 300.3300d), 300.3300e)1)2)3)4)5), 300.3300g), 300.3300j), and 300.3300k). The fine was doubled in this instance in accordance with 300.282i) and j) of the code due to the violation of the sections of the code with a high risk designation: 300.3240a). A fine of $2,200.00

Facility Address: 5130 West Jackson Boulevard
Facility City, State, Zip: Chicago, IL 60644

Docket Number: NH 19-C0334

Licensee Info: Symphony Jackson Square, Llc
Licensee Address: 801 Adlai Stevenson Drive
Licensee City, State, Zip: Springfield, IL 62703

Survey Date – 05/31/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1210a), 300.1210b), 300.1210c), 300.1210d)6) and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the code due to the violation of the sections of the code with a high risk designation: 300.1210b), 300.1210d)6) and 300.3240a). A fine of $2,200.00

Facility Address: 759 Kane Street
Facility City, State, Zip: South Elgin, IL 60177

Docket Number: NH 19-C0378

Licensee Info: Tower Hill Rehabilitation, Llc
Licensee Address: 7434 Skokie Blvd
Licensee City, State, Zip: Skokie, IL 60077

Survey Date – 07/03/2019 Type B violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1210b), 300.1210c), 300.1210d)6), and 300.1220b)3). The fine was doubled in this instance in accordance with 300.282i) and j) of the code due to the violation of the sections of the code with a high risk designation: 300.1210b) and 300.1210d)6). A fine of $2,200.00

Facility Address: 500 South Art Bartell Road
Facility City, State, Zip: Urbana, IL 61802

Docket Number: NH 19-C0327

Licensee Info: University Rehabilitation Center Of C U, Llc
Licensee Address: 208 South Lasalle Street, Ste 814
Licensee City, State, Zip: Chicago, IL 60604

Survey Date – 06/05/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 300.1210b)5), 300.1210d)4)a)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 sections of the code with a high risk designation: 300.1210b), 300.1210d)6) and 300.3240a). A fine of $2,200.00

Facility Address: 500 South Art Bartell Road
Facility City, State, Zip: Urbana, IL 61802

Docket Number: NH 19-S0369

Licensee Info: University Rehabilitation Center Of C-U, Llc
Licensee Address: 208 South Lasalle Street, Ste 814
Licensee City, State, Zip: Chicago, IL 60604

Survey Date – 07/03/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1210b)3)4)5), 300.1210d)5), and 300.3220f). The fine was doubled in this instance in accordance with 300.282i) and j) of the code due to the violation of the sections of the code with a high risk designation: 300.1210b) and 300.1210d)5). A fine of $2,200.00 type c violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.680a), and 300.680c). This instance in accordance with 300.282f) and j) of the code is assessed a fine due to the violation of the sections of the code with a high risk designation: 300.680.
A Fine Of $500.00
Total Fine $2,700.00

Facility Address: 2649 East 75^Th Street
Facility City, State, Zip: Chicago, IL 60649

Docket Number: NH 19-C0356

Licensee Info: The Villa At Windsor Park Nursing And Rehab Center, Llc
Licensee Address: 191 North Wacker Drive, Ste 1800
Licensee City, State, Zip: Chicago, IL 60606

Survey Date – 06/28/2019
Type A violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1210a), 300.1210b), 300.1210d)6), 300.3120a), 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)6) and 300.3240a). A fine of $25,000.00

Facility Address: 100 Marian Parkway, P.O. Box 109
Facility City, State, Zip: Sherman, IL 62684

Docket Number: NH 19-S0393

Licensee Info: Villa Health Care, Inc.
Licensee Address: 313 Saratoga Chase
Licensee City, State, Zip: Sherman, IL 62684

Survey Date – 06/21/2019
Type A violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1630c), and 300.3220f). A fine of $12,500.00

Facility Address: 2773 Skokie Valley Road
Facility City, State, Zip: Highland Park, IL 60035

Docket Number: NH 19-C0285

Licensee Info: Warren Barr North Shore, Llc
Licensee Address: 801 Adlai Stevenson Drive
Licensee City, State, Zip: Springfield, IL 62703

Survey Date – 05/29/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1210d)2), 300.3210a), 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 sections of the code with a high risk designation: 300.3240a). A fine of $2,200.00

Facility Address: 2773 Skokie Valley Road
Facility City, State, Zip: Highland Park, IL 60035

Docket Number: NH 19-C0365

Licensee Info: Warren Barr North Shore, Llc
Licensee Address: 801 Adlai Stevenson Drive
Licensee City, State, Zip: Springfield, IL 62703

Survey Date – 07/02/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.690b), 300.690c), 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)6), and 300.3240a). A fine of $2,200.00

Facility Address: 2901 South Wolf Road
Facility City, State, Zip: Westchester, IL 60154

Docket Number: NH 19-S0362
NH 19-C0363

Licensee Info: Ssc Westchester Operating Company, L.L.C.
Licensee Address: 208 South Lasalle Street, Ste 814
Licensee City, State, Zip: Chicago, IL 60604

Survey Date – 06/26/2019
Type B violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1210b)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 sections of the code with a high risk designation: 300.1210b) and 300.3240a). A fine of $2,200.00 Type B violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 300.1210b)4), 300.1210d)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 sections of the code with a high risk designation: 300.1210b) and 300.3240a). A fine of $2,200.00
Total Fine $4,400.00

Facility Address: 18300 South Lavergne
Facility City, State, Zip: Country Club Hills, IL 60478

Docket Number: NH 19-C0416

Licensee Info: Mcallister Nursing And Rehab, Llc
Licensee Address: 9100 Karlov Avenue
Licensee City, State, Zip: Skokie, IL 60076

Survey Date – 07/18/2019
Type A violation of an occurrence for violating one or more of the following sections of the code: 300.610a), 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 sections of the code with a high risk designation: 300.1210b), 300.1210d)6) and 300.3240a). A fine of $25,000.00