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2022 2nd 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 NAME: Abbington Rehab & Nursing Ctr
FACILITY ADDRESS: 31 West Central
FACILITY CITY, STATE, ZIP: Roselle, IL 60172

DOCKET NUMBER: NH 22-S0383

LICENSEE INFO: Abbington Rehab & Nursing Center, LTD
LICENSEE ADDRESS: 191 North Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 04/07/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.1010b), 300.1010h), 300.1210b), and 300.1210d)2)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). A fine of $25,000.00

FACILITY NAME: Accolade HC of Paxton on Pells
FACILITY ADDRESS: 1001 East Pells Street
FACILITY CITY, STATE, ZIP: Paxton, IL 60957

DOCKET NUMBER: NH 22-S0199

LICENSEE INFO: Accolade Healthcare of the Heartland, LLC
LICENSEE ADDRESS: 1901 E. Golf Rd, Ste 950A
LICENSEE CITY, STATE, ZIP: Schaumburg, IL 60173
Survey Date – 02/01/2022

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

FACILITY NAME: Accolade Healthcare of Peoria
FACILITY ADDRESS: 5600 N. Glen Elm Drive
FACILITY CITY, STATE, ZIP: Peoria, IL 61614

DOCKET NUMBER: NH 22-S0171

LICENSEE INFO: Accolade Healthcare of Peoria, LLC
LICENSEE ADDRESS: 2501 Chatham Rd, Ste R
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 02/09/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b)5), 300.1210c), 300.1210d)6), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b), 300.1210d)6), and 300.3240a). A fine of $25,000.00

FACILITY NAME: Alden Estates of Barrington
FACILITY ADDRESS: 1420 South Barrington Road
FACILITY CITY, STATE, ZIP: Barrington, IL 60010

DOCKET NUMBER: NH 22-C0382

LICENSEE INFO: Alden Estates of Barrington, Inc.
LICENSEE ADDRESS: 4200 West Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 04/11/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 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 $25,000.00

FACILITY NAME: Alden Gardens Cts of Des Plaines
FACILITY ADDRESS: 1227 East Golf Road
FACILITY CITY, STATE, ZIP: Des Plaines, IL 60016

DOCKET NUMBER: NH 22-S0301

LICENSEE INFO: Alden Gardens Courts of Des Plaines, LLC
LICENSEE ADDRESS: 4200 W. Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 03/11/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.710c)3)A)B)C). A fine of $1,100.00

FACILITY NAME: Alden Town Manor Rehab & HCC
FACILITY ADDRESS: 61020 West Ogden
FACILITY CITY, STATE, ZIP: Cicero, IL 60804

DOCKET NUMBER: NH 22-S0361

LICENSEE INFO: Alden Town Manor Rehabilitation and Health Care Center, Inc.
LICENSEE ADDRESS: 4200 W. Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 03/17/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), and 300.1210c). 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 NAME: Aledo Rehab & Health Care Ctr
FACILITY ADDRESS: 304 SW 12^th Street
FACILITY CITY, STATE, ZIP: Aledo, IL 61231

DOCKET NUMBER: NH 22-C0142

LICENSEE INFO: Aldeo HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Dr.
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 01/31/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), and 300.1210d)3)6) and 300.2210b)2). 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 $25,000.00

FACILITY NAME: Aledo Rehab & Health Care Ctr
FACILITY ADDRESS: 304 SW 12^th Street
FACILITY CITY, STATE, ZIP: Aledo, IL 61231

DOCKET NUMBER: NH 22-C0278

LICENSEE INFO: Aledo HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Dr.
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 03/20/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), and 300.1210d)1)2). 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 NAME: Allure of Galesburg
FACILITY ADDRESS: 1145 Frank Street
FACILITY CITY, STATE, ZIP: Galesburg, IL 61401

DOCKET NUMBER: NH 22-S0143

LICENSEE INFO: Allure of Galesburg, LLC
LICENSEE ADDRESS: 2711 W. Howard St
LICENSEE CITY, STATE, ZIP: Chicago, IL 60645
Survey Date – 01/27/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610c)2), 300.696a), 300.696b), 300.696c)6)7), 300.1210b), 300.2210a), and 300.2210b)2). 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: 300.696 and 300.1210b), A fine of $25,000.00

FACILITY NAME: Aperion Care Bradley
FACILITY ADDRESS: 650 North Kedzie
FACILITY CITY, STATE, ZIP: Bradley, IL 60915

DOCKET NUMBER: NH 22-C0264

LICENSEE INFO: Aperion Care Bradley, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 02/23/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), 300.1210c)2), 300.1210d)5), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b), 300.1210d)5), and 300.3240a). A fine of $2,200.00

FACILITY NAME: Aperion Care Chicago Heights
FACILITY ADDRESS: 490 West 16^th Place
FACILITY CITY, STATE, ZIP: Chicago Heights, IL 60411

DOCKET NUMBER: NH 22-S0148

LICENSEE INFO: Riviera Care Center, LLC
LICENSEE ADDRESS: 208 So LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 01/27/2022

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)3)6), and 300.3210t). 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 NAME: Aperion Care Fairfield
FACILITY ADDRESS: 305 Northwest 11^th Street
FACILITY CITY, STATE, ZIP: Fairfield, IL 62837

DOCKET NUMBER: NH 22-S0293

LICENSEE INFO: Aperion Care Fairfield, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 03/21/2022

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)2)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 NAME: Aperion Care Hillside
FACILITY ADDRESS: 323 Oakridge Avenue
FACILITY CITY, STATE, ZIP: Hillside, IL 60162

DOCKET NUMBER: NH 22-C0198

LICENSEE INFO: Aperion Care Hillside, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 02/08/2022

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 300.1220b)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 NAME: Aperion Care Hillside
FACILITY ADDRESS: 323 Oakridge Avenue
FACILITY CITY, STATE, ZIP: Hillside, IL 60162

DOCKET NUMBER: NH 22-C0319

LICENSEE INFO: Aperion Care Hillside, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 03/25/2022

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 300.1810h). 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 NAME: Aperion Care Hillside
FACILITY ADDRESS: 323 Oakridge Avenue
FACILITY CITY, STATE, ZIP: Hillside, IL 60162

DOCKET NUMBER: NH 22-C0490 & NH 22-S0491

LICENSEE INFO: Aperion Care Hillside, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 04/14/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.661, 300.663a), 300.1210b), 300.3210t), and 300.3240a)b)d). 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: 300.661, 300.1210b), and 300.3240a)d). 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)2), and 300.1220b)2). 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

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)5). 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

Total Fine: $6,600.00

FACILITY NAME: Aperion Care Morton Villa
FACILITY ADDRESS: 190 East Queenwood Road
FACILITY CITY, STATE, ZIP: Morton, IL 61550

DOCKET NUMBER: NH 22-C0309

LICENSEE INFO: Aperion Care Morton Villa, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 03/21/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), 300.1210c), and 300.1210d)5). 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 NAME: Aperion Care Oak Lawn
FACILITY ADDRESS: 9401 South Ridgeland Ave
FACILITY CITY, STATE, ZIP: Oak Lawn, IL 60453

DOCKET NUMBER: NH 22-C0175

LICENSEE INFO: Concord Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 208 S. LaSalle St. Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 01/23/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1020a), 300.1020b), 300.1210d2)3)5), and 300.1810h). 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 $25,000.00

FACILITY NAME: Aperion Care Oak Lawn
FACILITY ADDRESS: 9401 South Ridgeland Avenue
FACILITY CITY, STATE, ZIP: Oak Lawn, IL 60453

DOCKET NUMBER: NH 22-C0259 & NH 22-S0260

LICENSEE INFO: Concord Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 03/04/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), and 300.1210d)3)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 $25,000.00

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a) and 300.1210d)3). A fine of $1,100.00

Total Fine: $26,100.00

FACILITY NAME: Aperion Care Spring Valley
FACILITY ADDRESS: 1300 North Greenwood Street
FACILITY CITY, STATE, ZIP: Spring Valley, IL 61362

DOCKET NUMBER: NH 22-S0194

LICENSEE INFO: Aperion Care Spring Valley, LLC
LICENSEE ADDRESS: 208 So. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 02/16/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b),300.1210c), and 300.1210d)2). 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 NAME: Aperion Care Westchester
FACILITY ADDRESS: 2901 South Wolf Road
FACILITY CITY, STATE, ZIP: Westchester, IL 60154

DOCKET NUMBER: NH 22-C0213

LICENSEE INFO: Aperion Care Westchester, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 01/30/2022

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), 300.3240a), 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 sections of the Code with a high-risk designation: 300.1210b), 300.1210d)6), 300.3240a), and 300.3240e). A fine of $2,200.00

FACILITY NAME: Aperion Care Westchester
FACILITY ADDRESS: 2901 South Wolf Road
FACILITY CITY, STATE, ZIP: Westchester, IL 60154

DOCKET NUMBER: NH 22-C0289

LICENSEE INFO: Aperion Care Westchester, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 02/22/2022

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), 300.3100d)2), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b, 300.1210d)6), 300.3100d)2), 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), 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

Total Fine: $50,000.00

FACILITY NAME: Aperion Care Westchester
FACILITY ADDRESS: 2901 South Wolf Road
FACILITY CITY, STATE, ZIP: Westchester, IL 60154

DOCKET NUMBER: NH 22-C0412 & NH 22-S0413

LICENSEE INFO: Aperion Care Westchester, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 03/24/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b). 300.1210c)1)3), 300.1210d)6), 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), 300.1210d)6), and 300.3240a). A fine of $25,000.00

FACILITY NAME: Aperion Care West Ridge
FACILITY ADDRESS: 6450 N. Ridge Blvd
FACILITY CITY, STATE, ZIP: Chicago, IL 60626

DOCKET NUMBER: NH 22-C0207

LICENSEE INFO: Aperion Care West Ridge, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 02/10/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), and 300.1210d)2). 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 NAME: Aperion Care West Ridge
FACILITY ADDRESS: 6450 N. Ridge Blvd
FACILITY CITY, STATE, ZIP: Chicago, IL 60626

DOCKET NUMBER: NH 22-C0344

LICENSEE INFO: Aperion Care West Ridge, LLC
LICENSEE ADDRESS: 208 S. LaSalle St. Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 03/18/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b) and 300.1210d)2). 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 NAME: Aperion Care West Ridge
FACILITY ADDRESS: 6450 N. Ridge Blvd
FACILITY CITY, STATE, ZIP: Chicago, IL 60626

DOCKET NUMBER: NH 22-C0391

LICENSEE INFO: Aperion Care West Ridge, LLC
LICENSEE ADDRESS: 208 S. LaSalle Street., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 04/01/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), 300.1210d)3), 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 $25,000.00

FACILITY NAME: Arcadia of Clifton
FACILITY ADDRESS: 1190 E. 2900 North Rd
FACILITY CITY, STATE, ZIP: Clifton, IL 60927

DOCKET NUMBER: NH 22-S0286

LICENSEE INFO: Clifton Operations, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 03/15/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1210b)4)5), 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 NAME: Arcadia Care Clifton
FACILITY ADDRESS: 1190 E. 2900 North Rd
FACILITY CITY, STATE, ZIP: Clifton, IL 60927

DOCKET NUMBER: NH 22-S0354

LICENSEE INFO: Clifton Operations, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 03/30/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), and 300.1210d)3)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 $25,000.00

FACILITY NAME: Arcadia of Danville
FACILITY ADDRESS: 1701 North Bowman
FACILITY CITY, STATE, ZIP: Danville, IL 61832

DOCKET NUMBER: NH 22-C0215 & NH 22-S0216

LICENSEE INFO: Danville Operations, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 02/22/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), 300.1210c), 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 $25,000.00

FACILITY NAME: Arcadia Care Jacksonville
FACILITY ADDRESS: 1021 N. Church Street
FACILITY CITY, STATE, ZIP: Jacksonville, IL 62650

DOCKET NUMBER: NH 22-C0331

LICENSEE INFO: Arcadia Care Jacksonville, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 03/31/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210a), 300.1210b), 300.1210c), 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 $25,000.00

FACILITY NAME: Arden Courts (Northbrook)
FACILITY ADDRESS: 3240 Milwaukee Avenue
FACILITY CITY, STATE, ZIP: Northbrook, IL 60062

DOCKET NUMBER: NH 22-S0406

LICENSEE INFO: Arden Courts of Northbrook IL, LLC
LICENSEE ADDRESS: 208 S. LaSalle Street, Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 04/06/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 330.710a) and 330.710c)3)A)B)C)D)E)F). A fine of $12,500.00

FACILITY NAME: Arden Courts (Palos Heights)
FACILITY ADDRESS: 7880 W. College Drive
FACILITY CITY, STATE, ZIP: Palos Heights, IL 60463

DOCKET NUMBER: NH 22-S0265

LICENSEE INFO: Arden Courts of Palos Heights IL, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 02/13/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 330.794b)1)2) and 330.794c). 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: 330.794. A fine of $25,000.00

FACILITY NAME: Arden Courts (Palos Heights)
FACILITY ADDRESS: 7880 W. College Drive
FACILITY CITY, STATE, ZIP: Palos Heights, IL 60463

DOCKET NUMBER: NH 22-C0324 & NH 22-S0325

LICENSEE INFO: Arden Courts of Palos Heights IL, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 03/09/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.710a). A fine of $1,100.00

Total Fine: $2,200.00

FACILITY NAME: Arista Healthcare
FACILITY ADDRESS: 1136 North Mill Street
FACILITY CITY, STATE, ZIP: Naperville, IL 60563

DOCKET NUMBER: NH 22-S0459

LICENSEE INFO: Arista Healthcare, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 04/12/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.696a), 300.696c)2)6)7), and 300.1020a). 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: 300.696. A fine of $25,000.00

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), and 300.1210c)1). 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: 300.1210b). A fine of $500.00

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b)3), and 300.1210c)2). 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: 300.1210b). A fine of $500.00

Total Fine: $28,200.00

FACILITY NAME: Ascension Nazarethville Place
FACILITY ADDRESS: 300 North River Road
FACILITY CITY, STATE, ZIP: Des Plaines, IL 60016

DOCKET NUMBER: NH 22-S0384

LICENSEE INFO: Presence Senior Services-Chicagoland
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 04/03/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b)5, 300.1210c), 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). Total fine of $2,200.00

FACILITY NAME: Ascension Resurrection Life
FACILITY ADDRESS: 7370 West Talcott Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60631

DOCKET NUMBER: NH 22-S0290

LICENSEE INFO: Presence Senior Services-Chicagoland
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/09/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), 300.1210c), 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 NAME: Ascension Resurrection Place
FACILITY ADDRESS: 1001 North Greenwood Avenue
FACILITY CITY, STATE, ZIP: Park Ridge, IL 60068

DOCKET NUMBER: NH 22-S0334

LICENSEE INFO: Presence Senior Services-Chicagoland
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/27/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210c), and 300.1210d)3)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: 300.1210d)6). A fine of $25,000.00

FACILITY NAME: Autumn Meadows of Cahokia
FACILITY ADDRESS: 2 Annable Court
FACILITY CITY, STATE, ZIP: Cahokia, IL 62206

DOCKET NUMBER: NH 22-C0405

LICENSEE INFO: Cahokia Nursing & Rehabilitation Center, Inc
LICENSEE ADDRESS: 7434 North Skokie Boulevard
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 03/31/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.620a), 300.3300a), 300.3300b), 300.3300j), and 300.3300k). A fine of $1,100.00

FACILITY NAME: Avantara Aurora
FACILITY ADDRESS: 400 West Sullivan Road
FACILITY CITY, STATE, ZIP: Aurora, IL 60506

DOCKET NUMBER: NH 22-S0288

LICENSEE INFO: Aurora Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/03/2022

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.615g). 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: 300.615g). A fine of $500.00

FACILITY NAME: Avantara Evergreen Park
FACILITY ADDRESS: 10124 South Kedzie
FACILITY CITY, STATE, ZIP: Evergreen Park, IL 60805

DOCKET NUMBER: NH 22-C0191

LICENSEE INFO: Evergreen Living & Rehab Center, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 01/23/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)3)5), and 300.1220b)2)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

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a) and 300.1210b). 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

Total Fine: $4,400.00

FACILITY NAME: Avantara Long Grove
FACILITY ADDRESS: 1666 RFD (Checker Road)
FACILITY CITY, STATE, ZIP: Long Grove, IL 60047

DOCKET NUMBER: NH 22-S0387

LICENSEE INFO: Long Grove PAC, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 04/06/2022

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.615e) and 300.615f). 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: 300.615e) and 300.615f). A fine of $500.00

FACILITY NAME: Avantara Park Ridge
FACILITY ADDRESS: 1601 North Western Avenue
FACILITY CITY, STATE, ZIP: Park Ridge, IL 60068

DOCKET NUMBER: NH 22-S0240

LICENSEE INFO: Avantara Park Ridge, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/05/2022

Type A 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 $25,000.00

FACILITY NAME: Belhaven Nursing & Rehab Ctr
FACILITY ADDRESS: 11401 South Oakley Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60643

DOCKET NUMBER: NH 22-S0243

LICENSEE INFO: Belhaven Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 02/09/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.675b)3)4). A fine of $1,100.00

FACILITY NAME: Belhaven Nursing & Rehab Ctr
FACILITY ADDRESS: 11401 South Oakley Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60643

DOCKET NUMBER: NH 22-C0341

LICENSEE INFO: Belhaven Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 03/24/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), and 300.1210d)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. A fine of $2,200.00

FACILITY NAME: Bella Terra Morton Grove
FACILITY ADDRESS: 8425 Waukegan Road
FACILITY CITY, STATE, ZIP: Morton Grove, IL 60053

DOCKET NUMBER: NH 22-C0488

LICENSEE INFO: Morton Grove Living & Rehab Center, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 04/14/2022

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)2)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

FACILITY NAME: Bella Terra Schaumburg
FACILITY ADDRESS: 675 S. Roselle Road
FACILITY CITY, STATE, ZIP: Schaumburg, IL 60193

DOCKET NUMBER: NH 22-C0292

LICENSEE INFO: Schaumburg Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/10/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), 300.1210d)3)5), and 300.1820c)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

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). 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

Total Fine: $4,400.00

FACILITY NAME: Bella Terra Wheeling
FACILITY ADDRESS: 730 West Hintz Road
FACILITY CITY, STATE, ZIP: Wheeling, IL 60090

DOCKET NUMBER: NH 22-C0139

LICENSEE INFO: Wheeling Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 3450 Oakton St
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 01/23/2022

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 300.1220b)2). 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 NAME: Belmont Village Glenview
FACILITY ADDRESS: 2200 Golf Road
FACILITY CITY, STATE, ZIP: Glenview, IL 60025

DOCKET NUMBER: NH 22-C0306 & NH 22-S0307

LICENSEE INFO: Belmont Village Glenview Tenant, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/24/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 330.710a), 330.710c)1)2)3)A)B)C)D)F), and 330.4210o). A fine of $12,500.00

Type A violation of an occurrence for violating one or more of the following sections of the Code: 330.1110a), 330.1110f), and 330.1110g). A fine of $12,500.00

Total Fine: $25,000.00

FACILITY NAME: Belmont Village Oak Park
FACILITY ADDRESS: 1035 Madison Street
FACILITY CITY, STATE, ZIP: Oak Park, IL 60302

DOCKET NUMBER: NH 22-S0210

LICENSEE INFO: Belmont Village Oak Park Tenant, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/09/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.710a) and 330.710c)3)A)C)F). A fine of $1,100.00

FACILITY NAME: Berkeley Nrsg & Rehab Center
FACILITY ADDRESS: 6909 West North Avenue
FACILITY CITY, STATE, ZIP: Oak Park, IL 60302

DOCKET NUMBER: NH 22-C0188

LICENSEE INFO: Berkley Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 321 N. Clark St., Suite 2800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60654
Survey Date – 01/31/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010g)3), 300.1210b), and 300.1210d2)3)5). 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 NAME: Bethesda Rehab & Senior Care
FACILITY ADDRESS: 2833 North Nordica Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60634

DOCKET NUMBER: NH 22-S0342

LICENSEE INFO: Norwegian Lutheran Bethesda Home Association
LICENSEE ADDRESS: 6016 North Nina Avenue
LICENSEE CITY, STATE, ZIP: Chicago, IL 60631
Survey Date – 04/08/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.698c). A fine of $12,500.00

FACILITY NAME: Bethany Home
FACILITY ADDRESS: 4950 N. Ashland Ave
FACILITY CITY, STATE, ZIP: Chicago, IL 60640

DOCKET NUMBER: NH 22-S0351

LICENSEE INFO: Thorek Memorial Hospital
LICENSEE ADDRESS: 850 W. Irving Park Road 306
LICENSEE CITY, STATE, ZIP: Chicago, IL 60613
Survey Date – 03/30/2022

Type C violation of an occurrence for violating one or more of the following sections of the Code: 330.710a), 330.780b), and 330.780c). This instance in accordance with 330.282f) i) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 330.780). A fine of $500.00

FACILITY NAME: Bria of Palos Hills
FACILITY ADDRESS: 10426 South Roberts
FACILITY CITY, STATE, ZIP: Palos Hills, IL 60465

DOCKET NUMBER: NH 22-C0393 & NH 22-S0394

LICENSEE INFO: Palos Hills Healthcare, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 04/19/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.690c), 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: 300.690) and 300.1210d)6). A fine of $25,000.00

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.698b)3) and 300.698j). 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: 300.698). A fine of $25,000.00

Total Fine: $50,000.00

FACILITY NAME: British Home, The
FACILITY ADDRESS: 8700 West 31^st Street
FACILITY CITY, STATE, ZIP: Brookfield, IL 60513

DOCKET NUMBER: NH 22-S0163

LICENSEE INFO: The British Home for Retired Men and Women
LICENSEE ADDRESS: 31^st St & McCormick Ave
LICENSEE CITY, STATE, ZIP: Brookfield, IL 60513
Survey Date – 02/08/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), and 300.1620a). 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 NAME: Burbank Rehabilitation Center
FACILITY ADDRESS: 5400 West 87^th Street
FACILITY CITY, STATE, ZIP: Burbank, IL 60459

DOCKET NUMBER: NH 22-C0209

LICENSEE INFO: Burbank Rehabilitation Center, LLC
LICENSEE ADDRESS: 2201 Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 02/01/2022

Type B 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 300.1220b)2). 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 NAME: Calhoun Nsg & Rehab Center
FACILITY ADDRESS: 1 Myrtle Lane
FACILITY CITY, STATE, ZIP: Hardin, IL 62047

DOCKET NUMBER: NH 22-C0183

LICENSEE INFO: Calhoun Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 901 S. 2^nd Street, Ste 201
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 01/25/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1020b), 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 NAME: Carlyle Healthcare & Sr Living
FACILITY ADDRESS: 501 Clinton Street
FACILITY CITY, STATE, ZIP: Carlyle, IL 62231

DOCKET NUMBER: NH 22-S0193

LICENSEE INFO: Carlyle Healthcare & Senior Living, LLC
LICENSEE ADDRESS: 4711 Golf Rd, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 02/01/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a),300.696a), 300.696b), 300.696c)2)6), 300.1020a), 300.1020b), and 300.2030. 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: 300.696. A fine of $25,000.00

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210d)1)2)3), and 300.1810h). A fine of $1,100.00

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1210b)4)5), and 300.1210d)3)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

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b)3)4), 300.1230e), 300.1230f), and 300.2070a). 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 300.1230. 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), 300.1210d)1), and 300.1630d). 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

Total Fine: $32,700.00

FACILITY NAME: Carmi Manor Rehab & Nrsg Ctr
FACILITY ADDRESS: 615 W. Webb Street, P.O. Box 133
FACILITY CITY, STATE, ZIP: Carmi, IL 62821

DOCKET NUMBER: NH 22-C0140

LICENSEE INFO: Carmi Manor Rehabilitation and Nursing Center, LLC
LICENSEE ADDRESS: 615 W. Webb Street
LICENSEE CITY, STATE, ZIP: Carmi, IL 62821
Survey Date – 02/02/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1020b), 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 $25,000.00

FACILITY NAME: Carole Lane Terrace
FACILITY ADDRESS: 1641 Carole Lane
FACILITY CITY, STATE, ZIP: Sauk Village, IL 60411

DOCKET NUMBER: NH 22-S0493

LICENSEE INFO: Pioneer Concepts, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 04/05/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 350.620a) 350.1060e), 350.1060j), 350.1210), and 350.3240a). A fine of $6,250.00

FACILITY NAME: Charleston Rehab & Health CC
FACILITY ADDRESS: 716 Eighteenth Street
FACILITY CITY, STATE, ZIP: Charleston, IL 61920

DOCKET NUMBER: NH 22-S0420

LICENSEE INFO: Charleston HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Dr
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 04/18/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a). 300.1210b), 300.1210c), 300.1210d)6), and 300.1220b)2)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 $25,000.00

FACILITY NAME: Charter Snr Lvg of Hazel Crest
FACILITY ADDRESS: 3701 West 183^rd Street
FACILITY CITY, STATE, ZIP: Hazel Crest, IL 60429

DOCKET NUMBER: NH 22-C0389

LICENSEE INFO: BMSL Hazel OPCO, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/22/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.710a), 330.710b), 330.710c)2), 330.4240a), 330.4240b), 330.4240d), and 330.4240e). 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: 330.4240a), 330.4240d), and 330.4240e). A fine of $2,200.00

FACILITY NAME: Charter Snr Lvg of Hazel Crest
FACILITY ADDRESS: 3701 West 183^rd Street
FACILITY CITY, STATE, ZIP: Hazel Crest, IL 60429

DOCKET NUMBER: NH 22-C0403

LICENSEE INFO: BMSL Hazel OPCP, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 04/08/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.710a) and 330.710c)3)A)B). A fine of $1,100.00

FACILITY NAME: Chicago Ridge SNF
FACILITY ADDRESS: 10602 Southwest Highway
FACILITY CITY, STATE, ZIP: Chicago Ridge, IL 60415

DOCKET NUMBER: NH 22-C0244

LICENSEE INFO: Chicago Ridge SNF, LLC
LICENSEE ADDRESS: 3531 Howard St., Ste 1006
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 02/10/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), and 300.1210d)5). 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 NAME: Chicago Ridge SNF
FACILITY ADDRESS: 10602 Southwest Highway
FACILITY CITY, STATE, ZIP: Chicago Ridge, IL 60415

DOCKET NUMBER: NH 22-C0339

LICENSEE INFO: Chicago Ridge SNF, LLC
LICENSEE ADDRESS: 3531 Howard St., Ste 1006
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 03/10/2022

FACILITY NAME: Chicago Ridge SNF
FACILITY ADDRESS: 10602 Southwest Highway
FACILITY CITY, STATE, ZIP: Chicago Ridge, IL 60415

DOCKET NUMBER: NH 22-C0370

LICENSEE INFO: Chicago Ridge SNF, LLC
LICENSEE ADDRESS: 3531 Howard St., Ste 1006
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 04/07/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.690a), 300.690b), 300.690c), 300.1210b)5), 300.1210c), 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: 300.690, 300.1210b), and 300.1210d)6). A fine of $25,000.00

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), and 300.1210b). 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

Total Fine: $27,200.00

FACILITY NAME: Chicago Ridge SNF
FACILITY ADDRESS: 10602 Southwest Highway
FACILITY CITY, STATE, ZIP: Chicago Ridge, IL 60415

DOCKET NUMBER: NH 22-C0371

LICENSEE INFO: Chicago Ridge SNF, LLC
LICENSEE ADDRESS: 3531 Howard St., Ste 1006
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 03/25/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.690a), 300.690b), and 300.690c) 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: 300.690). A fine of $2,200.00

FACILITY NAME: Children’s Habilitation Ctr
FACILITY ADDRESS: 121 West 154^th Street
FACILITY CITY, STATE, ZIP: Harvey, IL 60426

DOCKET NUMBER: NH 22-S0422

LICENSEE INFO: Children’s Habilitation Center, Inc.
LICENSEE ADDRESS: 121 West 154^th Street
LICENSEE CITY, STATE, ZIP: Harvey, IL 60426
Survey Date – 04/01/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 390.1030j)1), 390.1040k)3), and 390.1040o). The fine was doubled in this instance in accordance with 390.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 390.1040). A fine of $10,000.00

Type C violation of an occurrence for violating one or more of the following sections of the Code: 390.760a). The fine was doubled in this instance in accordance with 390.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 390.760). A fine of $200.00

Total Fine: $10,200.00

FACILITY NAME: Citadel of Glenview, The
FACILITY ADDRESS: 1700 East Lake Avenue
FACILITY CITY, STATE, ZIP: Glenview, IL 60025

DOCKET NUMBER: NH 22-C0271

LICENSEE INFO: The Citadel of Glenview, LLC
LICENSEE ADDRESS: 191 N. Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 02/18/2022

FACILITY NAME: Clark Lyndsey Village
FACILITY ADDRESS: 101 West Windsor Road
FACILITY CITY, STATE, ZIP: Urbana, IL 61801

DOCKET NUMBER: NH 22-S0149

LICENSEE INFO: Clark Lindsey Village, Inc.
LICENSEE ADDRESS: 2110 Boudreau Drive
LICENSEE CITY, STATE, ZIP: Urbana, IL 61801
Survey Date – 01/31/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 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 $25,000.00

FACILITY NAME: Clark Manor
FACILITY ADDRESS: 7433 North Clark Street
FACILITY CITY, STATE, ZIP: Chicago, IL 60626

DOCKET NUMBER: NH 22-S0160

LICENSEE INFO: Clark Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 02/07/2022

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)3)6), 300.1810c)1), 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)6). A fine of $25,000.00

FACILITY NAME: Cornerstone Rehab & HC
FACILITY ADDRESS: 5533 North Galena Road
FACILITY CITY, STATE, ZIP: Peoria Heights, IL 61616

DOCKET NUMBER: NH 22-C0172

LICENSEE INFO: Midwest Health Operations, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 02/15/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210c), 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: 300.1210d)6). A fine of $25,000.00

FACILITY NAME: Country Health
FACILITY ADDRESS: 2304 CR 3000 N
FACILITY CITY, STATE, ZIP: Gifford, IL 61847

DOCKET NUMBER: NH 22-S0263

LICENSEE INFO: Country Health, Inc.
LICENSEE ADDRESS: 115 W. Jefferson St., Ste 401
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61701
Survey Date – 03/03/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), 300.1210d)6), and 300.1220b)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 NAME: Dimensions Living Burr Ridge
FACILITY ADDRESS: 6801 Highgrove Boulevard
FACILITY CITY, STATE, ZIP: Burr Ridge, IL 60527

DOCKET NUMBER: NH 22-C0273

LICENSEE INFO: S-H OPCP Burr Ridge, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/09/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 330.710a), 330.710b), 330.710c)1), and 330.720b). A fine of $12,500.00

FACILITY NAME: Dimensions Living Prospect Hts
FACILITY ADDRESS: 700 East Euclid Avenue
FACILITY CITY, STATE, ZIP: Prospect Heights, IL 60070

DOCKET NUMBER: NH 22-S0159

LICENSEE INFO: S-H OPCO Prospect Heights, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 02/07/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), 300.1210d)6), and 300.1220b)2)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 NAME: Edwardsville Nsg & Rehab Ctr
FACILITY ADDRESS: 401 St. Mary Drive
FACILITY CITY, STATE, ZIP: Edwardsville, IL 62025

DOCKET NUMBER: NH 22-S0291

LICENSEE INFO: Edwardsville Care Center, LLC
LICENSEE ADDRESS: 111 North Ottawa Street
LICENSEE CITY, STATE, ZIP: Joliet, IL 60432
Survey Date – 03/17/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), and 300.1210b)4). 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 NAME: Elmwood Nursing & Rehab Center
FACILITY ADDRESS: 152 Wilma Drive
FACILITY CITY, STATE, ZIP: Maryville, IL 62062

DOCKET NUMBER: NH 22-C0218

LICENSEE INFO: Elmwood Nursing & Rehabilitation Center, LLC
LICENSEE ADDRESS: 2202 Main St., Ste 180
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 04/01/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), 300.1630b), 300.1630d), and 300.1630f). 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 NAME: Elmwood Terrace Healthcare Ctr
FACILITY ADDRESS: 1017 West Galena
FACILITY CITY, STATE, ZIP: Aurora, IL 60506

DOCKET NUMBER: NH 22-S0395

LICENSEE INFO: Elmwood Terrace Healthcare Center, Inc.
LICENSEE ADDRESS: 2201 Main Street, Ste 180
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 03/30/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a) 300.1210b)5), 300.1210c), 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 NAME: Estates of Hyde Park, The
FACILITY ADDRESS: 4505 S. Drexel Blvd
FACILITY CITY, STATE, ZIP: Chicago, IL 60653

DOCKET NUMBER: NH 22-C0161 & NH 22-S0162

LICENSEE INFO: The Estates of Hyde Park, LLC
LICENSEE ADDRESS: 2201 Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 02/01/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.1210a), 300.1210b), 300.1210c), 300.1210d)6), 300.1230e), 300.1230f), 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), 300.1230, and 300.3240a). A fine of $25,000.00

FACILITY NAME: Evergreen Nursing & Rehab Ctr
FACILITY ADDRESS: 1115 North Wenthe
FACILITY CITY, STATE, ZIP: Effingham, IL 62401

DOCKET NUMBER: NH 22-C0408

LICENSEE INFO: Helia Healthcare of Effingham, LLC
LICENSEE ADDRESS: 600 S. Second St., Ste 104
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 04/18/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.696a), 300.696d)5), 300.1010h), 300.1210d)3), 300.1630b), and 300.1630c). 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: 300.696). A fine of $25,000.00

FACILITY NAME: Fair Oaks Rehab & HCC
FACILITY ADDRESS: 1515 Blackhawk
FACILITY CITY, STATE, ZIP: South Beloit, IL 61080

DOCKET NUMBER: NH 22-S0165

LICENSEE INFO: Fair Oaks Rehabilitation and Health Care Center, LLC
LICENSEE ADDRESS: 412 E. Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 02/08/2022

FACILITY NAME: Fair Oaks Rehab & HCC
FACILITY ADDRESS: 1515 Blackhawk
FACILITY CITY, STATE, ZIP: South Beloit, IL 61080

DOCKET NUMBER: NH 22-C0283

LICENSEE INFO: Fair Oaks Rehabilitation and Health Care Center, LLC
LICENSEE ADDRESS: 412 E. Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/11/2022

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)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

Total Fine: $27,200.00

FACILITY NAME: Fargo Health Care Center
FACILITY ADDRESS: 1512 West Fargo Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60626

DOCKET NUMBER: NH 22-C0399

LICENSEE INFO: Fargo Health Care Center, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 03/10/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), and 300.1220b)2). 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 NAME: Freeburg Terrace
FACILITY ADDRESS: #4 Hill Mine Road
FACILITY CITY, STATE, ZIP: Freeburg, IL 62243

DOCKET NUMBER: NH 22-S0318

LICENSEE INFO: Community Living Options, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 03/14/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 350.620a) 350.760a), 350.760c)7), and 350.1210. A fine of $6,250.00

FACILITY NAME: Gardenview Manor
FACILITY ADDRESS: 14792 Catlin-Tilton Road
FACILITY CITY, STATE, ZIP: Danville, IL 61834

DOCKET NUMBER: NH 22-C0373

LICENSEE INFO: Gardenview Manor, LLC
LICENSEE ADDRESS: 5750 Old Orchard Rd, Ste 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 04/13/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 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 sections of the Code with a high-risk designation: 300.1210b), 300.1210d)6), and 300.3240a). A fine of $25,000.00

FACILITY NAME: Generations at Elmwood Park
FACILITY ADDRESS: 7733 West Grand Avenue
FACILITY CITY, STATE, ZIP: Elmwood Park, IL 60707

DOCKET NUMBER: NH 22-S0328

LICENSEE INFO: Generations at Elmwood Park, Inc.
LICENSEE ADDRESS: 6840 N. Lincoln Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 03/10/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.675b)3)4) and 300.675c)3)4). A fine of $1,100.00

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1010h), 300.1210b), and 300.1210d)5). 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

Total Fine: $3,300.00

FACILITY NAME: Generations at Rock Island
FACILITY ADDRESS: 2545 24^th Street
FACILITY CITY, STATE, ZIP: Rock Island, IL 61201

DOCKET NUMBER: NH 22-C0303

LICENSEE INFO: Generations at Rock Island, LLC
LICENSEE ADDRESS: 6840 North Lincoln Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 03/17/2022

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), and 300.1220b)2). 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 NAME: Grosse Pointe Manor
FACILITY ADDRESS: 6601 West Touhy
FACILITY CITY, STATE, ZIP: Niles, IL 60714

DOCKET NUMBER: NH 22-C0170

LICENSEE INFO: Grosse Pointe Manor, LLC
LICENSEE ADDRESS: 191 North Wacker Drive, Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 02/05/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.1210a), 300.1210b)4)5), 300.1210c), 300.1210d)1)2)3)6), 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)6). A fine of $25,000.00

FACILITY NAME: Grove at the Lake, The
FACILITY ADDRESS: 2534 Elim Avenue
FACILITY CITY, STATE, ZIP: Zion, IL 60099

DOCKET NUMBER: NH 22-C0386

LICENSEE INFO: Grove at the Lake Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/22/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210c), 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 $25,000.00

FACILITY NAME: Grove of Evanston L & R, The
FACILITY ADDRESS: 500 Asbury Avenue
FACILITY CITY, STATE, ZIP: Evanston, IL 60202

DOCKET NUMBER: NH 22-C0297

LICENSEE INFO: Evanston Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 02/21/2022

Type B 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 $2,200.00

FACILITY NAME: Grove of Fox Valley, The
FACILITY ADDRESS: 1601 North Farnsworth Avenue
FACILITY CITY, STATE, ZIP: Aurora, IL 60505

DOCKET NUMBER: NH 22-S0228

LICENSEE INFO: Aurora PAC, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Dr.
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 02/01/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 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 sections of the Code with a high-risk designation: 300.1210b), 300.3240a), and 300.3240d). 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)6), 300.1220b)3), and 300.1810c)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

Total Fine: $4,400.00

FACILITY NAME: Hallmark HC of Carlinville
FACILITY ADDRESS: 826 North High Street
FACILITY CITY, STATE, ZIP: Carlinville, IL 62626

DOCKET NUMBER: NH 22-C0340

LICENSEE INFO: Hallmark Healthcare of Carlinville, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 03/31/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a) 300.1210b), 300.1210d)1), and 300.1220b)7). 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 NAME: Hamilton Memorial Rehab & HCC
FACILITY ADDRESS: 609 South Marshall Avenue
FACILITY CITY, STATE, ZIP: McLeansboro, IL 62859

DOCKET NUMBER: NH 22-C0262

LICENSEE INFO: Hamilton Memorial Nursing and Rehabilitation, LLC
LICENSEE ADDRESS: 412 East Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/03/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210a), and 300.1210d)3)5). 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: 300.1210d)5). A fine of $2,200.00

FACILITY NAME: Harbor House
FACILITY ADDRESS: 760 McHenry Road
FACILITY CITY, STATE, ZIP: Wheeling, IL 60090

DOCKET NUMBER: NH 22-S0261

LICENSEE INFO: Harbor House of Wheeling IV, LLC
LICENSEE ADDRESS: 191 N. Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 03/09/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 330.710a) and 330.720b). A fine of $12,500.00

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.710a), 330.710c)3)A), and 330.910b). A fine of $1,100.00

Total Fine: $13,600.00

FACILITY NAME: Heartland of Moline
FACILITY ADDRESS: 833 Sixteenth Ave
FACILITY CITY, STATE, ZIP: Moline, IL 61265

DOCKET NUMBER: NH 22-C0221

LICENSEE INFO: Heartland of Moline II, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 01/27/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b) 300.1210c), 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 NAME: Heartland Senior Living
FACILITY ADDRESS: 101 Trowbridge Road
FACILITY CITY, STATE, ZIP: Neoga, IL 62447

DOCKET NUMBER: NH 22-S0270

LICENSEE INFO: Heartland Senior Living, LLC
LICENSEE ADDRESS: 1275 Milwaukee Ave., Ste 300
LICENSEE CITY, STATE, ZIP: Glenview, IL 60025
Survey Date – 02/16/2022

FACILITY NAME: Heartland Senior Living
FACILITY ADDRESS: 101 Trowbridge Road
FACILITY CITY, STATE, ZIP: Neoga, IL 62447

DOCKET NUMBER: NH 22-S0323

LICENSEE INFO: Heartland Senior Living, LLC
LICENSEE ADDRESS: 1275 Milwaukee Ave., Ste 300
LICENSEE CITY, STATE, ZIP: Glenview, IL 60025
Survey Date – 03/30/2022

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 300.1220b)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 NAME: Hearthstone Manor
FACILITY ADDRESS: 920 North Seminary Avenue
FACILITY CITY, STATE, ZIP: Woodstock, IL 60098

DOCKET NUMBER: NH 22-C0350

LICENSEE INFO: Woodstock Christian Life Services
LICENSEE ADDRESS: 20 N. Seminary Ave
LICENSEE CITY, STATE, ZIP: Woodstock, IL 60098
Survey Date – 04/11/2022

Type C violation of an occurrence for violating one or more of the following sections of the Code: 330.780a) and 330.1720c)3). This instance in accordance with 330.282f) i) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 330.780). A fine of $500.00

FACILITY NAME: Henry Rehab and Nursing
FACILITY ADDRESS: 1650 Old Indian Town Rd
FACILITY CITY, STATE, ZIP: Henry, IL 61537

DOCKET NUMBER: NH 22-C0219

LICENSEE INFO: Henry Rehab and Nursing, LLC
LICENSEE ADDRESS: 615 W. Webb St
LICENSEE CITY, STATE, ZIP: Carmi, IL 62821
Survey Date – 02/15/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), and 300.1210d)2)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. A fine of $25,000.00

FACILITY NAME: Heritage Health Carlinville
FACILITY ADDRESS: 1200 University Avenue
FACILITY CITY, STATE, ZIP: Carlinville, IL 62626

DOCKET NUMBER: NH 22-C0302

LICENSEE INFO: Heritage Manor Carlinville, LLC
LICENSEE ADDRESS: 115 W. Jefferson, Ste 401
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61701
Survey Date – 04/19/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b)5), 300.1210c), 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 $25,000.00

FACILITY NAME: Heritage Health Gillespie
FACILITY ADDRESS: 7588 Staunton Road
FACILITY CITY, STATE, ZIP: Gillespie, IL 62033

DOCKET NUMBER: NH 22-S0440

LICENSEE INFO: Heritage Manor Gillespie, LLC
LICENSEE ADDRESS: 115 West Jefferson St., Ste 401
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61701
Survey Date – 04/07/2022

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

DOCKET NUMBER: NH 22-C0203

LICENSEE INFO: Barton W. Stone Jacksonville, LLC
LICENSEE ADDRESS: 115 W. Jefferson St., Ste 401
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61701
Survey Date – 01/27/2022

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), 300.1210d)6), 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)6). A fine of $25,000.00

FACILITY NAME: Heritage Health Minonk
FACILITY ADDRESS: 201 Locust Street
FACILITY CITY, STATE, ZIP: Minonk, IL 61760

DOCKET NUMBER: NH 22-S0246

LICENSEE INFO: Heritage Health – Minonk, LLC
LICENSEE ADDRESS: 115 W. Jefferson Street., Ste 400
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61701
Survey Date – 02/16/2022

FACILITY NAME: Hickory Nursing Pavilion
FACILITY ADDRESS: 9246 South Roberts Road
FACILITY CITY, STATE, ZIP: Hickory Hills, IL 60457

DOCKET NUMBER: NH 22-S0397

LICENSEE INFO: Hickory Nursing Pavilion, Inc.
LICENSEE ADDRESS: 191 N. Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 03/24/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b)5), 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 $25,000.00

FACILITY NAME: Hickorypoint Christian Village
FACILITY ADDRESS: 565 West Marion Avenue
FACILITY CITY, STATE, ZIP: Forsyth, IL 62535

DOCKET NUMBER: NH 22-S0338

LICENSEE INFO: Fair Haven Christian Homes, Inc.
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 03/10/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b)2), and 300.1820c)2). 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 NAME: Highland Health Care Center
FACILITY ADDRESS: 1450 26^th Street
FACILITY CITY, STATE, ZIP: Highland, IL 62249

DOCKET NUMBER: NH 22-C0349

LICENSEE INFO: Highland Care and Rehabilitation Center, LLC
LICENSEE ADDRESS: 208 S. LaSalle St, Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 03/18/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), and 300.1210d)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). A fine of $25,000.00

FACILITY NAME: Hope Creek Nursing & Rehab
FACILITY ADDRESS: 4343 Kennedy Drive
FACILITY CITY, STATE, ZIP: East Moline, IL 61244

DOCKET NUMBER: NH 22-S0237

LICENSEE INFO: Hope Creek Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 5683 N. Lincoln Ave
LICENSEE CITY, STATE, ZIP: Chicago, IL 60659
Survey Date – 02/18/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a) and 300.120d)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: 300.1210d)6). A fine of $2,200.00

FACILITY NAME: Hope Creek Nursing & Rehab
FACILITY ADDRESS: 4343 Kennedy Drive
FACILITY CITY, STATE, ZIP: East Moline, IL 61244

DOCKET NUMBER: NH 22-C0311

LICENSEE INFO: Hope Creek Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 5683 N. Lincoln Ave
LICENSEE CITY, STATE, ZIP: Chicago, IL 60659
Survey Date – 03/09/2022

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.615j), 300.625b), 300.625c)2), 300.625g), 300.625j), and 300.625l). 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: 300.625b), 300.625c), 300.625j), and 300.625l). A fine of $500.00

FACILITY NAME: IL Veterans’ Home at Manteno
FACILITY ADDRESS: One Veteran’s Drive
FACILITY CITY, STATE, ZIP: Manteno, IL 60950

DOCKET NUMBER: NH 22-S0346

LICENSEE INFO: Illinois Department of Veterans’ Affairs
LICENSEE ADDRESS: 833 South Spring St., Box 19432
LICENSEE CITY, STATE, ZIP: Springfield, IL 62794
Survey Date – 03/16/2022

Type C violation of an occurrence for violating one or more of the following sections of the Code: 340.1335a) and 340.1335c)2). The fine was doubled in this instance in accordance with 340.1245i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 340.1335). A fine of $500.00

FACILITY NAME: Illini Heritage Rehab & HC
FACILITY ADDRESS: 1315 Curt Drive, Suite B
FACILITY CITY, STATE, ZIP: Champaign, IL 61821

DOCKET NUMBER: NH 22-S0326

LICENSEE INFO: Petersen Health Care – Illini, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Dr
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 03/02/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), 300.1210d)3)6), and 300.1220b)2). 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

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)3)5), and 300.1220b)2). 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

Total Fine: $4,400.00

FACILITY NAME: Integrity HC of Godfrey
FACILITY ADDRESS: 1623-29 W. Delmar Avenue
FACILITY CITY, STATE, ZIP: Godfrey, IL 62035

DOCKET NUMBER: NH 22-C0312

LICENSEE INFO: Godfrey Healthcare & Rehabilitation Center, LLC
LICENSEE ADDRESS: 600 S 2^nd Street, Ste 104
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 03/10/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610c)4)C), 300.1210b), 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 NAME: Integrity HC of Smithton
FACILITY ADDRESS: 107 South Lincoln
FACILITY CITY, STATE, ZIP: Smithton, IL 62285

DOCKET NUMBER: NH 22-C0314

LICENSEE INFO: Park Haven Nursing & Rehabilitation Center, LLC
LICENSEE ADDRESS: 600 S. 2^nd Street, Suite 104
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 03/04/2022

Type AA violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1035a)4)5), 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 $50,000.00

FACILITY NAME: Inverness Health & Rehab
FACILITY ADDRESS: 1800 Colonial Parkway
FACILITY CITY, STATE, ZIP: Inverness, IL 60067

DOCKET NUMBER: NH 22-S0250

LICENSEE INFO: Inverness NH, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 02/24/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 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 sections of the Code with a high-risk designation: 300.3240a). A fine of $2,200.00

FACILITY NAME: Inverness Health & Rehab
FACILITY ADDRESS: 1800 Colonial Parkway
FACILITY CITY, STATE, ZIP: Inverness, IL 60067

DOCKET NUMBER: NH 22-C0355

LICENSEE INFO: Inverness NH, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 04/03/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.686b)1)2)3)4)5)6), 300.1210b)4), and 300.1210d)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: 300.686 and 300.1210b) A fine of $2,200.00

FACILITY NAME: Lake Forest Place
FACILITY ADDRESS: 1101 Pembridge Drive
FACILITY CITY, STATE, ZIP: Lake Forest, IL 60045

DOCKET NUMBER: NH 22-S0202

LICENSEE INFO: Lake Forest Place, LLC
LICENSEE ADDRESS: 3200 Grant Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60201
Survey Date – 02/23/2022

FACILITY NAME: Lakeview Rehab & Nrsg Center
FACILITY ADDRESS: 735 West Diversey
FACILITY CITY, STATE, ZIP: Chicago, IL 60614

DOCKET NUMBER: NH 22-S0316

LICENSEE INFO: Lakeview Rehabilitation and Nursing Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 03/04/2022

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)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)6), and 300.3240a). A fine of $2,200.00

FACILITY NAME: Lakewood Nrsg & Rehab Center
FACILITY ADDRESS: 14716 South Eastern Avenue
FACILITY CITY, STATE, ZIP: Plainfield, IL 60544

DOCKET NUMBER: NH 22-S0335

LICENSEE INFO: Lakewood Nursing & Rehabilitation Center, LLC
LICENSEE ADDRESS: 2201 Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 03/10/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), 300.1210c), and 300.1210d)2)5). 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 NAME: Landmark of Des Plaines Rehab
FACILITY ADDRESS: 9300 Ballard Road
FACILITY CITY, STATE, ZIP: Des Plaines, IL 60016

DOCKET NUMBER: NH 22-C0436 & NH 22-S0437

LICENSEE INFO: Landmark of Des Plaines Rehabilitation Center, LLC
LICENSEE ADDRESS: 5683 North Lincoln Avenue
LICENSEE CITY, STATE, ZIP: Chicago, IL 60659
Survey Date – 04/14/2022

Total Fine: $50,000.00

FACILITY NAME: Landmark of Richton Park
FACILITY ADDRESS: 22660 South Cicero Ave
FACILITY CITY, STATE, ZIP: Richton Park, IL 60471

DOCKET NUMBER: NH 22-C0348

LICENSEE INFO: Landmark of Richton Park Rehabilitation and Nursing Center, LLC
LICENSEE ADDRESS: 5683 N. Lincoln Ave
LICENSEE CITY, STATE, ZIP: Chicago, IL 60659
Survey Date – 03/31/2022

Type AA violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), and 300.1210d)3)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 $50,000.00

FACILITY NAME: Lebanon Care Center
FACILITY ADDRESS: 1201 North Alton
FACILITY CITY, STATE, ZIP: Lebanon, IL 62254

DOCKET NUMBER: NH 22-C0234 & NH 22-S0235

LICENSEE INFO: Lebanon HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 02/25/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.696a), 300.696c)12)13)14), 300.696e)1)2), and 300.696f)1)2)A)B)3)A)B)4). 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: 300.696. A fine of $25,000.00

FACILITY NAME: Lebanon Terrace
FACILITY ADDRESS: 221 East Third Street
FACILITY CITY, STATE, ZIP: Lebanon, IL 62254

DOCKET NUMBER: NH 22-C0357 & NH 22-S0356

LICENSEE INFO: Home and Environments for Living and Programs, Inc.
LICENSEE ADDRESS: 208 South LaSalle St, Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 03/25/2022

Type B violation for violating one or more of the following sections of the Code: 350.510a), 350.760a), 350.1440a), and 350.2210g). A fine of $550.00

FACILITY NAME: Lee Manor
FACILITY ADDRESS: 1301 Lee Street
FACILITY CITY, STATE, ZIP: Des Plaines, IL 60018

DOCKET NUMBER: NH 22-S0353

LICENSEE INFO: Seneca Nursing Home, Inc.
LICENSEE ADDRESS: 200 S. Wacker Drive, Suite 3800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 03/24/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)3), and 300.1210d)5). 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 B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)3), 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. A fine of $2,200.00

Total Fine: $4,400.00

FACILITY NAME: Lemont Nrsg & Rehab Center
FACILITY ADDRESS: 12450 Walker Road
FACILITY CITY, STATE, ZIP: Lemont, IL 60539

DOCKET NUMBER: NH 22-C0208

LICENSEE INFO: Lemont Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 2201 Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 02/16/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.610c)2), 300.696a), 300.696b), 300.696c)1), 300.1010h), 300.1210b)3), and 300.1210d)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: 300.696) and 300.1210b). A fine of $2,200.00

FACILITY NAME: Lena Living Center
FACILITY ADDRESS: 1010 South Logan Street
FACILITY CITY, STATE, ZIP: Lena, IL 61048

DOCKET NUMBER: NH 22-C0404

LICENSEE INFO: Lena Living Center, LLC
LICENSEE ADDRESS: 150 N. Riverside Plaza, #3000
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 03/31/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), 300.1210c)2)3), 300.1210d)5), 300.1220b)3), 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 NAME: Lincoln Village Healthcare
FACILITY ADDRESS: 2202 North Kickapoo Street
FACILITY CITY, STATE, ZIP: Lincoln, IL 62656

DOCKET NUMBER: NH 22-C0241 & NH 22-S0242

LICENSEE INFO: Lincoln Village Healthcare Center, LLC
LICENSEE ADDRESS: 2201 Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 02/10/2022

Type B 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 $2,200.00

FACILITY NAME: Lincoln Terrace
FACILITY ADDRESS: 2324 North Kickapoo Street
FACILITY CITY, STATE, ZIP: Lincoln, IL 62656

DOCKET NUMBER: NH 22-S0304

LICENSEE INFO: Community Living Options, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 03/01/2022

Type B violation for violating one or more of the following sections of the Code: 350.620a), 350.1210b), 350.1210c), 350.1240b)3), 350.1420a), 350.1430b), and 350.1450b). A fine of $550.00

FACILITY NAME: Lincolnshire Assisted Lvg Ctr
FACILITY ADDRESS: 170 Jamestown Lane
FACILITY CITY, STATE, ZIP: Lincolnshire, IL 60069

DOCKET NUMBER: NH 22-C0458

LICENSEE INFO: Lincolnshire Assisted Living Center, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 04/14/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.710a) and 330.4210a). A fine of $1,100.00

FACILITY NAME: Loft Rehabilitation & Nursing
FACILITY ADDRESS: 700 N. Main Street
FACILITY CITY, STATE, ZIP: Eureka, IL 61530

DOCKET NUMBER: NH 22-S0457

LICENSEE INFO: The Loft Rehabilitation & Nursing, LLC
LICENSEE ADDRESS: 191 N. Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 04/14/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 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 sections of the Code with a high-risk designation: 300.1210b). A fine of $2,200.00

Total Fine: $27,200.00

FACILITY NAME: Loft Rehab & Nursing of Canton
FACILITY ADDRESS: 2081 North Main Street
FACILITY CITY, STATE, ZIP: Canton, IL 61520

DOCKET NUMBER: NH 22-C0150

LICENSEE INFO: The Loft Rehabilitation and Nursing of Canton, LLC
LICENSEE ADDRESS: 55 W. Monroe St., Ste 2400
LICENSEE CITY, STATE, ZIP: Chicago, IL 60603
Survey Date – 01/26/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)4)A), 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). A fine of $25,000.00

FACILITY NAME: Loft Rehab & Nursing of Normal
FACILITY ADDRESS: 510 Broadway
FACILITY CITY, STATE, ZIP: Normal, IL 61761

DOCKET NUMBER: NH 22-S0330

LICENSEE INFO: The Loft Rehabilitation and Nursing of Normal, LLC
LICENSEE ADDRESS: 191 N. Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 03/16/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210a), 300.1210b), 300.1210c), 300.1210d)2), 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). A fine of $25,000.00

Total Fine: $50,000.00

FACILITY NAME: Loft Rehab of Decatur
FACILITY ADDRESS: 500 West McKinley Avenue
FACILITY CITY, STATE, ZIP: Decatur, IL 62526

DOCKET NUMBER: NH 22-C0248

LICENSEE INFO: The Loft Rehabilitation of Decatur, LLC
LICENSEE ADDRESS: 191 N. Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 02/01/2022

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)3)5), and 300.1220b)2). 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), 300.1210b), and 300.1210d)5). 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), 300.1220b)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 and 300.3240a). A fine of $2,200.00

Total Fine: $6,600.00

FACILITY NAME: Loft Rehab of Decatur
FACILITY ADDRESS: 500 West McKinley Avenue
FACILITY CITY, STATE, ZIP: Decatur, IL 62526

DOCKET NUMBER: NH 22-C0446

LICENSEE INFO: The Loft Rehabilitation of Decatur, LLC
LICENSEE ADDRESS: 191 N. Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 04/18/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1035a)1)2)4)5), 300.1035b)2), 300.1035d), 300.1035e), 300.1210b), and 300.1210d)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). A fine of $25,000.00

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.698e). 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: 300.698). A fine of $500.00

Total Fine: $25,500.00

FACILITY NAME: Lutheran Home, The
FACILITY ADDRESS: 6901 North Galena Road
FACILITY CITY, STATE, ZIP: Peoria, IL 61614

DOCKET NUMBER: NH 22-S0236

LICENSEE INFO: Lutheran Hillside Village, Inc.
LICENSEE ADDRESS: 6901 N. Galena Road
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 02/23/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d1)2), 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. A fine of $25,000.00

FACILITY NAME: Manor Court of Carbondale
FACILITY ADDRESS: 2940 W. Westridge Place
FACILITY CITY, STATE, ZIP: Carbondale, IL 62901

DOCKET NUMBER: NH 22-C0269

LICENSEE INFO: UDI#5, LLC
LICENSEE ADDRESS: 285 S. Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 02/18/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), 300.1210d)3), and 300.1210d)5). 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 $25,000.00

FACILITY NAME: Manor Court of Rochelle
FACILITY ADDRESS: 2203 Flagg Road
FACILITY CITY, STATE, ZIP: Rochelle, IL 61063

DOCKET NUMBER: NH 22-C0197

LICENSEE INFO: Residential Alternatives of Illinois, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 02/10/2022

FACILITY NAME: Marklund Wasmond Center
FACILITY ADDRESS: 1435 Summit Street
FACILITY CITY, STATE, ZIP: Elgin, IL 60120

DOCKET NUMBER: NH 22-C0313

LICENSEE INFO: Marklund Children’s Home
LICENSEE ADDRESS: 102 S. Wynstone Park Dr., Ste 100
LICENSEE CITY, STATE, ZIP: North Barrington, IL 60010
Survey Date – 03/01/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 390.620a), 390.760a), 390.760c)6)8), 390.760d)1)2), 390.760e)4)5), 390.1130a), 390.1130b), and 390.3240a). The fine was doubled in this instance in accordance with 390.282i) and j) of the Code due to the violation of the sections of the Code with a high risk designation: 340.760) and 340.3240). A fine of $20,000.00

FACILITY NAME: Mason City Area Nursing Home
FACILITY ADDRESS: 520 North Price Avenue, Box 32
FACILITY CITY, STATE, ZIP: Mason City, IL 62664

DOCKET NUMBER: NH 22-S0385

LICENSEE INFO: Mason City Area Nursing Home Association, Inc.
LICENSEE ADDRESS: 520 North Price Avenue, Box 52
LICENSEE CITY, STATE, ZIP: Mason City, IL 62664
Survey Date – 04/10/2022

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

DOCKET NUMBER: NH 22-S0266

LICENSEE INFO: Petersen Health Care VII, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 02/16/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b)4), 300.1220b)2)3), and 300.2040d). 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 NAME: Mayfield Care and Rehab
FACILITY ADDRESS: 5905 West Washington Blvd
FACILITY CITY, STATE, ZIP: Chicago, IL 60644

DOCKET NUMBER: NH 22-C0180

LICENSEE INFO: Mayfield Care and Rehabilitation Center, LLC
LICENSEE ADDRESS: 600 South Second Street., Ste 404
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 01/28/2022

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)2)5). 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 NAME: Mayfield Care and Rehab
FACILITY ADDRESS: 5905 West Washington Blvd
FACILITY CITY, STATE, ZIP: Chicago, IL 60644

DOCKET NUMBER: NH 22-C0322

LICENSEE INFO: Mayfield Care and Rehabilitation Center, LLC
LICENSEE ADDRESS: 600 South Second St., Ste 404
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 03/23/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a) 300.690b), 300.1010h), 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: 300.690), 300.1210d)6), and 300.3240a). A fine of $25,000.00

FACILITY NAME: McLean County Nursing Home
FACILITY ADDRESS: 901 North Main Street
FACILITY CITY, STATE, ZIP: Normal, IL 61761

DOCKET NUMBER: NH 22-S0174

LICENSEE INFO: McLean County
LICENSEE ADDRESS: 115 E. Washington Street., Rm 401
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61702
Survey Date – 01/26/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b)5), 300.1210c), 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 $25,000.00

FACILITY NAME: Mercer Manor Rehabilitation
FACILITY ADDRESS: 309 NW 9^th Avenue
FACILITY CITY, STATE, ZIP: Aledo, IL 61231

DOCKET NUMBER: NH 22-S0224

LICENSEE INFO: Mercer Manor Rehabilitation, LLC
LICENSEE ADDRESS: 615 W. Webb St
LICENSEE CITY, STATE, ZIP: Carmi, Illinois 62821
Survey Date – 02/01/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b) and 300.1210d)3)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 NAME: Moweaqua Rehab & HCC
FACILITY ADDRESS: 525 South Macon Street
FACILITY CITY, STATE, ZIP: Moweaqua, IL 62550

DOCKET NUMBER: NH 22-S0136

LICENSEE INFO: Moweaqua Rehabilitation & Health Care Center, LLC
LICENSEE ADDRESS: 412 E. Lawrence Avenue
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 01/25/2022

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 of $2,200.00

FACILITY NAME: Mulberry Manor
FACILITY ADDRESS: 612 East Davie Street, Box 88
FACILITY CITY, STATE, ZIP: Anna, IL 62906

DOCKET NUMBER: NH 22-S0376

LICENSEE INFO: Mulberry Manor, Inc.
LICENSEE ADDRESS: 158 E. Vienna St., P.O. Box 88
LICENSEE CITY, STATE, ZIP: Anna, IL 62906
Survey Date – 03/17/2022

Type B violation for violating one or more of the following sections of the Code: 350.1010e), 350.1060a), 350.1060b)2), 350.1060c)2), 350.1060d), 350.1060e), 350.1060f), 350.1060j), and 350.3240a). A fine of $750.00

Type B violation for violating one or more of the following sections of the Code: 350.620a), 350.1040a)1), 350.1040b)1)4), 350.1210), and 350.1430e). A fine of $750.00

Total Fine: $1,500.00

FACILITY NAME: Niles Nrsg & Rehab Center
FACILITY ADDRESS: 9777 Greenwood Ave
FACILITY CITY, STATE, ZIP: Niles, IL 60714

DOCKET NUMBER: NH 22-C0238

LICENSEE INFO: Niles Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 02/06/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210c), 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 NAME: Niles Nrsg & Rehab Center
FACILITY ADDRESS: 9777 Greenwood Ave
FACILITY CITY, STATE, ZIP: Niles, IL 60714

DOCKET NUMBER: NH 22-C0299

LICENSEE INFO: Niles Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 02/24/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210c)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 sections of the Code with a high-risk designation: 300.1210b), 300.1210d)6), and 300.3240a). A fine of $25,000.00

FACILITY NAME: Norridge Gardens
FACILITY ADDRESS: 7001 West Cullom
FACILITY CITY, STATE, ZIP: Norridge, IL 60706

DOCKET NUMBER: NH 22-S0300

LICENSEE INFO: Norridge Gardens, LLC
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 03/24/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b) and 300.1610a). 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 NAME: Norwood Crossing
FACILITY ADDRESS: 6016 North Nina Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60631

DOCKET NUMBER: NH 22-S0460

LICENSEE INFO: Norwood Crossing Association
LICENSEE ADDRESS: 6016 North Nina Avenue
LICENSEE CITY, STATE, ZIP: Chicago, IL 60631
Survey Date – 04/04/2022

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 NAME: Oak Park Oasis
FACILITY ADDRESS: 625 North Harlem
FACILITY CITY, STATE, ZIP: Oak Park, IL 60302

DOCKET NUMBER: NH 22-C0205

LICENSEE INFO: Oak Park Oasis, LLC
LICENSEE ADDRESS: 4711 Gold Rd. Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 02/01/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 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 sections of the Code with a high-risk designation: 300.1210b), 300.1210d)6), and 300.3240a). A fine of $25,000.00

FACILITY NAME: Oak Park Oasis
FACILITY ADDRESS: 625 North Harlem
FACILITY CITY, STATE, ZIP: Oak Park, IL 60302

DOCKET NUMBER: NH 22-S0308

LICENSEE INFO: Oak Park Oasis, LLC
LICENSEE ADDRESS: 4711 Gold Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 02/25/2022

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), 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). A fine of $2,200.00

FACILITY NAME: Oak Park Oasis
FACILITY ADDRESS: 625 North Harlem
FACILITY CITY, STATE, ZIP: Oak Park, IL 60302

DOCKET NUMBER: NH 22-C0434

LICENSEE INFO: Oak Park Oasis, LLC
LICENSEE ADDRESS: 4711 Gold Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 04/09/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.1010h), 300.1210b), 300.12110c)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 sections of the Code with a high-risk designation: 300.1210b), 300.1210d)6), and 300.3240a). A fine of $25,000.00

FACILITY NAME: Oak Trace
FACILITY ADDRESS: 250 Village Drive
FACILITY CITY, STATE, ZIP: Downers Grove, IL 60516

DOCKET NUMBER: NH 22-C0336

LICENSEE INFO: Lifespace Communities, Inc.
LICENSEE ADDRESS: 118 W. Edwards St., Ste 200
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 03/31/2022

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 NAME: Oakview Nursing & Rehab
FACILITY ADDRESS: 1320 West 9^th Street
FACILITY CITY, STATE, ZIP: Mt. Carmel, IL 62863

DOCKET NUMBER: NH 22-S0214

LICENSEE INFO: Oakview Nursing & Rehabilitation, LLC
LICENSEE ADDRESS: 215 E. Locust Street
LICENSEE CITY, STATE, ZIP: Harrisburg, IL 62946
Survey Date – 02/14/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1210b), and 300.1210d)5). 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 NAME: Odd Fellow-Rebekah Home
FACILITY ADDRESS: 201 Lafayette Avenue
FACILITY CITY, STATE, ZIP: East Mattoon, IL 61938

DOCKET NUMBER: NH 22-S0247

LICENSEE INFO: Illinois IOOF Old Folks’ Home, Mattoon, IL
LICENSEE ADDRESS: 201 Lafayette East
LICENSEE CITY, STATE, ZIP: Mattoon, IL 61938
Survey Date – 02/23/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), and 300.1210d6). 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 $25,000.00

FACILITY NAME: Ottawa Pavilion
FACILITY ADDRESS: 704 East Glover Street
FACILITY CITY, STATE, ZIP: Ottawa, IL 61350

DOCKET NUMBER: NH 22-S0363

LICENSEE INFO: Ottawa Pavilion, Ltd
LICENSEE ADDRESS: 191 North Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 04/14/2022

FACILITY NAME: PA Peterson at the Citadel
FACILITY ADDRESS: 1311 Parkview Avenue
FACILITY CITY, STATE, ZIP: Rockford, IL 61107

DOCKET NUMBER: NH 22-C0327

LICENSEE INFO: PA Peterson at the Citadel, LLC
LICENSEE ADDRESS: 191 N. Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 03/24/2022

FACILITY NAME: Palos Heights Rehabilitation
FACILITY ADDRESS: 13259 South Central Avenue
FACILITY CITY, STATE, ZIP: Crestwood, IL 60418

DOCKET NUMBER: NH 22-C0257 & NH 22-S0258

LICENSEE INFO: Palos Heights Rehabilitation, LLC
LICENSEE ADDRESS: 2201 Manor Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 02/17/2022

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)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 NAME: Parkshore Estates Nrsg & Rehab
FACILITY ADDRESS: 6125 South Kenwood
FACILITY CITY, STATE, ZIP: Chicago, IL 60637

DOCKET NUMBER: NH 22-C0433

LICENSEE INFO: Parkshore Estates Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 03/28/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.690a), 300.690b), 300.690c), 300.1010h), 300.1210b), 300.1210c)3), 300.1210d)6), 300.3240a), 300.3240b), and 300.3240e). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.690, 300.1210d)6), 300.3240a), and 300.3240e). A fine of $25,000.00

FACILITY NAME: Paul House & Health Cr Ctr
FACILITY ADDRESS: 3800 North California
FACILITY CITY, STATE, ZIP: Chicago, IL 60618

DOCKET NUMBER: NH 22-C0268

LICENSEE INFO: Paul House & Health Care Center, LLC
LICENSEE ADDRESS: 6500 North Hamlin Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 02/04/2022

Type A 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 $25,000.00

FACILITY NAME: Pearl of Hillside, The
FACILITY ADDRESS: 4600 N. Frontage Road
FACILITY CITY, STATE, ZIP: Hillside, IL 60162

DOCKET NUMBER: NH 22-C0317

LICENSEE INFO: Pearl of Hillside, LLC
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 03/02/2022

Type AA violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1035e), 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 $50,000.00

FACILITY NAME: Pearl of Rolling Meadows, The
FACILITY ADDRESS: 4225 Kirchoff Road
FACILITY CITY, STATE, ZIP: Rolling Meadows, IL 60008

DOCKET NUMBER: NH 22-S0245

LICENSEE INFO: Pearl of Rolling Meadows, LLC
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 02/13/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.1010h), 300.1210b), 300.1210d)2), and 300.1220b)7). 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 NAME: Pekin Manor
FACILITY ADDRESS: 1520 El Camino Drive
FACILITY CITY, STATE, ZIP: Pekin, IL 61554

DOCKET NUMBER: NH 22-S0164

LICENSEE INFO: UDI #10, LLC
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 01/26/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.610c)4), 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 NAME: Piasa Manor
FACILITY ADDRESS: 110 North Alby Court
FACILITY CITY, STATE, ZIP: Godfrey, IL 62035

DOCKET NUMBER: NH 22-S0204

LICENSEE INFO: Home and Environments for Living and Programs, Inc.
LICENSEE ADDRESS: 208 South LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 01/24/2022

Type B violation for violating one or more of the following sections of the Code: 350.1060e), 350.1210, and 350.1840b). A fine of $550.00

FACILITY NAME: Piatt County Nursing Home
FACILITY ADDRESS: 1111 N. State St., P.O. Box 410
FACILITY CITY, STATE, ZIP: Monticello, IL 61856

DOCKET NUMBER: NH 22-S0409

LICENSEE INFO: Piatt County
LICENSEE ADDRESS: 101 W. Washington, Room 107
LICENSEE CITY, STATE, ZIP: Monticello, IL 61856
Survey Date – 04/06/2022

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 NAME: Pine Crest Health Care
FACILITY ADDRESS: 3300 West 175^th Street
FACILITY CITY, STATE, ZIP: Hazel Crest, IL 60429

DOCKET NUMBER: NH 22-C0401

LICENSEE INFO: Pine Crest Health Care, LLC
LICENSEE ADDRESS: 191 N. Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 03/21/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.610c)1), 300.1210b), 300.1210c), 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 $25,000.00

FACILITY NAME: Pleasant Meadows Senior Living
FACILITY ADDRESS: 400 West Washington
FACILITY CITY, STATE, ZIP: Chrisman, IL 61924

DOCKET NUMBER: NH 22-C0176

LICENSEE INFO: Pleasant Meadows Senior Living, LLC
LICENSEE ADDRESS: 5750 Old Orchard Rd., Ste 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 02/08/2022

FACILITY NAME: Pleasant Meadows Senior Living
FACILITY ADDRESS: 400 West Washington
FACILITY CITY, STATE, ZIP: Chrisman, IL 61924

DOCKET NUMBER: NH 22-C0400

LICENSEE INFO: Pleasant Meadows Senior Living, LLC
LICENSEE ADDRESS: 5750 Old Orchard Road, Ste 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 04/14/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210a), 300.1210b), 300.1210c), and 300.1210d)5). 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 NAME: Prairie Manor Nrsg & Rehab Ctr
FACILITY ADDRESS: 345 Dixie Highway
FACILITY CITY, STATE, ZIP: Chicago Heights, IL 60411

DOCKET NUMBER: NH 22-C0181

LICENSEE INFO: Prairie Manor Nursing & Rehabilitation Center, LLC
LICENSEE ADDRESS: 2201 West Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 02/08/2022

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 300.1220b)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 $25,000.00

FACILITY NAME: Prairie Oasis
FACILITY ADDRESS: 16000 Wabash Avenue
FACILITY CITY, STATE, ZIP: South Holland, IL 60473

DOCKET NUMBER: NH 22-C0152

LICENSEE INFO: Prairie Oasis, LLC
LICENSEE ADDRESS: 4711 Golf Rd, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 02/04/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210a), 300.1210b), 300.1210d)3)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 NAME: Promedica Skilled Nursing EG
FACILITY ADDRESS: 1920 Nerge Road
FACILITY CITY, STATE, ZIP: Elk Grove Village, IL 60007

DOCKET NUMBER: NH 22-S0372

LICENSEE INFO: Manor Care of Elk Grove Village IL, LLC
LICENSEE ADDRESS: 208 S. LaSalle Street, Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 04/12/2022

FACILITY NAME: Promedica Skilled Nursing MO
FACILITY ADDRESS: 833 Sixteenth Ave
FACILITY CITY, STATE, ZIP: Moline, IL 61265

DOCKET NUMBER: NH 22-S0359

LICENSEE INFO: Heartland of Moline IL, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 03/22/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 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 sections of the Code with a high-risk designation: 300.1210b), 300.3240a), and 300.3240d). 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), 300.1010h), 300.1030b), 300.1035a)3)4), and 300.1210b). 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

Total Fine: $4,400.00

FACILITY NAME: Promedica Skilled Nursing PHE
FACILITY ADDRESS: 7850 W. College Drive
FACILITY CITY, STATE, ZIP: Palos Heights, IL 60463

DOCKET NUMBER: NH 22-S0201

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 – 02/19/2022

FACILITY NAME: Promedica Skilled Nursing PHW
FACILITY ADDRESS: 11860 Southwest Highway
FACILITY CITY, STATE, ZIP: Palos Heights, IL 60463

DOCKET NUMBER: NH 22-C0315

LICENSEE INFO: Manor Care of Palos Heights (West) IL, LLC
LICENSEE ADDRESS: 208 S. LaSalle Street., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 02/28/2022

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)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 $25,000.00

FACILITY NAME: Radford Green
FACILITY ADDRESS: 960 Audubon Way
FACILITY CITY, STATE, ZIP: Lincolnshire, IL 60069

DOCKET NUMBER: NH 22-C0256

LICENSEE INFO: Sedgebrook OPCO (SL-VII), LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 02/14/2022

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

DOCKET NUMBER: NH 22-S0220

LICENSEE INFO: Randolph County Board
LICENSEE ADDRESS: #1 Taylor Street
LICENSEE CITY, STATE, ZIP: Chester, IL 62233
Survey Date – 02/18/2022

FACILITY NAME: River Bluff Nursing Home
FACILITY ADDRESS: 4401 North Main Street
FACILITY CITY, STATE, ZIP: Rockford, IL 61103

DOCKET NUMBER: NH 22-C0179

LICENSEE INFO: Winnebago County
LICENSEE ADDRESS: 404 Elm Street, Room 504
LICENSEE CITY, STATE, ZIP: Rockford, IL 61101
Survey Date – 02/15/2022

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.686f)1)2)3)A)B)C)D)E)F)G)H)I)4)5)6)A)B). 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: 300.686. A fine of $500.00

FACILITY NAME: River Crossing of Edwardsville
FACILITY ADDRESS: 6277 Center Grove Road
FACILITY CITY, STATE, ZIP: Edwardsville, IL 62025

DOCKET NUMBER: NH 22-S0449

LICENSEE INFO: Edwardsville NH, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/25/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610c)2), 300.1210)a, 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

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1210b)3), 300.1210c), 300.1210d)2), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.3240a). A fine of $2,200.00

Total Fine: $27,200.00

FACILITY NAME: River Crossing of Joliet
FACILITY ADDRESS: 3401 Hennepin Drive
FACILITY CITY, STATE, ZIP: Joliet, IL 60431

DOCKET NUMBER: NH 22-C0332

LICENSEE INFO: Joliet NH, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/31/2022

FACILITY NAME: River View Rehab Center
FACILITY ADDRESS: 50 North Jane
FACILITY CITY, STATE, ZIP: Elgin, IL 60123

DOCKET NUMBER: NH 22-C0190

LICENSEE INFO: River View Rehab Center, LLC
LICENSEE ADDRESS: 4711 Golf Rd., Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 02/02/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b) and 300.3210t). 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 NAME: Riverside Foundation
FACILITY ADDRESS: 14588 West Highway 22
FACILITY CITY, STATE, ZIP: Lincolnshire, IL 60069

DOCKET NUMBER: NH 22-C0167

LICENSEE INFO: The Riverside Foundation
LICENSEE ADDRESS: 14588 W. Hwy 22
LICENSEE CITY, STATE, ZIP: Lincolnshire, IL 60069
Survey Date – 01/28/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 350.1650d). A fine of $10,000.00

FACILITY NAME: Rochelle Gardens Care Center
FACILITY ADDRESS: 1021 Caron Road
FACILITY CITY, STATE, ZIP: Rochelle, IL 61068

DOCKET NUMBER: NH 22-S0287

LICENSEE INFO: Petersen Health Network, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 03/17/2022

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 NAME: Sharon Health Care Pines
FACILITY ADDRESS: 3614 North Rochelle
FACILITY CITY, STATE, ZIP: Peoria, IL 61604

DOCKET NUMBER: NH 22-S0284

LICENSEE INFO: Sharon Health Care Pines, Inc.
LICENSEE ADDRESS: 465 Central Avenue, Suite 100
LICENSEE CITY, STATE, ZIP: Northfield, IL 60093
Survey Date – 03/03/2022

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)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). A fine of $2,200.00

FACILITY NAME: Sheridan Village Nrsg & Rhb
FACILITY ADDRESS: 5838 North Sheridan Road
FACILITY CITY, STATE, ZIP: Chicago, IL 60660

DOCKET NUMBER: NH 22-S0392

LICENSEE INFO: Sheridan Village Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 5009 Oakton Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 04/15/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.698c). A fine of $12,500.00

FACILITY NAME: Smith Village
FACILITY ADDRESS: 2320 West 113^th Place
FACILITY CITY, STATE, ZIP: Chicago, IL 60643

DOCKET NUMBER: NH 22-S0281

LICENSEE INFO: The Washington and Jane Smith Community-Beverly
LICENSEE ADDRESS: 208 S. LaSalle St., Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 03/03/2022

FACILITY NAME: South Holland Manor Hth & Rhb
FACILITY ADDRESS: 2145 East 170^th Street
FACILITY CITY, STATE, ZIP: South Holland, IL 60473

DOCKET NUMBER: NH 22-C0294 & NH 22-S0295

LICENSEE INFO: South Holland Manor HRC, LLC
LICENSEE ADDRESS: 2201 Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 03/10/2022

Total Fine: $4,400.00

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

DOCKET NUMBER: NH 22-S0305

LICENSEE INFO: Southgate Health Care, Inc.
LICENSEE ADDRESS: 900 E. 9^th Street
LICENSEE CITY, STATE, ZIP: Metropolis, IL 62960
Survey Date – 03/17/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), 300.1210c)3), 300.1210d)6), 300.1220b)2)3), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b), 300.1210d)6), 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: 300.610a), 300.1210b), 300.1210c)1)3), and 300.1630d). 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

Total Fine: $27,200.00

FACILITY NAME: Southpoint Nrsg & Rehab Ctr
FACILITY ADDRESS: 1010 West 95^th Street
FACILITY CITY, STATE, ZIP: Chicago, IL 60643

DOCKET NUMBER: NH 22-S0211

LICENSEE INFO: Southpoint Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 02/17/2022

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.3240b) and 300.3240d). 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: 300.3240d). A fine of $500.00

FACILITY NAME: Southview Manor
FACILITY ADDRESS: 3311 South Michigan Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60616

DOCKET NUMBER: NH 22-C0469 & NH 22-S0470

LICENSEE INFO: Laureate Southview Operations, LLC
LICENSEE ADDRESS: 208 S. LaSalle St. Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 04/08/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.695c1)5), 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 sections of the Code with a high-risk designation: 300.1210b), 300.1210d)6), and 300.3240a). A fine of $25,000.00

FACILITY NAME: Spanish Oaks Center
FACILITY ADDRESS: 223 West Vienna P.O. Box 118
FACILITY CITY, STATE, ZIP: Anna, IL 62906

DOCKET NUMBER: NH 22-S0233

LICENSEE INFO: Spanish Oaks Center, Inc.
LICENSEE ADDRESS: 223 W. Vienna St., P.O. Box 118
LICENSEE CITY, STATE, ZIP: Anna, IL 62906
Survey Date – 02/23/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 330.790a) and 330.794c)1)2)3)4)5)6)7). 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: 330.790 and 330.794. A fine of $25,000.00

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.1310a), 330.1310i), and 330.1310j). A fine of $1,100.00

Total Fine: $26,100.00

FACILITY NAME: Spring Creek
FACILITY ADDRESS: 777 Draper Avenue
FACILITY CITY, STATE, ZIP: Joliet, IL 60432

DOCKET NUMBER: NH 22-C0280

LICENSEE INFO: Spring Creek SNF, LLC
LICENSEE ADDRESS: 6302 N. Monticello Ave
LICENSEE CITY, STATE, ZIP: Chicago, IL 60659
Survey Date – 03/11/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), 300.1210d)6), and 300.1220b)2). 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 NAME: Stephenson Nursing Center
FACILITY ADDRESS: 2946 South Walnut Road
FACILITY CITY, STATE, ZIP: Freeport, IL 61032

DOCKET NUMBER: NH 22-S0282

LICENSEE INFO: Stephenson County Board of Supervisors
LICENSEE ADDRESS: 50 W. Douglas St., Ste 1002
LICENSEE CITY, STATE, ZIP: Freeport, IL 61032
Survey Date – 03/03/2022

FACILITY NAME: Sunset Rehabilitation & Hlth C
FACILITY ADDRESS: 129 South 1^st Avenue
FACILITY CITY, STATE, ZIP: Canton, IL 61520

DOCKET NUMBER: NH 22-S0249

LICENSEE INFO: Petersen Health Junction, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 03/06/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), and 300.3240c). 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 NAME: Sunset Rehabilitation & Hlth C
FACILITY ADDRESS: 129 South 1^st Avenue
FACILITY CITY, STATE, ZIP: Canton, IL 61520

DOCKET NUMBER: NH 22-C0279

LICENSEE INFO: Petersen Health Junction, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 03/17/2022

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)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 sections of the Code with a high-risk designation: 300.1210b), 300.1210d)6), 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: 300.510a) A fine of $1,100.00

Total Fine: $26,100.00

FACILITY NAME: Symphony at Midway
FACILITY ADDRESS: 4437 South Cicero
FACILITY CITY, STATE, ZIP: Chicago, IL 60632

DOCKET NUMBER: NH 22-C0206

LICENSEE INFO: Symphony Midway, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 02/16/2022

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)1)2), 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.3240a). A fine of $25,000.00

FACILITY NAME: Symphony of Bronzeville
FACILITY ADDRESS: 3400 South Indiana
FACILITY CITY, STATE, ZIP: Chicago, IL 60616

DOCKET NUMBER: NH 22-C0333

LICENSEE INFO: Symphony Bronzeville Park, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/27/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a) and 300.1210d)3)5). 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: 300.1210d)5). A fine of $2,200.00

FACILITY NAME: Symphony of Chicago West
FACILITY ADDRESS: 5130 West Jackson Boulevard
FACILITY CITY, STATE, ZIP: Chicago, IL 60644

DOCKET NUMBER: NH 22-C0189

LICENSEE INFO: Symphony Jackson Square, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 01/26/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), 300.1210c), 300.1210d)2)3)4), 300.1220b)7), 300.1230e), and 300.1810h). 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 300.1230). A fine of $25,000.00

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610c)2), 300.696a), 300.696b), 300.696c)6)7), 300.1210b), 300.1210c), and 300.1210d)2)3)4). 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: 300.696 and 300.1210b), A fine of $25,0000.00

Total Fine: $50,000.00

FACILITY NAME: Symphony of Chicago West
FACILITY ADDRESS: 5130 West Jackson Boulevard
FACILITY CITY, STATE, ZIP: Chicago, IL 60644

DOCKET NUMBER: NH 22-C0196

LICENSEE INFO: Symphony Jackson Square, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 02/22/2022

FACILITY NAME: Symphony Palos Park
FACILITY ADDRESS: 12220 S. Will Cook Rd
FACILITY CITY, STATE, ZIP: Palos Park, IL 60464

DOCKET NUMBER: NH 22-S0347

LICENSEE INFO: Sym Palos Park SNF Healthcare, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/04/2022

FACILITY NAME: Symphony Palos Park
FACILITY ADDRESS: 12220 S. Will Cook Road
FACILITY CITY, STATE, ZIP: Palos Park, IL 60464

DOCKET NUMBER: NH 22-S0411

LICENSEE INFO: Sym Palos Park SNF Healthcare, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Dr
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 04/17/2022

FACILITY NAME: Taylorville Care Center
FACILITY ADDRESS: 600 South Houston
FACILITY CITY, STATE, ZIP: Taylorville, IL 62568

DOCKET NUMBER: NH 22-C0222

LICENSEE INFO: Palladian Taylorville SNF, LLC
LICENSEE ADDRESS: 600 S. Second St., Ste 104
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 01/28/2022

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), and 300.1210d)5). 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 $25,000.00

FACILITY NAME: Taylorville Care Center
FACILITY ADDRESS: 600 South Houston
FACILITY CITY, STATE, ZIP: Taylorville, IL 62568

DOCKET NUMBER: NH 22-C0267

LICENSEE INFO: Palladian Taylorville SNF, LLC
LICENSEE ADDRESS: 600 S. Second Street, Ste 104
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 02/28/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), and 300.1210d)2)5). 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 $25,000.00

FACILITY NAME: Taylorville Skld Nur & Rehab
FACILITY ADDRESS: 800 McAdam Drive
FACILITY CITY, STATE, ZIP: Taylorville, IL 62568

DOCKET NUMBER: NH 22-S0296

LICENSEE INFO: Taylorville Skilled Nursing & Rehab, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 02/17/2022

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)2). 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 NAME: Terrace Nursing Home, The
FACILITY ADDRESS: 1615 Sunset Avenue
FACILITY CITY, STATE, ZIP: Waukegan, IL 60087

DOCKET NUMBER: NH 22-C0447

LICENSEE INFO: TN Care, LLC
LICENSEE ADDRESS: 1S443 Summitt Avenue, Ste 204
LICENSEE CITY, STATE, ZIP: Oakwood Terrace, IL 60181
Survey Date – 04/14/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1010i), 300.1030a)3), 300.1210b), and 300.1210d)3)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 $25,000.00

FACILITY NAME: Timber Point Healthcare Center
FACILITY ADDRESS: 205 East Spring Street
FACILITY CITY, STATE, ZIP: Camp Point, IL 62320

DOCKET NUMBER: NH 22-C0186

LICENSEE INFO: Timber Point Healthcare Center, Inc.
LICENSEE ADDRESS: 2201 Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 02/10/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.610c)4)A)F), 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 $25,000.00

FACILITY NAME: Torrence Place
FACILITY ADDRESS: 2601 223^rd Street
FACILITY CITY, STATE, ZIP: Sauk Village, IL 60411

DOCKET NUMBER: NH 22-S0329

LICENSEE INFO: Pioneer Concepts, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 03/14/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 350.620a) 350.620b)5), 350.670f)1)2), 350.810a), and 350.1235a)3)4)5). A fine of $6,250.00

FACILITY NAME: University Rehab
FACILITY ADDRESS: 500 South Art Bartell Road
FACILITY CITY, STATE, ZIP: Urbana, IL 61802

DOCKET NUMBER: NH 22-S0360

LICENSEE INFO: University Rehabilitation Center of C-U, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 03/24/2022

FACILITY NAME: Villa at South Holland, The
FACILITY ADDRESS: 16300 Wausau Street
FACILITY CITY, STATE, ZIP: South Holland, IL 60473

DOCKET NUMBER: NH 22-C0134

LICENSEE INFO: The Villa at South Holland, LLC
LICENSEE ADDRESS: 191 N. Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 01/27/2022

FACILITY NAME: Villa at South Holland, The
FACILITY ADDRESS: 16300 Wausau Street
FACILITY CITY, STATE, ZIP: South Holland, IL 60473

DOCKET NUMBER: NH 22-S0352

LICENSEE INFO: The Villa at South Holland, LLC
LICENSEE ADDRESS: 191 N. Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 03/29/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.1210a), 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 $25,000.00

FACILITY NAME: Warren Barr Lieberman
FACILITY ADDRESS: 9700 Gross Point Road
FACILITY CITY, STATE, ZIP: Skokie, IL 60076

DOCKET NUMBER: NH 22-C0187

LICENSEE INFO: Lieberman Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 3450 Oakston St.
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 01/30/2022

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 300.1810c)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 $25,000.00

FACILITY NAME: Warren Barr Lieberman
FACILITY ADDRESS: 9700 Gross Point Road
FACILITY CITY, STATE, ZIP: Skokie, IL 60076

DOCKET NUMBER: NH 22-S0272

LICENSEE INFO: Lieberman Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 3450 Oakston Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 02/18/2022

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 NAME: Warren Barr North Shore
FACILITY ADDRESS: 2773 Skokie Valley Road
FACILITY CITY, STATE, ZIP: Highland Park, IL 60035

DOCKET NUMBER: NH 22-C0375

LICENSEE INFO: Warren Barr North Shore, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/16/2022

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

DOCKET NUMBER: NH 22-S0285

LICENSEE INFO: Chicagoland Methodist Senior Services
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/10/2022

FACILITY NAME: West Chicago Terrace
FACILITY ADDRESS: 928 Joliet Road
FACILITY CITY, STATE, ZIP: West Chicago, IL 60185

DOCKET NUMBER: NH 22-S0388

LICENSEE INFO: Laureate West Chicago Operations, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 03/18/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)3), 300.1220b)2), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.3240a. A fine of $2,200.00

FACILITY NAME: Westmont Manor Hlth & Rhb
FACILITY ADDRESS: 512 East Ogden Avenue
FACILITY CITY, STATE, ZIP: Westmont, IL 60559

DOCKET NUMBER: NH 22-C0396

LICENSEE INFO: Westmont Manor HRC, LLC
LICENSEE ADDRESS: 2201 Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 03/30/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b)5, 300.1210c), 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 $25,000.00

FACILITY NAME: Westside Rehab & Care Center
FACILITY ADDRESS: 601 N. Columbia Street
FACILITY CITY, STATE, ZIP: West Frankfort, IL 62896

DOCKET NUMBER: NH 22-S0438 & NH 22-C0439

LICENSEE INFO: Westside HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 04/07/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.3210t), 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 sections of the Code with a high-risk designation: 300.1210b). A fine of $2,200.00

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

DOCKET NUMBER: NH 22-C0345

LICENSEE INFO: Winning Wheels, Inc.
LICENSEE ADDRESS: 701 East Third Street
LICENSEE CITY, STATE, ZIP: Prophetstown, IL 61277
Survey Date – 04/05/2022

2022 2nd Quarterly Report

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2022 2nd Quarterly Report

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