2022 3rd Quarterly Report

The Illinois Department of Public Health has initiated action, as indicated, against the following facilities which have been determined to be in violation of the Nursing Home Care Act, or has recommended decertification to the Director of the Department of Healthcare and Family Service, or the Secretary of the United States Department of Health and Human Services for violations in relation to patient care, pursuant to Titles XVIII and XIX of the Federal Social Security Act.

FACILITY NAME: Abbington Vlge Nrsg & Rhb Ctr
FACILITY ADDRESS: 31 West Central
FACILITY CITY, STATE, ZIP: Roselle, IL 60172

DOCKET NUMBER: NH 22-C0632

LICENSEE INFO: Abbington Rehab & Nursing Center, Ltd
LICENSEE ADDRESS: 191 North Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 06/13/2022

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

FACILITY NAME: Abington of Glenview Nursing
FACILITY ADDRESS: 3901 Glenview Road
FACILITY CITY, STATE, ZIP: Glenview, IL 60025

DOCKET NUMBER: NH 22-C0706

LICENSEE INFO: Abington of Glenview Nursing & Rehab Center, LLC
LICENSEE ADDRESS: 180 N. LaSalle St., Ste 3300
LICENSEE CITY, STATE, ZIP: Chicago, IL 60601
Survey Date – 06/17/2022

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: Accolade Healthcare Danville
FACILITY ADDRESS: 801 North Logan Avenue
FACILITY CITY, STATE, ZIP: Danville, IL 61832

DOCKET NUMBER: NH 22-C0700

LICENSEE INFO: Accolade Healthcare of Danville, LLC
LICENSEE ADDRESS: 2501 Chatham Road, Ste R
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 07/14/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), 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: 300.1210b) and300.3240a). A fine of $2,200.00

FACILITY NAME: Accolade HC of East Peoria
FACILITY ADDRESS: 500 Centennial Drive
FACILITY CITY, STATE, ZIP: East Peoria, IL 61611

DOCKET NUMBER: NH 22-S0613

LICENSEE INFO: Accolade Healthcare of East Peoria, LLC
LICENSEE ADDRESS: 2501 Chatham Road, Ste R
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 06/22/2022

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)1). A fine of $12,500.00

FACILITY NAME: Addolorata Villa
FACILITY ADDRESS: 555 McHenry Road
FACILITY CITY, STATE, ZIP: Wheeling, IL 60090

DOCKET NUMBER: NH 22-S0618

LICENSEE INFO: Franciscan Communities, Inc.
LICENSEE ADDRESS: 208 South LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 06/02/2022

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) and300.1210d)6). A fine of $25,000.00

FACILITY NAME: AHVA Care of Stickney
FACILITY ADDRESS: 3900 South Oak Park Avenue
FACILITY CITY, STATE, ZIP: Stickney, IL 60402

DOCKET NUMBER: NH 22-C0521

LICENSEE INFO: AHVA Care of Stickney, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 05/26/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1010h), 300.1210a), 300.1210b), 300.1210d)3), 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 $2,200.00

FACILITY NAME: Alden Estates of Evanston
FACILITY ADDRESS: 2520 Gross Point Road
FACILITY CITY, STATE, ZIP: Evanston, IL 60201

DOCKET NUMBER: NH 22-C0471 & NH 22-S0472

LICENSEE INFO: Alden Estates of Evanston, Inc.
LICENSEE ADDRESS: 4200 West Peterson, Suite 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 05/05/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b)3)4), 300.1210c), 300.1210d)4)A), 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), 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: $4,400.00

FACILITY NAME: Alden Estates of Northmoor
FACILITY ADDRESS: 5831 North Northwest Highway
FACILITY CITY, STATE, ZIP: Chicago, IL 60631

DOCKET NUMBER: NH 22-C0662

LICENSEE INFO: Alden Northmoor Rehabilitation and Health Care Center, Inc.
LICENSEE ADDRESS: 4200 W. Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60645
Survey Date – 06/21/2022

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)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: Alden Estates of Northmoor
FACILITY ADDRESS: 5831 North Northwest Highway
FACILITY CITY, STATE, ZIP: Chicago, IL 60631

DOCKET NUMBER: NH 22-S0663

LICENSEE INFO: Alden Northmoor Rehabilitation and Health Care Center, Inc.
LICENSEE ADDRESS: 4200 W. Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60645
Survey Date – 07/08/2022

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), 300.1210c), 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: Alden Lakeland Rehab & HCC
FACILITY ADDRESS: 820 West Lawrence
FACILITY CITY, STATE, ZIP: Chicago, IL 60640

DOCKET NUMBER: NH 22-C0648

LICENSEE INFO: Alden Lakeland Rehabilitation and Health Care Center, Inc.
LICENSEE ADDRESS: 4200 W. Peterson Ave., #140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 06/15/2022

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), 300.1230e), 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), 300.1210d)5), and 300.1230. A fine of $2,200.00

FACILITY NAME: Alden Town Manor Rehab & HCC
FACILITY ADDRESS: 6120 West Ogden
FACILITY CITY, STATE, ZIP: Cicero, IL 60804

DOCKET NUMBER: NH 22-C0664

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 – 06/24/2022

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

FACILITY NAME: Alden Village Health Facility
FACILITY ADDRESS: 267 East Lake Street
FACILITY CITY, STATE, ZIP: Bloomingdale, IL 60108

DOCKET NUMBER: NH 22-S0604

LICENSEE INFO: Alden Village Health Facility for Children and Young Adults
LICENSEE ADDRESS: 4200 W. Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 06/01/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 350.620a) 350.700a), and 350.1230d)1)2)3). A fine of $12,500

FACILITY NAME: Allure of Galesburg
FACILITY ADDRESS: 1145 Frank Street
FACILITY CITY, STATE, ZIP: Galesburg, IL 61401

DOCKET NUMBER: NH 22-S0638

LICENSEE INFO: Allure of Galesburg, LLC
LICENSEE ADDRESS: 2711 W. Howard St
LICENSEE CITY, STATE, ZIP: Chicago, IL 60645
Survey Date – 07/07/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.686a)2)4)7)10), 300.686b)1)2)4), 300.686c), and 300.686d). 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). A fine of $2,200.00

FACILITY NAME: Alvin Eades Center
FACILITY ADDRESS: 1000A West Michigan
FACILITY CITY, STATE, ZIP: Jacksonville, IL 62650

DOCKET NUMBER: NH 22-S0654

LICENSEE INFO: Alvin Eades Center, Inc.
LICENSEE ADDRESS: 905 West Superior
LICENSEE CITY, STATE, ZIP: Jacksonville, IL 62650
Survey Date – 06/17/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 350.620a) 350.760a), 350.769g), 350.769h)1)3), and 350.1210). A fine of $6,250.00

FACILITY NAME: Ambassador Nsg & Rehab Center
FACILITY ADDRESS: 4900 N. Bernard
FACILITY CITY, STATE, ZIP: Chicago, IL 60625

DOCKET NUMBER: NH 22-C0660

LICENSEE INFO: Ambassador Nursing and Rehabilitation II, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 07/06/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b) 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) and 300.3240e). A fine of $2,200.00

FACILITY NAME: Ambassador Nsg & Rehab Center
FACILITY ADDRESS: 4900 N. Bernard
FACILITY CITY, STATE, ZIP: Chicago, IL 60625

DOCKET NUMBER: NH 22-C0670

LICENSEE INFO: Ambassador Nursing and Rehabilitation II, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 06/29/2022

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)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: Aperion Care Bradley
FACILITY ADDRESS: 650 North Kenzie
FACILITY CITY, STATE, ZIP: Bradley, IL 60915

DOCKET NUMBER: NH 22-C0782

LICENSEE INFO: Aperion Care Bradley, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 07/14/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210c)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 $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-S0474

LICENSEE INFO: Riviera Care Center, LLC
LICENSEE ADDRESS: 208 So. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 05/06/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b)3)4), 300.1210d)3) 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: Aperion Care DeKalb
FACILITY ADDRESS: 1212 South Second Street
FACILITY CITY, STATE, ZIP: DeKalb, IL 60115

DOCKET NUMBER: NH 22-S0444

LICENSEE INFO: Aperion Care DeKalb, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 05/11/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.2210b)1). A fine of $1,100.00

FACILITY NAME: Aperion Care DeKalb
FACILITY ADDRESS: 1212 South Second Street
FACILITY CITY, STATE, ZIP: DeKalb, IL 60115

DOCKET NUMBER: NH 22-C0585

LICENSEE INFO: Aperion Care DeKalb, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 05/24/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.686d), 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: 300.686 and 300.1210b). A fine of $2,200.00

FACILITY NAME: Aperion Care Dolton
FACILITY ADDRESS: 14325 South Blackstone
FACILITY CITY, STATE, ZIP: Dolton, IL 60419

DOCKET NUMBER: NH 22-C0671

LICENSEE INFO: Dolton Nursing & Rehab, LLC
LICENSEE ADDRESS: 208 So LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 07/12/2022

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). 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 Lakeshore
FACILITY ADDRESS: 7200 North Sheridan Road
FACILITY CITY, STATE, ZIP: Chicago, IL 60626

DOCKET NUMBER: NH 22-S0486

LICENSEE INFO: Lakeshore OPCO, LLC
LICENSEE ADDRESS: 218 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 05/06/2022

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: Aperion Care Lakeshore
FACILITY ADDRESS: 7200 North Sheridan Road
FACILITY CITY, STATE, ZIP: Chicago, IL 60626

DOCKET NUMBER: NH 22-C0665

LICENSEE INFO: Lakeshore OPCO, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 07/14/2022

FACILITY NAME: Aperion Care Marseilles
FACILITY ADDRESS: 578 West Commercial Street
FACILITY CITY, STATE, ZIP: Marseilles, IL 61341

DOCKET NUMBER: NH 22-S0455

LICENSEE INFO: Aperion Care Marseilles, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 04/29/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.690b), 300.690c), 300.1210b), 300.1210d)6), and 300.3100d)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: 300.690, 300.1210b), 300.1210d)6), and 300.3100d)2). A fine of $25,000.00

FACILITY NAME: Aperion Care Peoria Heights
FACILITY ADDRESS: 1629 Gardner Lane
FACILITY CITY, STATE, ZIP: Peoria Heights, IL 61616

DOCKET NUMBER: NH 22-C0629

LICENSEE INFO: Aperion Care Peoria Heights, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 06/22/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210c), 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: Aperion Care St. Elmo
FACILITY ADDRESS: 221 East Cumberland
FACILITY CITY, STATE, ZIP: St. Elmo, IL 62458

DOCKET NUMBER: NH 22-S0442

LICENSEE INFO: Aperion Care St. Elmo, LLC
LICENSEE ADDRESS: 208 So. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 06/27/2022

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: Aperion Care West Chicago
FACILITY ADDRESS: 201 West North Avenue
FACILITY CITY, STATE, ZIP: West Chicago, IL 60185

DOCKET NUMBER: NH 22-S0621

LICENSEE INFO: Vcorp Agent Services, Inc.
LICENSEE ADDRESS: 208 So, LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 06/27/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), and 300.3210t). 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: Aperion Care West Ridge
FACILITY ADDRESS: 6450 N. Ridge Blvd
FACILITY CITY, STATE, ZIP: Chicago, IL 60626

DOCKET NUMBER: NH 22-C0593

LICENSEE INFO: Aperion Care West Ridge, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 06/09/2022

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 300.3210t). 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 300.3240a). A fine of $2,200.00

FACILITY NAME: Aperion Care Wilmington
FACILITY ADDRESS: 555 West Kahler
FACILITY CITY, STATE, ZIP: Wilmington, IL 60481

DOCKET NUMBER: NH 22-C0494

LICENSEE INFO: Island City Rehabilitation Center, LLC
LICENSEE ADDRESS: 208 So. LaSalle Street., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 05/11/2022

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: Aperion Care Wilmington
FACILITY ADDRESS: 555 West Kahler
FACILITY CITY, STATE, ZIP: Wilmington, IL 60481

DOCKET NUMBER: NH 22-C0696

LICENSEE INFO: Island City Rehabilitation Center, LLC
LICENSEE ADDRESS: 208 So, LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 06/30/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.696b), 300.696d)6)13), and 300.696f)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: Arcadia Care Morris
FACILITY ADDRESS: 1095 Twilight Drive
FACILITY CITY, STATE, ZIP: Morris, IL 60450

DOCKET NUMBER: NH 22-S0526

LICENSEE INFO: Arcadia Care Morris, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 05/12/2022

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.696b), 300.696d)1), and 300.1210b). 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: 300.696 and 300.1210b). A fine of $500.00

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

DOCKET NUMBER: NH 22-S0550

LICENSEE INFO: Danville Operations, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 05/26/2022

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

FACILITY NAME: Arden Courts (Geneva)
FACILITY ADDRESS: 2388 Bricher Road
FACILITY CITY, STATE, ZIP: Geneva, IL 60134

DOCKET NUMBER: NH 22-S0476

LICENSEE INFO: Arden Courts of Geneva IL, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 05/10/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.710a), 330.710c)3)A)B)C)F), and 330.3620g). A fine of $1,100.00

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

DOCKET NUMBER: NH 22-S0572

LICENSEE INFO: Presence Senior Services Chicagoland
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 05/11/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), 300.1210)3), 300.1210d)6), 300.1220b)2), and 300.3240a). and 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: Aspen Rehab & Health Care
FACILITY ADDRESS: 1403 9^th Avenue
FACILITY CITY, STATE, ZIP: Silvis, IL 61282

DOCKET NUMBER: NH 22-S0443

LICENSEE INFO: Aspen HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Dr
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 06/09/2022

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)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: Austin Oasis, The
FACILITY ADDRESS: 901 South Austin Boulevard
FACILITY CITY, STATE, ZIP: Chicago, IL 60644

DOCKET NUMBER: NH 22-C0692

LICENSEE INFO: The Austin Oasis, LLC
LICENSEE ADDRESS: 4711 Golf Rd, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 07/12/2022

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)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: Austin Oasis, The
FACILITY ADDRESS: 901 South Austin Boulevard
FACILITY CITY, STATE, ZIP: Chicago, IL 60644

DOCKET NUMBER: NH 22-C0484

LICENSEE INFO: The Austin Oasis, LLC
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 05/11/2022

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)1). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $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-C0592

LICENSEE INFO: Cahokia Nursing & Rehabilitation Center, Inc.
LICENSEE ADDRESS: 7434 North Skokie Blvd
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 06/14/2022

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: Avantara Chicago Ridge
FACILITY ADDRESS: 10300 SW Hwy
FACILITY CITY, STATE, ZIP: Chicago Ridge, IL 60415

DOCKET NUMBER: NH 22-C0517

LICENSEE INFO: Chicago Ridge Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 05/24/2022

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

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

DOCKET NUMBER: NH 22-C0694

LICENSEE INFO: Evergreen Living & Rehab Center, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 07/11/2022

FACILITY NAME: Avantara of Elgin
FACILITY ADDRESS: 1950 Larkin Avenue
FACILITY CITY, STATE, ZIP: Elgin, IL 60123

DOCKET NUMBER: NH 22-C0428

LICENSEE INFO: Elgin Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 04/28/2022

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)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: Avenues at Springfield
FACILITY ADDRESS: 525 S. Martin Luther King Drive
FACILITY CITY, STATE, ZIP: Springfield, IL 62703

DOCKET NUMBER: NH 22-C0573

LICENSEE INFO: Avenues at Arcadia Springfield, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 07/08/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)2)3), and 300.3210o). 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 B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.695a)3), 300.695b)3), 300.695d), 300.1210b), and 300.3240e). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.695b), 300.1210b) and 300.3240e). A fine of $2,200.00

Total Fine: $27,200.00

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

DOCKET NUMBER: NH 22-C0689

LICENSEE INFO: Belhaven Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 06/24/2022

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

Total Fine: $6,600.00

FACILITY NAME: Bella Terra Lombard
FACILITY ADDRESS: 2100 S. Finley Road
FACILITY CITY, STATE, ZIP: Lombard, IL 60148

DOCKET NUMBER: NH 22-S0481

LICENSEE INFO: Lombard Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
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: Bella Terra Wheeling
FACILITY ADDRESS: 730 West Hintz Road
FACILITY CITY, STATE, ZIP: Wheeling, IL 60090

DOCKET NUMBER: NH 22-S0548

LICENSEE INFO: Wheeling Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 3450 Oakton Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 05/20/2022

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 Lincoln Park
FACILITY ADDRESS: 700 West Fullerton Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60614

DOCKET NUMBER: NH 22-C0519

LICENSEE INFO: Belmont Village Lincoln Park, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 05/23/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.710a), 330.710b), 330.710c)3)A)F), 330.780a), 330.780b), and 330.780c). 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: 300.780. A fine of $2,200.00

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.758a)2), 330.785b)1), 330.785c)1), 330.4240a), 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: 300.785)b), 330.4240a), 330.4240d), and 330.4240e). A fine of $2,200.00.

Total Fine: $4,400.00

FACILITY NAME: Belmont Village Lincoln Park
FACILITY ADDRESS: 700 West Fullerton Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60614

DOCKET NUMBER: NH 22-C0647 & NH 22-S0649

LICENSEE INFO: Belmont Village Lincoln Park, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 06/16/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 330.910b). A fine of $12,500.

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.1145a), and 330.1145d). A fine of $1,100.00

Total Fine: $13,600.00

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

DOCKET NUMBER: NH 22-S0623

LICENSEE INFO: Bement HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Dr.
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 06/29/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.2010a)1). A fine of $1,100.00

FACILITY NAME: Benton Rehab & Health Care Center
FACILITY ADDRESS: 1409 North Main Street, Box 847
FACILITY CITY, STATE, ZIP: Benton, IL 62812

DOCKET NUMBER: NH 22-C0657 & NH 22-S0658

LICENSEE INFO: Petersen Health Operations, LLC
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 07/08/2022

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

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), 300.1210c), 300.1210d)2)3), and 300.2040)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

Total Fine: $4,400.00

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

DOCKET NUMBER: NH 22-C0702 & NH 22-S0703

LICENSEE INFO: Thorek Memorial Hospital
LICENSEE ADDRESS: 850 W. Irving Park Road 306
LICENSEE CITY, STATE, ZIP: Chicago, IL 60613
Survey Date – 07/18/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.790a) and 330.790c)4). 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: 300.790. A fine of $2,200.00

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). 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: 300.780. A fine of $500.00

Total Fine: $2,700.00

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

DOCKET NUMBER: NH 22-C0598 & NH 22-S0599

LICENSEE INFO: Beverly Farm Foundation
LICENSEE ADDRESS: 190 South LaSalle St., Ste 3700
LICENSEE CITY, STATE, ZIP: Chicago, IL 60603
Survey Date – 06/02/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 350.620a) 350.690a), 350.690b), 350.690c), 350.690g), 350.760a), 350.760c)7), 350.1210, 350.1223a), 350.2010a)1)5), 350.2020a)1), 350.2020d), and 350.3240a). A fine of $12,500.00

Type B violation of an occurrence for violating one or more of the following sections of the Code: 350.620a) 350.1210), 350.1220j), 350.1230b), 350.1230d)1), 350.3210o), 350.3220f), and 350.3240a). A fine of $1,100.00.

Total Fine: $13,600.00

FACILITY NAME: Brauns Terrace
FACILITY ADDRESS: 1115 East Washington Street
FACILITY CITY, STATE, ZIP: Greenville, IL 62246

DOCKET NUMBER: NH 22-C0771

LICENSEE INFO: Community Living Options, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 07/14/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 350.620 a), 350.1230d)1)2)3), 350.3210o), 350.3220f), 350.3240c), and 350.3240f). A fine of $6,250.00

FACILITY NAME: Bria of Belleville
FACILITY ADDRESS: 150 North 27^th Street
FACILITY CITY, STATE, ZIP: Belleville, IL 62226

DOCKET NUMBER: NH 22-C0736

LICENSEE INFO: Belleville Healthcare & Rehabilitation Center, Inc.
LICENSEE ADDRESS: 465 Central Avenue, Ste 100
LICENSEE CITY, STATE, ZIP: Northfield, IL 60093
Survey Date – 07/07/2022

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: Bria of Cahokia
FACILITY ADDRESS: 3354 Jerome Lane
FACILITY CITY, STATE, ZIP: Cahokia, IL 62206

DOCKET NUMBER: NH 22-S0453

LICENSEE INFO: Atrium Hlth Care & Rehab Ctr of Cahokia, LLC
LICENSEE ADDRESS: 465 Central Avenue #100
LICENSEE CITY, STATE, ZIP: Northfield, IL 60093
Survey Date – 05/04/2022

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)2)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). 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), 300.1210d)1), 300.1610a)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). A fine of $2,200.00

Total Fine: $27,200.00

FACILITY NAME: Bria of Chicago Heights
FACILITY ADDRESS: 120 West 26^th Street
FACILITY CITY, STATE, ZIP: So Chicago Hts, IL 60411

DOCKET NUMBER: NH 22-C0554

LICENSEE INFO: Mst Health Properties, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 05/09/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b) and 300.3240e). 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) and 300.3240e). A fine of $2,200.00

FACILITY NAME: Bria of Geneva
FACILITY ADDRESS: 1101 East State Street
FACILITY CITY, STATE, ZIP: Geneva, IL 60134

DOCKET NUMBER: NH 22-C0652

LICENSEE INFO: Geneva Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 07/11/2022

FACILITY NAME: Bridgeview Health Care Center
FACILITY ADDRESS: 8100 South Harlem Avenue
FACILITY CITY, STATE, ZIP: Bridgeview, IL 60455

DOCKET NUMBER: NH 22-S0430

LICENSEE INFO: Bridgeview Health Care Center, Ltd
LICENSEE ADDRESS: 191 North Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 04/22/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210c), 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: Bridgeway Senior Living
FACILITY ADDRESS: 111 East Washington Street
FACILITY CITY, STATE, ZIP: Bensenville, IL 60106

DOCKET NUMBER: NH 22-C0707

LICENSEE INFO: Bridgeway Senior Living, LLC
LICENSEE ADDRESS: 1275 Milwaukee Ave, Suite 300
LICENSEE CITY, STATE, ZIP: Glenview, IL 60025
Survey Date – 07/07/2022

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

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), and 300.3210t). A fine of $1,100.00

Total Fine: $26,100.00

FACILITY NAME: Brother James Court
FACILITY ADDRESS: 2508 St. James Road
FACILITY CITY, STATE, ZIP: Springfield, IL 62707

DOCKET NUMBER: NH 22-S0640

LICENSEE INFO: Brother James Court
LICENSEE ADDRESS: 1215 S 4^th Street
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 06/15/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 350.620a) 350.760a), 350.769g), 350.769h)1)2)3), and 350.1210). A fine of $10,000.00

FACILITY NAME: Burbank Rehabilitation Center
FACILITY ADDRESS: 5400 West 87^th Street
FACILITY CITY, STATE, ZIP: Burbank, IL 60459

DOCKET NUMBER: NH 22-C0659

LICENSEE INFO: Burbank Rehabilitation Center, LLC
LICENSEE ADDRESS: 2201 Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 07/01/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.2210a), 300.2920a)1), and 300.2920g)1)B). A fine of $1,100.00

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

Total Fine: $3,300.00

FACILITY NAME: Calhoun Nsg & Rehab Center
FACILITY ADDRESS: 1 Myrtle Lane
FACILITY CITY, STATE, ZIP: Hardin, IL 62047

DOCKET NUMBER: NH 22-C0656

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 – 06/21/2022

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: Carlyle Healthcare & Sr Living
FACILITY ADDRESS: 501 Clinton Street
FACILITY CITY, STATE, ZIP: Carlyle, IL 62231

DOCKET NUMBER: NH 22-S0535

LICENSEE INFO: Carlyle Healthcare & Senior Living, LLC
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 05/17/2022

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

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b)4), 300.1210c), 300.1210d)2), 300.2040b)2), 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

Total Fine: $27,200.00

FACILITY NAME: Caseyville Nursing & Rehab Ctr
FACILITY ADDRESS: 601 West Lincoln Avenue
FACILITY CITY, STATE, ZIP: Caseyville, IL 62232

DOCKET NUMBER: NH 22-S0473

LICENSEE INFO: Caseyville Nursing & Rehabilitation Center, Inc.
LICENSEE ADDRESS: 7434 N. Skokie Blvd
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: 300.610a), 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 $25,000.00

FACILITY NAME: Caseyville Nursing & Rehab Ctr
FACILITY ADDRESS: 601 West Lincoln Avenue
FACILITY CITY, STATE, ZIP: Caseyville, IL 62232

DOCKET NUMBER: NH 22-C0594

LICENSEE INFO: Caseyville Nursing & Rehabilitation Center, Inc.
LICENSEE ADDRESS: 7434 N. Skokie Blvd
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 05/12/2022

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: Centralia Manor
FACILITY ADDRESS: 1910 East McCord, Rte 161 East
FACILITY CITY, STATE, ZIP: Centralia, IL 62801

DOCKET NUMBER: NH 22-S0644

LICENSEE INFO: UDI #8, LLC
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 05/05/2022

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

Total Fine: $4,400.00

FACILITY NAME: Champaign Urbana Nrsg & Rehab
FACILITY ADDRESS: 302 Burwash Avenue
FACILITY CITY, STATE, ZIP: Savoy, IL 61874

DOCKET NUMBER: NH 22-S0509

LICENSEE INFO: Champaign Urbana Nursing and Rehab, LP
LICENSEE ADDRESS: 5750 Old Orchard Rd, Ste 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 04/22/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.3210f), 300.3210g), and 300.3210h). 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), 300.1210c), and 300.1210d)5)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)5)6). A fine of $2,200.00

Total Fine: $3,300.00

FACILITY NAME: Champaign Urbana Nrsg & Rehab
FACILITY ADDRESS: 302 Burwash Avenue
FACILITY CITY, STATE, ZIP: Savoy, IL 61874

DOCKET NUMBER: NH 22-C0617 & NH 22-S0749

LICENSEE INFO: Champaign Urbana Nursing and Rehab, LP
LICENSEE ADDRESS: 5750 Old Orchard Rd, Ste 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 06/22/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.1210d)3)6). 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: 300.1210d)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-C0705

LICENSEE INFO: BMSL Hazel OPCO, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 06/21/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.710a), 330.710c)3)C)F), 330.780a), 330.780b), and 330.780c). 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: 300.780. 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-C0580

LICENSEE INFO: Chicago Ridge SNF, LLC
LICENSEE ADDRESS: 3531 Howard St., Ste 1006
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 06/14/2022

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.690c). 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: 300.690. A fine of $500.00

FACILITY NAME: Christian Buehler Mem Home
FACILITY ADDRESS: 3415 North Sheridan Road
FACILITY CITY, STATE, ZIP: Peoria, IL 61604

DOCKET NUMBER: NH 22-C0695

LICENSEE INFO: Christian Buehler Memorial
LICENSEE ADDRESS: 3415 North Sheridan Road
LICENSEE CITY, STATE, ZIP: Peoria, IL 61604
Survey Date – 07/07/2022

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

FACILITY NAME: Citadel of Bourbonnais, The
FACILITY ADDRESS: 20 Briarcliff Lane
FACILITY CITY, STATE, ZIP: Bourbonnais, IL 60914

DOCKET NUMBER: NH 22-C0475

LICENSEE INFO: The Citadel of Bourbonnais, LLC
LICENSEE ADDRESS: 191 N. Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 05/09/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b)3)4)5), and 300.1210d)4)A). 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: Citadel of Glenview, The
FACILITY ADDRESS: 1700 East Lake Avenue
FACILITY CITY, STATE, ZIP: Glenview, IL 60025

DOCKET NUMBER: NH 22-C0536

LICENSEE INFO: The Citadel of Glenview, LLC
LICENSEE ADDRESS: 191 N. Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 05/04/2022

FACILITY NAME: Citadel Care Center Kankakee
FACILITY ADDRESS: 900 West River Place
FACILITY CITY, STATE, ZIP: Kankakee, IL 60901

DOCKET NUMBER: NH 22-C0575

LICENSEE INFO: Citadel Care Center Kankakee, LLC
LICENSEE ADDRESS: 191 N, Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 06/01/2022

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) and300.1210d)6). A fine of $25,000.00

FACILITY NAME: Colonial Manor
FACILITY ADDRESS: 620 Warrington Avenue
FACILITY CITY, STATE, ZIP: Danville, IL 61832

DOCKET NUMBER: NH 22-S0498

LICENSEE INFO: Heritage Manor – Danville, LLC
LICENSEE ADDRESS: 115 W. Jefferson St., Ste 401
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61701
Survey Date – 05/11/2022

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

FACILITY NAME: Community Care Center
FACILITY ADDRESS: 4314 South Wabash Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60653

DOCKET NUMBER: NH 22-C0547

LICENSEE INFO: Laureate Chicago Operations, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 05/27/2022

FACILITY NAME: Continental Nsg & Rehab Ctr
FACILITY ADDRESS: 5336 North Western Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60625

DOCKET NUMBER: NH 22-C0778

LICENSEE INFO: Continental Nursing and Rehabilitation, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 07/12/2022

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), 300.1220b)2), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b), 300.1210d)6), and 300.3240a). A fine of $25,000.00

FACILITY NAME: Countryview Care Center Macomb
FACILITY ADDRESS: 400 West Grant Street
FACILITY CITY, STATE, ZIP: Macomb, IL 61455

DOCKET NUMBER: NH 22-S0583

LICENSEE INFO: Petersen Health Properties, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 05/29/2022

Type B 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), 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 $2,200.00

FACILITY NAME: Countryview Care Center Macomb
FACILITY ADDRESS: 400 West Grant Street
FACILITY CITY, STATE, ZIP: Macomb, IL 61455

DOCKET NUMBER: NH 22-C0584

LICENSEE INFO: Petersen Health Properties, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 06/10/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210c)2)3), 300.1210d)6), 300.3220f), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b), 300.1210d)6), and 300.3240a). A fine of $25,000.00.

FACILITY NAME: Crescent Care of Elgin
FACILITY ADDRESS: 180 S. State St., Ste 814
FACILITY CITY, STATE, ZIP: Elgin, IL 60123

DOCKET NUMBER: NH 22-S0369

LICENSEE INFO: Crescent Care Nursing and Rehabilitation of Elgin, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 04/20/2022

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.661). 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: 300.661). A fine of $500.00

FACILITY NAME: Crestwood Rehabilitation Ctr
FACILITY ADDRESS: 14255 South Cicero Avenue
FACILITY CITY, STATE, ZIP: Crestwood, IL 60445

DOCKET NUMBER: NH 22-C0480

LICENSEE INFO: Crestwood Rehabilitation Center, LLC
LICENSEE ADDRESS: 2201 Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 04/26/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.1210a), 300.1210b), 300.1210d)3)6), and 300.1620e). 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: Crystal Pines Rehab & HCC
FACILITY ADDRESS: 335 North Illinois Street
FACILITY CITY, STATE, ZIP: Crystal Lake, IL 60014

DOCKET NUMBER: NH 22-C0641

LICENSEE INFO: Crystal Pines Rehabilitation and Health Care Center, LLC
LICENSEE ADDRESS: 412 E. Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 07/06/2022

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)A)5), and 300.3210t). 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) and 300.1210d)5). A fine of $25,000.00

FACILITY NAME: Decatur Rehab & Health Care Ct
FACILITY ADDRESS: 136 South Dipper Lane
FACILITY CITY, STATE, ZIP: Decatur, IL 62522

DOCKET NUMBER: NH 22-C0506 & NH 22-S0507

LICENSEE INFO: Decatur HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Dr.
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 05/11/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), 300.1210d)6), 300.3210t), 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 300.1210d)6). A fine of $2,200.00

FACILITY NAME: Elevate Care Niles
FACILITY ADDRESS: 8333 West Golf Road
FACILITY CITY, STATE, ZIP: Niles, IL 60714

DOCKET NUMBER: NH 22-S0528

LICENSEE INFO: Elevate Care Niles, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 05/12/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), 300.1210c), and 300.3240e). 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) and 300.3240e). A fine of $2,200.00

Total Fine: $6,600.00

FACILITY NAME: Elevate Care Niles
FACILITY ADDRESS: 8333 West Gold Road
FACILITY CITY, STATE, ZIP: Niles, IL 60714

DOCKET NUMBER: NH 22-C0543

LICENSEE INFO: Elevate Care Niles, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 06/01/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)3), and 300.1010h). 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: Elevate Care North Branch
FACILITY ADDRESS: 6840 West Touhy
FACILITY CITY, STATE, ZIP: Niles, IL 60714

DOCKET NUMBER: NH 22-C0609

LICENSEE INFO: Elevate Care North Branch, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 06/21/2022

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

FACILITY NAME: Elevate Care Northbrook
FACILITY ADDRESS: 270 Skokie Blvd
FACILITY CITY, STATE, ZIP: Northbrook, IL 60062

DOCKET NUMBER: NH 22-C0780

LICENSEE INFO: Elevate Care Northbrook, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 07/08/2022

FACILITY NAME: Elmwood Nursing & Rehab Center
FACILITY ADDRESS: 152 Wilma Drive
FACILITY CITY, STATE, ZIP: Maryville, IL 62062

DOCKET NUMBER: NH 22-C0653

LICENSEE INFO: Elmwood Nursing & Rehabilitation Center, LLC
LICENSEE ADDRESS: 2202 Main Street, Ste 180
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 07/13/2022

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

DOCKET NUMBER: NH 22-C0525

LICENSEE INFO: Heli Healthcare of Effingham, LLC
LICENSEE ADDRESS: 600 S. Second Street, Ste 104
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 05/20/2022

Type C 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). 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) and 300.1210d)6). A fine of $500.00

FACILITY NAME: Fair Havens Senior Living
FACILITY ADDRESS: 1790 South Fairview Avenue
FACILITY CITY, STATE, ZIP: Decatur, IL 62521

DOCKET NUMBER: NH 22-S0624

LICENSEE INFO: Fair Havens Senior Living, LLC
LICENSEE ADDRESS: 1275 Milwaukee Ave., Ste 300
LICENSEE CITY, STATE, ZIP: Glenview, IL 60025
Survey Date – 06/22/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210c), 300.1210d)6), and 300.2210b)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: Fair Oaks Health Care Center
FACILITY ADDRESS: 471 Terra Cotta Avenue
FACILITY CITY, STATE, ZIP: Crystal Lake, IL 60014

DOCKET NUMBER: NH 22-S0597

LICENSEE INFO: Wisconsin Illinois Senior Housing
LICENSEE ADDRESS: 208 So. LaSalle St., Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 06/08/2022

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.610a) and 300.615a). 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: 300.615a). A fine of $500,.00

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

Total Fine: $1,000.00

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

DOCKET NUMBER: NH 22-C0668 & NH 22-S0669

LICENSEE INFO: Fair Oaks Rehabilitation and Health Care Center, LLC
LICENSEE ADDRESS: 412 E. Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 07/13/2022

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)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

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 300.1210b). 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: Fairhaven Christian Ret Center
FACILITY ADDRESS: 3470 North Alpine Road
FACILITY CITY, STATE, ZIP: Rockford, IL 61114

DOCKET NUMBER: NH 22-S0485

LICENSEE INFO: Fairhaven Christian Retirement Center
LICENSEE ADDRESS: 3470 North Alpine Road
LICENSEE CITY, STATE, ZIP: Rockford, IL 61114
Survey Date – 05/04/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 330.790c)4). 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. A fine of $25,000.00

FACILITY NAME: Fairhaven Christian Ret Center
FACILITY ADDRESS: 3470 North Alpine Road
FACILITY CITY, STATE, ZIP: Rockford, IL 61114

DOCKET NUMBER: NH 22-S0565

LICENSEE INFO: Fairhaven Christian Retirement Center
LICENSEE ADDRESS: 3470 North Alpine Road
LICENSEE CITY, STATE, ZIP: Rockford, IL 61114
Survey Date – 06/03/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.3210t), 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: 300.1210b) and 300.3240a). A fine of $2,200.00

FACILITY NAME: Fondulac Rehab & Health Care C
FACILITY ADDRESS: 901 Illini Drive
FACILITY CITY, STATE, ZIP: East Peoria, IL 61611

DOCKET NUMBER: NH 22-S0625

LICENSEE INFO: Petersen Health Operations, LLC
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 06/06/2022

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 300.1220b)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: Forest City Rehab & Nrsg Ctr
FACILITY ADDRESS: 321 Arnold Avenue
FACILITY CITY, STATE, ZIP: Rockford, IL 61108

DOCKET NUMBER: NH 22-C0610

LICENSEE INFO: Forest City Rehab and Nursing Center, LLC
LICENSEE ADDRESS: 4711 Golf Rd, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 06/22/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210c), 300.1210d)6), and 300.2210b)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)6). A fine of $2,200.00

FACILITY NAME: Forest City Rehab & Nrsg Ctr
FACILITY ADDRESS: 321 Arnold Avenue
FACILITY CITY, STATE, ZIP: Rockford, IL 61108

DOCKET NUMBER: NH 22-C0701

LICENSEE INFO: Forest City Rehab and Nursing Center, LLC
LICENSEE ADDRESS: 4711 Golf Rd, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 07/21/2022

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)3), 300.1810a), 300.1810b), 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). A fine of $25,000.00

FACILITY NAME: Franciscan Village
FACILITY ADDRESS: 1270 Franciscan Drive
FACILITY CITY, STATE, ZIP: Lemont, IL 60439

DOCKET NUMBER: NH 22-S0679

LICENSEE INFO: Franciscan Communities, Inc.
LICENSEE ADDRESS: 208 So. LaSalle Street, Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 07/08/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), 300.1210c)1), 300.1210d)6), 300.3220f), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b), 300.1210d)6) and 300.3240a). A fine of $25,000.00

FACILITY NAME: Frankfort Hlthcare & Rehab Ctr
FACILITY ADDRESS: 2500 East St. Louis Street
FACILITY CITY, STATE, ZIP: West Frankfort, IL 62896

DOCKET NUMBER: NH 22-S0698

LICENSEE INFO: Frankfort Healthcare & Rehabilitation Center, LLC
LICENSEE ADDRESS: 118 W. Edwards St., Ste 200
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 07/14/2022

FACILITY NAME: Freeburg Care Center
FACILITY ADDRESS: 746 Urbanna Drive
FACILITY CITY, STATE, ZIP: Freeburg, IL 62243

DOCKET NUMBER: NH 22-S0735

LICENSEE INFO: Freeburg Care Center, Inc.
LICENSEE ADDRESS: 4 Industrial Dr., P.O. Box 97
LICENSEE CITY, STATE, ZIP: Freeburg, IL 62243
Survey Date – 07/08/2022

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

DOCKET NUMBER: NH 22-C0532

LICENSEE INFO: Generations at Elmwood Park, Inc.
LICENSEE ADDRESS: 6840 N. Lincoln Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 05/03/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b) 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

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

Total Fine: $27,200.00

FACILITY NAME: Glenview Terrace Nursing Ctr
FACILITY ADDRESS: 1511 Greenwood Road
FACILITY CITY, STATE, ZIP: Glenview, IL 60025

DOCKET NUMBER: NH 22-C0586 & NH 22-S0587

LICENSEE INFO: Glenview Terrace Nursing Center
LICENSEE ADDRESS: 6633 North Lincoln Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 05/19/2022

FACILITY NAME: Glenview Terrace Nursing Ctr
FACILITY ADDRESS: 1511 Greenwood Road
FACILITY CITY, STATE, ZIP: Glenview, IL 60025

DOCKET NUMBER: NH 22-S0608

LICENSEE INFO: Glenview Terrace Nursing Center
LICENSEE ADDRESS: 6633 North Lincoln Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60025
Survey Date – 07/01/2022

FACILITY NAME: Good Samaritan Pontiac
FACILITY ADDRESS: 1225 S. Ewing Drive
FACILITY CITY, STATE, ZIP: Pontiac, IL 61764

DOCKET NUMBER: NH 22-C0426 & NH 22-S0427

LICENSEE INFO: Good Samaritan Pontiac
LICENSEE ADDRESS: 1225 S. Ewing Dr
LICENSEE CITY, STATE, ZIP: Pontiac, IL 61764
Survey Date – 04/25/2022

Type AA 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 $50,000.00

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.698e) and 300.698f). 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: $75,000.00

FACILITY NAME: Greek American Rehab & Care Ct
FACILITY ADDRESS: 220 North First Street
FACILITY CITY, STATE, ZIP: Wheeling, IL 60090

DOCKET NUMBER: NH 22-S0567

LICENSEE INFO: The Greek American Rehabilitation and Care Centre, Inc.
LICENSEE ADDRESS: 220 North First Street
LICENSEE CITY, STATE, ZIP: Wheeling, IL 60090
Survey Date – 05/27/2022

FACILITY NAME: Grove of Berwyn, The
FACILITY ADDRESS: 3601 South Harlem Avenue
FACILITY CITY, STATE, ZIP: Berwyn. IL 60402

DOCKET NUMBER: NH 22-S0576

LICENSEE INFO: Berwyn Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 05/10/2022

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: 300.690, 300.1210b) and 300.1210d)6). A fine of $25,000.00

FACILITY NAME: Grove of Berwyn, The
FACILITY ADDRESS: 3601 South Harlem Avenue
FACILITY CITY, STATE, ZIP: Berwyn, IL 60402

DOCKET NUMBER: NH 22-C0639

LICENSEE INFO: Berwyn Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 06/29/2022

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)1). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $2,200.00

FACILITY NAME: Grove of Elmhurst, The
FACILITY ADDRESS: 127 West Diversey Avenue
FACILITY CITY, STATE, ZIP: Elmhurst, IL 60126

DOCKET NUMBER: NH 22-C0579

LICENSEE INFO: Elmbrook Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 06/09/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b)3), 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: Grove of St. Charles
FACILITY ADDRESS: 611 Allen Lane
FACILITY CITY, STATE, ZIP: St. Charles, IL 60174

DOCKET NUMBER: NH 22-S0520

LICENSEE INFO: St. Charles Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 05/19/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1210c), 300.1220b)3), 300.3210t), and 300.3240f). A fine of $1,100.00

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

DOCKET NUMBER: NH 22-S0445

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 – 04/24/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.720b). A fine of $1,100.00

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.920a), 330.1310b)2), 330.1310c)1), 330.1310e)3), 330.1310f), 330.1310j), and 330.2210a)1)4). A fine of $1,100.00

Total Fine: $2,200.00

FACILITY NAME: Harmony Nursing & Rehab Center
FACILITY ADDRESS: 3919 West Foster Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60625

DOCKET NUMBER: NH 22-C0677

LICENSEE INFO: Harmony Nursing and Rehabilitation Center, Inc
LICENSEE ADDRESS: 6633 North Lincoln Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 07/02/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.1010h), 300.1210b), 300.1210d)3),5) and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b), 300.1210d)5), and 300.3240a). A fine of $25,000.00

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

DOCKET NUMBER: NH 22-S0714

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

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)1)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: Hawthorne Inn of Danville
FACILITY ADDRESS: 3222 Independence Drive
FACILITY CITY, STATE, ZIP: Danville, IL 61832

DOCKET NUMBER: NH 22-C0711

LICENSEE INFO: Residential Alternatives of Illinois, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 07/06/2022

FACILITY NAME: Heartland Nursing & Rehab
FACILITY ADDRESS: 410 Northwest Third Street
FACILITY CITY, STATE, ZIP: Casey, IL 62420

DOCKET NUMBER: NH 22-C0483

LICENSEE INFO: Heartland Nursing & Rehabilitation, LLC
LICENSEE ADDRESS: 215 E. Locust St.
LICENSEE CITY, STATE, ZIP: Harrisburg, IL 62946
Survey Date – 04/19/2022

Type B 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 $2,200.00

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

DOCKET NUMBER: NH 22-C0595

LICENSEE INFO: Heartland Senior Living, LLC
LICENSEE ADDRESS: 1275 Milwaukee Ave., Ste 300
LICENSEE CITY, STATE, ZIP: Glenview, IL 60025
Survey Date – 06/07/2022

FACILITY NAME: Heather Health Care Center
FACILITY ADDRESS: 15600 South Honore Street
FACILITY CITY, STATE, ZIP: Harvey, IL 60426

DOCKET NUMBER: NH 22-S0431

LICENSEE INFO: Heather Health Care Center, Inc.
LICENSEE ADDRESS: 4200 W. Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 04/25/2022

FACILITY NAME: Heather Health Care Center
FACILITY ADDRESS: 15600 South Honore Street
FACILITY CITY, STATE, ZIP: Harvey, IL 60426

DOCKET NUMBER: NH 22-S0672

LICENSEE INFO: Heather Health Care Center, Inc.
LICENSEE ADDRESS: 4200 W. Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 06/09/2022

FACILITY NAME: Helia Healthcare of Belleville
FACILITY ADDRESS: 40 North 64^th Street
FACILITY CITY, STATE, ZIP: Belleville, IL 62223

DOCKET NUMBER: NH 22-C0544

LICENSEE INFO: Helia Healthcare of Belleville, LLC
LICENSEE ADDRESS: 600 S. Second Street, Suite 104
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 05/25/2022

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)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: Helia Healthcare of Energy
FACILITY ADDRESS: 210 East College, P.O. Box 519
FACILITY CITY, STATE, ZIP: Energy, IL 62933

DOCKET NUMBER: NH 22-C0505

LICENSEE INFO: Heli Healthcare of Energy, LLC
LICENSEE ADDRESS: 600 S. Second Street., Suite 104
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 04/22/2022

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: Helia Healthcare of Newton
FACILITY ADDRESS: 300 S. Scott Street
FACILITY CITY, STATE, ZIP: Newton, IL 62448

DOCKET NUMBER: NH 22-C0424

LICENSEE INFO: Helia Healthcare of Newton, LLC
LICENSEE ADDRESS: 600 S. 2^nd St, Ste 104
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 04/27/2022

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: Heritage Health Chillicothe
FACILITY ADDRESS: 1028 Hillcrest Drive
FACILITY CITY, STATE, ZIP: Chillicothe, IL 61523

DOCKET NUMBER: NH 22-C0540 & NH 22-S0541

LICENSEE INFO: Heritage Health Chillicothe, LLC
LICENSEE ADDRESS: 115 West Jefferson St., Ste 400
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61701
Survey Date – 05/27/2022

Type AA violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), 300.1210d)2)3), 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 $50,000.00

FACILITY NAME: Heritage Health Hoopeston
FACILITY ADDRESS: 423 North Dixie Highway
FACILITY CITY, STATE, ZIP: Hoopeston, IL 60942

DOCKET NUMBER: NH 22-S0454

LICENSEE INFO: Hoopeston Retirement Village Foundation, Inc.
LICENSEE ADDRESS: 115 W. Jefferson Street, Ste 401
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61701
Survey Date – 04/27/2022

Total Fine: $4,400.00

FACILITY NAME: Heritage Health Hoopeston
FACILITY ADDRESS: 423 North Dixie Highway
FACILITY CITY, STATE, ZIP: Hoopeston, IL 60942

DOCKET NUMBER: NH 22-C0577

LICENSEE INFO: Hoopeston Retirement Village Foundation, Inc.
LICENSEE ADDRESS: 115 W. Jefferson St., Ste 401
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61701
Survey Date – 06/29/2022

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

DOCKET NUMBER: NH 22-C0435

LICENSEE INFO: Barton W. Stone-Jacksonville, LLC
LICENSEE ADDRESS: 115 W. Jefferson St., Ste 401
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61701
Survey Date – 05/02/2022

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)1)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: Heritage Health Mt Sterling
FACILITY ADDRESS: 435 Camden Road
FACILITY CITY, STATE, ZIP: Mt. Sterling, IL 62353

DOCKET NUMBER: NH 22-C0527

LICENSEE INFO: Heritage Manor Mt. Sterling, LLC
LICENSEE ADDRESS: 115 W. Jefferson St., Ste 400
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61701
Survey Date – 05/20/2022

FACILITY NAME: Heritage Health Mt Zion
FACILITY ADDRESS: 1225 Woodland Drive
FACILITY CITY, STATE, ZIP: Mt. Zion, IL 62549

DOCKET NUMBER: NH 22-C0571

LICENSEE INFO: Heritage Manor Mt Zion, LLC
LICENSEE ADDRESS: 115 W. Jefferson St., Ste 400
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61701
Survey Date – 05/12/2022

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)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: Heritage Health Normal
FACILITY ADDRESS: 509 N. Adelaide
FACILITY CITY, STATE, ZIP: Normal, IL 61761

DOCKET NUMBER: NH 22-C0497

LICENSEE INFO: Heritage Health Normal, LLC
LICENSEE ADDRESS: 115 W. Jefferson St., Ste 401
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61701
Survey Date – 05/11/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.698e) and300.698f). A fine of $12,500.00

FACILITY NAME: Heritage Health Normal
FACILITY ADDRESS: 509 N. Adelaide
FACILITY CITY, STATE, ZIP: Normal, IL 61761

DOCKET NUMBER: NH 22-S0534

LICENSEE INFO: Heritage Manor Normal, LLC
LICENSEE ADDRESS: 115 W. Jefferson St., Ste 401
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61701
Survey Date – 05/17/2022

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: Heritage Health Peru
FACILITY ADDRESS: 1301 21^st Street
FACILITY CITY, STATE, ZIP: Peru, IL 61354

DOCKET NUMBER: NH 22-S0581

LICENSEE INFO: Heritage Manor Peru, LLC
LICENSEE ADDRESS: 115 W. Jefferson St., Ste 401
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61701
Survey Date – 05/19/2022

FACILITY NAME: Hickory Vlg Nrsg & Rhb
FACILITY ADDRESS: 9246 South Roberts Road
FACILITY CITY, STATE, ZIP: Hickory Hills, IL 60457

DOCKET NUMBER: NH 22-C0673

LICENSEE INFO: Hickory Village Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 208 So. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 07/13/2022

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.625c)1)2), 300.625d), 300.625e), 300.625f)1)2)3)A)B), 300.625i), 300.625j), 300.625k), 300.625l), and 300.625m). 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: 300.625f), 300.625j), 300.625k), and 300.625l). A fine of $500.00

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

DOCKET NUMBER: NH 22-S0777

LICENSEE INFO: Hillcrest Retirement Village, LTD
LICENSEE ADDRESS: 134 N. LaSalle St. Ste 200
LICENSEE CITY, STATE, ZIP: Chicago, IL 60602
Survey Date – 07/13/2022

FACILITY NAME: Hillsboro Rehab & HCC
FACILITY ADDRESS: 1300 East Tremont Street
FACILITY CITY, STATE, ZIP: Hillsboro, IL 62049

DOCKET NUMBER: NH 22-C0666 & NH 22-S0667

LICENSEE INFO: Hillsboro Rehabilitation and Health Care Center, LLC
LICENSEE ADDRESS: 412 E. Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 07/07/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), 300.1210d)3)5), 300.1220b)2), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b), 300.1210d)5), and 300.3240a). A fine of $2,200.00

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 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

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), and 300.1210d)4)A)B)C). 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: $29,900.00

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

DOCKET NUMBER: NH 22-S0551

LICENSEE INFO: Hope Creek Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 5683 N. Lincoln Ave
LICENSEE CITY, STATE, ZIP: Chicago, IL 60659
Survey Date – 05/24/2022

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

DOCKET NUMBER: NH 22-S0645

LICENSEE INFO: Hope Creek Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 5683 N. Lincoln Ave
LICENSEE CITY, STATE, ZIP: Chicago, IL 60659
Survey Date – 07/01/2022

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

DOCKET NUMBER: NH 22-S0688

LICENSEE INFO: Petersen Health Care Illini, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Dr
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 07/11/2022

FACILITY NAME: Illini Restorative Care
FACILITY ADDRESS: 1455 Hospital Road
FACILITY CITY, STATE, ZIP: Silvis, IL 61282

DOCKET NUMBER: NH 22-S0603

LICENSEE INFO: Wellspire, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 05/27/2022

FACILITY NAME: Integrity HC of Smithton
FACILITY ADDRESS: 107 South Lincoln
FACILITY CITY, STATE, ZIP: Smithton, IL 62285

DOCKET NUMBER: NH 22-C0522

LICENSEE INFO: Park Haven Nursing & Rehabilitation Center, LLC
LICENSEE ADDRESS: 600 S. 2^nd Street, Ste 104
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 05/13/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1220b)3), 300.3210t), 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). A fine of $2,200.00

FACILITY NAME: Jennings Terrace
FACILITY ADDRESS: 275 South LaSalle
FACILITY CITY, STATE, ZIP: Aurora, IL 60505

DOCKET NUMBER: NH 22-C0510

LICENSEE INFO: Jennings Terrace
LICENSEE ADDRESS: 1320 North Route 59
LICENSEE CITY, STATE, ZIP: Naperville, IL 60563
Survey Date – 05/10/2022

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

FACILITY NAME: Kensington Place Nrsg & Rehab
FACILITY ADDRESS: 3405 South Michigan Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60616

DOCKET NUMBER: NH 22-C0674 & NH 22-S0675

LICENSEE INFO: Kensington Place Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 2201 Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 06/23/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.3210t), 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

FACILITY NAME: Lacon Rehab and Nursing
FACILITY ADDRESS: 401 9^th Street
FACILITY CITY, STATE, ZIP: Lacon, IL 61540

DOCKET NUMBER: NH 22-S0524

LICENSEE INFO: Lacon Rehab and Nursing, LLC
LICENSEE ADDRESS: 615 W. Webb St
LICENSEE CITY, STATE, ZIP: Carmi, IL 62821
Survey Date – 05/24/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 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: Lakeview Rehab & Nrsg Center
FACILITY ADDRESS: 735 West Diversey
FACILITY CITY, STATE, ZIP: Chicago, IL 60614

DOCKET NUMBER: NH 22-C0568

LICENSEE INFO: Lakeview Rehabilitation and Nursing Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 07/07/2022

Type B 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 $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-C0591

LICENSEE INFO: Landmark of Des Plaines Rehabilitation Center, LLC
LICENSEE ADDRESS: 5683 North Lincoln Avenue
LICENSEE CITY, STATE, ZIP: Chicago, IL 60659
Survey Date – 06/09/2022

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

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

DOCKET NUMBER: NH 22-C0451 & NH 22-S0452

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 – 05/04/2022

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

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

DOCKET NUMBER: NH 22-S0529

LICENSEE INFO: Lena Living Center, LLC
LICENSEE ADDRESS: 150 N. Riverside Plaza, Suite 3000
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 05/04/2022

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

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

Total Fine: $3,200.00

FACILITY NAME: Libertyville Manor Ext Care
FACILITY ADDRESS: 610 Peterson Road
FACILITY CITY, STATE, ZIP: Libertyville, IL 60048

DOCKET NUMBER: NH 22-S0606

LICENSEE INFO: Libertyville Manor Extended Care Facility, Inc.
LICENSEE ADDRESS: 400 Lathrop Ave., Ste 100
LICENSEE CITY, STATE, ZIP: River Forest, IL 60305
Survey Date – 06/15/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a) and 300.696d)14). 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 $2,200.00.

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

Total Fine: $2,700.00

FACILITY NAME: Lincolnwood Place
FACILITY ADDRESS: 7000 N. McCormick Boulevard
FACILITY CITY, STATE, ZIP: Lincolnwood, IL 60712

DOCKET NUMBER: NH 22-S0563

LICENSEE INFO: GA HC REIT II Lincolnwood TRS SUB, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Dr
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 05/22/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210c), 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: Little Village Nrsg & Rhb Ctr
FACILITY ADDRESS: 2320 South Lawndale Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60623

DOCKET NUMBER: NH 22-S0549

LICENSEE INFO: Little Village Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 5750 Old Orchard Rd, Ste 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 05/25/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a) and 300.3210t). A fine of $1,100.00

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

DOCKET NUMBER: NH 22-S0343

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 – 05/08/2022

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), 300.1220b)3), and 300.3100d)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), 300.1210d)6), and 300.3100d)2). A fine of $2,200.00

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

DOCKET NUMBER: NH 22-C0407

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 – 05/28/2022

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.690b) and 300.690c). 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: 300.690). A fine of $500.00

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

DOCKET NUMBER: NH 22-C0699

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 – 07/14/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1610a)1), and 300.1620e). 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: Loft Rehab of Rock Springs
FACILITY ADDRESS: 2530 North Monroe Street
FACILITY CITY, STATE, ZIP: Decatur, IL 62526

DOCKET NUMBER: NH 22-C0555

LICENSEE INFO: The Loft Rehabilitation of Rock Springs, LLC
LICENSEE ADDRESS: 191 N. Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 05/26/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.698f). 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

FACILITY NAME: Loft Rehab of Rock Springs
FACILITY ADDRESS: 2530 North Monroe Street
FACILITY CITY, STATE, ZIP: Decatur, IL 62526

DOCKET NUMBER: NH 22-C0635

LICENSEE INFO: The Loft Rehabilitation of Rock Springs, LLC
LICENSEE ADDRESS: 191 N. Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 07/07/2022

FACILITY NAME: Macomb Post Acute Care Center
FACILITY ADDRESS: 8 Doctors Lane
FACILITY CITY, STATE, ZIP: Macomb, IL 61455

DOCKET NUMBER: NH 22-S0429

LICENSEE INFO: Macomb Post Acute Care Center, LLC
LICENSEE ADDRESS: 615 W. Webb Street
LICENSEE CITY, STATE, ZIP: Carmi, IL 62821
Survey Date – 05/03/2022

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

DOCKET NUMBER: NH 22-S0402

LICENSEE INFO: UDI #5, LLC
LICENSEE ADDRESS: 285 S. Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 05/04/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), and 300.1630d). 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

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), and 300.1630d). 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: $27,700.00

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

DOCKET NUMBER: NH 22-C0628

LICENSEE INFO: Residential Alternatives of Illinois, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 07/06/2022

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

FACILITY NAME: Manor Court of Freeport
FACILITY ADDRESS: 2170 West Navajo Drive
FACILITY CITY, STATE, ZIP: Freeport, IL 61032

DOCKET NUMBER: NH 22-C0720

LICENSEE INFO: Residential Alternatives of Illinois, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 07/20/2022

FACILITY NAME: Manor Court of Peoria
FACILITY ADDRESS: 6900 North Stalworth Drive
FACILITY CITY, STATE, ZIP: Peoria, IL 61615

DOCKET NUMBER: NH 22-C0615

LICENSEE INFO: Residential Alternatives of Illinois, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 05/06/2022

FACILITY NAME: Manor Court of Peoria
FACILITY ADDRESS: 6900 North Stalworth Drive
FACILITY CITY, STATE, ZIP: Peoria, IL 61615

DOCKET NUMBER: NH 22-S0642

LICENSEE INFO: Residential Alternatives of Illinois, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 06/16/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)6), 300.1220b)3) and 300.3100d)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), 300.1210d)6), and 300.3100. A fine of $25,000.00

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.696a), 300.696b), and 300.696f)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

Total Fine: $50,000.00

FACILITY NAME: Mason City Area Nursing Home
FACILITY ADDRESS: 520 North Price Avenue, Box 52
FACILITY CITY, STATE, ZIP: Mason City, IL 62664

DOCKET NUMBER: NH 22-C0770

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 – 07/19/2022

FACILITY NAME: Meadowbrook Manor
FACILITY ADDRESS: 431 West Remington Boulevard
FACILITY CITY, STATE, ZIP: Bolingbrook, IL 60440

DOCKET NUMBER: NH 22-C0545

LICENSEE INFO: Butterfield Health Care, Inc.
LICENSEE ADDRESS: 150 N. Riverside Plaza, #3000
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 06/02/2022

FACILITY NAME: Midway Neurological/Rehab Ctr
FACILITY ADDRESS: 8540 South Harlem Avenue
FACILITY CITY, STATE, ZIP: Bridgeview, IL 60455

DOCKET NUMBER: NH 22-C0530 & NH 22-S0531

LICENSEE INFO: Midway Neurological and Rehabilitation Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 05/11/2022

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 300.3210t). 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 $25,000.00

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), 300.1210d)2)3). A fine of $12,500.00

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

Total Fine: $62,500.00

FACILITY NAME: Monmouth Nursing Home
FACILITY ADDRESS: 117 South I Street
FACILITY CITY, STATE, ZIP: Monmouth, IL 61462

DOCKET NUMBER: NH 22-S0566

LICENSEE INFO: Community Care Center of Monmouth, Inc.
LICENSEE ADDRESS: 117 S. I Street
LICENSEE CITY, STATE, ZIP: Monmouth, IL 61462
Survey Date – 05/24/2022

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

FACILITY NAME: Mount Vernon Countryside Manor
FACILITY ADDRESS: 606 East IL Highway 15
FACILITY CITY, STATE, ZIP: Mount Vernon, IL 62864

DOCKET NUMBER: NH 22-S0596

LICENSEE INFO: Palladian Mt. Vernon SNF, LLC
LICENSEE ADDRESS: 600 S. Second St., Ste 104
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 06/07/2022

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). 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 $50,000.00

FACILITY NAME: Mt. Vernon Health Care Center
FACILITY ADDRESS: 5 Doctor’s Park Road
FACILITY CITY, STATE, ZIP: Mount Vernon, IL 62864

DOCKET NUMBER: NH 22-S0687

LICENSEE INFO: Petersen Management Company, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Dr.
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 07/01/2022

FACILITY NAME: Oak Lawn Respiratory & Rehab
FACILITY ADDRESS: 9525 South Mayfield
FACILITY CITY, STATE, ZIP: Oaklawn, IL 60453

DOCKET NUMBER: NH 22-C0600 & NH 22-S0601

LICENSEE INFO: Oak Lawn Respiratory and Rehabilitation Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 06/22/2022

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

DOCKET NUMBER: NH 22-S0697

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 – 06/30/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), and 300.3240e). 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) and 300.3240e). A fine of $2,200.00

FACILITY NAME: Parc Joliet
FACILITY ADDRESS: 222 N. Hammes Ave
FACILITY CITY, STATE, ZIP: Joliet, IL 60435

DOCKET NUMBER: NH 22-C0523

LICENSEE INFO: Parc Joliet Nursing, LLC
LICENSEE ADDRESS: 6302 N. Monticello Ave
LICENSEE CITY, STATE, ZIP: Chicago, IL 60659
Survey Date – 05/11/2022

Type AA violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), 300.1210d)3), 300.3210t), 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: Park Place Christian Community
FACILITY ADDRESS: 1150 Euclid Avenue
FACILITY CITY, STATE, ZIP: Elmhurst, IL 60126

DOCKET NUMBER: NH 22-S0636

LICENSEE INFO: Timothy Place, NFP
LICENSEE ADDRESS: 18601 N. Creek Drive
LICENSEE CITY, STATE, ZIP: Tinley Park, IL 60477
Survey Date – 07/13/2022

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

DOCKET NUMBER: NH 22-S0727

LICENSEE INFO: Parkshore Estates Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 06/30/2022

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

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

DOCKET NUMBER: NH 22-S0582

LICENSEE INFO: Paul House & Health Care Center, LLC
LICENSEE ADDRESS: 6500 North Hamlin Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 05/13/2022

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)2)3), 300.1210d)5), 300.3220f), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the 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: Paul House & Health Cr Ctr
FACILITY ADDRESS: 3800 North California
FACILITY CITY, STATE, ZIP: Chicago, IL 60618

DOCKET NUMBER: NH 22-S0676

LICENSEE INFO: Paul House & Health Care Center, LLC
LICENSEE ADDRESS: 6500 North Hamlin Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 06/17/2022

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), 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, 300.1210b), 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-C0448

LICENSEE INFO: Pearl of Hillside, LLC
LICENSEE ADDRESS: 4711 Golf Rd, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 04/28/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b)2)4), 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 $2,200.00

FACILITY NAME: Pearl of Naperville, The
FACILITY ADDRESS: 200 W. Martin Avenue
FACILITY CITY, STATE, ZIP: Naperville, IL 60540

DOCKET NUMBER: NH 22-C0564

LICENSEE INFO: Pearl of Naperville, LLC
LICENSEE ADDRESS: 4711 Golf Rd, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 06/10/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)1), 300.1230e), 300.1230i)1)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 $25,000.00

FACILITY NAME: Pearl of Orchard Valley, The
FACILITY ADDRESS: 2330 West Galena Blvd
FACILITY CITY, STATE, ZIP: Aurora, IL 60506

DOCKET NUMBER: NH 22-S0489

LICENSEE INFO: Pearl of Orchard Valley, LLC
LICENSEE ADDRESS: 4711 Golf Rd, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 05/18/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.696a), 300.696c)1)6), 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: 300.696). A fine of $2,200.00

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.610a) and 300.1630a)2)3). No Fine

Total Fine: $2,200.00

FACILITY NAME: Pearl Pavilion
FACILITY ADDRESS: 900 South Kiwanis Drive
FACILITY CITY, STATE, ZIP: Freeport, IL 61032

DOCKET NUMBER: NH 22-S0633

LICENSEE INFO: Pearl Pavilion, LLC
LICENSEE ADDRESS: 4711 Golf Rd, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 06/08/2022

FACILITY NAME: Plymouth Place
FACILITY ADDRESS: 315 North LaGrange Road
FACILITY CITY, STATE, ZIP: LaGrange Park, IL 60526

DOCKET NUMBER: NH 22-S0724

LICENSEE INFO: Plymouth Place, Inc.
LICENSEE ADDRESS: 315 N. LaGrange Road
LICENSEE CITY, STATE, ZIP: LaGrange Park, IL 60526
Survey Date – 07/19/2022

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)1). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6). A fine of $2,200.00

FACILITY NAME: Prairie City Rehab & HC
FACILITY ADDRESS: 825 E. Main St., RR #2 Box 97
FACILITY CITY, STATE, ZIP: Prairie City, IL 61470

DOCKET NUMBER: NH 22-S0508

LICENSEE INFO: Prairie City HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 05/19/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b)2)4)5), 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

Total Fine: $4,400.00

FACILITY NAME: Prairie City Rehab & HC
FACILITY ADDRESS: 825 E. Main St., RR #2 Box 97
FACILITY CITY, STATE, ZIP: Prairie City, IL 61470

DOCKET NUMBER: NH 22-S0553

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

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: Prairie Manor Nrsg & Rehab
FACILITY ADDRESS: 345 Dixie Highway
FACILITY CITY, STATE, ZIP: Chicago Heights, IL 60411

DOCKET NUMBER: NH 22-C0477 & NH 22-S0478

LICENSEE INFO: Prairie Manor Nursing & Rehabilitation Center, LLC
LICENSEE ADDRESS: 2201 West Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 05/10/2022

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

DOCKET NUMBER: NH 22-C0574

LICENSEE INFO: Prairie Oasis, LLC
LICENSEE ADDRESS: 4711 Golf Rd, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 07/12/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.690b), 300.1010h), 300.1210b), 300.1210d)3)6), 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: 300.690, 300.1210b), and 300.1210d)6). A fine of $2,200.00

FACILITY NAME: Prairie Village Healthcare Ctr
FACILITY ADDRESS: 1024 West Walnut
FACILITY CITY, STATE, ZIP: Jacksonville, IL 62650

DOCKET NUMBER: NH 22-S0605

LICENSEE INFO: Prairie Village Healthcare Center, Inc.
LICENSEE ADDRESS: 2201 Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 06/16/2022

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: Promedica Skilled Nursing OLE
FACILITY ADDRESS: 9401 South Kostner Avenue
FACILITY CITY, STATE, ZIP: Oak Lawn, IL 60453

DOCKET NUMBER: NH 22-C0678

LICENSEE INFO: Manor Care of Oak Lawn (East) IL, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 06/16/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), 300.1210c)2)3), 300.1220b)2), 300.3220f), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.3240a). A fine of $25,000.00

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

DOCKET NUMBER: NH 22-S0500

LICENSEE INFO: Randolph County Board
LICENSEE ADDRESS: #1 Taylor Street
LICENSEE CITY, STATE, ZIP: Chester, IL 62233
Survey Date – 05/12/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210d)1), 300.1630d), 300.1650a), 300.1810g), and 300.3210t). A fine of $1,100.00

FACILITY NAME: Richland Nursing & Rehab
FACILITY ADDRESS: 900 East Scott Street
FACILITY CITY, STATE, ZIP: Olney, IL 62450

DOCKET NUMBER: NH 22-S0704

LICENSEE INFO: Helia Richland Healthcare, LLC
LICENSEE ADDRESS: 600 S. 2^nd St., Ste 104
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 07/21/2022

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

DOCKET NUMBER: NH 22-S0503

LICENSEE INFO: Winnebago County
LICENSEE ADDRESS: 404 Elm Street, Room 504
LICENSEE CITY, STATE, ZIP: Rockford, IL 61101
Survey Date – 05/18/2022

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

DOCKET NUMBER: NH 22-C0479

LICENSEE INFO: Edwardsville NH, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 05/12/2022

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). and 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), 300.1010h), 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: River Crossing of Peoria
FACILITY ADDRESS: 1500 West Northmoor Road
FACILITY CITY, STATE, ZIP: Peoria, IL 61614

DOCKET NUMBER: NH 22-C0542

LICENSEE INFO: Peoria NH, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 05/31/2022

FACILITY NAME: River Crossing of Rockford
FACILITY ADDRESS: 1660 South Mulford Road
FACILITY CITY, STATE, ZIP: Rockford, IL 61108

DOCKET NUMBER: NH 22-C0611

LICENSEE INFO: Rockford NH, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 06/08/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), 300.3210c), 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: River Crossing of Rockford
FACILITY ADDRESS: 1660 South Mulford Road
FACILITY CITY, STATE, ZIP: Rockford, IL 61108

DOCKET NUMBER: NH 22-C0691

LICENSEE INFO: Rockford NH, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 07/07/2022

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

FACILITY NAME: Rochelle Rehab & Healthcare Cr
FACILITY ADDRESS: 900 North Third Street
FACILITY CITY, STATE, ZIP: Rochelle, IL 61068

DOCKET NUMBER: NH 22-C0661

LICENSEE INFO: Petersen Health Network, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Dr.
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 07/07/2022

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)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: Sandwich Rehab & HCC
FACILITY ADDRESS: 902 East Arnold Street
FACILITY CITY, STATE, ZIP: Sandwich, IL 60548

DOCKET NUMBER: NH 22-S0495

LICENSEE INFO: Petersen Health Business, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 04/28/2022

Total Fine: $1,000.00

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

DOCKET NUMBER: NH 22-S0690

LICENSEE INFO: Sharon Health Care Pines, Inc.
LICENSEE ADDRESS: 465 Central Avenue, Suite 100
LICENSEE CITY, STATE, ZIP: Northfield, IL 60093
Survey Date – 06/30/2022

FACILITY NAME: Sharon Health Care Willows
FACILITY ADDRESS: 3520 North Rochelle
FACILITY CITY, STATE, ZIP: Peoria, IL 61604

DOCKET NUMBER: NH 22-C0686

LICENSEE INFO: Sharon Health Care Willows, Inc.
LICENSEE ADDRESS: 465 Central Avenue, Suite 100
LICENSEE CITY, STATE, ZIP: Northfield, IL 60093
Survey Date – 06/26/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)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 Willows
FACILITY ADDRESS: 3520 North Rochelle
FACILITY CITY, STATE, ZIP: Peoria, IL 61604

DOCKET NUMBER: NH 22-S0708

LICENSEE INFO: Sharon Health Care Willows, Inc.
LICENSEE ADDRESS: 465 Central Avenue, Suite 100
LICENSEE CITY, STATE, ZIP: Northfield, IL 60093
Survey Date – 07/20/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a) and 300.690b)c). 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: Shawnee Senior Living
FACILITY ADDRESS: 1901 North 13^th Street
FACILITY CITY, STATE, ZIP: Herrin, IL 62948

DOCKET NUMBER: NH 22-C0432

LICENSEE INFO: Shawnee Senior Living, LLC
LICENSEE ADDRESS: 1275 Milwaukee Ave., Ste 300
LICENSEE CITY, STATE, ZIP: Glenview, IL 60025
Survey Date – 04/25/2022

Type AA violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1210b), 300.1210c), 300.1210d)2)3)5), 300.1220b)2)7), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b), 300.1210d)5), and 300.3240a). A fine of $50,000.00

FACILITY NAME: Shelbyville Manor
FACILITY ADDRESS: 1111 W. North 12^th Street
FACILITY CITY, STATE, ZIP: Shelbyville, IL 62565

DOCKET NUMBER: NH 22-S0518

LICENSEE INFO: UDI #3, LLC
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 05/20/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.610b), 300.610c)4)A), 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: Shelbyville Rehab & Hlth C Ctr
FACILITY ADDRESS: 2116 South 3^rd & Dacey Drive
FACILITY CITY, STATE, ZIP: Shelbyville, IL 62565

DOCKET NUMBER: NH 22-S0709

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

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), and 300.3240a). 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: Smith Village
FACILITY ADDRESS: 2320 West 113^th Place
FACILITY CITY, STATE, ZIP: Chicago, IL 60643

DOCKET NUMBER: NH 22-S0487

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 – 04/24/2022

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

DOCKET NUMBER: NH 22-S0725

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 – 07/15/2022

FACILITY NAME: Snyder Village
FACILITY ADDRESS: 1200 East Partridge
FACILITY CITY, STATE, ZIP: Metamora, IL 61548

DOCKET NUMBER: NH 22-S0421

LICENSEE INFO: Metamora Community Nursing Home
LICENSEE ADDRESS: 1200 East Partridge
LICENSEE CITY, STATE, ZIP: Metamora, IL 61548
Survey Date – 04/21/2022

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.690b), and 300.690c). 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: 300.690. A fine of $500.00

FACILITY NAME: Snyder Village
FACILITY ADDRESS: 1200 East Partridge
FACILITY CITY, STATE, ZIP: Metamora, IL 61548

DOCKET NUMBER: NH 22-S0612

LICENSEE INFO: Metamora Community Nursing Home
LICENSEE ADDRESS: 1200 East Partridge
LICENSEE CITY, STATE, ZIP: Metamora, IL 61548
Survey Date – 06/01/2022

FACILITY NAME: South Elgin Rehab & HCC
FACILITY ADDRESS: 746 West Spring Street
FACILITY CITY, STATE, ZIP: South Elgin, IL 60177

DOCKET NUMBER: NH 22-S0499

LICENSEE INFO: Petersen Health Properties, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 04/28/2022

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

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

DOCKET NUMBER: NH 22-C0616

LICENSEE INFO: Southpoint Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 06/14/2022

Type AA 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), 300.1610a)1), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.3240a). A fine of $50,000.00

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: Springs at Crystal Lake, The
FACILITY ADDRESS: 1000 East Brighton
FACILITY CITY, STATE, ZIP: Crystal Lake, IL 60012

DOCKET NUMBER: NH 22-S0441

LICENSEE INFO: The Springs at Crystal Lake, LLC
LICENSEE ADDRESS: 191 N. Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 04/20/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.696b), 300.696d)2), 300.1210b)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: 300.696, 300.1210b), and 300.1210d)5). A fine of $2,200.00

FACILITY NAME: St. Anthony’s Nsg & Rehab Ctr
FACILITY ADDRESS: 767 30^th Street
FACILITY CITY, STATE, ZIP: Rock Island, IL 61201

DOCKET NUMBER: NH 22-S0502

LICENSEE INFO: St. Anthony’s Rehabilitation and Nursing Center, LLC
LICENSEE ADDRESS: 767 30^th Street
LICENSEE CITY, STATE, ZIP: Rock Island, IL 61201
Survey Date – 04/27/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), 300.1210d)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: St. Anthony’s Nsg & Rehab Ctr
FACILITY ADDRESS: 767 30^th Street
FACILITY CITY, STATE, ZIP: Rock Island, IL 61201

DOCKET NUMBER: NH 22-S0752

LICENSEE INFO: St. Anthony’s Rehabilitation and Nursing Center, LLC
LICENSEE ADDRESS: 767 30^th Street
LICENSEE CITY, STATE, ZIP: Rock Island, IL 61201
Survey Date – 07/17/2022

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), 300.1220b)2), 300.1630d), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.3240a). A fine of $2,200.00

FACILITY NAME: St. Anthony’s Nsg & Rehab Ctr
FACILITY ADDRESS: 767 30^th Street
FACILITY CITY, STATE, ZIP: Rock Island, IL 61201

DOCKET NUMBER: NH 22-S0784

LICENSEE INFO: St. Anthony’s Rehabilitation and Nursing Center, LLC
LICENSEE ADDRESS: 767 30^th Street
LICENSEE CITY, STATE, ZIP: Rock Island, IL 61201
Survey Date – 07/14/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210d)4)A)C). A fine of $1,100.00

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1230a), 300.1230b)1)2)3), 300.1230d), 300.1230e), 300.1230f), 300.1230g), and 300.1230k)1)2)A)B)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: 300.1230. A fine of $2,200.00

Total Fine: $3,300.00

FACILITY NAME: St. Clara’s Rehab & Senior Care
FACILITY ADDRESS: 1450 Castle Manor Drive
FACILITY CITY, STATE, ZIP: Lincoln, IL 62656

DOCKET NUMBER: NH 22-S0492

LICENSEE INFO: St. Clara’s Manor
LICENSEE ADDRESS: 1 N. Old State Capitol Plz 200
LICENSEE CITY, STATE, ZIP: Springfield, IL 62701
Survey Date – 04/29/2022

FACILITY NAME: St. Joseph Village of Chicago
FACILITY ADDRESS: 4021 West Belmont Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60641

DOCKET NUMBER: NH 22-C0637

LICENSEE INFO: Franciscan Communities, Inc.
LICENSEE ADDRESS: 208 South LaSalle St., Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 07/01/2022

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.690a), 300.690b), and 300.690c). 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: 300.690). A fine of $500.00

FACILITY NAME: St. Patrick’s Residence
FACILITY ADDRESS: 1400 Brookdale Road
FACILITY CITY, STATE, ZIP: Naperville, IL 60563

DOCKET NUMBER: NH 22-S0450

LICENSEE INFO: Saint Patrick’s Residence
LICENSEE ADDRESS: 1400 Brookdale Road
LICENSEE CITY, STATE, ZIP: Naperville, IL 60563
Survey Date – 04/28/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b)4)5), 300.1210c), 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: St. Patrick’s Residence
FACILITY ADDRESS: 1400 Brookdale Road
FACILITY CITY, STATE, ZIP: Naperville, IL 60563

DOCKET NUMBER: NH 22-C0630

LICENSEE INFO: Saint Patrick’s Residence
LICENSEE ADDRESS: 1400 Brookdale Road
LICENSEE CITY, STATE, ZIP: Naperville, IL 60563
Survey Date – 06/30/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b)4)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: St. Paul’s Senior Community
FACILITY ADDRESS: 1021 West E. Street
FACILITY CITY, STATE, ZIP: Belleville, IL 62220

DOCKET NUMBER: NH 22-C0643

LICENSEE INFO: St. Paul’s Senior Community, LLC
LICENSEE ADDRESS: 412 E. Lawrence Avenue
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 06/16/2022

FACILITY NAME: Sunny Hill Nsg Home of Will Co
FACILITY ADDRESS: 421 Doris Avenue
FACILITY CITY, STATE, ZIP: Joliet, IL 60433

DOCKET NUMBER: NH 22-S0501

LICENSEE INFO: Will County
LICENSEE ADDRESS: 302 North Chicago Street
LICENSEE CITY, STATE, ZIP: Joliet, IL 60431
Survey Date – 04/26/2022

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: Sunset Home
FACILITY ADDRESS: 418 Washington Street
FACILITY CITY, STATE, ZIP: Quincy, IL 62301

DOCKET NUMBER: NH 22-C0496

LICENSEE INFO: Sunset Home
LICENSEE ADDRESS: 625 Vermont Street
LICENSEE CITY, STATE, ZIP: Quincy, IL 62301
Survey Date – 04/28/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.3210t), 300.3240a), 300.3240b), 300.3240c), 300.3240d), and 300.3240g). 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 $25,000.00

FACILITY NAME: Symphony Encore
FACILITY ADDRESS: 2829 South California Blvd
FACILITY CITY, STATE, ZIP: Chicago, IL 60608

DOCKET NUMBER: NH 22-C0620

LICENSEE INFO: Symphony of California Gardens, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 06/29/2022

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

FACILITY NAME: Symphony Encore
FACILITY ADDRESS: 2829 South California Blvd
FACILITY CITY, STATE, ZIP: Chicago, IL 60608

DOCKET NUMBER: NH 22-S0622

LICENSEE INFO: Symphony of California Gardens, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 07/03/2022

FACILITY NAME: Symphony of Buffalo Grove
FACILITY ADDRESS: 150 North Weiland
FACILITY CITY, STATE, ZIP: Buffalo Grove, IL 60089

DOCKET NUMBER: NH 22-S0781

LICENSEE INFO: Symphony Buffalo Grove, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 07/06/2022

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

DOCKET NUMBER: NH 22-S0602

LICENSEE INFO: Symphony Jackson Square, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 06/17/2022

FACILITY NAME: Symphony of South Shore
FACILITY ADDRESS: 2425 East 71^st Street
FACILITY CITY, STATE, ZIP: Chicago, IL 60649

DOCKET NUMBER: NH 22-S0562

LICENSEE INFO: Symphony South Shore, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 06/10/2022

FACILITY NAME: Taylor House
FACILITY ADDRESS: 3021 Taylor Avenue
FACILITY CITY, STATE, ZIP: Springfield, IL 62703

DOCKET NUMBER: NH 22-C0570

LICENSEE INFO: Community Living Options, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 05/23/2022

Type A violation of an occurrence for violating one or more of the following sections of the Code: 350.620a) 350.1230c), 350.1230d)1)2), 350.1610e)1), 350.1620d)3), 350.1840e), and 350.3240a). A fine of $6,250.00

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

DOCKET NUMBER: NH 22-S0588

LICENSEE INFO: Palladian Taylorville SNF, LLC
LICENSEE ADDRESS: 600 S. Second St., Ste 104
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 05/27/2022

FACILITY NAME: Taylorville Terrace
FACILITY ADDRESS: 921 East Market Street
FACILITY CITY, STATE, ZIP: Taylorville, IL 62568

DOCKET NUMBER: NH 22-S0561

LICENSEE INFO: Progressive Housing, Inc.
LICENSEE ADDRESS: 20180 Governors Dr., Ste 300
LICENSEE CITY, STATE, ZIP: Olympia Fields, IL 60461
Survey Date – 05/18/2022

Type B violation for violating one or more of the following sections of the Code: 350.620a), 350.1210b), and 350.2700d)2). A fine of $550.00

Type B violation for violating one or more of the following sections of the Code: 350.1420a), 350.1450a), 350.1450b), and 350.3220f). A fine of $550.00

Total Fine: $1,100.00

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

DOCKET NUMBER: NH 22-S0631

LICENSEE INFO: TN Care, LLC
LICENSEE ADDRESS: 1S443 Summitt Avenue, Ste 204
LICENSEE CITY, STATE, ZIP: Oakbrook Terrace, IL 60181
Survey Date – 06/29/2022

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.625c)1)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: 300.625c). A fine of $500.00

Total Fine: $1,000.00

FACILITY NAME: Three Crowns Park
FACILITY ADDRESS: 2323 McDaniel Avenue
FACILITY CITY, STATE, ZIP: Evanston, IL 60201

DOCKET NUMBER: NH 22-S0728

LICENSEE INFO: Three Crowns Park
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 07/03/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.697c)1). A fine of $1,100.00

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.700a) and 300.700b)1)2)3). A fine of $1,100.00

Total Fine: $2,200.00

FACILITY NAME: Twin Lakes Rehab & Health Care
FACILITY ADDRESS: 310 Eads Avenue
FACILITY CITY, STATE, ZIP: Paris, IL 61944

DOCKET NUMBER: NH 22-S0619

LICENSEE INFO: Twin HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 06/08/2022

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)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: Vines at Countryside, The
FACILITY ADDRESS: 971 Bode Rd
FACILITY CITY, STATE, ZIP: Elgin, IL 60120

DOCKET NUMBER: NH 22-S0743

LICENSEE INFO: The Vines Senior Homes, LLC
LICENSEE ADDRESS: 13N315 Brindlewood Lane
LICENSEE CITY, STATE, ZIP: Elgin, IL 60124
Survey Date – 07/10/2022

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.720b). A fine of $1,100.00

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.792a) and 330.792b)1)2)3). A fine of $1,100.00

Total Fine: $2,200.00

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

DOCKET NUMBER: NH 22-S0511 & NH 22-C0512

LICENSEE INFO: Lieberman Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 05/17/2022

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)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 $25,000.00

Total Fine: $75,000.00

FACILITY NAME: Washington Senior Living
FACILITY ADDRESS: 1201 Newcastle Road
FACILITY CITY, STATE, ZIP: Washington, IL 61571

DOCKET NUMBER: NH 22-S0607

LICENSEE INFO: Washington Senior Living, LLC
LICENSEE ADDRESS: 1275 Milwaukee Ave., Ste 300
LICENSEE CITY, STATE, ZIP: Glenview, IL 60025
Survey Date – 06/10/2022

Total Fine: $2,700.00

FACILITY NAME: Watseka Rehab & Hlth Care Ctr
FACILITY ADDRESS: 715 East Raymond Road
FACILITY CITY, STATE, ZIP: Watseka, IL 60970

DOCKET NUMBER: NH 22-C0758 & NH 22-S0759

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

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

FACILITY NAME: West Suburban Nsg & Rehab Ctr
FACILITY ADDRESS: 311 Edgewater Drive
FACILITY CITY, STATE, ZIP: Bloomingdale, IL 60108

DOCKET NUMBER: NH 22-C0723

LICENSEE INFO: West Suburban Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 07/21/2022

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

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 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 $500.00

Total Fine: $2,700.00

FACILITY NAME: Wetherell Place
FACILITY ADDRESS: 1026 North Merchant Street
FACILITY CITY, STATE, ZIP: Effingham, IL 62401

DOCKET NUMBER: NH 22-S0655

LICENSEE INFO: Community Living Options, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 06/21/2022

Type B violation for violating one or more of the following sections of the Code: 350.620a), 350.1084c), and 350.1084d)4)5). A fine of $550.00

FACILITY NAME: White Hall Nsg & Rehab Center
FACILITY ADDRESS: 620 West Bridgeport Street
FACILITY CITY, STATE, ZIP: White Hall, IL 62092

DOCKET NUMBER: NH 22-C0569

LICENSEE INFO: White Hall Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 901 S. 2^nd Street, Ste 201
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 05/19/2022

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). 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: Willows Health Center
FACILITY ADDRESS: 4054 Albright Lane
FACILITY CITY, STATE, ZIP: Rockford, IL 61103

DOCKET NUMBER: NH 22-S0717

LICENSEE INFO: Willows Health Center
LICENSEE ADDRESS: 4141 North Rockton Avenue
LICENSEE CITY, STATE, ZIP: Rockford, IL 61103
Survey Date – 07/20/2022

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)2)3)4)A)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: Wynscape Health & Rehab
FACILITY ADDRESS: 2180 Manchester Road
FACILITY CITY, STATE, ZIP: Wheaton, IL 60187

DOCKET NUMBER: NH 22-S0729

LICENSEE INFO: Wyndemere Senior Care, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 07/21/2022

2022 3rd Quarterly Report

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2022 3rd Quarterly Report

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