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2023 2nd Quarterly Report

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

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

DOCKET NUMBER: NH 23-CS0317

LICENSEE INFO: Accolade Healthcare of Danville, LLC
LICENSEE ADDRESS: 2501 Chatham Road, Ste R
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 03/02/2023

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)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 $2,200.00

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)6), 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

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

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

Total Fine: $8,800.00

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

DOCKET NUMBER: NH 23-S0337

LICENSEE INFO: Franciscan Communities, Inc.
LICENSEE ADDRESS: 208 South LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 02/16/2023

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)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: AHVA Care of Winfield
FACILITY ADDRESS: 28 W 141 Liberty Street
FACILITY CITY, STATE, ZIP: Winfield, IL 60190

DOCKET NUMBER: NH 23-S0253

LICENSEE INFO: AHVA Care of Winfield, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 02/16/2023

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)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: AHVA Care of Winfield
FACILITY ADDRESS: 28 W 141 Liberty Street
FACILITY CITY, STATE, ZIP: Winfield, IL 60190

DOCKET NUMBER: NH 23-S0266

LICENSEE INFO: AHVA Care of Winfield, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 03/02/2023

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)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

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: $2,700.00

FACILITY NAME: Alden Courts of Shorewood
FACILITY ADDRESS: 700 West Black Road
FACILITY CITY, STATE, ZIP: Shorewood, IL 60404

DOCKET NUMBER: NH 23-S0418

LICENSEE INFO: Alden Courts of Shorewood, Inc.
LICENSEE ADDRESS: 4200 W. Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 04/05/2023

Type B Violation of an occurrence for violating one or more of the following sections of the Code: 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: Alden Estates of Barrington
FACILITY ADDRESS: 1420 South Barrington Road
FACILITY CITY, STATE, ZIP: Barrington, IL 60010

DOCKET NUMBER: NH 23-C0142

LICENSEE INFO: Alden Estates of Barrington, Inc.
LICENSEE ADDRESS: 4200 West Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 01/13/2023

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

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

DOCKET NUMBER: NH 23-S0348

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 – 03/22/2023

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

FACILITY NAME: Alden Estates of Orland Park
FACILITY ADDRESS: 16450 South 97^th Avenue
FACILITY CITY, STATE, ZIP: Orland Park, IL 60462

DOCKET NUMBER: NH 23-C0169

LICENSEE INFO: Alden Orland Park Rehabilitation and Health Care Center, Inc.
LICENSEE ADDRESS: 4200 West Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 01/18/2023

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)2)5), and 300.32040a). The fine was doubled in this instance in accordance with 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 300.32040a). A fine of $25,000.00

FACILITY NAME: Alden Estates of Orland Park
FACILITY ADDRESS: 16450 South 97^th Avenue
FACILITY CITY, STATE, ZIP: Orland Park, IL 60462

DOCKET NUMBER: NH 23-C0428

LICENSEE INFO: Alden Orland Park Rehabilitation and Health Care Center, Inc.
LICENSEE ADDRESS: 4200 W. Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 04/11/2023

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), 300.1220b)3), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.3240a). A fine of $25,000.00

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

DOCKET NUMBER: NH 23-C0280

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 – 02/04/2023

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: Alden North Shore Rehab & HCC
FACILITY ADDRESS: 5050 West Touhy Avenue
FACILITY CITY, STATE, ZIP: Skokie, IL 60077

DOCKET NUMBER: NH 23-S0163

LICENSEE INFO: Alden North Shore Rehabilitation and Health Care Center, Inc.
LICENSEE ADDRESS: 4200 W. Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 01/26/2023

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

DOCKET NUMBER: NH 23-CS0424

LICENSEE INFO: Alden Town Manor Rehabilitation and Health Care Center, Inc.
LICENSEE ADDRESS: 4200 W. Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 03/30/2023

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

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), 300.1210d)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

Total Fine: $27,200.00

FACILITY NAME: Alden Valley Ridge Rehab & HCC
FACILITY ADDRESS: 275 East Army Trail Road
FACILITY CITY, STATE, ZIP: Bloomingdale, IL 60108

DOCKET NUMBER: NH 23-C0309

LICENSEE INFO: Alden Valley Ridge Rehabilitation and Health Care Center, Inc.
LICENSEE ADDRESS: 4200 W. Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 02/16/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210a), 300.1210b)3), 300.1210d)4)A)B)C)5), 300.1230a), 300.1230b)1)2)3), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b), 300.1210d)5), and 300.3240a). A fine of $2,200.00

FACILITY NAME: Alden Village North
FACILITY ADDRESS: 7464 N. Sheridan Road
FACILITY CITY, STATE, ZIP: Chicago, IL 60626

DOCKET NUMBER: NH 23-C0521

LICENSEE INFO: Alden Village North, Inc.
LICENSEE ADDRESS: 4200 W. Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 04/13/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 350.620a) and 300.1230d)1). A fine of $12,500.00

FACILITY NAME: Aliya of Homewood
FACILITY ADDRESS: 940 Maple Avenue
FACILITY CITY, STATE, ZIP: Homewood, IL 60430

DOCKET NUMBER: NH 23-C0378

LICENSEE INFO: Aliya of Homewood, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 03/07/2023

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

Total Fine: $50,000.00

FACILITY NAME: Allure of Moline
FACILITY ADDRESS: 430 South 30^th Avenue
FACILITY CITY, STATE, ZIP: East Moline, IL 61244

DOCKET NUMBER: NH 23-C0203

LICENSEE INFO: Allure of Moline, LLC
LICENSEE ADDRESS: 2711 W. Howard St
LICENSEE CITY, STATE, ZIP: Chicago, IL 60645
Survey Date – 02/02/2023

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: Allure of Zion
FACILITY ADDRESS: 3615 16^th Street
FACILITY CITY, STATE, ZIP: Zion, IL 60099

DOCKET NUMBER: NH 23-S0218

LICENSEE INFO: Cedar Hills Health & Rehab, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 02/15/2023

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

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

DOCKET NUMBER: NH 23-S0318

LICENSEE INFO: Alpine Fireside Health Center, Ltd.
LICENSEE ADDRESS: 3650 N. Alpine Road
LICENSEE CITY, STATE, ZIP: Rockford, IL 61114
Survey Date – 04/05/2023

FACILITY NAME: Alton Memorial Rehab & Therapy
FACILITY ADDRESS: 1251 College Avenue
FACILITY CITY, STATE, ZIP: Alton, IL 62002

DOCKET NUMBER: NH 23-S0144

LICENSEE INFO: Alton Memorial Hospital
LICENSEE ADDRESS: One Memorial Drive
LICENSEE CITY, STATE, ZIP: Alton, IL 62002
Survey Date – 01/18/2023

FACILITY NAME: Aperion Care Chicago Heights
FACILITY ADDRESS: 490 West 160^th Place
FACILITY CITY, STATE, ZIP: Chicago Heights, IL 60411

DOCKET NUMBER: NH 23-CS0202

LICENSEE INFO: Riviera Care Center, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 01/31/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1210b), 300.1210c), 300.1210d)2)3)6), 300.3210t), 300.3240a), 300.3240b), 300.3240e), 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), 300.1210d)6), 300.3240a), and 300.3240e). A fine of $25,000.00

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

DOCKET NUMBER: NH 23-CS0323

LICENSEE INFO: Riviera Care Center, LLC
LICENSEE ADDRESS: 4655 W. Chase Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 03/01/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1210b), 300.1210d)6), 300.3210g), 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: 300.610a), 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 $25,000.00

Total Fine: $50,000.00

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

DOCKET NUMBER: NH 23-CS0372

LICENSEE INFO: Riviera Care Center, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 03/30/2023

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)1)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: Aperion Care Elgin
FACILITY ADDRESS: 134 N. McLean Blvd
FACILITY CITY, STATE, ZIP: Elgin, IL 60123

DOCKET NUMBER: NH 23-C0224

LICENSEE INFO: Aperion Care Elgin, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 02/11/2023

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

FACILITY NAME: Aperion Care Evanston
FACILITY ADDRESS: 1300 Oak Avenue
FACILITY CITY, STATE, ZIP: Evanston, IL 60201

DOCKET NUMBER: NH 23-C0301

LICENSEE INFO: Evanston Nursing & Rehab Center, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 02/23/2023

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

FACILITY NAME: Aperion Care Forest Park
FACILITY ADDRESS: 8200 West Roosevelt Road
FACILITY CITY, STATE, ZIP: Forest Park, IL 60130

DOCKET NUMBER: NH 23-C0225

LICENSEE INFO: Berkshire Nursing & Rehab Center, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 02/15/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1210b), 300.1210d)3)6), 300.1220b)3), 300.3210t), 300.3240a), 300.3240d), and 300.3240e). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b), 300.1210d)6), 300.3240a), 300.3240d), and 300.3240e). 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 300.2210b)2)3). 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), 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

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

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

Total Fine: $32,700.00

FACILITY NAME: Aperion Care Glenwood
FACILITY ADDRESS: 19330 South Cottage Grove
FACILITY CITY, STATE, ZIP: Glenwood, IL 60425

DOCKET NUMBER: NH 23-C0160

LICENSEE INFO: Aperion Care Glenwood, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 01/26/2023

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

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b)3)4), and 300.1230e). The fine was doubled in this instance in accordance with 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: Aperion Care Glenwood
FACILITY ADDRESS: 19330 South Cottage Grove
FACILITY CITY, STATE, ZIP: Glenwood, IL 60425

DOCKET NUMBER: NH 23-CS0177

LICENSEE INFO: Aperion Care Glenwood, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 03/31/2023

FACILITY NAME: Aperion Care Glenwood
FACILITY ADDRESS: 19330 South Cottage Grove
FACILITY CITY, STATE, ZIP: Glenwood, IL 60425

DOCKET NUMBER: NH 23-S0262

LICENSEE INFO: Aperion Care Glenwood, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 02/23/2023

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

DOCKET NUMBER: NH 23-S0183

LICENSEE INFO: Aperion Care Hillside, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 02/02/2023

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

DOCKET NUMBER: NH 23-S0391

LICENSEE INFO: Aperion Care Hillside, LLC
LICENSEE ADDRESS: 4655 W, Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 03/23/2023

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

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: Aperion Care International
FACILITY ADDRESS: 4815 South Western Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60609

DOCKET NUMBER: NH 23-C0356

LICENSEE INFO: International Nursing & Rehab Center, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 03/02/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), and 300.1210d)6). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6). A fine of $2,200.00

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

DOCKET NUMBER: NH 23-C0267

LICENSEE INFO: Aperion Care Marseilles, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 03/02/2023

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)4)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: 300.1210b). A fine of $2,200.00

FACILITY NAME: Aperion Care Niles
FACILITY ADDRESS: 6601 West Touhy Avenue
FACILITY CITY, STATE, ZIP: Niles, IL 60714

DOCKET NUMBER: NH 23-C0197

LICENSEE INFO: Aperion Care Niles, LLC
LICENSEE ADDRESS: 4655 W. Chase Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 02/09/2023

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

DOCKET NUMBER: NH 23-C0377

LICENSEE INFO: Aperion Care Spring Valley, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 03/24/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.696a), 300.1020a), and 300.1020b). The fine was doubled in this instance in accordance 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: Apostolic Christian Restmor
FACILITY ADDRESS: 1500 Parkside Avenue
FACILITY CITY, STATE, ZIP: Morton, IL 61550

DOCKET NUMBER: NH 23-S0360

LICENSEE INFO: Apostolic Christian Restmor, Inc.
LICENSEE ADDRESS: 100 North Main Street
LICENSEE CITY, STATE, ZIP: Morton, IL 61550
Survey Date – 03/23/2023

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: Arcadia Care Bloomington
FACILITY ADDRESS: 1509 North Calhoun Street
FACILITY CITY, STATE, ZIP: Bloomington, IL 61701

DOCKET NUMBER: NH 23-S0192

LICENSEE INFO: Arcadia Care Bloomington, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 01/25/2023

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 300.3240f). 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: Arcadia Care Bloomington
FACILITY ADDRESS: 1509 North Calhoun Street
FACILITY CITY, STATE, ZIP: Bloomington, IL 61701

DOCKET NUMBER: NH 23-C0398

LICENSEE INFO: Arcadia Care Bloomington, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 03/23/2023

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)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

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b)5), 300.1210d)6), 300.1220b)3), and 300.2420j). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6). A fine of $2,200.00

Total Fine: $27,200.00

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

DOCKET NUMBER: NH 23-S0419

LICENSEE INFO: Clifton Operations, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 04/10/2023

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 300.2420j). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6). A fine of $25,000.00

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

DOCKET NUMBER: NH 23-S0400

LICENSEE INFO: Danville Operations, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 03/21/2023

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)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

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1210b)4), and 300.1210d)2)3). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $2,200.00

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)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

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)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

Total Fine: $102,200.00

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

DOCKET NUMBER: NH 23-C0446

LICENSEE INFO: Arcadia Care Jacksonville, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 04/14/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1210b), 300.1210c), 300.1210d)6), 300.1220b)3), and 300.2900d)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 300.2900d)2). A fine of $2,200.00

FACILITY NAME: Arcadia Care Morris
FACILITY ADDRESS: 1095 Twilight Drive
FACILITY CITY, STATE, ZIP: Morris, IL 60450

DOCKET NUMBER: NH 23-S0272

LICENSEE INFO: Arcadia Care Morris, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 02/17/2023

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

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.615e) and 300.615f). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code 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: $27,700.00

FACILITY NAME: Arden Courts (Elk Grove)
FACILITY ADDRESS: 1940 Nerge Road
FACILITY CITY, STATE, ZIP: Elk Grove, IL 60007

DOCKET NUMBER: NH 23-S0308

LICENSEE INFO: Arden Courts of Elk Grove Village IL, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 02/23/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.780b), 330.780c), and 330.1110g). The fine was doubled in this instance in accordance with 330.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 330.780). A fine of $2,200.00

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.1110a), 330.1110b), 330.1110c), and 330.1110d). A fine of $1,100.00

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.4220f). A fine of $1,100.00

Total Fine: $4,400.00

FACILITY NAME: Arden Courts (Glen Ellyn)
FACILITY ADDRESS: 2 South 706 Park Boulevard
FACILITY CITY, STATE, ZIP: Glen Ellyn, IL 60137

DOCKET NUMBER: NH 23-C0331

LICENSEE INFO: Arden Courts of Glen Ellyn IL, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 03/14/2023

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

FACILITY NAME: Ascension Saint Anne Place
FACILITY ADDRESS: 4405 Highcrest Road
FACILITY CITY, STATE, ZIP: Rockford, IL 61107

DOCKET NUMBER: NH 23-S0228

LICENSEE INFO: Presence Life Connections
LICENSEE ADDRESS: 18927 Hickory Creek Drive, Ste 300
LICENSEE CITY, STATE, ZIP: Mokena, IL 60448
Survey Date – 02/21/2023

FACILITY NAME: Ascension Saint Joseph Village
FACILITY ADDRESS: 659 East Jefferson Street
FACILITY CITY, STATE, ZIP: Freeport, IL 61032

DOCKET NUMBER: NH 23-C0205

LICENSEE INFO: Presence Life Connections
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 01/17/2023

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), 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: Atrium Health Care Center
FACILITY ADDRESS: 1425 W. Estes Ave
FACILITY CITY, STATE, ZIP: Chicago, IL 60626

DOCKET NUMBER: NH 23-CS0388

LICENSEE INFO: Atrium Rehab & Nursing Center, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 03/10/2023

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)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

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), and 300.2040b)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: Austin Oasis, The
FACILITY ADDRESS: 901 South Austin Boulevard
FACILITY CITY, STATE, ZIP: Chicago, IL 60644

DOCKET NUMBER: NH 23-S0172

LICENSEE INFO: The Austin Oasis, LLC
LICENSEE ADDRESS: 4711 Golf Rd, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 02/08/2023

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

DOCKET NUMBER: NH 23-S0176

LICENSEE INFO: The Austin Oasis, LLC
LICENSEE ADDRESS: 4711 Golf Rd, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 01/30/2023

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

DOCKET NUMBER: NH 23-C0245

LICENSEE INFO: The Austin Oasis, LLC
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 02/16/2023

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

DOCKET NUMBER: NH 23-S0251

LICENSEE INFO: Evergreen Living & Rehab Center, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 02/09/2023

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

DOCKET NUMBER: NH 23-S0465

LICENSEE INFO: Evergreen Living & Rehab Center, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 04/06/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1210b), 300.1810a), 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 $2,200.00

FACILITY NAME: Avantara Palos Heights
FACILITY ADDRESS: 7850 West College Drive
FACILITY CITY, STATE, ZIP: Palos Heights, IL 60463

DOCKET NUMBER: NH 23-S0319

LICENSEE INFO: PHE Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/02/2023

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

Total Fine: $27,200.00

FACILITY NAME: Aviston Countryside Manor
FACILITY ADDRESS: 450 West 1^st Street
FACILITY CITY, STATE, ZIP: Aviston, IL 62216

DOCKET NUMBER: NH 23-C0154

LICENSEE INFO: Palladian Aviston SNF, LLC
LICENSEE ADDRESS: 600 S. Second St., Ste 814
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 01/19/2023

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)2)3)5), and 300.1810f)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)5). A fine of $25,000.00

FACILITY NAME: Beacon Care and Rehabilitation
FACILITY ADDRESS: 4538 North Beacon Street
FACILITY CITY, STATE, ZIP: Chicago, IL 60640

DOCKET NUMBER: NH 23-C0351

LICENSEE INFO: Beacon Care and Rehabilitation Center, LLC
LICENSEE ADDRESS: 600 South Second St., Ste 404
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 03/16/2023

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: Beacon Care and Rehabilitation
FACILITY ADDRESS: 4538 North Beacon Street
FACILITY CITY, STATE, ZIP: Chicago, IL 60640

DOCKET NUMBER: NH 23-C0447

LICENSEE INFO: Beacon Care and Rehabilitation Center, LLC
LICENSEE ADDRESS: 600 South Second St., Ste 404
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 04/13/2023

FACILITY NAME: Beecher Manor Nrsg & Rehab Ctr
FACILITY ADDRESS: 1201 Dixie Highway
FACILITY CITY, STATE, ZIP: Beecher, IL 60401

DOCKET NUMBER: NH 23-S0334

LICENSEE INFO: Beecher Manor Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 2201 West Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 03/10/2023

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

DOCKET NUMBER: NH 23-CS0284

LICENSEE INFO: Belhaven Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 02/21/2023

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)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 Bloomingdale
FACILITY ADDRESS: 165 S. Bloomingdale Road
FACILITY CITY, STATE, ZIP: Bloomingdale, IL 60108

DOCKET NUMBER: NH 23-S0298

LICENSEE INFO: Bloomingdale Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 02/14/2023

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

FACILITY NAME: Bella Terra Elmhurst
FACILITY ADDRESS: 420 W. Butterfield Road
FACILITY CITY, STATE, ZIP: Elmhurst, IL 60126

DOCKET NUMBER: NH 23-C0136

LICENSEE INFO: Butterfield Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 01/20/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210a), 300.1210b), 300.1210c), 300.1210d)3)5)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)5)6). A fine of $2,200.00

FACILITY NAME: Bella Terra Elmhurst
FACILITY ADDRESS: 420 W. Butterfield Road
FACILITY CITY, STATE, ZIP: Elmhurst, IL 60126

DOCKET NUMBER: NH 23-C0315

LICENSEE INFO: Butterfield Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/06/2023

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

DOCKET NUMBER: NH 23-CS0408

LICENSEE INFO: Morton Grove Living & Rehab Center, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/31/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.510e), 300.610a), 300.680a), 300.680c), 300.682a)1)2)3)4), 300.682b), 300.682e), 300.682f)1)2)3)4)5), 300.1210b), 300.1210d)6), 300.1220b)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: 300.680, 300.1210b)m 300.1210d)6), and 300.3240a). A fine of $2,200.00

Total Fine: $27,200.00

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

DOCKET NUMBER: NH 23-S0252

LICENSEE INFO: Wheeling Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 02/11/2023

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: Belleville Healthcare Center
FACILITY ADDRESS: 727 North 17^th Street
FACILITY CITY, STATE, ZIP: Belleville, IL 62226

DOCKET NUMBER: NH 23-S0215

LICENSEE INFO: Belleville Healthcare Center, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 01/31/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)3)6), and 300.3210t). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6). A fine of $2,200.00

FACILITY NAME: Belleville Healthcare Center
FACILITY ADDRESS: 727 North 17^th Street
FACILITY CITY, STATE, ZIP: Belleville, IL 62226

DOCKET NUMBER: NH 23-S0390

LICENSEE INFO: Belleville Healthcare Center, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 03/15/2023

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 300.2900d)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 300.2900d)2). A fine of $2,200.00

Total Fine: $27,200.00

FACILITY NAME: Bellwood Developmental Center
FACILITY ADDRESS: 105 Eastern Avenue
FACILITY CITY, STATE, ZIP: Bellwood, IL 60104

DOCKET NUMBER: NH 23-C0445

LICENSEE INFO: Bellwood Nursing Center, LLC
LICENSEE ADDRESS: 2711 W. Howard St
LICENSEE CITY, STATE, ZIP: Chicago, IL 60645
Survey Date – 04/12/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 350.620a), 350.1210), 350.1230b)3)7), 300.1230d)1), and 350.3240a). A fine of $10,000.00

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

DOCKET NUMBER: NH 23-C0344

LICENSEE INFO: Belmont Village Lincoln Park, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 02/23/2023

Type C violation of an occurrence for violating one or more of the following sections of the Code: 330.790a) and 330.790c)1)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 $500.00

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

DOCKET NUMBER: NH 23-C0364

LICENSEE INFO: Belmont Village Lincoln Park, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 03/08/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 330.710a), 330.710b), 330.710c)1)2)3)A)B)C)D)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: 330.780. A fine of $25,000.00

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

DOCKET NUMBER: NH 23-C0181

LICENSEE INFO: Petersen Health Operations, LLC
LICENSEE ADDRESS: 830 West Trailcreek
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 01/27/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210a), 300.1210b), 300.1210d)2)3)5), and 300.1810h). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)5). A fine of $2,200.00

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

DOCKET NUMBER: NH 23-S0438

LICENSEE INFO: Petersen Health Operations, LLC
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 04/11/2023

FACILITY NAME: Bethesda Rehab & Senior Care
FACILITY ADDRESS: 2833 North Nordica Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60634

DOCKET NUMBER: NH 23-S0207

LICENSEE INFO: Norwegian Lutheran Bethesda Home Association
LICENSEE ADDRESS: 6016 Nort Nina Ave
LICENSEE CITY, STATE, ZIP: Chicago, IL 60631
Survey Date – 01/27/2023

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: Bethesda Rehab & Senior Care
FACILITY ADDRESS: 2833 North Nordica Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60634

DOCKET NUMBER: NH 23-S0474

LICENSEE INFO: Norwegian Lutheran Bethesda Home Association
LICENSEE ADDRESS: 6016 North Nina Ave
LICENSEE CITY, STATE, ZIP: Chicago, IL 60631
Survey Date – 04/12/2023

FACILITY NAME: Bethesda Rehab & Senior Care
FACILITY ADDRESS: 2833 North Nordica Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60634

DOCKET NUMBER: NH 23-S0553

LICENSEE INFO: Norwegian Lutheran Bethesda Home Association
LICENSEE ADDRESS: 6016 North Nina Ave
LICENSEE CITY, STATE, ZIP: Chicago, IL 60631
Survey Date – 05/05/2023

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

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.1710e) and 330.1710f)1). A fine of $1,100.00

Total Fine: $3,300.00

FACILITY NAME: Big Meadows
FACILITY ADDRESS: 1000 Longmoor
FACILITY CITY, STATE, ZIP: Savanna, IL 61074

DOCKET NUMBER: NH 23-S0282

LICENSEE INFO: Big Meadows, Inc.
LICENSEE ADDRESS: 1000 Longmoor Ave
LICENSEE CITY, STATE, ZIP: Savanna, IL 61074
Survey Date – 02/28/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), and 300.1210d)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: Bria of Alton
FACILITY ADDRESS: 3523 Wickenhauser
FACILITY CITY, STATE, ZIP: Alton, IL 62002

DOCKET NUMBER: NH 23-C0220

LICENSEE INFO: Bria of Alton, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 02/03/2023

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)1)2), and 300.2040b)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: Bria of Alton
FACILITY ADDRESS: 3523 Wickenhauser
FACILITY CITY, STATE, ZIP: Alton, IL 62002

DOCKET NUMBER: NH 23-C0270

LICENSEE INFO: Bria of Alton, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 03/01/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)3)6), 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: Bria of Alton
FACILITY ADDRESS: 3523 Wickenhauser
FACILITY CITY, STATE, ZIP: Alton, IL 62002

DOCKET NUMBER: NH 23-S0399

LICENSEE INFO: Bria of Alton, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 04/06/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a) and 300.1210b)4)A)B). The fine was doubled in this instance in accordance with 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) 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

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a) and 300.1210d)4)A). 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), 300.696a), and 300.696c)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: 300.696). A fine of $2,200.00

Total Fine: $7,700.00

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

DOCKET NUMBER: NH 23-C0453

LICENSEE INFO: Belleville Healthcare & Rehabilitation Center, Inc.
LICENSEE ADDRESS: 465 Central Ave., Ste 100
LICENSEE CITY, STATE, ZIP: Northfield, IL 60093
Survey Date – 03/31/2023

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

DOCKET NUMBER: NH 23-CS0376

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 – 03/28/2023

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

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a) and 300.2040b)1)2). A fine of $1,100.00

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210d)1), and 300.1630d). A fine of $12,500.00

Total Fine: $40,800.00

FACILITY NAME: Bria of Columbia
FACILITY ADDRESS: 253 Bradington Drive
FACILITY CITY, STATE, ZIP: Columbia, IL 62236

DOCKET NUMBER: NH 23-S0109

LICENSEE INFO: Bria of Columbia, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 01/13/2023

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)3)5). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)5). A fine of $2,200.00

FACILITY NAME: Bria of Godfrey
FACILITY ADDRESS: 1623 West Delmar
FACILITY CITY, STATE, ZIP: Godfrey, IL 62035

DOCKET NUMBER: NH 23-C0254

LICENSEE INFO: Bria of Godfrey, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 02/16/2023

FACILITY NAME: Bria of River Oaks
FACILITY ADDRESS: 14500 South Manistee
FACILITY CITY, STATE, ZIP: Burnham, IL 60633

DOCKET NUMBER: NH 23-C0143

LICENSEE INFO: River Oaks Healthcare & Rehabilitation Center, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 01/17/2023

Type AA violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010i), 300.1210b), 300.1210d)3) and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.3240a). A fine of $50,000.00

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

DOCKET NUMBER: NH 23-C0208

LICENSEE INFO: Bria of Smithton, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 02/02/2023

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 300.3210t).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

FACILITY NAME: Brookdale Plaza Lisle SNF
FACILITY ADDRESS: 1800 Robin Lane
FACILITY CITY, STATE, ZIP: Lisle, IL 60532

DOCKET NUMBER: NH 23-S0283

LICENSEE INFO: Brookdale Living Communities of Illinois DNC, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 04/13/2023

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), 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 $2,200.00

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

DOCKET NUMBER: NH 23-C0200

LICENSEE INFO: Burbank Rehabilitation Center, LLC
LICENSEE ADDRESS: 2201 Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 02/03/2023

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

DOCKET NUMBER: NH 23-C0341

LICENSEE INFO: Burbank Rehabilitation Center, LLC
LICENSEE ADDRESS: 2201 Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 02/26/2023

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)2), and 300.1610a)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: Carlinville Rehab & HCC
FACILITY ADDRESS: 751 North Oak Street
FACILITY CITY, STATE, ZIP: Carlinville, IL 62626

DOCKET NUMBER: NH 23-C0241

LICENSEE INFO: Carlinville Rehabilitation and Health Care Center, LLC
LICENSEE ADDRESS: 412 E. Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 02/09/2023

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)2), and 300.1220b)3). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $25,000.00

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)2), 300.1220b)3), and 300.1810f). The fine was doubled in this instance in accordance with 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: Carlinville Rehab & H CC
FACILITY ADDRESS: 751 North Oak Street
FACILITY CITY, STATE, ZIP: Carlinville, IL 62626

DOCKET NUMBER: NH 23-S0297

LICENSEE INFO: Carlinville Rehabilitation and Health Care Center, LLC
LICENSEE ADDRESS: 412 E. Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/01/2023

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

DOCKET NUMBER: NH 23-C0175

LICENSEE INFO: Caseyville Nursing & Rehabilitation Center, Inc.
LICENSEE ADDRESS: 7434 N. Skokie Blvd
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 01/26/2023

FACILITY NAME: Cedar Ridge Health & Rehab Ctr
FACILITY ADDRESS: One Perryman Street
FACILITY CITY, STATE, ZIP: Lebanon, IL 62254

DOCKET NUMBER: NH 23-C0345

LICENSEE INFO: Cedar Ridge Care and Rehabilitation Center, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 03/17/2023

FACILITY NAME: Chalet Living & Rehab
FACILITY ADDRESS: 7350 North Sheridan Road
FACILITY CITY, STATE, ZIP: Chicago, IL 60626

DOCKET NUMBER: NH 23-C0278

LICENSEE INFO: Chalet Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/02/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210a), 300.1210b), 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: Charleston Rehab & Health CC
FACILITY ADDRESS: 716 Eighteenth Street
FACILITY CITY, STATE, ZIP: Charleston, IL 61920

DOCKET NUMBER: NH 23-C0277

LICENSEE INFO: Charleston HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 02/21/2023

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

DOCKET NUMBER: NH 23-C0410

LICENSEE INFO: Charleston HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 03/20/2023

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

DOCKET NUMBER: NH 23-C0409

LICENSEE INFO: BMSL Hazel OPCO, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 04/07/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.710a) and 330.1110f). A fine of $1,100.00

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

DOCKET NUMBER: NH 23-C0429

LICENSEE INFO: Chicago Ridge SNF, LLC
LICENSEE ADDRESS: 3531 Howard St., Ste 1006
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 03/22/2023

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

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.3210t), and 300.3240a). 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 A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1250b), 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

Total Fine: $29,400.00

FACILITY NAME: Citadel Care Center Wilmette
FACILITY ADDRESS: 432 Poplar Drive
FACILITY CITY, STATE, ZIP: Wilmette, IL 60091

DOCKET NUMBER: NH 23-S0416

LICENSEE INFO: Citadel Care Center Wilmette, LLC
LICENSEE ADDRESS: 191 N. Wacker Drive, Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 04/05/2023

FACILITY NAME: Citadel of Northbrook, The
FACILITY ADDRESS: 3300 Milwaukee Avenue
FACILITY CITY, STATE, ZIP: Northbrook, IL 60062

DOCKET NUMBER: NH 23-S0152

LICENSEE INFO: Citadel of Northbrook, LLC
LICENSEE ADDRESS: 191 N. Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 01/20/2023

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)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

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)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: Citadel of Skokie, The
FACILITY ADDRESS: 9615 North Knox Avenue
FACILITY CITY, STATE, ZIP: Skokie, IL 60076

DOCKET NUMBER: NH 23-C0375

LICENSEE INFO: The Citadel of Skokie, LLC
LICENSEE ADDRESS: 191 N. Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 03/01/2023

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

FACILITY NAME: Clayberg, The
FACILITY ADDRESS: 625 E. Monroe St
FACILITY CITY, STATE, ZIP: Cuba, IL 61427

DOCKET NUMBER: NH 23-S0276

LICENSEE INFO: County of Fulton
LICENSEE ADDRESS: P.O. Box 226, 100 N. Main Street
LICENSEE CITY, STATE, ZIP: Lewistown, IL 61542
Survey Date – 03/02/2023

FACILITY NAME: Clinton Manor Living Center-DD
FACILITY ADDRESS: 111 East Illinois Street
FACILITY CITY, STATE, ZIP: New Baden, IL 62265

DOCKET NUMBER: NH 23-S0407

LICENSEE INFO: Southern Illinois Living Centers, Inc.
LICENSEE ADDRESS: 1 W. Old State Capitol Plaza, #600
LICENSEE CITY, STATE, ZIP: Springfield, IL 62701
Survey Date – 03/27/2023

Type B violation for violating one or more of the following sections of the Code: 350.620a), 350.700a) and 350.1840a). A fine of $750.00

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

DOCKET NUMBER: NH 23-C0235

LICENSEE INFO: Laureate Chicago Operations, Inc.
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 02/09/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 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: Continental Nsg & Rehab Ctr
FACILITY ADDRESS: 5336 North Western Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60625

DOCKET NUMBER: NH 23-C0387

LICENSEE INFO: Continental Nursing and Rehabilitation, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 03/31/2023

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 300.282i) 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: Countryside Nrsg & Rehab Ctr
FACILITY ADDRESS: 1635 East 154^th Street
FACILITY CITY, STATE, ZIP: Dolton, IL 60419

DOCKET NUMBER: NH 23-S0312

LICENSEE INFO: Countryside Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 2201 W. Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 02/22/2023

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

DOCKET NUMBER: NH 23-C0363

LICENSEE INFO: Crestwood Rehabilitation Center, LLC
LICENSEE ADDRESS: 2201 Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 03/10/2023

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

DOCKET NUMBER: NH 23-S0291

LICENSEE INFO: Crossroads Care Center of Woodstock, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 03/03/2023

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

DOCKET NUMBER: NH 23-S0485

LICENSEE INFO: Crossroads Care Center of Woodstock, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 04/13/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b)3), and 300.1220b)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: Deerfield Crossing Northbrook
FACILITY ADDRESS: 4101 Lake Cook Road
FACILITY CITY, STATE, ZIP: Northbrook, IL 60062

DOCKET NUMBER: NH 23-S0188

LICENSEE INFO: Northbrook NH, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 01/26/2023

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)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: DeKalb County Rehab & Nursing
FACILITY ADDRESS: 2600 North Annie Glidden Road
FACILITY CITY, STATE, ZIP: DeKalb, IL 60115

DOCKET NUMBER: NH 23-S0261

LICENSEE INFO: The County of DeKalb
LICENSEE ADDRESS: 200 North Main Street
LICENSEE CITY, STATE, ZIP: Sycamore, IL 60178
Survey Date – 02/23/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), and 300.1210d)6. The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6. A fine of $2,200.00

FACILITY NAME: Downers Grove Rehab & Nursing
FACILITY ADDRESS: 3450 Saratoga
FACILITY CITY, STATE, ZIP: Downers Grove, IL 60515

DOCKET NUMBER: NH 23-C0206

LICENSEE INFO: Downers Grove SNF Operations, LLC
LICENSEE ADDRESS: 208 So. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 01/27/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), 300.1210d)6), and 300.3210o). 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), and 300.1210d)6). A fine of $25,000.00

FACILITY NAME: Downers Grove Rehab & Nursing
FACILITY ADDRESS: 3450 Saratoga
FACILITY CITY, STATE, ZIP: Downers Grove, IL 60515

DOCKET NUMBER: NH 23-S0357

LICENSEE INFO: Downers Grove SNF Operations, LLC
LICENSEE ADDRESS: 208 So. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 03/01/2023

Total Fine: $1,000.00

FACILITY NAME: Downers Grove Rehab & Nursing
FACILITY ADDRESS: 3450 Saratoga
FACILITY CITY, STATE, ZIP: Downers Grove, IL 60515

DOCKET NUMBER: NH 23-S0381

LICENSEE INFO: Downers Grove SNF Operations, LLC
LICENSEE ADDRESS: 208 So. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 03/30/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a) and 300.1620a). A fine of $1,100.00

FACILITY NAME: Downers Grove Rehab & Nursing
FACILITY ADDRESS: 3450 Saratoga
FACILITY CITY, STATE, ZIP: Downers Grove, IL 60515

DOCKET NUMBER: NH 23-CS0433

LICENSEE INFO: Downers Grove SNF Operations, LLC
LICENSEE ADDRESS: 208 So. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 03/17/2023

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

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.910b) and 330.1510a)4). A fine of $1,100.00

Total Fine: $26,100.00

FACILITY NAME: Downers Grove Rehab & Nursing
FACILITY ADDRESS: 3450 Saratoga Drive
FACILITY CITY, STATE, ZIP: Downers Grove, IL 60515

DOCKET NUMBER: NH 23-C0500

LICENSEE INFO: Downers Grove SNF Operations, LLC
LICENSEE ADDRESS: 208 So. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 04/07/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210c), and 300.1210d)2)3)5). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)5). A fine of $25,000.00

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

Total Fine: $27,200.00

FACILITY NAME: Eastside Health & Rehab Center
FACILITY ADDRESS: 1400 East Washington Street
FACILITY CITY, STATE, ZIP: Pittsfield, IL 62363

DOCKET NUMBER: NH 23-S0486

LICENSEE INFO: Petersen Health Operations, LLC
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 04/13/2023

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

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

Total Fine: $6,600.00

FACILITY NAME: Eastview Terrace
FACILITY ADDRESS: 100 Eastview Place
FACILITY CITY, STATE, ZIP: Sullivan, IL 61951

DOCKET NUMBER: NH 23-S0250

LICENSEE INFO: Eastview HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 02/02/2023

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: El Paso Health Care Center
FACILITY ADDRESS: 850 East Second Street
FACILITY CITY, STATE, ZIP: El Paso, IL 61738

DOCKET NUMBER: NH 23-C0342

LICENSEE INFO: El Paso HCO, LLC
LICENSEE ADDRESS: 830 Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 02/23/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.510c), 300.510e), 300.610a), 300.1210b), 300.1210d)3), 300.3210t), 300.3240a), and 300.3240f). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.3240a). A fine of $25,000.00

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)1), 300.2040b)2), and 300.2040e). The fine was doubled in this instance in accordance with 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 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

Total Fine: $75,000.00

FACILITY NAME: Elevate Care Country Club Hill
FACILITY ADDRESS: 18200 South Cicero Avenue
FACILITY CITY, STATE, ZIP: Country Club Hills, IL 60478

DOCKET NUMBER: NH 23-CS0216

LICENSEE INFO: Elevate Care Country Club Hills, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 01/27/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210a), 300.1210b), 300.1210d)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: Elevate Care Country Club Hill
FACILITY ADDRESS: 18200 South Cicero Avenue
FACILITY CITY, STATE, ZIP: Country Club Hills, IL 60478

DOCKET NUMBER: NH 23-CS0392

LICENSEE INFO: Elevate Care Country Club Hills, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 03/28/2023

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)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)d). A fine of $2,200.00

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), and 300.1210a). A fine of $12,500.00

Total Fine: $64,700.00

FACILITY NAME: Elevate Care Palos Heights
FACILITY ADDRESS: 12550 S. Ridgeland Ave
FACILITY CITY, STATE, ZIP: Palos Heights, IL 60463

DOCKET NUMBER: NH 23-S0326

LICENSEE INFO: Elevate Care Palos Heights, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 03/09/2023

FACILITY NAME: Elevate Care South Holland
FACILITY ADDRESS: 16300 Wausau Street
FACILITY CITY, STATE, ZIP: South Holland, IL 60473

DOCKET NUMBER: NH 23-CS0383

LICENSEE INFO: Elevate Care South Holland, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 03/27/2023

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

DOCKET NUMBER: NH 23-CS0353

LICENSEE INFO: Elmwood Nursing & Rehabilitation Center. LLC
LICENSEE ADDRESS: 2202 Main St., Ste 180
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 03/15/2023

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

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). The fine was doubled in this instance in accordance with 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: $11,000.00

FACILITY NAME: Evenglow Inn
FACILITY ADDRESS: 1200 Evenglow Lane
FACILITY CITY, STATE, ZIP: Pontiac, IL 61764

DOCKET NUMBER: NH 23-C0293

LICENSEE INFO: Evenglow Lodge
LICENSEE ADDRESS: 109 North Mill Street
LICENSEE CITY, STATE, ZIP: Pontiac, IL 61764
Survey Date – 02/22/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.710a), 330.1110, and 330.1120a). A fine of $1,100.00

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

DOCKET NUMBER: NH 23-S0256

LICENSEE INFO: Fair Havens Senior Living, LLC
LICENSEE ADDRESS: 1275 Milwaukee Ave., Ste 300
LICENSEE CITY, STATE, ZIP: Glenview, IL 60025
Survey Date – 02/17/2023

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), 300.1210c), 300.1210d)3)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: 300.690, 300.1210b), and 300.1210d)6). 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 23-CS0295

LICENSEE INFO: Fairhaven Christian Retirement Center
LICENSEE ADDRESS: 3470 North Alpine Road
LICENSEE CITY, STATE, ZIP: Rockford, IL 61114
Survey Date – 03/07/2023

FACILITY NAME: Fairmont Care
FACILITY ADDRESS: 5061 North Pulaski Road
FACILITY CITY, STATE, ZIP: Chicago, IL 60630

DOCKET NUMBER: NH 23-S0413

LICENSEE INFO: Fairmont Care Center, Inc.
LICENSEE ADDRESS: 5061 North Pulaski Road
LICENSEE CITY, STATE, ZIP: Chicago, IL 60630
Survey Date – 04/03/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b) and 300.1210d)6). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.680, 300.1210b) and 300.1210d)6). A fine of $2,200.00

FACILITY NAME: Franklin Grove Living & Rehab
FACILITY ADDRESS: 502 North State Street
FACILITY CITY, STATE, ZIP: Franklin Grove, IL 61031

DOCKET NUMBER: NH 23-C0415

LICENSEE INFO: Franklin Grove Living & Rehabilitation Center, LLC
LICENSEE ADDRESS: 7434 Skokie Blvd
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 04/13/2023

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), 300.1010h). 300.1210b), and 300.1210d)3)6). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.690, 300.1210b) and 300.1210d)6). A fine of $2,200.00

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

DOCKET NUMBER: NH 23-S0332

LICENSEE INFO: Gardenview Manor, LLC
LICENSEE ADDRESS: 5750 Old Orchard Rd, Ste 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 03/10/2023

Total Fine: $4,400.00

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

DOCKET NUMBER: NH 23-C0232

LICENSEE INFO: Generations at Elmwood Park, Inc.
LICENSEE ADDRESS: 6840 N. Lincoln Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 02/03/2023

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: Generations at Neighbors
FACILITY ADDRESS: 811 West 2^nd Street
FACILITY CITY, STATE, ZIP: Byron, IL 61010

DOCKET NUMBER: NH 23-C0184

LICENSEE INFO: Generations at Neighbors, LLC
LICENSEE ADDRESS: 6840 N. Lincoln Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 01/25/2023

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

FACILITY NAME: Generations Oakton Pavillion
FACILITY ADDRESS: 1660 Oakton Place
FACILITY CITY, STATE, ZIP: Des Plaines, IL 60018

DOCKET NUMBER: NH 23-CS0281

LICENSEE INFO: Generations at Oakton Pavillion, LLC
LICENSEE ADDRESS: 6840 N. Lincoln Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 02/28/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.680a), 300.680c), 300.1010h), 300.1210b), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.680, 300.1210b) and 300.3240a). A fine of $25,000.00

FACILITY NAME: Generations at Regency
FACILITY ADDRESS: 6631 Milwaukee Avenue
FACILITY CITY, STATE, ZIP: Niles, IL 60714

DOCKET NUMBER: NH 23-C0236

LICENSEE INFO: Generations at Regency, LLC
LICENSEE ADDRESS: 6840 N. Lincoln Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 02/07/2023

FACILITY NAME: Generations Oakton Pavillion
FACILITY ADDRESS: 1660 Oakton Place
FACILITY CITY, STATE, ZIP: Des Plaines, IL 60018

DOCKET NUMBER: NH 23-C0239

LICENSEE INFO: Generations at Oakton Pavillion, LLC
LICENSEE ADDRESS: 6840 N. Lincoln Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 02/10/2023

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

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

DOCKET NUMBER: NH 23-C0153

LICENSEE INFO: Gilman Healthcare Center, LLC
LICENSEE ADDRESS: 4711 Golf Rd, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 01/18/2023

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), 300.1220b)7)8), and 300.3220f). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $25,000.00

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

DOCKET NUMBER: NH 23-C0244

LICENSEE INFO: Berwyn Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 02/19/2023

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

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

DOCKET NUMBER: NH 23-CS0449

LICENSEE INFO: Harbor House of Wheeling IV, LLC
LICENSEE ADDRESS: 191 N. Wacker Drive, Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 04/03/2023

Type C violation of an occurrence for violating one or more of the following sections of the Code: 330.911). This instance in accordance with 330.282f) i) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 330.911). A fine of $500.00

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.1910a) and 330.1910b). A fine of $1,100.00

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.1920). A fine of $1,100.00

Type A violation of an occurrence for violating one or more of the following sections of the Code: 330.4240b), 330.4240c), 330.4240d), and 330.4240f). This instance in accordance with 330.282i) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 330.4240d). A fine of $25,000.00

Total Fine: $27,700.00

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

DOCKET NUMBER: NH 23-C0231

LICENSEE INFO: Harmony Nursing and Rehabilitation Center, Inc.
LICENSEE ADDRESS: 6633 North Lincoln Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 01/29/2023

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), 300.1210c), 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: Harmony Palos
FACILITY ADDRESS: 11860 Southwest Highway
FACILITY CITY, STATE, ZIP: Palos Heights, IL 60463

DOCKET NUMBER: NH 23-C0211

LICENSEE INFO: Manor Care of Palos Heights (West) IL, LLC
LICENSEE ADDRESS: 208 S. LaSalle Street, Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 02/02/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), 300.1210d)6), and 300.1220b)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: Harmony Palos
FACILITY ADDRESS: 11860 Southwest Highway
FACILITY CITY, STATE, ZIP: Palos Heights, IL 60463

DOCKET NUMBER: NH 23-C0237

LICENSEE INFO: PHW Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 02/15/2023

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

DOCKET NUMBER: NH 23-C0359

LICENSEE INFO: Woodstock Christian Life Services
LICENSEE ADDRESS: 920 N. Seminary Ave
LICENSEE CITY, STATE, ZIP: Woodstock, IL 60098
Survey Date – 03/28/2023

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

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

DOCKET NUMBER: NH 23-C0374

LICENSEE INFO: Helia Healthcare of Belleville, LLC
LICENSEE ADDRESS: 600 S. Second Street, Suite 104
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 03/30/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), and 300.1210d)2)3). A fine of $1,100.00

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 23-C0286

LICENSEE INFO: Helia Healthcare of Energy, LLC
LICENSEE ADDRESS: 600 S. Second Street, Suite 104
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 02/17/2023

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

DOCKET NUMBER: NH 23-S0480

LICENSEE INFO: Heritage Manor Carlinville, LLC
LICENSEE ADDRESS: 115 W. Jefferson, Ste 401
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61701
Survey Date – 04/14/2023

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), and 300.1630b). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $25,000.00

FACILITY NAME: Heritage Health El Paso
FACILITY ADDRESS: 555 E. Clay
FACILITY CITY, STATE, ZIP: El Paso, IL 61738

DOCKET NUMBER: NH 23-S0401

LICENSEE INFO: Heritage Manor El Paso, LLC
LICENSEE ADDRESS: 202 N. Center
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61701
Survey Date – 03/29/2023

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

DOCKET NUMBER: NH 23-C0173

LICENSEE INFO: Heritage Health Normal, LLC
LICENSEE ADDRESS: 115 W. Jefferson St., Ste 401
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61701
Survey Date – 02/03/2023

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)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: Highland Health Care Center
FACILITY ADDRESS: 1450 26^th Street
FACILITY CITY, STATE, ZIP: Highland, IL 62249

DOCKET NUMBER: NH 23-C0294

LICENSEE INFO: Highland Care and Rehabilitation Center, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 03/02/2023

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

DOCKET NUMBER: NH 23-C0122

LICENSEE INFO: Hope Creek Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 5683 N. Lincoln Ave
LICENSEE CITY, STATE, ZIP: Chicago, IL 60659
Survey Date – 01/19/2023

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

DOCKET NUMBER: NH 23-C0243

LICENSEE INFO: Hope Creek Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 5683 N. Lincoln Ave
LICENSEE CITY, STATE, ZIP: Chicago, IL 60659
Survey Date – 02/14/2023

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

DOCKET NUMBER: NH 23-S0230

LICENSEE INFO: Petersen Health Care Illini, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 01/31/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1210b)4), 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: Inverness Health & Rehab
FACILITY ADDRESS: 1800 Colonial Parkway
FACILITY CITY, STATE, ZIP: Inverness, IL 60067

DOCKET NUMBER: NH 23-S0439

LICENSEE INFO: Inverness NH, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 04/13/2023

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

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

Total Fine: $29,400.00

FACILITY NAME: Iroquois Resident Home, The
FACILITY ADDRESS: 200 Fairman Avenue
FACILITY CITY, STATE, ZIP: Watseka, IL 60970

DOCKET NUMBER: NH 23-C0404

LICENSEE INFO: The Iroquois Memorial Hospital and Resident Home
LICENSEE ADDRESS: 130 W. Cherry St
LICENSEE CITY, STATE, ZIP: Watseka, IL 60970
Survey Date – 04/07/2023

FACILITY NAME: Irving Park Living Rehab Ctr
FACILITY ADDRESS: 4340 N. Keystone
FACILITY CITY, STATE, ZIP: Chicago, IL 60641

DOCKET NUMBER: NH 23-S0260

LICENSEE INFO: Elevate Care Irving Park, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 02/23/2023

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

FACILITY NAME: John C Proctor Endowment Home
FACILITY ADDRESS: 2724 West Reservoir
FACILITY CITY, STATE, ZIP: Peoria, IL 61615

DOCKET NUMBER: NH 23-S0255

LICENSEE INFO: Trustees J.C. Proctor Endowment
LICENSEE ADDRESS: 2724 West Reservoir
LICENSEE CITY, STATE, ZIP: Peoria, IL 61615
Survey Date – 02/16/2023

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

DOCKET NUMBER: NH 23-S0325

LICENSEE INFO: Lake Forest Place, LLC
LICENSEE ADDRESS: 3200 Grant Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60201
Survey Date – 03/06/2023

FACILITY NAME: Landmark of Des Plaines Rehab
FACILITY ADDRESS: 9300 Ballard Road
FACILITY CITY, STATE, ZIP: Des Plaines, IL 60016

DOCKET NUMBER: NH 23-C0296

LICENSEE INFO: Landmark of Des Plaines Rehabilitation Center, LLC
LICENSEE ADDRESS: 5683 North Lincoln Avenue
LICENSEE CITY, STATE, ZIP: Chicago, IL 60659
Survey Date – 02/24/2023

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

DOCKET NUMBER: NH 23-C0305

LICENSEE INFO: Landmark of Richton Park Rehabilitation and Nursing Center, LLC
LICENSEE ADDRESS: 5683 N. Lincoln Ave
LICENSEE CITY, STATE, ZIP: Chicago, IL 60659
Survey Date – 02/17/2023

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

DOCKET NUMBER: NH 23-S0385

LICENSEE INFO: Landmark of Richton Park Rehabilitation and Nursing Center, LLC
LICENSEE ADDRESS: 5683 N. Lincoln Ave
LICENSEE CITY, STATE, ZIP: Chicago, IL 60659
Survey Date – 03/16/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1050b)2)3), 300.1050c)1), 300.1050d)1)2), 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: $29,400.00

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

DOCKET NUMBER: NH 23-S0186

LICENSEE INFO: Lebanon HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 01/27/2023

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

DOCKET NUMBER: NH 23-S0313

LICENSEE INFO: Seneca Nursing Home, Inc.
LICENSEE ADDRESS: 200 S. Wacker Drive, Ste 3800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 03/02/2023

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

DOCKET NUMBER: NH 23-C0310

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 – 03/07/2023

Type C 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 $500.00

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

DOCKET NUMBER: NH 23-C0382

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 – 03/29/2023

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

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

DOCKET NUMBER: NH 23-S0304

LICENSEE INFO: Lincolnshire Assisted Living Center, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 02/14/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.710a), 330.710c)3)F), and 330.4210a). A fine of $1,100.00

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

DOCKET NUMBER: NH 23-C0249

LICENSEE INFO: GA HC REIT II Lincolnwood TRS SUB, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 01/27/2023

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

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

Total Fine: $13,600.00

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

DOCKET NUMBER: NH 23-C0303

LICENSEE INFO: GA HC REIT II Lincolnwood TRS SUB, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 02/23/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.1610a)1), 300.1620a), 300.1630b), 300.1640a), and 300.1650a). A fine of $12,500.00

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

DOCKET NUMBER: NH 23-S0384

LICENSEE INFO: GA HC REIT II Lincolnwood TRS SUB, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/15/2023

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

DOCKET NUMBER: NH 23-S0248

LICENSEE INFO: The Loft Rehabilitation and Nursing of Normal, LLC
LICENSEE ADDRESS: 208 So. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 01/25/2023

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 300.3240e). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b), 300.1210d)6), and 300.3240e). A fine of $2,200.00

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

DOCKET NUMBER: NH 23-CS0182

LICENSEE INFO: The Loft Rehabilitation of Decatur, LLC
LICENSEE ADDRESS: 191 N. Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 01/17/2023

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

DOCKET NUMBER: NH 23-S0422

LICENSEE INFO: The Loft Rehabilitation of Decatur, LLC
LICENSEE ADDRESS: 208 So. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 03/28/2023

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

DOCKET NUMBER: NH 23-CS0234

LICENSEE INFO: The Loft Rehabilitation of Rock Springs, LLC
LICENSEE ADDRESS: 208 So. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 02/14/2023

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

DOCKET NUMBER: NH 23-S0171

LICENSEE INFO: Lutheran Home for the Aged, Inc.
LICENSEE ADDRESS: 800 W. Oakton Street
LICENSEE CITY, STATE, ZIP: Arlington Heights, IL 60004
Survey Date – 01/25/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b)4), 300.1210c), and 300.1210d)2)6). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b), and 300.1210d)6). A fine of $25,000.00

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

DOCKET NUMBER: NH 23-C0201

LICENSEE INFO: Lutheran Home for the Aged, Inc.
LICENSEE ADDRESS: 800 W. Oakton St
LICENSEE CITY, STATE, ZIP: Arlington Hts, IL 60004
Survey Date – 02/01/2023

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

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

DOCKET NUMBER: NH 23-C0210

LICENSEE INFO: Macomb Post Acute Care Center, LLC
LICENSEE ADDRESS: 615 W. Webb Street
LICENSEE CITY, STATE, ZIP: Carmi, IL 62821
Survey Date – 02/01/2023

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

DOCKET NUMBER: NH 23-CS0198

LICENSEE INFO: Residential Alternatives of Illinois, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 02/08/2023

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

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

DOCKET NUMBER: NH 23-C0199

LICENSEE INFO: Residential Alternatives of Illinois, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 02/08/2023

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

FACILITY NAME: Manor Court of Rochelle
FACILITY ADDRESS: 2203 Flagg Road
FACILITY CITY, STATE, ZIP: Rochelle, IL 61068

DOCKET NUMBER: NH 23-S0159

LICENSEE INFO: Residential Alternatives of Illinois, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 01/19/2023

FACILITY NAME: Mar Ka Nursing Home
FACILITY ADDRESS: 201 South 10^th Street
FACILITY CITY, STATE, ZIP: Mascoutah, IL 62258

DOCKET NUMBER: NH 23-S0444

LICENSEE INFO: Community Care Center of Mascoutah, Inc.
LICENSEE ADDRESS: 858 Sunnhill Lane
LICENSEE CITY, STATE, ZIP: Columbia, IL 62236
Survey Date – 04/13/2023

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: Mayfield Care and Rehab
FACILITY ADDRESS: 5905 West Washington Blvd
FACILITY CITY, STATE, ZIP: Chicago, IL 60644

DOCKET NUMBER: NH 23-S0307

LICENSEE INFO: Mayfield Care and Rehabilitation Center, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 03/12/2023

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

DOCKET NUMBER: NH 23-S0406

LICENSEE INFO: Mayfield Care and Rehabilitation Center, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 04/07/2023

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

DOCKET NUMBER: NH 23-C0219

LICENSEE INFO: Butterfield Health Care, Inc.
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 01/29/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1210b)3)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: Meadowbrook Manor LaGrange
FACILITY ADDRESS: 339 9^th Avenue
FACILITY CITY, STATE, ZIP: LaGrange, IL 60525

DOCKET NUMBER: NH 23-CS0355

LICENSEE INFO: Butterfield Health Care VII, LL
LICENSEE ADDRESS: 200 S. Wacker Dr., Ste 3800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 03/19/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), 300.1210c), 300.1210d)6), and 300.1220b)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: Meadowbrook Manor Naperville
FACILITY ADDRESS: 720 Raymond Drive
FACILITY CITY, STATE, ZIP: Naperville, IL 60563

DOCKET NUMBER: NH 23-S0189

LICENSEE INFO: Butterfield Health Care, Inc.
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 02/01/2023

FACILITY NAME: Medina Nursing Center
FACILITY ADDRESS: 402 South Center Street
FACILITY CITY, STATE, ZIP: Durand, IL 61024

DOCKET NUMBER: NH 23-C0347

LICENSEE INFO: Medina Nursing Center, Inc.
LICENSEE ADDRESS: 402 South Center Street
LICENSEE CITY, STATE, ZIP: Durand. IL 61024
Survey Date – 03/24/2023

FACILITY NAME: Michaelsen Health Center
FACILITY ADDRESS: 831 North Batavia Avenue
FACILITY CITY, STATE, ZIP: Batavia, IL 60510

DOCKET NUMBER: NH 23-S0287

LICENSEE INFO: Covenant Health Care Center, Inc.
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 02/16/2023

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

DOCKET NUMBER: NH 23-S0227

LICENSEE INFO: Community Care Center of Monmouth, Inc.
LICENSEE ADDRESS: 117 S. I Street
LICENSEE CITY, STATE, ZIP: Monmouth, IL 61462
Survey Date – 02/01/2023

FACILITY NAME: Montgomery Nursing & Rehab Ctr
FACILITY ADDRESS: State Route 127, P.O. Box 309
FACILITY CITY, STATE, ZIP: Hillsboro, IL 62049

DOCKET NUMBER: NH 23-CS0226

LICENSEE INFO: Helia Healthcare of Hillsboro, LLC
LICENSEE ADDRESS: 600 S. Second Street, Suite 104
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 02/15/2023

Type AA violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), 300.1210c), and 300.1210d)1)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: Newman Rehab & Health Care Ctr
FACILITY ADDRESS: 418 South Memorial Park Road
FACILITY CITY, STATE, ZIP: Newman, IL 61942

DOCKET NUMBER: NH 23-C0379

LICENSEE INFO: Petersen Health & Wellness, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 03/09/2023

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

DOCKET NUMBER: NH 23-S0193

LICENSEE INFO: Norridge Gardens, LLC
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 01/27/2023

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

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010g)4), 300.1010h), 300.1210b), 300.1210c), and 300.1210d)2)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

Total Fine: $4,400.00

FACILITY NAME: Norwood Crossing
FACILITY ADDRESS: 616 North Nina Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60631

DOCKET NUMBER: NH 23-S0386

LICENSEE INFO: Norwood Crossing Association
LICENSEE ADDRESS: 6016 North Nina Avenue
LICENSEE CITY, STATE, ZIP: Chicago, IL 60631
Survey Date – 03/16/2023

FACILITY NAME: Oak Brook Care
FACILITY ADDRESS: 2013 Midwest Road
FACILITY CITY, STATE, ZIP: Oak Brook, IL 60523

DOCKET NUMBER: NH 23-C0397

LICENSEE INFO: Oakbrook Healthcare Centre, Ltd.
LICENSEE ADDRESS: 5061 N. Pulaski Road
LICENSEE CITY, STATE, ZIP: Chicago, IL 60630
Survey Date – 04/05/2023

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

DOCKET NUMBER: NH 23-C0460

LICENSEE INFO: Oak Park Oasis, LLC
LICENSEE ADDRESS: 4711 Gold Rd, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 04/11/2023

FACILITY NAME: Odd Fellow Rebekah Home
FACILITY ADDRESS: 201 Lafayette Avenue East
FACILITY CITY, STATE, ZIP: Mattoon, IL 61938

DOCKET NUMBER: NH 23-C0421

LICENSEE INFO: Illinois I.O.O.F. Old Folks’ Home, Mattoon, Illinois
LICENSEE ADDRESS: 201 Lafayette East
LICENSEE CITY, STATE, ZIP: Mattoon, IL 61938
Survey Date – 03/27/2023

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

DOCKET NUMBER: NH 23-C0285

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 – 02/17/2023

FACILITY NAME: Palm Terrace of Mattoon
FACILITY ADDRESS: 1000 Palm Avenue
FACILITY CITY, STATE, ZIP: Mattoon, IL 61938

DOCKET NUMBER: NH 23-S0339

LICENSEE INFO: Petersen Management Company, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 02/22/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b)4), 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: Palos Heights Rehabilitation
FACILITY ADDRESS: 13259 South Central Avenue
FACILITY CITY, STATE, ZIP: Crestwood, IL 60418

DOCKET NUMBER: NH 23-CS0443

LICENSEE INFO: Palos Heights Rehabilitation, LLC
LICENSEE ADDRESS: 2201 Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 04/13/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1810l) and 300.3210v). A fine of $1,100.00

Total Fine: $26,100.00

FACILITY NAME: Pavilion of Logan Square, The
FACILITY ADDRESS: 2242 North Kedzie
FACILITY CITY, STATE, ZIP: Chicago, IL 60647

DOCKET NUMBER: NH 23-S0370

LICENSEE INFO: The Pavilion of Logan Square, LLC
LICENSEE ADDRESS: 191 N. Wacker Drive, Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 04/04/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.3130b)3) and 300.3130c3)4). A fine of $1,100.00

FACILITY NAME: Pavilion on Main Street, The
FACILITY ADDRESS: 515 North Main
FACILITY CITY, STATE, ZIP: Sandwich, IL 60548

DOCKET NUMBER: NH 23-C0161

LICENSEE INFO: Willow Crest Nursing Pavilion, Ltd
LICENSEE ADDRESS: 191 North Wacker Drive, Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 01/17/2023

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

DOCKET NUMBER: NH 23-C0217

LICENSEE INFO: Pearl of Hillside, LLC
LICENSEE ADDRESS: 4711 Golf Rd, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 02/06/2023

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

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

DOCKET NUMBER: NH 23-S0343

LICENSEE INFO: Pearl Pavilion, LLC
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 03/09/2023

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

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

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)5), 300.1210c), 300.1210d)2)3), 300.1220b)3), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b), 300.1210d)6), and300.3240a). A fine of $25,000.00

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

Total Fine: $30,400.00

FACILITY NAME: Peterson Park Health Care Ctr
FACILITY ADDRESS: 6141 North Pulaski Road
FACILITY CITY, STATE, ZIP: Chicago, IL 60646

DOCKET NUMBER: NH 23-CS0120

LICENSEE INFO: Peterson Park Associates, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 01/26/2023

Type AA 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 $50,000.00

FACILITY NAME: Peterson Park Health Care Ctr
FACILITY ADDRESS: 6141 North Pulaski Road
FACILITY CITY, STATE, ZIP: Chicago, IL 60646

DOCKET NUMBER: NH 23-C0352

LICENSEE INFO: Peterson Park Associates, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/21/2023

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 300.3210t). 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

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

Total Fine: $2,700.00

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

DOCKET NUMBER: NH 23-S0324

LICENSEE INFO: Pleasant Meadows Senior Living, LLC
LICENSEE ADDRESS: 5750 Old Orchard Rd, Ste 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 03/16/2023

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

DOCKET NUMBER: NH 23-S0223

LICENSEE INFO: Pleasant View Luther Home, Inc.
LICENSEE ADDRESS: 800 W. Oakton Street
LICENSEE CITY, STATE, ZIP: Arlington Hts, IL 60004
Survey Date – 02/02/2023

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

DOCKET NUMBER: NH 23-S0403

LICENSEE INFO: Plymouth Place, Inc.
LICENSEE ADDRESS: 315 N. Lagrange Rd
LICENSEE CITY, STATE, ZIP: LaGrange Park, IL 60526
Survey Date – 03/30/2023

FACILITY NAME: Prairie Oasis
FACILITY ADDRESS: 1600 Wabash Avenue
FACILITY CITY, STATE, ZIP: South Holland, IL 60473

DOCKET NUMBER: NH 23-S0288

LICENSEE INFO: Prairie Oasis, LLC
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 02/24/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210c), and 300.1210d)2)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: Princeton Rehab & HCC
FACILITY ADDRESS: 255 West 69^th Street
FACILITY CITY, STATE, ZIP: Chicago, IL 60621

DOCKET NUMBER: NH 23-S0164

LICENSEE INFO: Princeton Rehabilitation and Health Care Center, Inc.
LICENSEE ADDRESS: 4200 W. Peterson Ave., #140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 01/20/2023

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)7), and 300.2210b)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 $25,000.00

FACILITY NAME: Princeton Rehab & HCC
FACILITY ADDRESS: 255 West 69^th Street
FACILITY CITY, STATE, ZIP: Chicago, IL 60621

DOCKET NUMBER: NH 23-S0264

LICENSEE INFO: Princeton Rehabilitation and Health Care Center, Inc.
LICENSEE ADDRESS: 4200 W. Peterson Ave., Suite 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 02/24/2023

FACILITY NAME: Princeton Rehab & HCC
FACILITY ADDRESS: 255 West 69^th Street
FACILITY CITY, STATE, ZIP: Chicago, IL 60621

DOCKET NUMBER: NH 23-S0314

LICENSEE INFO: Princeton Rehabilitation and Health Care Center, Inc.
LICENSEE ADDRESS: 4200 W. Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 03/08/2023

FACILITY NAME: Promedica Skilled Nursing AH
FACILITY ADDRESS: 715 West Central Road
FACILITY CITY, STATE, ZIP: Arlington Hts, IL 60005

DOCKET NUMBER: NH 23-C0454

LICENSEE INFO: Manorcare Health Services, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 03/30/2023

FACILITY NAME: Resthave Home Whiteside County
FACILITY ADDRESS: 408 Maple Avenue
FACILITY CITY, STATE, ZIP: Morrison, IL 61270

DOCKET NUMBER: NH 23-S0432

LICENSEE INFO: Resthave Home of Whiteside County, Illinois
LICENSEE ADDRESS: 408 Maple Ave
LICENSEE CITY, STATE, ZIP: Morrison, IL 61270
Survey Date – 03/28/2023

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), 300.1630b), and 300.1630c). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $25,000.00

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

DOCKET NUMBER: NH 23-S0263

LICENSEE INFO: Helia Richland Healthcare, LLC
LICENSEE ADDRESS: 600 S. 2^nd Street, Ste 104
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 02/24/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1010h), 300.1210b), and 300.2210b)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), 300.1210b), 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: River Crossing of Alton
FACILITY ADDRESS: 3490 Humbert Road
FACILITY CITY, STATE, ZIP: Alton, IL 62002

DOCKET NUMBER: NH 23-C0242

LICENSEE INFO: Alton NH, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 02/16/2023

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

FACILITY NAME: River Crossing of Alton
FACILITY ADDRESS: 3490 Humbert Road
FACILITY CITY, STATE, ZIP: Alton, IL 62002

DOCKET NUMBER: NH 23-C0328

LICENSEE INFO: Alton NH, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/09/2023

FACILITY NAME: River Crossing of Alton
FACILITY ADDRESS: 3490 Humbert Road
FACILITY CITY, STATE, ZIP: Alton, IL 62002

DOCKET NUMBER: NH 23-C0368

LICENSEE INFO: Alton NH, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/31/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.630a). A fine of $1,100.00

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

DOCKET NUMBER: NH 23-S0302

LICENSEE INFO: Edwardsville NH, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 02/24/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), 300.2210b)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) and 300.3240a). A fine of $2,200.00

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

DOCKET NUMBER: NH 23-S0178

LICENSEE INFO: Joliet NH, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 04/03/2023

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)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: River Crossing of Moline
FACILITY ADDRESS: 7300 34^th Avenue
FACILITY CITY, STATE, ZIP: Moline, IL 61265

DOCKET NUMBER: NH 23-S0258

LICENSEE INFO: Moline NH, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 02/17/2023

FACILITY NAME: River Crossing of Peoria
FACILITY ADDRESS: 1500 West Northmoor Road
FACILITY CITY, STATE, ZIP: Peoria, IL 61614

DOCKET NUMBER: NH 23-C0141

LICENSEE INFO: Peoria NH, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 01/13/2023

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

DOCKET NUMBER: NH 23-C0451

LICENSEE INFO: Rockford NH, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/31/2023

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)3)5). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)5). A fine of $25,000.00

FACILITY NAME: River Crossing of St. Charles
FACILITY ADDRESS: 850 Dunham Road
FACILITY CITY, STATE, ZIP: St. Charles, IL 60174

DOCKET NUMBER: NH 23-S0187

LICENSEE INFO: St. Charles NH, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 01/25/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1810h), and 300.3220f). A fine of $1,100.00

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

DOCKET NUMBER: NH 23-C0125

LICENSEE INFO: River View Rehab Center, LLC
LICENSEE ADDRESS: 4711 Golf Rd, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 01/26/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.690a), 300.690b), and 300.690c). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.690. A fine of $2,200.00

FACILITY NAME: Robings Manor RHC
FACILITY ADDRESS: 502 North Main Street
FACILITY CITY, STATE, ZIP: Brighton, IL 62012

DOCKET NUMBER: NH 23-S0274

LICENSEE INFO: Robings HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 02/16/2023

FACILITY NAME: Rock River Health Care
FACILITY ADDRESS: 707 West Riverside Boulevard
FACILITY CITY, STATE, ZIP: Rockford, IL 61103

DOCKET NUMBER: NH 23-C0214

LICENSEE INFO: Rock River Health Care, LLC
LICENSEE ADDRESS: 4711 Golf Rd, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 02/08/2023

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.615e), 300.615f), 300.625c)1), and 300.625c)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: 300.615e), 300.615f), and 300.625. A fine of $500.00

FACILITY NAME: Rosiclare Rehab & HCC
FACILITY ADDRESS: 55 Ferrell Road, P.O. Box 220
FACILITY CITY, STATE, ZIP: Rosiclare, IL 62982

DOCKET NUMBER: NH 23-S0238

LICENSEE INFO: Rosiclare HCO, LLC
LICENSEE ADDRESS: 833 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 02/17/2023

FACILITY NAME: Salem Village Nursing & Rehab
FACILITY ADDRESS: 1314 Rowell Avenue
FACILITY CITY, STATE, ZIP: Joliet, IL 60433

DOCKET NUMBER: NH 23-CS0311

LICENSEE INFO: Salem Village Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 111 N. Ottawa Street
LICENSEE CITY, STATE, ZIP: Joliet, IL 60432
Survey Date – 03/03/2023

FACILITY NAME: Saline Care Nursing & Rehab
FACILITY ADDRESS: 120 South Land St., P.O. Box 468
FACILITY CITY, STATE, ZIP: Harrisburg, IL 62946

DOCKET NUMBER: NH 23-S0174

LICENSEE INFO: Saline Care Nursing & Rehabilitation Center, LLC
LICENSEE ADDRESS: 215 E. Locust Street
LICENSEE CITY, STATE, ZIP: Harrisburg, IL 62946
Survey Date – 01/31/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), 300.1210c), and 300.1210d)2). The fine was doubled in this instance in accordance with 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: Sandwich Rehab & HCC
FACILITY ADDRESS: 902 East Arnold Street
FACILITY CITY, STATE, ZIP: Sandwich, IL 60548

DOCKET NUMBER: NH 23-S0279

LICENSEE INFO: Petersen Health Business, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 02/08/2023

FACILITY NAME: Seminary Manor
FACILITY ADDRESS: 2345 North Seminary Street
FACILITY CITY, STATE, ZIP: Galesburg, IL 61401

DOCKET NUMBER: NH 23-S0257

LICENSEE INFO: UDI #7, LLC
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 04/17/2023

FACILITY NAME: Sharon Health Care Elms
FACILITY ADDRESS: 3611 North Rochelle
FACILITY CITY, STATE, ZIP: Peoria, IL 61604

DOCKET NUMBER: NH 23-C0431

LICENSEE INFO: Sharon Health Care Elms, Inc.
LICENSEE ADDRESS: 465 Central Avenue, Suite 100
LICENSEE CITY, STATE, ZIP: Northfield, IL 60093
Survey Date – 03/21/2023

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), 300.3210t), 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 $25,000.00

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

DOCKET NUMBER: NH 23-S0452

LICENSEE INFO: Sharon Health Care Pines, Inc.
LICENSEE ADDRESS: 465 Central Avenue, Suite 100
LICENSEE CITY, STATE, ZIP: Northfield, IL 60093
Survey Date – 04/12/2023

Type C 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 $500.00

Total Fine: $2,700.00

FACILITY NAME: Shawnee Senior Living
FACILITY ADDRESS: 1901 North 13^th Street
FACILITY CITY, STATE, ZIP: Herrin, IL 62948

DOCKET NUMBER: NH 23-C0145

LICENSEE INFO: Shawnee Senior Living, LLC
LICENSEE ADDRESS: 1275 Milwaukee Ave., Ste 300
LICENSEE CITY, STATE, ZIP: Glenview, IL 60025
Survey Date – 01/17/2023

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.661. The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.610. A fine of $500.00

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), 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). A fine of $25,000.00

Total Fine: $27,700.00

FACILITY NAME: Shawnee Senior Living
FACILITY ADDRESS: 1901 North 13^th Street
FACILITY CITY, STATE, ZIP: Herrin, IL 62948

DOCKET NUMBER: NH 23-C0229

LICENSEE INFO: Shawnee Senior Living, LLC
LICENSEE ADDRESS: 1275 Milwaukee Ave., Ste 300
LICENSEE CITY, STATE, ZIP: Glenview, IL 60025
Survey Date – 02/14/2023

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

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

DOCKET NUMBER: NH 23-C0259

LICENSEE INFO: South Holland Manor HRC, LLC
LICENSEE ADDRESS: 2201 Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 02/18/2023

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

DOCKET NUMBER: NH 23-S0487

LICENSEE INFO: Southgate Health Care, Inc.
LICENSEE ADDRESS: 900 E. 9^th Street
LICENSEE CITY, STATE, ZIP: Metropolis, IL 62960
Survey Date – 04/14/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 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: Southpoint Nrsg & Rehab Ctr
FACILITY ADDRESS: 1010 West 95^th Street
FACILITY CITY, STATE, ZIP: Chicago, IL 60643

DOCKET NUMBER: NH 23-CS0268

LICENSEE INFO: Southpoint Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 02/24/2023

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 300.3240a). 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 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

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

Total Fine: $54,400.00

FACILITY NAME: St. James Wellness Rehab Villas
FACILITY ADDRESS: 1251 East Richton Road
FACILITY CITY, STATE, ZIP: Crete, IL 60417

DOCKET NUMBER: NH 23-C0275

LICENSEE INFO: St. James Wellness Rehab and Villas, LLC
LICENSEE ADDRESS: 2201 Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 02/21/2023

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

DOCKET NUMBER: NH 23-S0417

LICENSEE INFO: Saint Patrick’s Residence
LICENSEE ADDRESS: 1400 Brookdale Road
LICENSEE CITY, STATE, ZIP: Naperville, IL 60563
Survey Date – 04/05/2023

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

FACILITY NAME: Stephenson Nursing Center
FACILITY ADDRESS: 2946 South Walnut Road
FACILITY CITY, STATE, ZIP: Freeport, IL 61032

DOCKET NUMBER: NH 23-C0157

LICENSEE INFO: Stephenson County Board of Supervisors
LICENSEE ADDRESS: 50 W. Douglas St., Ste 1002
LICENSEE CITY, STATE, ZIP: Freeport, IL 61032
Survey Date – 01/23/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), 300.1210d)6), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b), 300.1210d)6), and 300.3240a). A fine of $2,200.00

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

Total Fine: $4,400.00

FACILITY NAME: Sunny Acres Nursing Home
FACILITY ADDRESS: 19130 Sunny Acres Road
FACILITY CITY, STATE, ZIP: Petersburg, IL 62675

DOCKET NUMBER: NH 23-S0204

LICENSEE INFO: Menard County
LICENSEE ADDRESS: 102 S. 7^th Street, P.O. Box 464
LICENSEE CITY, STATE, ZIP: Petersburg, IL 62675
Survey Date – 02/03/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)5), and 300.1220b)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: Sunrise Skilled Nur & Rehab
FACILITY ADDRESS: 333 South Wrightsman Street
FACILITY CITY, STATE, ZIP: Virden, IL 62690

DOCKET NUMBER: NH 23-C0349

LICENSEE INFO: Sunrise Care and Rehabilitation Center, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 03/15/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), and 300.1210d)3)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: Sunset Home
FACILITY ADDRESS: 418 Washington Street
FACILITY CITY, STATE, ZIP: Quincy, IL 62301

DOCKET NUMBER: NH 23-C0448

LICENSEE INFO: Sunset Home
LICENSEE ADDRESS: 625 Vermont Street
LICENSEE CITY, STATE, ZIP: Quincy, IL 62301
Survey Date – 03/27/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.690a), 300.690b), 300.1210b), 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: Symphony Bronzeville
FACILITY ADDRESS: 3400 South Indiana
FACILITY CITY, STATE, ZIP: Chicago, IL 60616

DOCKET NUMBER: NH 23-CS0240

LICENSEE INFO: Symphony Bronzeville Park, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 02/09/2023

FACILITY NAME: Symphony Bronzeville (AKA Ryze on the Avenue)
FACILITY ADDRESS: 3400 South Indiana
FACILITY CITY, STATE, ZIP: Chicago, IL 60616

DOCKET NUMBER: NH 23-S0373

LICENSEE INFO: Symphony Bronzeville Park, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/30/2023

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

DOCKET NUMBER: NH 23-C0427

LICENSEE INFO: Symphony Buffalo Grove, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 04/11/2023

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

DOCKET NUMBER: NH 23-S0369

LICENSEE INFO: Symphony Jackson Square, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 04/06/2023

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

DOCKET NUMBER: NH 23-S0273

LICENSEE INFO: Symphony of California Gardens, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 02/17/2023

FACILITY NAME: Symphony Lincoln Park
FACILITY ADDRESS: 1366 West Fullerton Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60614

DOCKET NUMBER: NH 23-S0306

LICENSEE INFO: Symphony Lincoln Park, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/03/2023

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

DOCKET NUMBER: NH 23-CS0289

LICENSEE INFO: Symphony Midway, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 02/27/2023

Total Fine: $4,400.00

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

DOCKET NUMBER: NH 23-CS0358

LICENSEE INFO: Symphony Midway, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/24/2023

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 300.3210t). 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

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)2)5), and 300.1220b)3). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)5). A fine of $25,000.00

Total Fine: $27,200.00

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

DOCKET NUMBER: NH 23-CS0292

LICENSEE INFO: Symphony South Shore, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/03/2023

Total Fine: $27,200.00

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

DOCKET NUMBER: NH 23-S0380

LICENSEE INFO: Taylorville Skilled Nursing & Rehab, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 03/07/2023

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

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

DOCKET NUMBER: NH 23-CS0340

LICENSEE INFO: Progressive Housing, Inc.
LICENSEE ADDRESS: 20180 Governors Dr., Ste 300
LICENSEE CITY, STATE, ZIP: Olympia Fields, IL 60461
Survey Date – 02/28/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 350.620a), 350.1060e), 350.1610e)1), and 350.3240a). A fine of $6,250.00

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

DOCKET NUMBER: NH 23-S0138

LICENSEE INFO: TN Care, LLC
LICENSEE ADDRESS: 1S443 Summitt Avenue, Ste 204
LICENSEE CITY, STATE, ZIP: Oakbrook Terrace, IL 60181
Survey Date – 01/13/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1030a)3), 300.1210a), 300.1210b), 300.1210c), and 300.1210d)2)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: Terrace, The
FACILITY ADDRESS: 1615 Sunset Avenue
FACILITY CITY, STATE, ZIP: Waukegan, IL 60087

DOCKET NUMBER: NH 23-S0470

LICENSEE INFO: Laureate Terrace Operations, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 04/12/2023

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

FACILITY NAME: Thrive of Lake County
FACILITY ADDRESS: 850 E. US Highway 45
FACILITY CITY, STATE, ZIP: Mundelein, IL 60060

DOCKET NUMBER: NH 23-C0119

LICENSEE INFO: Transitional Care of Lake County, LLC
LICENSEE ADDRESS: 208 S. LaSalle St, Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 01/20/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), and 300.1220b)7). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $2,200.00

FACILITY NAME: Tri-State Village Nrsg & Rhb
FACILITY ADDRESS: 2500 East 175^th Street
FACILITY CITY, STATE, ZIP: Lansing, IL 60438

DOCKET NUMBER: NH 23-CS0162

LICENSEE INFO: Tri-State Village Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 01/19/2023

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

FACILITY NAME: University Nsg & Rehab Center
FACILITY ADDRESS: 1095 University Drive
FACILITY CITY, STATE, ZIP: Edwardsville, IL 62025

DOCKET NUMBER: NH 23-S0389

LICENSEE INFO: University Care Center, LLC
LICENSEE ADDRESS: 111 North Ottawa Street
LICENSEE CITY, STATE, ZIP: Joliet, IL 60432
Survey Date – 03/17/2023

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

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

Total Fine: $4,400.00

FACILITY NAME: Villa at Windsor Park, The
FACILITY ADDRESS: 2649 East 75^th Street
FACILITY CITY, STATE, ZIP: Chicago, IL 60649

DOCKET NUMBER: NH 23-S0185

LICENSEE INFO: The Villa at Windsor Park Nursing and Rehab Center, LLC
LICENSEE ADDRESS: 191 N. Wacker Dr, Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 01/13/2023

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

DOCKET NUMBER: NH 23-C0265

LICENSEE INFO: Lieberman Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 02/24/2023

FACILITY NAME: Warren Barr Lincolnshire
FACILITY ADDRESS: 150 Jamestown Lane
FACILITY CITY, STATE, ZIP: Lincolnshire, IL 60069

DOCKET NUMBER: NH 23-C0132

LICENSEE INFO: Lincolnshire Living & Rehab Center, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 01/19/2023

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

DOCKET NUMBER: NH 23-C0271

LICENSEE INFO: Warren Barr North Shore, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 03/02/2023

FACILITY NAME: Warren Park Hlth & Living Ctr
FACILITY ADDRESS: 6700 North Damen
FACILITY CITY, STATE, ZIP: Chicago, IL 60645

DOCKET NUMBER: NH 23-S0158

LICENSEE INFO: Warren Park Health and Living Center, LLC
LICENSEE ADDRESS: 6700 North Damen Avenue
LICENSEE CITY, STATE, ZIP: Chicago, IL 60645
Survey Date – 01/20/2023

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

DOCKET NUMBER: NH 23-S0209

LICENSEE INFO: Washington Senior Living, LLC
LICENSEE ADDRESS: 1275 Milwaukee Ave., Ste 300
LICENSEE CITY, STATE, ZIP: Glenview, IL 60025
Survey Date – 01/30/2023

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), 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 $25,000.00

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

DOCKET NUMBER: NH 23-S0290

LICENSEE INFO: Washington Senior Living, LLC
LICENSEE ADDRESS: 1275 Milwaukee Ave., Ste 300
LICENSEE CITY, STATE, ZIP: Glenview, IL 60025
Survey Date – 02/28/2023

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 300.3210t). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6). A fine of $2,200.00

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

DOCKET NUMBER: NH 23-C0336

LICENSEE INFO: Washington Senior Living, LLC
LICENSEE ADDRESS: 1275 Milwaukee Ave., Ste 300
LICENSEE CITY, STATE, ZIP: Glenview, IL 60025
Survey Date – 03/08/2023

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

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

DOCKET NUMBER: NH 23-C0414

LICENSEE INFO: Watseka HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 04/05/2023

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

FACILITY NAME: Wentworth Rehab & HCC
FACILITY ADDRESS: 201 West 69^th Street
FACILITY CITY, STATE, ZIP: Chicago, IL 60621

DOCKET NUMBER: NH 23-C0405

LICENSEE INFO: Wentworth Rehabilitation and Health Care Center, Inc.
LICENSEE ADDRESS: 4200 W. Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 04/10/2023

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

DOCKET NUMBER: NH 23-S0402

LICENSEE INFO: Westmont Manor HRC, LLC
LICENSEE ADDRESS: 2201 Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 03/15/2023

2023 2nd Quarterly Report

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2023 2nd Quarterly Report

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