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2023 4th 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-C0804

LICENSEE INFO: Accolade Healthcare of Danville, LLC
LICENSEE ADDRESS: 2501 Chatham Road, Ste R
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 08/16/2023

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: Accolade Healthcare of Savoy
FACILITY ADDRESS: 302 West Burwash
FACILITY CITY, STATE, ZIP: Savoy, IL 61874

DOCKET NUMBER: NH 23-C0901

LICENSEE INFO: Champaign Urbana Nursing and Rehab, LP
LICENSEE ADDRESS: 5750 Old Orchard Rd, Ste 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 09/22/2023

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

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

DOCKET NUMBER: NH 23-S1082

LICENSEE INFO: Accolade Healthcare of East Peoria, LLC
LICENSEE ADDRESS: 2501 Chatham Road, Ste R
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 10/19/2023

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

DOCKET NUMBER: NH 23-S0992

LICENSEE INFO: Accolade Healthcare of the Heartland, LLC
LICENSEE ADDRESS: 1901 E. Golf Rd., Ste 950A
LICENSEE CITY, STATE, ZIP: Schaumburg, IL 60173
Survey Date – 10/24/2023

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) 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: Accolade Paxton Senior Living
FACILITY ADDRESS: 450 Fulton Street
FACILITY CITY, STATE, ZIP: Paxton, IL 60957

DOCKET NUMBER: NH 23-C0794

LICENSEE INFO: Accolade Healthcare of Paxton Senior Living, LLC
LICENSEE ADDRESS: 1900 E. Golf Road, Ste 950A
LICENSEE CITY, STATE, ZIP: Schaumburg, IL 60173
Survey Date – 08/17/2023

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

DOCKET NUMBER: NH 23-S0900

LICENSEE INFO: Franciscan Communities, Inc.
LICENSEE ADDRESS: 208 South LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 08/25/2023

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 Debes Rehab & HCC
FACILITY ADDRESS: 550 South Mulford Avenue
FACILITY CITY, STATE, ZIP: Rockford, IL 61108

DOCKET NUMBER: NH 23-C1026

LICENSEE INFO: Alden Alma Nelson Manor, Inc.
LICENSEE ADDRESS: 4200 West Peterson Ave., #140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 10/24/2023

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)3) and 300.3220f). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $2,200.00

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

DOCKET NUMBER: NH 23-CS0817

LICENSEE INFO: Alden Estates of Barrington, Inc.
LICENSEE ADDRESS: 4200 West Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 08/18/2023

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 Code300.610a), 300.1210b), and 300.1210d)6). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6). A fine of $2,200.00

Total Fine: $4,400.00

FACILITY NAME: Alden Estates of Naperville
FACILITY ADDRESS: 1525 South Oxford Lane
FACILITY CITY, STATE, ZIP: Naperville, IL 60565

DOCKET NUMBER: NH 23-S0818

LICENSEE INFO: Alden Estates of Naperville, Inc.
LICENSEE ADDRESS: 4200 W. Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 08/30/2023

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 300.282i) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.615e) and 300.615f). A fine of $500.00

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

DOCKET NUMBER: NH 23-C1001

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 – 10/13/2023

FACILITY NAME: Alden Poplar Creek Rehab & HCC
FACILITY ADDRESS: 1545 Barrington Road
FACILITY CITY, STATE, ZIP: Hoffman Estates, IL 60169

DOCKET NUMBER: NH 23-S0951

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

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: 300.661. A fine of $500.00

FACILITY NAME: Alden Terrace of McHenry Rehab
FACILITY ADDRESS: 803 Royal Drive
FACILITY CITY, STATE, ZIP: McHenry, IL 60050

DOCKET NUMBER: NH 23-S1064

LICENSEE INFO: Alden Terrace of McHenry Rehabilitation and Health Care Ctr
LICENSEE ADDRESS: 4200 W. Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 10/13/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1210b), 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: Alden Valley Ridge Rehab & HCC
FACILITY ADDRESS: 275 East Army Trail Road
FACILITY CITY, STATE, ZIP: Bloomingdale, IL 60108

DOCKET NUMBER: NH 23-S0915

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 – 09/13/2023

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

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

DOCKET NUMBER: NH 23-S0795

LICENSEE INFO: Aledo HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 08/14/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210c), 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: Aliya of Oak Lawn
FACILITY ADDRESS: 6300 W. 95th Street
FACILITY CITY, STATE, ZIP: Oak Lawn, IL 60453

DOCKET NUMBER: NH 23-CS0739

LICENSEE INFO: Aliya of Oak Lawn, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 07/21/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1010h), 300.1210a), 300.1210b), 300.1210d)2)3)5), and 300.3210a). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)5). A fine of $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), 300.1210c), and 300.1210d)6). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6). A fine of $25,000.00

Type 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)1), 300.1610a)1), 300.1630b), and 300.1630e). The fine was doubled in this instance in accordance with 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: $52,200.00

FACILITY NAME: Aliya of Oak Lawn
FACILITY ADDRESS: 6300 W. 95th Street
FACILITY CITY, STATE, ZIP: Oak Lawn, IL 60453

DOCKET NUMBER: NH 23-C0830

LICENSEE INFO: Aliya of Oak Lawn, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 08/14/2023

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

FACILITY NAME: Aliya of Palos Park
FACILITY ADDRESS: 12220 South Will Cook Road
FACILITY CITY, STATE, ZIP: Palos Park, IL 60464

DOCKET NUMBER: NH 23-C0854

LICENSEE INFO: Aliya of Palos Park, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 09/07/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b) and 300.1210d)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: Allure of Mendota
FACILITY ADDRESS: 1201 First Avenue
FACILITY CITY, STATE, ZIP: Mendota, IL 61342

DOCKET NUMBER: NH 23-S1027

LICENSEE INFO: Allure of Mendota, LLC
LICENSEE ADDRESS: 2711 W. Howard St
LICENSEE CITY, STATE, ZIP: Chicago, IL 60645
Survey Date – 10/04/2023

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.3220k). No fine

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.1210a). No fine

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

FACILITY NAME: Allure of Peru
FACILITY ADDRESS: 1301 21st Street
FACILITY CITY, STATE, ZIP: Peru, IL 61354

DOCKET NUMBER: NH 23-S0967

LICENSEE INFO: Allure of Peru, LLC
LICENSEE ADDRESS: 2711 W. Howard Street
LICENSEE CITY, STATE, ZIP: Chicago, IL 60645
Survey Date – 10/03/2023

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.625j) and 300.625k). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.625j) and 300.325k). A fine of $500.00

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.660a). No fine

FACILITY NAME: Allure of Pinecrest
FACILITY ADDRESS: 414 South Wesley Avenue
FACILITY CITY, STATE, ZIP: Mount Morris, IL 61054

DOCKET NUMBER: NH 23-S0740

LICENSEE INFO: Allure of Pinecrest, LLC
LICENSEE ADDRESS: 2711 W. Howard St.
LICENSEE CITY, STATE, ZIP: Chicago, IL 60645
Survey Date – 08/03/2023

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

Total Fine: $50,000.00

FACILITY NAME: Allure of Prophetstown
FACILITY ADDRESS: 310 Mosher Drive
FACILITY CITY, STATE, ZIP: Prophetstown, IL 61277

DOCKET NUMBER: NH 23-C0762

LICENSEE INFO: Allure of Prophetstown, LLC
LICENSEE ADDRESS: 2711 W. Howard Street
LICENSEE CITY, STATE, ZIP: Chicago, IL 60645
Survey Date – 07/21/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), and 300.1210d)3). The fine was doubled in this instance in accordance with 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: Allure of Prophetstown
FACILITY ADDRESS: 310 Mosher Drive
FACILITY CITY, STATE, ZIP: Prophetstown, IL 61277

DOCKET NUMBER: NH 23-S0834

LICENSEE INFO: Allure of Prophetstown, LLC
LICENSEE ADDRESS: 2711 W. Howard St
LICENSEE CITY, STATE, ZIP: Chicago, IL 60645
Survey Date – 09/01/2023

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

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.696a), 300.1020b), 300.1210b) and 300.1220b)2). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $25,000.00

Total Fine: $27,200.00

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

DOCKET NUMBER: NH 23-S0774

LICENSEE INFO: Ambassador Nursing and Rehabilitation II, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 08/03/2023

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.615e) and 300.615j). This fine was doubled in this instance in accordance 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). A fine of $500.00

FACILITY NAME: Aperion Care Bridgeport
FACILITY ADDRESS: 900 East Corporation Street
FACILITY CITY, STATE, ZIP: Bridgeport, IL 62417

DOCKET NUMBER: NH 23-S0724

LICENSEE INFO: Aperion Care Bridgeport, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 07/27/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), 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: Aperion Care Burbank
FACILITY ADDRESS: 5701 W. 79th Street
FACILITY CITY, STATE, ZIP: Burbank, IL 60459

DOCKET NUMBER: NH 23-C0880

LICENSEE INFO: Exceptional Care, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 09/08/2023

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

FACILITY NAME: Aperion Care Capitol
FACILITY ADDRESS: 555 West Carpenter
FACILITY CITY, STATE, ZIP: Springfield, IL 62702

DOCKET NUMBER: NH 23-C0811

LICENSEE INFO: Aperion Care Capitol, LLC
LICENSEE ADDRESS: 4655 W. Chase Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 08/24/2023

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

DOCKET NUMBER: NH 23-S0741

LICENSEE INFO: Riviera Care Center, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 07/28/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b) and 300.3240a). 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: Aperion Care Highwood
FACILITY ADDRESS: 50 Pleasant Avenue
FACILITY CITY, STATE, ZIP: Highwood, IL 60040

DOCKET NUMBER: NH 23-S1017

LICENSEE INFO: Highland Park Nursing and Rehab Center, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 10/19/2023

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.615e). The fine was doubled in this instance in accordance 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). A fine of $500.00

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

DOCKET NUMBER: NH 23-C0825

LICENSEE INFO: Dolton Nursing & Rehab, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 08/17/2023

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

FACILITY NAME: Aperion Care Fairfield
FACILITY ADDRESS: 305 N.W. 11th Street
FACILITY CITY, STATE, ZIP: Fairfield, IL 62837

DOCKET NUMBER: NH 23-C0978

LICENSEE INFO: Aperion Care Fairfield
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 09/20/2023

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

FACILITY NAME: Aperion Care Fairfield
FACILITY ADDRESS: 305 Northwest 11th Street
FACILITY CITY, STATE, ZIP: Fairfield, IL 62837

DOCKET NUMBER: NH 23-C1049

LICENSEE INFO: Aperion Care Fairfield, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 10/19/2023

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

FACILITY NAME: Aperion Care Highwood
FACILITY ADDRESS: 50 Pleasant Avenue
FACILITY CITY, STATE, ZIP: Highwood, IL 60040

DOCKET NUMBER: NH 23-S1017

LICENSEE INFO: Highland Park Nursing and Rehab Center, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 10/19/2023

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

DOCKET NUMBER: NH 23-C0819

LICENSEE INFO: Aperion Care Hillside, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 08/21/2023

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

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

DOCKET NUMBER: NH 23-CS0947

LICENSEE INFO: International Nursing & Rehab Center, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 09/08/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 30.610a), 300.1210b) and 300.1210d)6). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6). A fine of $25,000.00

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

DOCKET NUMBER: NH 23-S0738

LICENSEE INFO: Aperion Care Morton Villa, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 07/26/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), and 300.3240a). 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: Aperion Care Morton Villa
FACILITY ADDRESS: 190 East Queenwood Road
FACILITY CITY, STATE, ZIP: Morton, IL 61550

DOCKET NUMBER: NH 23-C0916

LICENSEE INFO: Aperion Care Morton Villa, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 09/19/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.696a), 300.697a) and 300.697c). The fine was doubled in this instance in accordance 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

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

DOCKET NUMBER: NH 23-S0722

LICENSEE INFO: Aperion Care Niles, LLC
LICENSEE ADDRESS: 4655 W. Chase Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 08/12/2023

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

DOCKET NUMBER: NH 23-S0815

LICENSEE INFO: Aperion Care Peoria Heights, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 08/13/2023

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

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

DOCKET NUMBER: NH 23-C1005

LICENSEE INFO: Aperion Care Peoria Heights, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 10/11/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.3210t). A fine of $12,500.00

FACILITY NAME: Aperion Care Princeton
FACILITY ADDRESS: 515 Bureau Valley Parkway
FACILITY CITY, STATE, ZIP: Princeton, IL 61356

DOCKET NUMBER: NH 23-C0905

LICENSEE INFO: Aperion Care Princeton, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 09/20/2023

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300625n) 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: 300.625n). A fine of $500.00

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

DOCKET NUMBER: NH 23-C0871

LICENSEE INFO: Island City Rehabilitation Center, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 09/12/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.696a), 300.696b), 300.1020a), 300.1020b), 300.1020c), 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: 300.696 and 300.1210b). A fine of $2,200.00

FACILITY NAME: Arc at Dwight
FACILITY ADDRESS: 300 East Mazon Avenue
FACILITY CITY, STATE, ZIP: Dwight, IL 60420

DOCKET NUMBER: NH 23-S0998

LICENSEE INFO: Arc at Dwight, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 10/07/2023

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

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.610c)2) and 300.686a)10). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.686. A fine of $500.00

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

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1620c) and 300.1630e). A fine of $1,100.00

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

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.2090a) and 300.2090b). No fine

Total Fine: $4,300.00

FACILITY NAME: Arc of Normal, The
FACILITY ADDRESS: 509 North Adelaide
FACILITY CITY, STATE, ZIP: Normal, IL 61761

DOCKET NUMBER: NH 23-S0917

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

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1630a)1)2)3), 300.1630b), 300.1630c), 300.1630d), 300.1630e), 300.1630f) and 300.1630g). A fine of $1,100.00

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.2010a)1)2) and 300.2010b)1)2. No fine

Total Fine: $1,600.00

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

DOCKET NUMBER: NH 23-S0737

LICENSEE INFO: Danville Operations, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 07/25/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.615e), 300.615g), 300.615h), 300.615i), 300.615j), 300.625b), 300.625c)1)2), 300.625d), 300.625e), 300.625f)1)2), 300.625g), 300.625i), 300.625j), 300.625k), and 300.625n). The fine was doubled in this instance in accordance 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), 300.615g), 300.625b), 300.625c), 300.625f), 300.625j), 300.625k), and 300.625n). A fine of $2,200.00

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

DOCKET NUMBER: NH 23-C0835

LICENSEE INFO: Danville Operations, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 08/23/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code300.610a), 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

FACILITY NAME: Arcola Health Care Center
FACILITY ADDRESS: 422 East 4th South Street
FACILITY CITY, STATE, ZIP: Arcola, IL 61910

DOCKET NUMBER: NH 23-S0941

LICENSEE INFO: Arcola HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 10/04/2023

FACILITY NAME: Ascension Resurrection Place
FACILITY ADDRESS: 1001 North Greenwood Avenue
FACILITY CITY, STATE, ZIP: Park Ridge, IL 60068

DOCKET NUMBER: NH 23-C0948

LICENSEE INFO: Presence Senior Service Chicagoland
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 10/02/2023

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

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

DOCKET NUMBER: NH 23-S0963

LICENSEE INFO: Atrium Rehab & Nursing Center, LLC
LICENSEE ADDRESS: 208 S. LaSalle St. Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 10/05/2023

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 300.3100d)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) and 300.3100d)2). A fine of $25,000.00

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

DOCKET NUMBER: NH 23-C0997

LICENSEE INFO: Evergreen Living & Rehab Center, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 09/28/2023

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)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: Bella Terra Bloomingdale
FACILITY ADDRESS: 165 South Bloomingdale Road
FACILITY CITY, STATE, ZIP: Bloomingdale, IL 60108

DOCKET NUMBER: NH 23-C0675

LICENSEE INFO: Bloomingdale Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 07/15/2023

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)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: Bella Terra Lombard
FACILITY ADDRESS: 2100 South Finley Road
FACILITY CITY, STATE, ZIP: Lombard, IL 60148

DOCKET NUMBER: NH 23-C0866

LICENSEE INFO: Lombard Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 08/24/2023

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

DOCKET NUMBER: NH 23-CS0775

LICENSEE INFO: Morton Grove Living & Rehab Center, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 07/29/2023

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

FACILITY NAME: Belmont Village Geneva Road
FACILITY ADDRESS: 545 Belmont Lane
FACILITY CITY, STATE, ZIP: Carol Stream, IL 60188

DOCKET NUMBER: NH 23-S0899

LICENSEE INFO: Belmont Village Geneva Road Tenant, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 08/31/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.4240a). The fine was doubled in this instance in accordance with 330.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 330.4240a). A fine of $2,200.00

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

DOCKET NUMBER: NH 23-C0988

LICENSEE INFO: Belmont Village Lincoln Park, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 10/11/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.4240a), 330.4240b) and 330.4240d). The fine was doubled in this instance in accordance with 330.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 330.4240a) and 330.4240d). A fine of $2,200.00

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

DOCKET NUMBER: NH 23-S0853

LICENSEE INFO: Belmont Village Oak Park Tenant, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 09/07/2023

Type C violation of an occurrence for violating one or more of the following sections of the Code: 330.710a) and 330.710c)2). No Fine

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.710a) and 330.710c)3)A)B)C)D)E)F)G)d)1)2). A fine of $1,100.00

Type C violation of an occurrence for violating one or more of the following sections of the Code: 330.2000. No Fine

Type C violation of an occurrence for violating one or more of the following sections of the Code: 330.792a) and 330.792b)1)2)3. No Fine

Type C violation of an occurrence for violating one or more of the following sections of the Code: 330.1120a), 330.1120b) and 330.1120c). No Fine

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.4240a), 330.4240b), 330.4240c), 330.4240d) and 330.4240e). The fine was doubled in this instance in accordance with 330.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 330.4240a), 330.4240d) and 330.4240e). A fine of $2,200.00

Total Fine: $3,300.00

FACILITY NAME: Bethany Rehab & HCC
FACILITY ADDRESS: 3298 Resource Parkway
FACILITY CITY, STATE, ZIP: DeKalb, IL 60115

DOCKET NUMBER: NH 23-C0666

LICENSEE INFO: Bethany Health, LLC
LICENSEE ADDRESS: 412 E. Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 07/26/2023

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)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: Bethany Rehab & HCC
FACILITY ADDRESS: 3298 Resources Parkway
FACILITY CITY, STATE, ZIP: DeKalb, IL 60115

DOCKET NUMBER: NH 23-C0791

LICENSEE INFO: Bethany Health, LLC
LICENSEE ADDRESS: 412 E. Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 09/20/2023

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

FACILITY NAME: Birchwood Plaza
FACILITY ADDRESS: 1426 West Birchwood
FACILITY CITY, STATE, ZIP: Chicago, IL 60626

DOCKET NUMBER: NH 23-S0940

LICENSEE INFO: Birchwood Plaza, Inc.
LICENSEE ADDRESS: 1426 West Birchwood Avenue
LICENSEE CITY, STATE, ZIP: Chicago, IL 60626
Survey Date – 09/28/2023

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) 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: Bloomington Rehabilitation & HCC
FACILITY ADDRESS: 1925 South Main Street
FACILITY CITY, STATE, ZIP: Bloomington, IL 61701

DOCKET NUMBER: NH 23-S1013

LICENSEE INFO: Petersen Health Operations, LLC
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 10/24/2023

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 300.1220b)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: Bria of Alton
FACILITY ADDRESS: 3523 Wickenhauser
FACILITY CITY, STATE, ZIP: Alton, IL 62002

DOCKET NUMBER: NH 23-S0957

LICENSEE INFO: Bria of Alton, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 10/03/2023

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

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

DOCKET NUMBER: NH 23-C0742

LICENSEE INFO: Belleville Healthcare & Rehabilitation Center, Inc.
LICENSEE ADDRESS: 465 Central Avenue, Ste 100
LICENSEE CITY, STATE, ZIP: Northfield, IL 60093
Survey Date – 07/13/2023

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, 300.2420j). 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: Bria of Cahokia
FACILITY ADDRESS: 3354 Jerome Lane
FACILITY CITY, STATE, ZIP: Cahokia, IL 62206

DOCKET NUMBER: NH 23-C0857

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 – 08/31/2023

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)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: Bria of Chicago Heights
FACILITY ADDRESS: 120 West 26th Street
FACILITY CITY, STATE, ZIP: South Chicago Heights, IL 60411

DOCKET NUMBER: NH 23-S0849

LICENSEE INFO: MST Health Properties, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 08/17/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1210b) 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: Bria of Columbia
FACILITY ADDRESS: 253 Bradington Drive
FACILITY CITY, STATE, ZIP: Columbia, IL 62236

DOCKET NUMBER: NH 23-C0850

LICENSEE INFO: Bria of Columbia, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 08/23/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code300.610a), 300.1030b), 300.1210b), 300.1210d)1), 300.1220b)3), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.3240a). A fine of $2,200.00

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

DOCKET NUMBER: NH 23-CS0970

LICENSEE INFO: Bria of Elmwood Park, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 09/21/2023

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

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

Total Fine: $52,200.00

FACILITY NAME: Bria of Forest Edge
FACILITY ADDRESS: 8001 South Western Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60620

DOCKET NUMBER: NH 23-CS0726

LICENSEE INFO: Forest Edge Healthcare & Rehabilitation Center, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 07/20/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.810a), 300.810b)2), 300.1210b), 300.1220b)3), and 300.3210t). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.1210b). 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 300.3210t). 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 $25,000.00

Total Fine: $50,000.00

FACILITY NAME: Bria of Forest Edge
FACILITY ADDRESS: 8001 South Western Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60620

DOCKET NUMBER: NH 23-CS0836

LICENSEE INFO: Forest Edge Healthcare & Rehabilitation Center, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 09/01/2023

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

Total Fine: $4,400.00

FACILITY NAME: Bria of Forest Edge
FACILITY ADDRESS: 8001 South Western Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60620

DOCKET NUMBER: NH 23-C0906

LICENSEE INFO: Forest Edge Healthcare & Rehabilitation Center, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 09/21/2023

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

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

DOCKET NUMBER: NH 23-C0898

LICENSEE INFO: Geneva Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 09/14/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1210b) 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: Bria of Godfrey
FACILITY ADDRESS: 1623 West Delmar
FACILITY CITY, STATE, ZIP: Godfrey, IL 62035

DOCKET NUMBER: NH 23-S0727

LICENSEE INFO: Bria of Godfrey, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 07/20/2023

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) A) B), and 300.3060a)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

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

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

Total Fine: $31,600.00

FACILITY NAME: Bria of Mascoutah
FACILITY ADDRESS: 901 North Tenth Street
FACILITY CITY, STATE, ZIP: Mascoutah, IL 62258

DOCKET NUMBER: NH 23-S0984

LICENSEE INFO: Bria of Mascoutah, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 10/24/2023

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

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

DOCKET NUMBER: NH 23-C0837

LICENSEE INFO: Palos Hills Healthcare, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 08/21/2023

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

DOCKET NUMBER: NH 23-CS0777

LICENSEE INFO: River Oaks Healthcare & Rehabilitation Center, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60044
Survey Date – 08/03/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b) and 300.3210t). 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 $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)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: Bria of Westmont
FACILITY ADDRESS: 6501 S. Cass Ave
FACILITY CITY, STATE, ZIP: Westmont, IL 60559

DOCKET NUMBER: NH 23-C0728

LICENSEE INFO: Westmont Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 07/27/2023

FACILITY NAME: Bria of Wood River
FACILITY ADDRESS: 393 Edwardsville Road
FACILITY CITY, STATE, ZIP: Wood River, IL 62095

DOCKET NUMBER: NH 23-S0743

LICENSEE INFO: Bria of Woodriver, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 08/01/2023

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)4), 300.1210d)3) and 300.2040d). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $2,200.00

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

DOCKET NUMBER: NH 23-S0858

LICENSEE INFO: The British Home for Retired Men and Women
LICENSEE ADDRESS: 31st Street & McCormick Ave
LICENSEE CITY, STATE, ZIP: Brookfield, IL 60513
Survey Date – 09/03/2023

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) 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: Brookdale Plaza Lisle SNF
FACILITY ADDRESS: 1800 Rogin Lane
FACILITY CITY, STATE, ZIP: Lisle, IL 60532

DOCKET NUMBER: NH 23-S0897

LICENSEE INFO: Brookdale Living Communities of Illinois DNC, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 09/14/2023

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: California Terrace
FACILITY ADDRESS: 2829 South California Blvd
FACILITY CITY, STATE, ZIP: Chicago, IL 60608

DOCKET NUMBER: NH 23-S0859

LICENSEE INFO: California Terrace SNF, LLC
LICENSEE ADDRESS: 3531 Howard St., Ste 1006
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 09/15/2023

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

DOCKET NUMBER: NH 23-C0907

LICENSEE INFO: California Terrace, SNF, LLC
LICENSEE ADDRESS: 3531 Howard St., Ste 1006
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 09/28/2023

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 300.2210b)2). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6). A fine of $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-S0744

LICENSEE INFO: Carlinville Rehabilitation and Health Care Center, LLC
LICENSEE ADDRESS: 412 E. Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 07/27/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b) 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: Carlton at the Lake, The
FACILITY ADDRESS: 725 West Montrose Ave
FACILITY CITY, STATE, ZIP: Chicago, IL 60613

DOCKET NUMBER: NH 23-C1009

LICENSEE INFO: Carlton Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 10/04/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1210b), 300.3240c), 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: 300.1210b) and 300.3240e). 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 300.1610a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $25,000.00

Total Fine: $50,000.00

FACILITY NAME: Carthage Terrace
FACILITY ADDRESS: 1205 North Center Street
FACILITY CITY, STATE, ZIP: Carthage, IL 62321

DOCKET NUMBER: NH 23-S0796

LICENSEE INFO: Community Living Options, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 07/27/2023

Type B violation for violating one or more of the following sections of the Code: 350.620a), 350.1210a), 350.1210b)2)5), and 350.1230d)1)2). A fine of $550.00 Type A violation for violating one or more of the following sections of the Code: 350.620a), 350.700a), 350.1210a), 350.1210b)2)5), and 350.1230d)1)2). A fine of $6,250.00
Total Fine: $6,800.00

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

DOCKET NUMBER: NH 23-C0797

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 – 08/11/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1210b) 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: Celebrate Senior Living
FACILITY ADDRESS: 16300 Louis Avenue
FACILITY CITY, STATE, ZIP: South Holland, IL 60473

DOCKET NUMBER: NH 23-C0946

LICENSEE INFO: GS Healthcare, LLC
LICENSEE ADDRESS: 7101 N. Cicero Ave., Ste 200
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 10/05/2023

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

FACILITY NAME: Center Home Hispanic Elderly
FACILITY ADDRESS: 1401 North California
FACILITY CITY, STATE, ZIP: Chicago, IL 60622

DOCKET NUMBER: NH 23-C0805

LICENSEE INFO: Center Home Hispanic Elderly, LLC
LICENSEE ADDRESS: 191 N. Wacker Drive, Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 07/27/2023

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

FACILITY NAME: Center Home Hispanic Elderly
FACILITY ADDRESS: 1401 North California
FACILITY CITY, STATE, ZIP: Chicago, IL 60622

DOCKET NUMBER: NH 23-C0881

LICENSEE INFO: Center Home Hispanic Elderly, LLC
LICENSEE ADDRESS: 191 N. Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 09/12/2023

FACILITY NAME: Charter Sr Lvg Poplar Creek
FACILITY ADDRESS: 2150 West Golf Road
FACILITY CITY, STATE, ZIP: Hoffman Estates. IL 60194

DOCKET NUMBER: NH 23-S0756

LICENSEE INFO: S-H OPCO Hoffman Estates, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 07/19/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 330.710a) and 330.4220f). A fine of $12,500.00

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

DOCKET NUMBER: NH 23-C0778

LICENSEE INFO: Chicago Ridge SNF, LLC
LICENSEE ADDRESS: 3531 Howard St, Ste 1006
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 07/21/2023

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). The fine was doubled in this instance in accordance with 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)4), 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

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1210b), 300.1210c), and 300.1210d)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 AA violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.690a), 300.690b), 300.690c), 300.1010h), 300.1210b), 300.1210d)2)3), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.690, 300.1210b), and 300.3240a). A fine of $50,000.00

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.510e), 300.610a), and 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: 300.661. 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), 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

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

Total Fine: $113,200.00

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

DOCKET NUMBER: NH 23-S0922

LICENSEE INFO: Chicago Ridge SNF, LLC
LICENSEE ADDRESS: 3531 Howard St., Ste 1006
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 10/18/2023

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) 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: Citadel of Northbrook, The
FACILITY ADDRESS: 3300 Milwaukee Ave
FACILITY CITY, STATE, ZIP: Northbrook, IL 60062

DOCKET NUMBER: NH 23-C0808

LICENSEE INFO: Citadel of Northbrook, LLC
LICENSEE ADDRESS: 191 N. Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 08/21/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210c), 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: City View Multicare Center
FACILITY ADDRESS: 5825 West Cermak Road
FACILITY CITY, STATE, ZIP: Cicero, IL 60804

DOCKET NUMBER: NH 23-CS0745

LICENSEE INFO: City View Multicare Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 07/27/2023

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

Type C violation of an occurrence for violating one or more of the following sections of the Code300.610a), 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 $500.00

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

FACILITY NAME: City View Multicare Center
FACILITY ADDRESS: 5825 West Cermak Road
FACILITY CITY, STATE, ZIP: Cicero, IL 60804

DOCKET NUMBER: NH 23-C0766

LICENSEE INFO: City View Multicare Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 07/19/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), and 300.1210d)1)2)3)6). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.1210b) 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) and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.3240a). A fine of $25,000.00

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

Total Fine: $102,200.00

FACILITY NAME: City View Multicare Center
FACILITY ADDRESS: 5825 West Cermak Road
FACILITY CITY, STATE, ZIP: Cicero, IL 60804

DOCKET NUMBER: NH 23-S0928

LICENSEE INFO: City View Multicare Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 10/08/2023

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), 300.3240b) 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). A fine of $2,200.00

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

DOCKET NUMBER: NH 23-S0779

LICENSEE INFO: Southern Illinois Living Centers, Inc.
LICENSEE ADDRESS: 900 Community Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 08/11/2023

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 300.1220b)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: Collinsville Rehab & Health CC
FACILITY ADDRESS: 614 North Summit
FACILITY CITY, STATE, ZIP: Collinsville, IL 62234

DOCKET NUMBER: NH 23-C0798

LICENSEE INFO: Collinsville HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 08/16/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b) and 300.1210d)3). The fine was doubled in this instance in accordance with 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: Community Care Nursing Center
FACILITY ADDRESS: 4314 South Wabash Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60653

DOCKET NUMBER: NH 23-C0903

LICENSEE INFO: Laureate Chicago Operations, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 10/04/2023

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), 300.3120a) and 300.3120h)1)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 $25,000.00

FACILITY NAME: Concordia Village Care Center
FACILITY ADDRESS: 4101 West Iles Avenue
FACILITY CITY, STATE, ZIP: Springfield, IL 62711

DOCKET NUMBER: NH 23-S0952

LICENSEE INFO: Lutheran Senior Services
LICENSEE ADDRESS: 208 So. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 09/21/2023

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

FACILITY NAME: Coulterville Rehab & HCC
FACILITY ADDRESS: 13138 State Route 13
FACILITY CITY, STATE, ZIP: Coulterville, IL 62237

DOCKET NUMBER: NH 23-S0780

LICENSEE INFO: Coulterville Rehabilitation & Health Care Center, LLC
LICENSEE ADDRESS: 412 East Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 07/21/2023

FACILITY NAME: Country Health
FACILITY ADDRESS: 2304 C R 3000 N
FACILITY CITY, STATE, ZIP: Gifford, IL 61817

DOCKET NUMBER: NH 23-S0931

LICENSEE INFO: Country Health, Inc.
LICENSEE ADDRESS: 115 W. Jefferson St., Ste 401
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61701
Survey Date – 09/13/2023

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

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

Total Fine: $4,400.00

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

DOCKET NUMBER: NH 23-C0896

LICENSEE INFO: Petersen Health Properties, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 08/24/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code300.610a), 300.1210b), 3001210c), 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: Countryview Care Center-Macomb
FACILITY ADDRESS: 400 West Grant Street
FACILITY CITY, STATE, ZIP: Macomb, IL 61455

DOCKET NUMBER: NH 23-S1035

LICENSEE INFO: Petersen Health Properties, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 10/18/2023

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). The fine was doubled in this instance in accordance with 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: Covenant Living – Windsor Park
FACILITY ADDRESS: 110 Windsor Park Drive
FACILITY CITY, STATE, ZIP: Carol Stream, IL 60188

DOCKET NUMBER: NH 23-S0710

LICENSEE INFO: Covenant Living at Windsor Park
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 07/17/2023

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

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

DOCKET NUMBER: NH 23-C0711

LICENSEE INFO: Crescent Care Nursing & Rehabilitation of Elgin, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 07/24/2023

FACILITY NAME: Crestwood Terrace
FACILITY ADDRESS: 13301 South Central Avenue
FACILITY CITY, STATE, ZIP: Crestwood, IL 60445

DOCKET NUMBER: NH 23-C0764

LICENSEE INFO: Laureate Crestwood Operations, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 08/10/2023

FACILITY NAME: Crystal Pine Rehab & HCC
FACILITY ADDRESS: 335 North Illinois Street
FACILITY CITY, STATE, ZIP: Crystal Lake, IL 60014

DOCKET NUMBER: NH 23-S0746

LICENSEE INFO: Crystal Pines Rehabilitation and Health Care Center, LLC
LICENSEE ADDRESS: 412 E. Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 07/19/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.690a), 300.690b), 300.1010h), 300.1210a), 300.1210b)4)5), and 300.1210d)3)5)6). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.690, 300.1210b), and 300.1210d)5)6). A fine of $25,000.00

FACILITY NAME: Curtiss Court
FACILITY ADDRESS: 2883 South Taylor Avenue
FACILITY CITY, STATE, ZIP: Springfield, IL 62703

DOCKET NUMBER: NH 23-S0809

LICENSEE INFO: Community Living Options, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 08/16/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 350.620a), 350.810a) 350.810c)1)2)3), 350.1070, 350.1230b)6)7) and 350.3240a). The fine was doubled in this instance in accordance with 350.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 350.1230 and 350.3240a). A fine of $1,100.00

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

DOCKET NUMBER: NH 23-C0882

LICENSEE INFO: The County of DeKalb
LICENSEE ADDRESS: 200 North Main Street
LICENSEE CITY, STATE, ZIP: Sycamore, IL 60178
Survey Date – 09/13/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.696b), 300.696d)6), 300.696f)2)A), 300.696f)4) and 300.1210b). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.696 and 300.1210b). A fine of $25,000.00

FACILITY NAME: Dimensions Living Burr Ridge
FACILITY ADDRESS: 6801 Highgrove Boulevard
FACILITY CITY, STATE, ZIP: Burr Ridge, IL 60521

DOCKET NUMBER: NH 23-C0810

LICENSEE INFO: S-H OPCO Burr Ridge, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 08/29/2023

Type AA violation of an occurrence for violating one or more of the following sections of the Code: 330.780b) c) and 330.3240a). The fine was doubled in this instance in accordance with 330.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 330.780 and 330.3240a). A fine of $50,000.00

FACILITY NAME: Doctors Nursing & Rehab Center
FACILITY ADDRESS: 1201 Hawthorn Road
FACILITY CITY, STATE, ZIP: Salem, IL 62881

DOCKET NUMBER: NH 23-C0696

LICENSEE INFO: Helia Healthcare of Salem, LLC
LICENSEE ADDRESS: 600 S. Second Street, Suite 104
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 07/17/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), and 300.1210d)5). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)5). A fine of $25,000.00

FACILITY NAME: Doctors Nursing & Rehab Center
FACILITY ADDRESS: 1201 Hawthorn Road
FACILITY CITY, STATE, ZIP: Salem, IL 62881

DOCKET NUMBER: NH 23-C0826

LICENSEE INFO: Helia Healthcare of Salem, LLC
LICENSEE ADDRESS: 600 S. Second Street, Suite 104
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 08/25/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.3240a) b) c) d) g). The fine was doubled in this instance in accordance with 300.282i) 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) d). 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-C0961

LICENSEE INFO: Downers Grove SNF Operations, LLC
LICENSEE ADDRESS: 208 So LaSalle St., Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 10/05/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.4220f). No fine Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.4240a). The fine was doubled in this instance in accordance with 330.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 330.4240a). A fine of $2,200.00

FACILITY NAME: East Bank Center, LLC
FACILITY ADDRESS: 6131 Park Ridge Road
FACILITY CITY, STATE, ZIP: Loves Park, IL 61111

DOCKET NUMBER: NH 23-S0782

LICENSEE INFO: East Bank Center, LLC
LICENSEE ADDRESS: 107 South Third Street
LICENSEE CITY, STATE, ZIP: Bloomingdale, IL 60108
Survey Date – 08/03/2023

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

DOCKET NUMBER: NH 23-S0827

LICENSEE INFO: Eastview HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 08/22/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)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: Eastview Terrace
FACILITY ADDRESS: 100 Eastview Place
FACILITY CITY, STATE, ZIP: Sullivan, IL 61951

DOCKET NUMBER: NH 23-S1068

LICENSEE INFO: Eastview HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Dr
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 10/24/2023

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

FACILITY NAME: Edwardsville Nsg & Rehab Ctr
FACILITY ADDRESS: 401 St. Mary Drive
FACILITY CITY, STATE, ZIP: Edwardsville, IL 62025

DOCKET NUMBER: NH 23-C0868

LICENSEE INFO: Edwardsville Care Center, LLC
LICENSEE ADDRESS: 111 North Ottawa Street
LICENSEE CITY, STATE, ZIP: Joliet, IL 60432
Survey Date – 09/06/2023

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: Elevate Care Abington
FACILITY ADDRESS: 3901 Glenview Road
FACILITY CITY, STATE, ZIP: Glenview, IL 60025

DOCKET NUMBER: NH 23-C0987

LICENSEE INFO: Elevate Care Abington, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 10/04/2023

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-CS0838

LICENSEE INFO: Elevate Care Country Club Hills, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 08/15/2023

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-C0977

LICENSEE INFO: Elevate Care Country Club Hills, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 10/10/2023

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

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

DOCKET NUMBER: NH 23-CS0683

LICENSEE INFO: Elevate Care Niles, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 07/21/2023

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

Total Fine: $27,200.00

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

DOCKET NUMBER: NH 23-CS1003

LICENSEE INFO: Elevate Care Niles
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 10/19/2023

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

Total Fine: $27,200.00

FACILITY NAME: Elevate Care North Branch
FACILITY ADDRESS: 6840 West Touhy
FACILITY CITY, STATE, ZIP: Niles, IL 60714

DOCKET NUMBER: NH 23-CS0883

LICENSEE INFO: Elevate Care North Branch, LLC
LICENSEE ADDRESS: 4655 W. Chase Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 09/06/2023

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

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

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.650c). No Fine

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210d)1)2)3). No Fine

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.2940g)1)2) No Fine

Total Fine: $104,400.00

FACILITY NAME: Elevate Care North Branch
FACILITY ADDRESS: 6840 West Touhy
FACILITY CITY, STATE, ZIP: Niles, IL 60714

DOCKET NUMBER: NH 23-S0925

LICENSEE INFO: Elevate Care North Branch, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 09/27/2023

FACILITY NAME: Elevate Care Riverwoods
FACILITY ADDRESS: 3705 Deerfield Road
FACILITY CITY, STATE, ZIP: Riverwoods, IL 60015

DOCKET NUMBER: NH 23-S0839

LICENSEE INFO: Elevate Care Riverwoods, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 09/05/2023

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

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)1), 300.1210d)2) and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.3240a). A fine of $25,000.00

Total Fine: $29,400.00

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

DOCKET NUMBER: NH 23-CS0884

LICENSEE INFO: Elevate Care South Holland, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 09/05/2023

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

Total Fine: $50,000.00

FACILITY NAME: Estates of Hyde Park, The
FACILITY ADDRESS: 4505 S. Drexel Blvd
FACILITY CITY, STATE, ZIP: Chicago, IL 60653

DOCKET NUMBER: NH 23-C0783

LICENSEE INFO: The Estates of Hyde Park, LLC
LICENSEE ADDRESS: 2201 Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 08/17/2023

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

DOCKET NUMBER: NH 23-S0852

LICENSEE INFO: Evenglow Lodge
LICENSEE ADDRESS: 109 North Mill Street
LICENSEE CITY, STATE, ZIP: Pontiac, IL 61764
Survey Date – 09/06/2023

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

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

DOCKET NUMBER: NH 23-S0840

LICENSEE INFO: Fargo Health Care Center, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 08/10/2023

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

DOCKET NUMBER: NH 23-S0828

LICENSEE INFO: Fairhaven Christian Retirement Center
LICENSEE ADDRESS: 3470 North Alpine Road
LICENSEE CITY, STATE, ZIP: Rockford, IL 61114
Survey Date – 08/29/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code300.610a), 300.1210b), and 300.1210d)3). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $2,200.00

Type A violation of an occurrence for violating one or more of the following sections of the Code300.610a), 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

Total Fine: $27,200.00

FACILITY NAME: Flanagan Rehabilitation & HCC
FACILITY ADDRESS: 201 East Falcon Highway
FACILITY CITY, STATE, ZIP: Flanagan, IL 61740

DOCKET NUMBER: NH 23-S0784

LICENSEE INFO: Flanagan HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 07/19/2023

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)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: Flanagan Rehabilitation & HCC
FACILITY ADDRESS: 201 East Falcon Highway
FACILITY CITY, STATE, ZIP: Flanagan, IL 61740

DOCKET NUMBER: NH 23-C0929

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

FACILITY NAME: Flora Gardens Care Center
FACILITY ADDRESS: 701 Shadwell Avenue
FACILITY CITY, STATE, ZIP: Flora, IL 62839

DOCKET NUMBER: NH 23-C0976

LICENSEE INFO: Petersen Health Network, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Dr
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 10/11/2023

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

DOCKET NUMBER: NH 23-S0806

LICENSEE INFO: Forest City Rehab and Nursing Center, LLC
LICENSEE ADDRESS: 4711 Golf Rd, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 08/22/2023

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

FACILITY NAME: Forest View Rehab & Nrsg Ctr
FACILITY ADDRESS: 535 South Elm
FACILITY CITY, STATE, ZIP: Itasca, IL 60143

DOCKET NUMBER: NH 23-C0807

LICENSEE INFO: Forest View Rehabilitation and Nursing Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 08/14/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210c), 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: Foster Health & Rehab Center
FACILITY ADDRESS: 2840 West Foster Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60625

DOCKET NUMBER: NH 23-C0820

LICENSEE INFO: Foster Health & Rehabilitation Center, LLC
LICENSEE ADDRESS: 2835 W. North Shore Avenue
LICENSEE CITY, STATE, ZIP: Chicago, IL 60645
Survey Date – 08/16/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610 a), 300.1210 b), 300.1210 d)1), 300.1210 d)2), 300.1210 d)5), 300.1220 a)2), 300.1230 e) and 300.3240 a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b), 300.1230 and 300.3240 a). A fine of $2,200.00

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

DOCKET NUMBER: NH 23-C0895

LICENSEE INFO: Freeburg Care Center, Inc.
LICENSEE ADDRESS: 4 Industrial Drive, P.O. Box 97
LICENSEE CITY, STATE, ZIP: Freeburg, IL 62243
Survey Date – 09/01/2023

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

DOCKET NUMBER: NH 23-S0969

LICENSEE INFO: Freeburg Care Center, Inc.
LICENSEE ADDRESS: 4 Industrial Dr., P.O. Box 97
LICENSEE CITY, STATE, ZIP: Freeburg, IL 62243
Survey Date – 09/22/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210c), 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), 300.1210d)6). 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-C0894

LICENSEE INFO: Generations at Oakton Pavillion, LLC
LICENSEE ADDRESS: 6840 N. Lincoln Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 09/12/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 30.610a), 300.1210a), 300.1210b)5) 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). A fine of $25,000.00

FACILITY NAME: Gilman Healthcare Center
FACILITY ADDRESS: 1390 South Crescent Street, Box 307
FACILITY CITY, STATE, ZIP: Gilman, IL 60938

DOCKET NUMBER: NH 23-S0712

LICENSEE INFO: Gilman Healthcare Center, LLC
LICENSEE ADDRESS: 4711 Golf Rd, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 07/14/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.610c)4) B) F), 300.1210a), 300.1210b), and 300.1210d)6). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6). A fine of $2,200.00

FACILITY NAME: Gilman Healthcare Center
FACILITY ADDRESS: 1390 South Crescent Street, Box 307
FACILITY CITY, STATE, ZIP: Gilman, IL 60938

DOCKET NUMBER: NH 23-C0893

LICENSEE INFO: Gilman Healthcare Center, LLC
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 09/01/2023

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

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

DOCKET NUMBER: NH 23-S1028

LICENSEE INFO: Gilman Healthcare Center, LLC
LICENSEE ADDRESS: 4711 Golf Rd., Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 10/16/2023

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

Total Fine: $4,400.00

FACILITY NAME: Goldwater Care Bloomington
FACILITY ADDRESS: 700 East Walnut
FACILITY CITY, STATE, ZIP: Bloomington, IL 61701

DOCKET NUMBER: NH 23-C0939

LICENSEE INFO: Goldwater Care Bloomington, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 09/23/2023

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

FACILITY NAME: Goldwater Care Bloomington
FACILITY ADDRESS: 700 East Walnut
FACILITY CITY, STATE, ZIP: Bloomington, IL 61701

DOCKET NUMBER: NH 23-S1014

LICENSEE INFO: Goldwater Care Bloomington, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 10/16/2023

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)2) and 300.1210d)5). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)5). A fine of $500.00

Type C 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 $500.00

Total Fine: $1,000.00

FACILITY NAME: Goldwater Care Danville
FACILITY ADDRESS: 620 Warrington Avenue
FACILITY CITY, STATE, ZIP: Danville, IL 61832

DOCKET NUMBER: NH 23-S0781

LICENSEE INFO: Goldwater Care Danville, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 08/17/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1210b)5) and 300.1210d)3)6). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6). A fine of $25,000.00

FACILITY NAME: Goldwater Care Gibson City
FACILITY ADDRESS: 620 East First Street
FACILITY CITY, STATE, ZIP: Gibson City, IL 60936

DOCKET NUMBER: NH 23-S0848

LICENSEE INFO: Goldwater Care Gibson City, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 08/16/2023

FACILITY NAME: Goldwater Care Gibson City
FACILITY ADDRESS: 620 East 1st Street
FACILITY CITY, STATE, ZIP: Gibson City, IL 60936

DOCKET NUMBER: NH 23-S1002

LICENSEE INFO: Goldwater Care Gibson City, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 10/06/2023

FACILITY NAME: Goldwater Care Gibson City
FACILITY ADDRESS: 620 East 1st Street
FACILITY CITY, STATE, ZIP: Gibson City, IL 60936

DOCKET NUMBER: NH 23-C1057

LICENSEE INFO: Goldwater Care Gibson City, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 10/18/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d). The fine was doubled in this instance in accordance with 300.282i) 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: Good Samaritan Home
FACILITY ADDRESS: 2130 Harrison Street
FACILITY CITY, STATE, ZIP: Quincy, IL 62301

DOCKET NUMBER: NH 23-S0785

LICENSEE INFO: The Good Samaritan Home of Quincy
LICENSEE ADDRESS: 2130 Harrison Street
LICENSEE CITY, STATE, ZIP: Quincy, IL 62301
Survey Date – 08/19/2023

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

DOCKET NUMBER: NH 23-S0860

LICENSEE INFO: The Greek American Rehabilitation and Care Centre, Inc.
LICENSEE ADDRESS: 220 North First Street
LICENSEE CITY, STATE, ZIP: Wheeling, IL 60090
Survey Date – 08/25/2023

FACILITY NAME: Greenfields of Geneva
FACILITY ADDRESS: 0N801 Friendship Way
FACILITY CITY, STATE, ZIP: Geneva, IL 60134

DOCKET NUMBER: NH 23-C0735

LICENSEE INFO: Friendship Village of Mill Creek, NFP
LICENSEE ADDRESS: 10 S. LaSalle St., Ste 2660
LICENSEE CITY, STATE, ZIP: Chicago, IL 60603
Survey Date – 07/25/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.1210a), 300.1210b)4)5), and 300.1210d)6). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6). A fine of $25,000.00

FACILITY NAME: Greenville Nursing & Rehab
FACILITY ADDRESS: 400 East Hillview Avenue
FACILITY CITY, STATE, ZIP: Greenville, IL 62246

DOCKET NUMBER: NH 23-S0886

LICENSEE INFO: Greenville Nursing & Rehabilitation Center, LLC
LICENSEE ADDRESS: 215 E. Locust St
LICENSEE CITY, STATE, ZIP: Harrisburg, IL 62946
Survey Date – 09/11/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 30.610a), 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: Grove at the Lake, The
FACILITY ADDRESS: 2534 Elim Avenue
FACILITY CITY, STATE, ZIP: Zion, IL 60099

DOCKET NUMBER: NH 23-S0935

LICENSEE INFO: Grove at the Lake Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 09/27/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a) and 300.1210d)5). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210d)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: 300.340c)3)C)iii). No fine

Total Fine: $2,200.00

FACILITY NAME: Grove Health & Rehab Ctr, The
FACILITY ADDRESS: 873 Grove Street
FACILITY CITY, STATE, ZIP: Jacksonville, IL 62650

DOCKET NUMBER: NH 23-S0831

LICENSEE INFO: The Grove Health and Rehab Center, LLC
LICENSEE ADDRESS: 600 South Second Street, Ste 404
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 08/15/2023

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

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

DOCKET NUMBER: NH 23-C0680

LICENSEE INFO: Aurora PAC, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 09/14/2023

FACILITY NAME: Grove of LaGrange Park, The
FACILITY ADDRESS: 701 North LaGrange Road
FACILITY CITY, STATE, ZIP: LaGrange Park, IL 60526

DOCKET NUMBER: NH 23-S0887

LICENSEE INFO: LaGrange Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 09/20/2023

FACILITY NAME: Hallmark Healthcare of Pekin
FACILITY ADDRESS: 2501 Allentown Road
FACILITY CITY, STATE, ZIP: Pekin, IL 61554

DOCKET NUMBER: NH 23-S0861

LICENSEE INFO: Hallmark Healthcare of Pekin, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 08/24/2023

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

DOCKET NUMBER: NH 23-CS0908

LICENSEE INFO: Harbor House of Wheeling IV, LLC
LICENSEE ADDRESS: 191 N. Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 09/12/2023

Type C violation of an occurrence for violating one or more of the following sections of the Code: 330.3620g) No fine.

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

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.780a). 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

Total Fine: $14,700.00

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

DOCKET NUMBER: NH 23-C1058

LICENSEE INFO: Havana HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 10/21/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)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: Healthbridge of Arlington Hts
FACILITY ADDRESS: 1200 N. Arlington Heights Road
FACILITY CITY, STATE, ZIP: Arlington Heights, IL 60004

DOCKET NUMBER: NH 23-S0729

LICENSEE INFO: Healthbridge of Arlington Heights, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 07/19/2023

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

DOCKET NUMBER: NH 23-S0902

LICENSEE INFO: Heartland Senior Living, LLC
LICENSEE ADDRESS: 1275 Milwaukee Ave., Ste 300
LICENSEE CITY, STATE, ZIP: Glenview, IL 60025
Survey Date – 08/25/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code300.610a), 300.1210b), 300.1210d)6), and 300.1220b)3). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6). A fine of $2,200.00

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

DOCKET NUMBER: NH 23-C0734

LICENSEE INFO: Helia Healthcare of Belleville, LLC
LICENSEE ADDRESS: 600 S. Second Street, Suite 104
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 07/24/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010a)1)2), 300.1010b), 300.1010c), 300.1010e), and 300.1010h). A fine of $12,500.00

FACILITY NAME: Helia Southbelt Healthcare
FACILITY ADDRESS: 101 South Belt West
FACILITY CITY, STATE, ZIP: Belleville, IL 62220

DOCKET NUMBER: NH 23-S0713

LICENSEE INFO: Helia Southbelt Healthcare, LLC
LICENSEE ADDRESS: 118 W. Edwards St., Ste 200
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 07/14/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b)1). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $2,200.00

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210a), 300.1210b), 300.1210c), and 300.1210d)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: Highview in the Woodlands
FACILITY ADDRESS: 1000 Falcon Point Place
FACILITY CITY, STATE, ZIP: Rockton, IL 61072

DOCKET NUMBER: NH 23-S0873

LICENSEE INFO: Highview Retirement Home Association
LICENSEE ADDRESS: 800 N. Church Street
LICENSEE CITY, STATE, ZIP: Rockford, IL 61103
Survey Date – 09/06/2023

Type C violation of an occurrence for violating one or more of the following sections of the Code: 330. 770a) and 330.770c). No fine

Type C violation of an occurrence for violating one or more of the following sections of the Code: 330.792a) and 330.792b). No fine

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

FACILITY NAME: Highview Terrace
FACILITY ADDRESS: 409 North High Street
FACILITY CITY, STATE, ZIP: Paris, IL 61944

DOCKET NUMBER: NH 23-C0829

LICENSEE INFO: Community Living Options, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 08/14/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 350.620a), 350.1230b)7) and 350.3240a). The fine was doubled in this instance in accordance with 350.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 350.1230 and 350,3240a). A fine of $1,100.00

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

DOCKET NUMBER: NH 23-S0786

LICENSEE INFO: Hillsboro Rehabilitation and Health Care Center, LLC
LICENSEE ADDRESS: 412 E. Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 08/21/2023

Total Fine: $4,400.00

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

DOCKET NUMBER: NH 23-C0799

LICENSEE INFO: Hillsboro Rehabilitation and Health Care Center, LLC
LICENSEE ADDRESS: 412 E. Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 08/08/2023

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

DOCKET NUMBER: NH 23-C0851

LICENSEE INFO: Hillsboro Rehabilitation and Health Care Center, LLC
LICENSEE ADDRESS: 412 E. Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 09/01/2023

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

FACILITY NAME: Hilltop Skilled Nsg & Rehab
FACILITY ADDRESS: 910 West Polk Street
FACILITY CITY, STATE, ZIP: Charleston, IL 61920

DOCKET NUMBER: NH 23-S0855

LICENSEE INFO: Hilltop Care and Rehabilitation Center, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 08/28/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code300.610a), 300.1210b), 300.1210d)6), and 300.1220b)8). The fine was doubled in this instance in accordance with 300.282i) 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: Ignite Medical Hanover Park
FACILITY ADDRESS: 2000 West Lake Street
FACILITY CITY, STATE, ZIP: Hanover Park, IL 60133

DOCKET NUMBER: NH 23-S0874

LICENSEE INFO: Ignite Medical Hanover Park, LLC
LICENSEE ADDRESS: 208 So. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 09/14/2023

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.696b) and 300.696d)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 $500.00

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.1210a) and 300.1210d)2). No fine

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210d)1)3) and 300.1610a)1). No fine

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.1630a)1)3). No fine

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.1640a). No fine

Type AW violation of an occurrence for violating one or more of the following sections of the Code:300.2100. No fine

Total Fine: $500.00

FACILITY NAME: Ignite Medical McHenry
FACILITY ADDRESS: 550 Ridgeview Drive
FACILITY CITY, STATE, ZIP: McHenry, IL 60050

DOCKET NUMBER: NH 23-S0841

LICENSEE INFO: TCO JV, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 08/14/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210c), 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: IL Veterans’ Home at LaSalle
FACILITY ADDRESS: 1015 O’Connor Avenue
FACILITY CITY, STATE, ZIP: LaSalle, IL 61301

DOCKET NUMBER: NH 23-S0954

LICENSEE INFO: Illinois Department of Veterans’ Affairs
LICENSEE ADDRESS: 833 South Spring Street, Box 19432
LICENSEE CITY, STATE, ZIP: Springfield, IL 62794
Survey Date – 09/13/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 340.1300a) and 340.1505g). The fine was doubled in this instance in accordance with 340.1245i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 340.1505g). A fine of $25,000.00

FACILITY NAME: Imboden Creek Senior Living
FACILITY ADDRESS: 180 West Imboden Drive
FACILITY CITY, STATE, ZIP: Decatur, IL 62521

DOCKET NUMBER: NH 23-S0821

LICENSEE INFO: Imboden Creek Senior Living & Rehabilitation, LLC
LICENSEE ADDRESS: 215 E. Locust St.
LICENSEE CITY, STATE, ZIP: Harrisburg, IL 62946
Survey Date – 08/23/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a) and300.1210b)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: Lakefront Nursing & Rehab Ctr
FACILITY ADDRESS: 7618 North Sheridan Road
FACILITY CITY, STATE, ZIP: Chicago, IL 60626

DOCKET NUMBER: NH 23-CS0919

LICENSEE INFO: Lakefront Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 09/22/2023

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

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

DOCKET NUMBER: NH 23-CS0788

LICENSEE INFO: Lakeview Rehabilitation and Nursing Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 07/28/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210c), 300.1210d)6) and 3001220b)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: Lewis Memorial Christian Vlg
FACILITY ADDRESS: 3400 West Washington
FACILITY CITY, STATE, ZIP: Springfield, IL 62711

DOCKET NUMBER: NH 23-C1050

LICENSEE INFO: Lewis Memorial Christian Village
LICENSEE ADDRESS: 208 S. LaSalle St. Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 10/24/2023

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), 300.1210d)4)A) and 300.1210d)5). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)5). A fine of $2,200.00

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

DOCKET NUMBER: NH 23-S0982

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 – 10/20/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), 300.1210d)6), 300.1220b)2), 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) and 300.2900d)2). A fine of $25,000.00

FACILITY NAME: Litchfield Health & Rehab Ctr
FACILITY ADDRESS: 628 South Illinois Street
FACILITY CITY, STATE, ZIP: Litchfield, IL 62056

DOCKET NUMBER: NH 23-C0697

LICENSEE INFO: Litchfield Health and Rehab Center, LLC
LICENSEE ADDRESS: 600 South Second St, Ste 404
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 07/18/2023

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), and 300.1210d)6). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6). A fine of $25,000.00

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

DOCKET NUMBER: NH 23-S0814

LICENSEE INFO: Loft Rehabilitation & Nursing, LLC
LICENSEE ADDRESS: 208 So. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 07/28/2023

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

DOCKET NUMBER: NH 23-S0956

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 – 09/27/2023

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

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

Total Fine: $52,200.00

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-S0981

LICENSEE INFO: Lutheran Home for the Aged, Inc.
LICENSEE ADDRESS: 800 W. Oakton St
LICENSEE CITY, STATE, ZIP: Arlington Heights, IL 60004
Survey Date – 10/10/2023

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

DOCKET NUMBER: NH 23-S0918

LICENSEE INFO: Community Care Center of Mascoutah, Inc.
LICENSEE ADDRESS: 858 Sunnyhill Lane
LICENSEE CITY, STATE, ZIP: Columbia, IL 62236
Survey Date – 10/03/2023

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

DOCKET NUMBER: NH 23-S0822

LICENSEE INFO: Mayfield Care and Rehabilitation Center, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 08/22/2023

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: Montgomery Place
FACILITY ADDRESS: 5550 South Shore Drive
FACILITY CITY, STATE, ZIP: Chicago, IL 60637

DOCKET NUMBER: NH 23-S0920

LICENSEE INFO: Montgomery Place
LICENSEE ADDRESS: 5550 South Shore Drive
LICENSEE CITY, STATE, ZIP: Chicago, IL 60637
Survey Date – 09/21/2023

FACILITY NAME: Morgan Park Healthcare
FACILITY ADDRESS: 10935 South Halsted Street
FACILITY CITY, STATE, ZIP: Chicago, IL 60628

DOCKET NUMBER: NH 23-S0944

LICENSEE INFO: Morgan Park Healthcare, LLC
LICENSEE ADDRESS: 3531 Howard St., Ste 1006
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 09/08/2023

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: Morgan Park Healthcare
FACILITY ADDRESS: 10935 South Halsted Street
FACILITY CITY, STATE, ZIP: Chicago, IL 60628

DOCKET NUMBER: NH 23-CS1023

LICENSEE INFO: Morgan Park Healthcare, LLC
LICENSEE ADDRESS: 3531 Howard St., Ste 1006
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 09/13/2023

Type AW violation of an occurrence for violating one or more of the following sections of the 300.1810l). No fine

Type B violation of an occurrence for violating one or more of the following sections of the Code:300.2210a) and 300.2210b)1)2)3)4)5)6)7)8)9)10). A fine of $1,100.00

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.2230a)1)2)A)B). No fine

Total Fine: $1,600.00

FACILITY NAME: Mt. Sterling Hlth and Rehab Ctr
FACILITY ADDRESS: 435 Camden Road
FACILITY CITY, STATE, ZIP: Mt. Sterling, IL 62353

DOCKET NUMBER: NH 23-S0995

LICENSEE INFO: Mount Sterling Health and Rehab Center, LLC
LICENSEE ADDRESS: 600 South Second Street, Ste 404
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 09/27/2023

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.696a). The fine was doubled in this instance in accordance 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 $500.00

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

DOCKET NUMBER: NH 23-C0924

LICENSEE INFO: Mulberry Manor, Inc.
LICENSEE ADDRESS: 158 E. Vienna St., P.O. Box 88
LICENSEE CITY, STATE, ZIP: Anna, IL 62906
Survey Date – 09/15/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: . 350.620a), 350.3240b), 350.3240c), 350.3240d) and 350.3240f). The fine was doubled in this instance in accordance with 350.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 350.3240d). A fine of $20,000.00

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-S0843

LICENSEE INFO: Petersen Health & Wellness, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 08/09/2023

FACILITY NAME: Nokomis Rehab & Health Care C
FACILITY ADDRESS: 505 Stevens Street
FACILITY CITY, STATE, ZIP: Nokomis, IL 62075

DOCKET NUMBER: NH 23-S0996

LICENSEE INFO: Petersen Health Network, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Dr
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 10/12/2023

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

FACILITY NAME: North Aurora Care Center
FACILITY ADDRESS: 310 Banbury Road
FACILITY CITY, STATE, ZIP: North Aurora, IL 60542

DOCKET NUMBER: NH 23-S0923

LICENSEE INFO: North Aurora HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Dr
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 10/04/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.615f). 300.625c)1)2) and 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: 300.615f) and 300.625c). A fine of $2,200.00

Type B violation of an occurrence for violating one or more of the following sections of the Code:300.610a), 300.1210b), 300.1210d)2) and 300.1210d)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: Norwood Crossing
FACILITY ADDRESS: 6016 North Nina Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60631

DOCKET NUMBER: NH 23-S0755

LICENSEE INFO: Norwood Crossing Association
LICENSEE ADDRESS: 6016 North Nina Avenue
LICENSEE CITY, STATE, ZIP: Chicago, IL 60631
Survey Date – 08/02/2023

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

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

DOCKET NUMBER: NH 23-C0921

LICENSEE INFO: Oak Lawn Respiratory and Rehabilitation Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 09/29/2023

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). The fine was doubled in this instance in accordance with 300.282i) 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: Oak Lawn Respiratory & Rehab
FACILITY ADDRESS: 9525 South Mayfield
FACILITY CITY, STATE, ZIP: Oak Lawn, IL 60453

DOCKET NUMBER: NH 23-CS0927

LICENSEE INFO: Oak Lawn Respiratory and Rehabilitation Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 09/22/2023

FACILITY NAME: Odin Health and Rehab Center
FACILITY ADDRESS: 300 Green Street
FACILITY CITY, STATE, ZIP: Odin, IL 62870

DOCKET NUMBER: NH 23-S0975

LICENSEE INFO: Odin Health and Rehab Center, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 09/26/2023

FACILITY NAME: Oregon Living & Rehab Center
FACILITY ADDRESS: 811 South 10th Street
FACILITY CITY, STATE, ZIP: Oregon, IL 61061

DOCKET NUMBER: NH 23-S0862

LICENSEE INFO: Oregon Living & Rehabilitation Center, LLC
LICENSEE ADDRESS: 7434 Skokie Blvd
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 08/17/2023

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

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

DOCKET NUMBER: NH 23-S0747

LICENSEE INFO: Petersen Management Company, LLC
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 07/18/2023

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

DOCKET NUMBER: NH 23-C0800

LICENSEE INFO: Petersen Management Company, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614

Survey Date – 08/15/2023

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

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

DOCKET NUMBER: NH 23-S0869

LICENSEE INFO: Petersen Management Company, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 08/31/2023

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: Park View Rehab Center
FACILITY ADDRESS: 5888 North Ridge
FACILITY CITY, STATE, ZIP: Chicago, IL 60660

DOCKET NUMBER: NH 23-S0966

LICENSEE INFO: Park View Rehab Center, LLC
LICENSEE ADDRESS: 191 N. Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 10/12/2023

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

FACILITY NAME: Parkview Home-Freeport
FACILITY ADDRESS: 1234 South Park Boulevard
FACILITY CITY, STATE, ZIP: Freeport, IL 61032

DOCKET NUMBER: NH 23-S0930

LICENSEE INFO: Parkview Home of Freeport, Illinois, Inc.
LICENSEE ADDRESS: 1234 South Park Boulevard
LICENSEE CITY, STATE, ZIP: Freeport, IL 61032
Survey Date – 09/06/2023

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.615f). This fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.615f). A fine of $500.00

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.696d)1)2). This fine was doubled in this instance in accordance 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 $500.00

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.1060c) and 300.1060d). No fine

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b)2), 300.1210c) and 300.1210d)6). This fine was doubled in this instance in accordance with 300.282i) 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 C violation of an occurrence for violating one or more of the following sections of the Code: 300.1610a)1). No fine

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.2100. No fine

Type C violation of an occurrence for violating one or more of the following sections of the Code: 330. 715b). 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: 330.715b). A fine of $500.00

Type C violation of an occurrence for violating one or more of the following sections of the Code: 330.1160c) and 330.1160d). No fine

Type C violation of an occurrence for violating one or more of the following sections of the Code: 330.2000. No fine

Total Fine: $3,700.00

FACILITY ADDRESS: 2242 North Kedzie
FACILITY CITY, STATE, ZIP: Chicago, IL 60647

DOCKET NUMBER: NH 23-CS0715

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 – 06/27/2023

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), 300.1210b), 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

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

Total Fine: $4,400.00

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

DOCKET NUMBER: NH 23-S0945

LICENSEE INFO: The Pavilion on Main Street, LLC
LICENSEE ADDRESS: 192 N. Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 09/28/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210c), 300.1210d)1) 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: Pearl of Hillside, The
FACILITY ADDRESS: 4600 N. Frontage Rd
FACILITY CITY, STATE, ZIP: Hillside, IL 60162

DOCKET NUMBER: NH 23-C0730

LICENSEE INFO: Pearl of Hillside, LLC
LICENSEE ADDRESS: 4711 Golf Rd, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 07/20/2023

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). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6). A fine of $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), 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: $27,200.00

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

DOCKET NUMBER: NH 23-C0942

LICENSEE INFO: Pearl of Orchard Valley, LLC
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 09/29/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1210b)3)4), 300.1210c), and 300.1210d)2)3)4)A)B)C)D)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: Peterson Park Health Care Ctr
FACILITY ADDRESS: 6141 North Pulaski Road
FACILITY CITY, STATE, ZIP: Chicago, IL 60646

DOCKET NUMBER: NH 23-C0909

LICENSEE INFO: Peterson Park Associates, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 09/22/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210d)6) and 300.2210b)2). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210d)6). A fine of $2,200.00

FACILITY NAME: Piper City Rehab & Living Ctr
FACILITY ADDRESS: 600 South Maple St., P.O. Box 68
FACILITY CITY, STATE, ZIP: Piper City, IL 60959

DOCKET NUMBER: NH 23-C0731

LICENSEE INFO: Piper HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 07/28/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210c) and 300.1210d)3)6) and 3001220b)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: Pleasant Meadows Senior Living
FACILITY ADDRESS: 400 West Washington
FACILITY CITY, STATE, ZIP: Chrisman, IL 61924

DOCKET NUMBER: NH 23-C0938

LICENSEE INFO: Pleasant Meadows Senior Living, LLC
LICENSEE ADDRESS: 5750 Old Orchard Rd, Ste 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 09/28/2023

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

Total Fine: $4,400.00

FACILITY NAME: Prairie Crossing Lvg & Rehab
FACILITY ADDRESS: 409 West Comanche Avenue
FACILITY CITY, STATE, ZIP: Shabbona, IL 60550

DOCKET NUMBER: NH 23-S0910

LICENSEE INFO: Prairie Crossing Living & Rehabilitation Center, LLC
LICENSEE ADDRESS: 7434 Skokie Blvd
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 09/15/2023

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

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)2)3 and 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

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

Total Fine: $29,400.00

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

DOCKET NUMBER: NH 23-S0801

LICENSEE INFO: Prairie Manor Nursing & Rehabilitation Center, LLC
LICENSEE ADDRESS: 2201 West Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 08/22/2023

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

DOCKET NUMBER: NH 23-C0789

LICENSEE INFO: Prairie Oasis, LLC
LICENSEE ADDRESS: 4711 Golf Rd, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 07/28/2023

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

DOCKET NUMBER: NH 23-S0761

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 – 09/11/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 30.610a), 300.1210b), 300.1210d)6) and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b), 300.1210d)6) and 300.3240a). A fine of $25,000.00

FACILITY NAME: Quincy Healthcare & Sr Living
FACILITY ADDRESS: 1440 North 10th Street
FACILITY CITY, STATE, ZIP: Quincy, IL 62301

DOCKET NUMBER: NH 23-C0754

LICENSEE INFO: Quincy Healthcare & Senior Living, LLC
LICENSEE ADDRESS: 4711 Golf Rd, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 07/25/2023

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

DOCKET NUMBER: NH 23-S1008

LICENSEE INFO: Robings HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 10/16/2023

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)5), 300.1210c) and 300.1210d)4)A)C)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), 300.1210a), 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

Total Fine: $4,400.00

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

DOCKET NUMBER: NH 23-S0748

LICENSEE INFO: Petersen Health Network, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 07/20/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210a), 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: Rochelle Gardens Care Center
FACILITY ADDRESS: 1021 Caron Road
FACILITY CITY, STATE, ZIP: Rochelle, IL 61068

DOCKET NUMBER: NH 23-C0875

LICENSEE INFO: Petersen Health Network, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 09/07/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)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: Rock Falls Rehab & Hlth Care C
FACILITY ADDRESS: 430 Martin Road
FACILITY CITY, STATE, ZIP: Rock Falls, IL 61071

DOCKET NUMBER: NH 23-C0700

LICENSEE INFO: Petersen Health & Wellness, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 07/26/2023

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

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

DOCKET NUMBER: NH 23-S0949

LICENSEE INFO: Rock River Health Care, LLC
LICENSEE ADDRESS: 4711 Golf Rd., Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 09/13/2023

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), 300.1210d)3) and 300.1630d). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $25,000.00

FACILITY NAME: Roseville Rehab & Health Care
FACILITY ADDRESS: 145 S. Chamberlain St., Box 770
FACILITY CITY, STATE, ZIP: Roseville, IL 61473

DOCKET NUMBER: NH 23-C0812

LICENSEE INFO: Petersen Health Care Roseville, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 07/27/2023

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)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: Royal Oaks Care Center
FACILITY ADDRESS: 605 East Church Street
FACILITY CITY, STATE, ZIP: Kewanee, IL 61443

DOCKET NUMBER: NH 23-C0867

LICENSEE INFO: Royal HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 09/13/2023

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

FACILITY NAME: Ryze on the Avenue
FACILITY ADDRESS: 3400 South Indiana Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60616

DOCKET NUMBER: NH 23-S0999

LICENSEE INFO: Ryze on the Avenue, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 10/15/2023

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

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

DOCKET NUMBER: NH 23-CS0802

LICENSEE INFO: Ryze West, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 08/18/2023

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

DOCKET NUMBER: NH 23-S0790

LICENSEE INFO: Salem Village Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 111 N. Ottawa Street
LICENSEE CITY, STATE, ZIP: Joliet, IL 60432
Survey Date – 08/18/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), 300.1210c), and 300.2050. The fine was doubled in this instance in accordance with 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-C1053

LICENSEE INFO: Petersen Health Business, LLC
LICENSEE ADDRESS: 830 W. Tarilcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 10/06/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1210b) 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: Selfhelp Home of Chicago
FACILITY ADDRESS: 908 West Argyle Street
FACILITY CITY, STATE, ZIP: Chicago, IL 60640

DOCKET NUMBER: NH 23-C0870

LICENSEE INFO: Selfhelp Home, Inc/
LICENSEE ADDRESS: 10 South Wacker Drive, 40th FL
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 09/06/2023

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

DOCKET NUMBER: NH 23-S0863

LICENSEE INFO: Sharon Health Care Pines, Inc.
LICENSEE ADDRESS: 465 Central Avenue, Suite 100
LICENSEE CITY, STATE, ZIP: Northfield, IL 60093
Survey Date – 08/15/2023

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

DOCKET NUMBER: NH 23-S0962

LICENSEE INFO: Sharon Health Care Pines, Inc.
LICENSEE ADDRESS: 465 Central Avenue, Suite 100
LICENSEE CITY, STATE, ZIP: Northfield, IL 60093
Survey Date – 09/15/2023

FACILITY NAME: Sheltered Village
FACILITY ADDRESS: 600 Borden Street
FACILITY CITY, STATE, ZIP: Woodstock, IL 60098

DOCKET NUMBER: NH 23-C1000

LICENSEE INFO: Dorr-Wood, Ltd
LICENSEE ADDRESS: 600 Borden St
LICENSEE CITY, STATE, ZIP: Woodstock, IL 60098
Survey Date – 10/06/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 350.620a), 350.1210b) and 350.1060h). The fine was doubled in this instance in accordance with 350.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 350.1210. A fine of $1,500.00

FACILITY NAME: Smith Crossing
FACILITY ADDRESS: 10501 Emilie Lane
FACILITY CITY, STATE, ZIP: Orland Park, IL 60467

DOCKET NUMBER: NH 23-C0813

LICENSEE INFO: Washington and Jane Smith Community-Orland Park
LICENSEE ADDRESS: 208 So. LaSalle Street., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 08/10/2023

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 300.3240a). 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: South Shore Rehabilitation
FACILITY ADDRESS: 2425 East 71st Street
FACILITY CITY, STATE, ZIP: Chicago, IL 60649

DOCKET NUMBER: NH 23-S0943

LICENSEE INFO: Symphony South Shore, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 09/29/2023

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: South Suburban Rehab Center
FACILITY ADDRESS: 19000 South Halsted
FACILITY CITY, STATE, ZIP: Homewood, IL 60430

DOCKET NUMBER: NH 23-S0980

LICENSEE INFO: South Suburban Rehabilitation Center, LLC
LICENSEE ADDRESS: 2201 West Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 10/18/2023

FACILITY NAME: South Lawn Sheltered Care
FACILITY ADDRESS: 512 South Franklin
FACILITY CITY, STATE, ZIP: Bunker Hill, IL 62014

DOCKET NUMBER: NH 23-CS0763

LICENSEE INFO: South Lawn Sheltered Care, Inc.
LICENSEE ADDRESS: R.R. #1, Route 159, P.O. Box H
LICENSEE CITY, STATE, ZIP: Bunker Hill, IL 62014
Survey Date – 08/03/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.780a), 330.780b) and 330.780c). This 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

FACILITY NAME: South Lawn Sheltered Care
FACILITY ADDRESS: 512 South Franklin
FACILITY CITY, STATE, ZIP: Bunker Hill, IL 62014

DOCKET NUMBER: NH 23-C0844

LICENSEE INFO: South Lawn Sheltered Care, Inc.
LICENSEE ADDRESS: R.R. #1, Route 159, P.O. Box H
LICENSEE CITY, STATE, ZIP: Bunker Hill, IL 62014
Survey Date – 08/18/2023

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.4240d). 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 300.4240d). A fine of $500.00

FACILITY NAME: South Suburban Rehab Center
FACILITY ADDRESS: 19000 South Halsted
FACILITY CITY, STATE, ZIP: Homewood, IL 60430

DOCKET NUMBER: NH 23-S0698

LICENSEE INFO: South Suburban Rehabilitation Center, LLC
LICENSEE ADDRESS: 2201 West Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 07/17/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), and 300.3210t). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $2,200.00

FACILITY NAME: South Suburban Rehab Center
FACILITY ADDRESS: 19000 South Halsted
FACILITY CITY, STATE, ZIP: Homewood, IL 60430

DOCKET NUMBER: NH 23-S0979

LICENSEE INFO: South Suburban Rehabilitation Center, LLC
LICENSEE ADDRESS: 2201 West Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 09/21/2023

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

FACILITY NAME: Southview Manor
FACILITY ADDRESS: 3311 S. Michigan Ave
FACILITY CITY, STATE, ZIP: Chicago, IL 60616

DOCKET NUMBER: NH 23-S0749

LICENSEE INFO: Laureate Southview Operations, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 07/21/2023

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

FACILITY NAME: Southview Manor
FACILITY ADDRESS: 3311 S. Michigan Ave
FACILITY CITY, STATE, ZIP: Chicago, IL 60616

DOCKET NUMBER: NH 23-S0845

LICENSEE INFO: Laureate Southview Operations, LLC
LICENSEE ADDRESS: 208 S. LaSalle St, Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 08/18/2023

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

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

DOCKET NUMBER: NH 23-C0889

LICENSEE INFO: Laureate Southview Operations, LLC
LICENSEE ADDRESS: 208 LaSalle Street, Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 09/10/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.2210a), 300.2210.b)1)4)5)6)7)8) and 300.2220a)1). A fine of $1,100.00

FACILITY NAME: Stearns Nsg & Rehab Center
FACILITY ADDRESS: 3900 Stearns Avenue
FACILITY CITY, STATE, ZIP: Granite City, IL 62040

DOCKET NUMBER: NH 23-S1029

LICENSEE INFO: Stearns Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 901 S. 2nd Street, Ste 201
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 10/19/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 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: Sunny Hill Nursing Home of Will County
FACILITY ADDRESS: 421 Doris Avenue
FACILITY CITY, STATE, ZIP: Joliet, IL 60433

DOCKET NUMBER: NH 23-S0832

LICENSEE INFO: Will County
LICENSEE ADDRESS: 302 North Chicago Street
LICENSEE CITY, STATE, ZIP: Joliet, IL 60431
Survey Date – 08/22/2023

FACILITY NAME: Sunnymere
FACILITY ADDRESS: 925 Sixth Avenue
FACILITY CITY, STATE, ZIP: Aurora, IL 60505

DOCKET NUMBER: NH 23-S0750

LICENSEE INFO: Sunnymere
LICENSEE ADDRESS: 59 Canterbury Road
LICENSEE CITY, STATE, ZIP: Aurora, IL 60506
Survey Date – 07/25/2023

Type C violation of an occurrence for violating one or more of the following sections of the Code: 330.715a) and 330.715b). 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: 330.715a) and 330.715b). A fine of $500.00

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

Total Fine: $1,000.00

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

DOCKET NUMBER: NH 23-C0890

LICENSEE INFO: Petersen Health Junction, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 09/05/2023

Type A 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) 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

FACILITY NAME: Swansea Rehab & Hlth Care Ctr
FACILITY ADDRESS: 1405 North Second Street
FACILITY CITY, STATE, ZIP: Swansea, IL 62226

DOCKET NUMBER: NH 23-S0937

LICENSEE INFO: Swansea HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 09/28/2023

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

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

DOCKET NUMBER: NH 23-C0751

LICENSEE INFO: Symphony Lincoln Park, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 07/27/2023

FACILITY NAME: Symphony Maple Crest
FACILITY ADDRESS: 4452 Squaw Prairie Road
FACILITY CITY, STATE, ZIP: Belvidere, IL 61008

DOCKET NUMBER: NH 23-C0911

LICENSEE INFO: Symphony Maple Crest, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 08/31/2023

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

DOCKET NUMBER: NH 23-C0904

LICENSEE INFO: Laureate Terrace Operations, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 09/26/2023

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

FACILITY NAME: Timbercreek Rehab & Hlth C Ctr
FACILITY ADDRESS: 2220 State Street
FACILITY CITY, STATE, ZIP: Pekin, IL 61554

DOCKET NUMBER: NH 23-S0933

LICENSEE INFO: Petersen Health Operations, LLC
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 09/21/2023

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)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: Toulon Rehab & Health Care Ctr
FACILITY ADDRESS: Highway 17 East, P.O. Box 249
FACILITY CITY, STATE, ZIP: Toulon, IL 61483

DOCKET NUMBER: NH 23-S1010

LICENSEE INFO: Petersen Management Company, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 09/28/2023

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

DOCKET NUMBER: NH 23-S0974

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 – 10/12/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.3240a). The fine was doubled in this instance in accordance with 300.282i) 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: Twin Lakes Rehab & Health Care
FACILITY ADDRESS: 310 Eads Avenue
FACILITY CITY, STATE, ZIP: Paris, IL 61944

DOCKET NUMBER: NH 23-S0973

LICENSEE INFO: Twin HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 09/25/2023

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

DOCKET NUMBER: NH 23-C1093

LICENSEE INFO: University Care Center, LLC
LICENSEE ADDRESS: 111 North Ottawa Street
LICENSEE CITY, STATE, ZIP: Joliet, IL 60432
Survey Date – 10/18/2023

FACILITY NAME: Uptown Care and Rehabilitation
FACILITY ADDRESS: 4920 North Kenmore Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60640

DOCKET NUMBER: NH 23-C0912

LICENSEE INFO: Uptown Care and Rehabilitation Center, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 09/15/2023

FACILITY NAME: Villa at Windsor Park, The
FACILITY ADDRESS: 2679 East 75th Street
FACILITY CITY, STATE, ZIP: Chicago, IL 60649

DOCKET NUMBER: NH 23-C1006

LICENSEE INFO: The Villa at Windsor Park Nursing and Rehab Center, LLC
LICENSEE ADDRESS: 191 North Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 10/06/2023

Type B 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 $2,200.00

FACILITY NAME: Warren Barr Buffalo Grove
FACILITY ADDRESS: 150 North Weiland
FACILITY CITY, STATE, ZIP: Buffalo Grove, IL 60089

DOCKET NUMBER: NH 23-S0865

LICENSEE INFO: Buffalo Grove Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 09/06/2023

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.696b). This fine was doubled in this instance in accordance 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 $500.00

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.1210d)2). No fine

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.1640a)2) No fine

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.2210b)1). No fine

Total Fine: $500.00

FACILITY NAME: Warren Barr Gold Coast
FACILITY ADDRESS: 66 West Oak Street
FACILITY CITY, STATE, ZIP: Chicago, IL 60610

DOCKET NUMBER: NH 23-S1033

LICENSEE INFO: Warren Barr Living & Rehab Center, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 10/20/2023

FACILITY NAME: Warren Barr Orland Park
FACILITY ADDRESS: 14601 John Humphrey Drive
FACILITY CITY, STATE, ZIP: Orland Park, IL 60462

DOCKET NUMBER: NH 23-C0953

LICENSEE INFO: Orland Park Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 09/29/2023

FACILITY NAME: Warren Barr South Loop
FACILITY ADDRESS: 1725 South Wabash Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60616

DOCKET NUMBER: NH 23-C0846

LICENSEE INFO: South Loop Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 08/03/2023

FACILITY NAME: Warren Barr South Loop
FACILITY ADDRESS: 1725 South Wabash Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60616

DOCKET NUMBER: NH 23-C0913

LICENSEE INFO: South Loop Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 08/28/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code300.610a), 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: Waterford Care Center, The
FACILITY ADDRESS: 7445 North Sheridan Road
FACILITY CITY, STATE, ZIP: Chicago, IL 60626

DOCKET NUMBER: NH 23-S0965

LICENSEE INFO: The Waterford, LLC
LICENSEE ADDRESS: 5611 Dempster Street
LICENSEE CITY, STATE, ZIP: Morton Grove, IL 60053
Survey Date – 10/13/2023

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

DOCKET NUMBER: NH 23-S1004

LICENSEE INFO: Watseka HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 10/13/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)1) and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.3240a). A fine of $2,200.00

FACILITY NAME: Wauconda Care
FACILITY ADDRESS: 176 Thomas Court
FACILITY CITY, STATE, ZIP: Wauconda, IL 60084

DOCKET NUMBER: NH 23-C0699

LICENSEE INFO: Wauconda Healthcare and Rehabilitation Centre, LLC
LICENSEE ADDRESS: 5061 N. Pulaski Rd
LICENSEE CITY, STATE, ZIP: Chicago, IL 60630
Survey Date – 07/20/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)1)2), 300.1630c), and 300.1630e). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $25,000.00

FACILITY NAME: Wauconda Care
FACILITY ADDRESS: 176 Thomas Court
FACILITY CITY, STATE, ZIP: Wauconda, IL 60084

DOCKET NUMBER: NH 23-S0752

LICENSEE INFO: Wauconda Healthcare and Rehabilitation Centre, LLC
LICENSEE ADDRESS: 5061 N. Pulaski Road
LICENSEE CITY, STATE, ZIP: Chicago, IL 60630
Survey Date – 07/26/2023

FACILITY NAME: Wealshire Ctr for Excellence
FACILITY ADDRESS: 150 Jamestown Lane
FACILITY CITY, STATE, ZIP: Lincolnshire, IL 60069

DOCKET NUMBER: NH 23-S0793

LICENSEE INFO: Wealshire Rehab, LLC
LICENSEE ADDRESS: 10 S. Wacker Dr, 40th FL
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 08/01/2023

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

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

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

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

Total Fine: $6,000.00

FACILITY NAME: Wealshire Plus
FACILITY ADDRESS: 170 Jamestown Lane
FACILITY CITY, STATE, ZIP: Lincolnshire, IL 60069

DOCKET NUMBER: NH 23-S0823

LICENSEE INFO: Wealshire Plus, LLC
LICENSEE ADDRESS: 10 S. Wacker Dr., 40th FL
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 08/01/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.1120a) and 330.1720c)3) 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: 330.1510a), and 330.1530f). A fine of $1,100.00

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.1940b), and 330.1950f). A fine of $1,100.00

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

Total Fine: $4,400.00

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

DOCKET NUMBER: NH 23-C0934

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 – 09/22/2023

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)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), 300.1010h), 300.1210a), 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

Total Fine: $4,400.00

FACILITY NAME: Willow Rose Rehab & Health
FACILITY ADDRESS: 410 Fletcher
FACILITY CITY, STATE, ZIP: Jerseyville, IL 62052

DOCKET NUMBER: NH 23-S0936

LICENSEE INFO: Petersen Health Network, LLC
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 09/28/2023

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 300.1220b)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: Winning Wheels
FACILITY ADDRESS: 701 East 3rd Street
FACILITY CITY, STATE, ZIP: Prophetstown, IL 61277

DOCKET NUMBER: NH 23-C0824

LICENSEE INFO: Winning Wheels, Inc.
LICENSEE ADDRESS: 701 East Third Street
LICENSEE CITY, STATE, ZIP: Prophetstown, IL 61277
Survey Date – 08/01/2023

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

2023 4th Quarterly Report

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2023 4th Quarterly Report

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