2024 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 HC of Paxton on Pells
FACILITY ADDRESS: 1001 East Pells Street
FACILITY CITY, STATE, ZIP: Paxton, IL 60957

DOCKET NUMBER: NH 24-S1183

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 – 10/10/2024

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

DOCKET NUMBER: NH 24-C0985

LICENSEE INFO: Accolade Healthcare of Danville, LLC
LICENSEE ADDRESS: 2501 Chatham Road, Ste R
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 07/30/2024

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

FACILITY NAME: Accolade Healthcare of Pontiac
FACILITY ADDRESS: 300 West Lowell
FACILITY CITY, STATE, ZIP: Pontiac, IL 61764

DOCKET NUMBER: NH 24-S1060

LICENSEE INFO: Accolade Healthcare of Pontiac, LLC
LICENSEE ADDRESS: 2501 Chatham Road, Ste R
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 08/23/2024

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). The fine was doubled in this instance in accordance with 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: Accolade Healthcare of Savoy
FACILITY ADDRESS: 302 Burwash Avenue
FACILITY CITY, STATE, ZIP: Savoy, IL 61874

DOCKET NUMBER: NH 24-C1170

LICENSEE INFO: Accolade Healthcare of Savoy, LLC
LICENSEE ADDRESS: 2501 Chatham Rd, Suite R
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 10/10/2024

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

DOCKET NUMBER: NH 24-CS0864

LICENSEE INFO: Franciscan Communities, Inc.
LICENSEE ADDRESS: 208 South LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 07/19/2024

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

DOCKET NUMBER: NH 24-S1033

LICENSEE INFO: Alden Courts of Shorewood, Inc.
LICENSEE ADDRESS: 4200 W. Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 09/12/2024

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

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

Total Fine: $25,500.00

FACILITY NAME: Alden Des Plaines Rehab & HC
FACILITY ADDRESS: 1221 East Golf Road
FACILITY CITY, STATE, ZIP: Des Plaines, IL 60016

DOCKET NUMBER: NH 24-S1292

LICENSEE INFO: Alden Des Plaines Rehabilitation and Health Care Center, Inc.
LICENSEE ADDRESS: 4200 West Peterson Avenue
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 10/23/2024

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 Estates Cts of Huntley
FACILITY ADDRESS: 12140 Regency Parkway
FACILITY CITY, STATE, ZIP: Huntley, IL 60142

DOCKET NUMBER: NH 24-CS0865

LICENSEE INFO: Alden Estates Courts of Huntley, Inc.
LICENSEE ADDRESS: 4200 W. Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 07/23/2024

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

FACILITY NAME: Alden Estates Cts of Huntley
FACILITY ADDRESS: 12140 Regency Parkway
FACILITY CITY, STATE, ZIP: Huntley, IL 60142

DOCKET NUMBER: NH 24-C1224

LICENSEE INFO: Alden Estates Courts of Huntley, Inc.
LICENSEE ADDRESS: 4200 W. Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 10/03/2024

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 300.2090b). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6). A fine of $2,200.00

FACILITY NAME: Alden Estates of Orland Park
FACILITY ADDRESS: 16450 South 97^th Avenue
FACILITY CITY, STATE, ZIP: Orland Park, IL 60467

DOCKET NUMBER: NH 24-C1293

LICENSEE INFO: Alden Orland Park Rehabilitation and Health Care Center, Inc.
LICENSEE ADDRESS: 4200 W. Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 09/21/2024

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

DOCKET NUMBER: NH 24-C1034

LICENSEE INFO: Alden Lakeland Rehabilitation and Health Care Center, Inc.
LICENSEE ADDRESS: 4200 W. Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 09/09/2024

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

FACILITY NAME: Alden Lincoln Rehab & HC Ctr
FACILITY ADDRESS: 504 West Wellington Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60657

DOCKET NUMBER: NH 24-S1225

LICENSEE INFO: Alden Lincoln Park Rehabilitation and Health Care Center, Inc.
LICENSEE ADDRESS: 4200 W. Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 10/03/2024

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

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

DOCKET NUMBER: NH 24-CS1013

LICENSEE INFO: Alden Town Manor Rehab and Health Care Center, Inc.
LICENSEE ADDRESS: 4200 W. Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 07/19/2024

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: Alhambra Rehab & Healthcare
FACILITY ADDRESS: 417 East Main Street., P.O. Box 208
FACILITY CITY, STATE, ZIP: Alhambra, IL 62001

DOCKET NUMBER: NH 24-S0935

LICENSEE INFO: Alhambra Rehab & Healthcare, LLC
LICENSEE ADDRESS: 215 E. Locust Street
LICENSEE CITY, STATE, ZIP: Harrisburg, IL 62946
Survey Date – 08/02/2024

FACILITY NAME: Aliya of Glenwood
FACILITY ADDRESS: 19330 South Cottage Grove
FACILITY CITY, STATE, ZIP: Glenwood, IL 60425

DOCKET NUMBER: NH 24-CS1175

LICENSEE INFO: Aliya of Glenwood, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 10/04/2024

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

DOCKET NUMBER: NH 24-CS1027

LICENSEE INFO: Aliya of Homewood, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 08/01/2024

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

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

Total Fine: $29,400.00

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

DOCKET NUMBER: NH 24-C1151

LICENSEE INFO: Aliya of Oak Lawn, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 09/12/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.230a), 300.230d), and 300.3210v). No Fine

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

Type C violation of an occurrence for violating one or more of the following sections of the Code: 750.230a)1), 300.2030), and 300.2100). No Fine

Total Fine: $500.00

FACILITY NAME: All American Vlg Nrsg Rhb
FACILITY ADDRESS: 5448 North Broadway Street
FACILITY CITY, STATE, ZIP: Chicago, IL 60640

DOCKET NUMBER: NH 24-C1283

LICENSEE INFO: All American Village Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 208 So. LaSalle Street, Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 10/21/2024

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

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.3210u). No Fine

Total Fine: $500.00

FACILITY NAME: Allure of Mendota
FACILITY ADDRESS: 1201 First Avenue
FACILITY CITY, STATE, ZIP: Mendota, IL 61342

DOCKET NUMBER: NH 24-C1106

LICENSEE INFO: Allure of Mendota, LLC
LICENSEE ADDRESS: 2711 W. Howard Street
LICENSEE CITY, STATE, ZIP: Chicago, IL 60645
Survey Date – 09/11/2024

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

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

DOCKET NUMBER: NH 24-C1156

LICENSEE INFO: Allure of Pinecrest, LLC
LICENSEE ADDRESS: 2711 W. Howard Street
LICENSEE CITY, STATE, ZIP: Chicago, IL 60645
Survey Date – 09/23/2024

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.

FACILITY NAME: Allure of Sterling
FACILITY ADDRESS: 612 West St. Mary’s Street
FACILITY CITY, STATE, ZIP: Sterling, IL 61081

DOCKET NUMBER: NH 24-S1194

LICENSEE INFO: Allure of Sterling, LLC
LICENSEE ADDRESS: 2711 W. Howard Street
LICENSEE CITY, STATE, ZIP: Chicago, IL 60645
Survey Date – 09/26/2024

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

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

DOCKET NUMBER: NH 24-S0917

LICENSEE INFO: Cedar Hills Health & Rehab, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 07/12/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), and 300.1210d)3)5). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)5). A fine of $25,000.00

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

Total Fine: $27,200.00

FACILITY NAME: Alta Rehab at Fairmont
FACILITY ADDRESS: 5061 N. Pulaski Road
FACILITY CITY, STATE, ZIP: Chicago, IL 60630

DOCKET NUMBER: NH 24-CS1084

LICENSEE INFO: Aperion Care Fairmont, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 09/16/2024

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: Alta Rehab at Fairmont
FACILITY ADDRESS: 5061 N. Pulaski Road
FACILITY CITY, STATE, ZIP: Chicago, IL 60630

DOCKET NUMBER: NH 24-C1125

LICENSEE INFO: Aperion Care Fairmont, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 10/11/2024

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: Alta Rehab at Oakbrook
FACILITY ADDRESS: 2013 Midwest Road
FACILITY CITY, STATE, ZIP: Oak Brook, IL 60523

DOCKET NUMBER: NH 24-S1213

LICENSEE INFO: Aperion Care Oak Brook, LLC
LICENSEE ADDRESS: 4655 W. Chase Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 07/19/2024

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

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.615e), 300.615f), and 300.661). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.615e), 300.615f), and 300.661). A fine of $500.00

Total Fine: $2,700.00

FACILITY NAME: Alta Rehab at Wauconda
FACILITY ADDRESS: 176 Thomas Court
FACILITY CITY, STATE, ZIP: Wauconda, IL 60084

DOCKET NUMBER: NH 24-CS1085

LICENSEE INFO: Aperion Care Wauconda, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave.
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 09/11/2024

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 Burbank
FACILITY ADDRESS: 5701 W. 79^th Street
FACILITY CITY, STATE, ZIP: Burbank, IL 60459

DOCKET NUMBER: NH 24-CS1079

LICENSEE INFO: Exceptional Care, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 08/15/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.615e), and 300.615f). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.615e) and 300.615f). A fine of $500.00

Totally Fine: $2,700.00

FACILITY NAME: Aperion Care Burbank
FACILITY ADDRESS: 5701 W. 79^th Street
FACILITY CITY, STATE, ZIP: Burbank, IL 60459

DOCKET NUMBER: NH 24-C1075

LICENSEE INFO: Exceptional Care, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 09/20/2024

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

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

DOCKET NUMBER: NH 24-S0866

LICENSEE INFO: Aperion Care Capitol, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 07/24/2024

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

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

Total Fine: $500.00

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

DOCKET NUMBER: NH 24-CS1145

LICENSEE INFO: Dolton Nursing & Rehab, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 09/30/2024

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

DOCKET NUMBER: NH 24-C1020

LICENSEE INFO: Aperion Care Fairfield, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60711
Survey Date – 08/29/2024

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

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

DOCKET NUMBER: NH 24-S1022

LICENSEE INFO: Aperion Care Fairfield, LLC
LICENSEE ADDRESS: 4655 W. Chase Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 08/08/2024

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

DOCKET NUMBER: NH 24-C1080

LICENSEE INFO: Aperion Care Fairfield, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 09/20/2024

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

FACILITY NAME: Aperion Care Glenwood D/B/A/ Aliya of Glenwood
FACILITY ADDRESS: 19330 South Cottage Grove
FACILITY CITY, STATE, ZIP: Glenwood, IL 60425

DOCKET NUMBER: NH 24-C1061

LICENSEE INFO: Aperion Care Glenwood, LLC
LICENSEE ADDRESS: 4655 W, Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 09/10/2024

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

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

DOCKET NUMBER: NH 24-C1086

LICENSEE INFO: Aperion Care Hillside, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 09/11/2024

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

DOCKET NUMBER: NH 24-C1062

LICENSEE INFO: Concord Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 09/23/2024

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

DOCKET NUMBER: NH 24-C1226

LICENSEE INFO: Concord Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 09/17/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b)3)4), and 300.3240a). 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 Plum Grove
FACILITY ADDRESS: 24 South Plum Grove Road
FACILITY CITY, STATE, ZIP: Palatine, IL 60067

DOCKET NUMBER: NH 24-S0887

LICENSEE INFO: Plum Grove Nursing and Rehab, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 07/18/2024

FACILITY NAME: Aperion Care St. Elmo
FACILITY ADDRESS: 221 East Cumberland
FACILITY CITY, STATE, ZIP: St. Elmo, IL 62458

DOCKET NUMBER: NH 24-S0888

LICENSEE INFO: Aperion Care St. Elmo, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave.
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 07/24/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.625a), 300.625c)1)2) and 300.625f)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: 300.625a), 300.625c), and 300.625f). A fine of $500.00

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

DOCKET NUMBER: NH 24-C0907

LICENSEE INFO: Aperion Care West Chicago, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 07/18/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.690c), 300.1210b), 300.1210c), 300.1210d)3), 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: 300.690) and 300.1210b). A fine of $25,000.00

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

DOCKET NUMBER: NH 24-S0997

LICENSEE INFO: Island City Rehabilitation Center, LLC
LICENSEE ADDRESS: 4655 W. Chase Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 09/09/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.2090a), 300.2090b), and 300.2100). A fine of $1,100.00

FACILITY NAME: Apostolic Christian Restmor
FACILITY ADDRESS: 1500 Parkside Avenue
FACILITY CITY, STATE, ZIP: Morton, IL 61550

DOCKET NUMBER: NH 24-C1063

LICENSEE INFO: Apostolic Christian Restmor, Inc.
LICENSEE ADDRESS: 100 North Main Street
LICENSEE CITY, STATE, ZIP: Morton, IL 61550
Survey Date – 08/27/2024

FACILITY NAME: Arcadia Care Danville D/B/A La Bella of Danville
FACILITY ADDRESS: 1701 North Bowman
FACILITY CITY, STATE, ZIP: Danville, IL 61832

DOCKET NUMBER: NH 24-C1035

LICENSEE INFO: Danville Operations, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 08/21/2024

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

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

DOCKET NUMBER: NH 24-C1087

LICENSEE INFO: Arcadia Care Jacksonville, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 08/21/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 3001210a), 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: Archer Heights Healthcare
FACILITY ADDRESS: 4437 South Cicero
FACILITY CITY, STATE, ZIP: Chicago, IL 60632

DOCKET NUMBER: NH 24-C1036

LICENSEE INFO: Archer Heights Healthcare, LLC
LICENSEE ADDRESS: 3531 Howard Street, Ste 1006
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 08/15/2024

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

FACILITY NAME: Archer Heights Healthcare
FACILITY ADDRESS: 4437 South Cicero
FACILITY CITY, STATE, ZIP: Chicago, IL 60632

DOCKET NUMBER: NH 24-C1037

LICENSEE INFO: Archer Heights Healthcare, LLC
LICENSEE ADDRESS: 3531 Howard Street, Ste 1006
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 08/26/2024

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 300.3210t). 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: Archer Heights Healthcare
FACILITY ADDRESS: 4437 South Cicero
FACILITY CITY, STATE, ZIP: Chicago, IL 60632

DOCKET NUMBER: NH 24-C1038

LICENSEE INFO: Archer Heights Healthcare, LLC
LICENSEE ADDRESS: 3531 Howard Street, Ste 1006
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 09/05/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), 300.1210c), 300.1210d)4)A), and 300.1220b)3). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $25,000.00

FACILITY NAME: Archer Heights Healthcare
FACILITY ADDRESS: 4437 South Cicero
FACILITY CITY, STATE, ZIP: Chicago, IL 60632

DOCKET NUMBER: NH 24-CS1078

LICENSEE INFO: Archer Heights Healthcare, LLC
LICENSEE ADDRESS: 3531 Howard Street, Ste 1006
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 09/13/2024

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 300.3210t). 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: Arcola Health Care Center
FACILITY ADDRESS: 422 East 4^th Street
FACILITY CITY, STATE, ZIP: Arcola, IL 61910

DOCKET NUMBER: NH 24-CS0938

LICENSEE INFO: Arcola HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 08/07/2024

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

DOCKET NUMBER: NH 24-S1118

LICENSEE INFO: Arden Courts of Geneva IL, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 08/10/2024

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

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

DOCKET NUMBER: NH 24-S0963

LICENSEE INFO: Arden Courts of Northbrook IL, LLC
LICENSEE ADDRESS: 208 S. LaSalle Street, Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 08/09/2024

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 fine of $1,100.00

FACILITY NAME: Arden Courts (South Holland)
FACILITY ADDRESS: 204 East 170^th Street
FACILITY CITY, STATE, ZIP: South Holland, IL 60473

DOCKET NUMBER: NH 24-CS0998

LICENSEE INFO: Ardens Courts of South Holland IL, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 09/08/2024

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), 330.4240e), and 330.4240f). 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

Type C violation of an occurrence for violating one or more of the following sections of the Code: 330.911. 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: 330.911). A fine of $500.00

Total Fine: $2,700.00

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

DOCKET NUMBER: NH 24-S0975

LICENSEE INFO: Presence Life Connections
LICENSEE ADDRESS: 18927 Hickory Creek Dr., Ste 300
LICENSEE CITY, STATE, ZIP: Mokena, IL 60448
Survey Date – 08/07/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), 300.1210c), and 300.1210d)3)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: Ascension Saint Joseph Village
FACILITY ADDRESS: 659 East Jefferson Street
FACILITY CITY, STATE, ZIP: Freeport, IL 61032

DOCKET NUMBER: NH 24-CS0919

LICENSEE INFO: Presence Life Connections
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 08/01/2024

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

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

DOCKET NUMBER: NH 24-CS1054

LICENSEE INFO: Presence Life Connections
LICENSEE ADDRESS: 18927 Hickory Creek Dr., Ste 300
LICENSEE CITY, STATE, ZIP: Mokena, IL 60448
Survey Date – 09/13/2024

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

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.650a) and 300.661. This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.661). A fine of $500.00

Total Fine: $2,700.00

FACILITY NAME: Ascension Villa Franciscan
FACILITY ADDRESS: 210 North Springfield Avenue
FACILITY CITY, STATE, ZIP: Joliet, IL 60435

DOCKET NUMBER: NH 24-CS0940

LICENSEE INFO: Presence Life Connections
LICENSEE ADDRESS: 18927 Hickory Creek Dr., Ste 300
LICENSEE CITY, STATE, ZIP: Mokena, IL 60448
Survey Date – 07/31/2024

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

DOCKET NUMBER: NH 24-C1135

LICENSEE INFO: Cahokia Nursing & Rehabilitation Center, Inc.
LICENSEE ADDRESS: 7434 North Skokie Boulevard
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 10/03/2024

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

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

DOCKET NUMBER: NH 24-S1221

LICENSEE INFO: Cahokia Nursing & Rehabilitation Center, Inc.
LICENSEE ADDRESS: 7434 North Skokie Boulevard
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 10/24/2024

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

DOCKET NUMBER: NH 24-CS0847

LICENSEE INFO: Elgin Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 07/11/2024

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

DOCKET NUMBER: NH 24-C1227

LICENSEE INFO: Evergreen Living & Rehab Center, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 09/27/2024

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)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: 300.1210b), 300.1210c), 300.1210d)3), and 300.2040b)2). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $25,000.00

Total Fine: $52,200.00

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

DOCKET NUMBER: NH 24-CS1262

LICENSEE INFO: Evergreen Living & Rehab Center, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 10/16/2024

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

DOCKET NUMBER: NH 24-C1113

LICENSEE INFO: Avantara Park Ridge, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 09/16/2024

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

DOCKET NUMBER: NH 24-S0964

LICENSEE INFO: Avenues at Arcadia Springfield, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 08/01/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.615e), 300.615f), and 300.625c)2). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.615f) and 300.625c). A fine of $500.00

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.650c), 300.650d), 300.660a), 300.660c)1), and 300.661. This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.661). A fine of $500.00

Total Fine: $1,000.00

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

DOCKET NUMBER: NH 24-C1088

LICENSEE INFO: Beacon Care and Rehabilitation Center, LLC
LICENSEE ADDRESS: 600 South Second Street, Ste 404
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 08/15/2024

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

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

DOCKET NUMBER: NH 24-S1039

LICENSEE INFO: Beecher Manor Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 2201 West Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 08/30/2024

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

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

DOCKET NUMBER: NH 24-CS1115

LICENSEE INFO: Belhaven Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 09/30/2024

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)4)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

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), and 300.1610a). A fine of $1,100.00

Total Fine: $3,300.00

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

DOCKET NUMBER: NH 24-C1243

LICENSEE INFO: Belhaven Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 10/24/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1610a)1), and 300.1630a)1). A fine of $1,100.00

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

DOCKET NUMBER: NH 24-S0999

LICENSEE INFO: Wheeling Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 08/08/2024

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

Total Fine: $27,200.00

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

DOCKET NUMBER: NH 24-C1089

LICENSEE INFO: Belleville Healthcare Center, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 08/29/2024

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

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

DOCKET NUMBER: NH 24-S1071

LICENSEE INFO: Belmont Village Oak Park Tennant, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 09/05/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code: 330.715a) and 330.715b). This instance in accordance with 330.282i) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 330.715a) 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: 330.200). No Fine

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

Total Fine: $500.00

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

DOCKET NUMBER: NH 24-S0526

LICENSEE INFO: Petersen Health Operations, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 08/16/2024

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

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.661, 300.650a), and 300.650d). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.661). A fine of $500.00.

Total Fine: $1,600.00

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

DOCKET NUMBER: NH 24-C1047

LICENSEE INFO: Berkeley Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 321 N. Clark Street, Suite 2800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60654
Survey Date – 09/06/2024

Type AA violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), 300.1210c), and 300.1810c)3). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $50,000.00

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

DOCKET NUMBER: NH 24-S0989

LICENSEE INFO: Thorek Memorial Hospital
LICENSEE ADDRESS: 850 W. Irving Park Road #306
LICENSEE CITY, STATE, ZIP: Chicago, IL 60613
Survey Date – 08/07/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.710a) and 330.1520c)1). A fine of $1,100.00

Type C violation of an occurrence for violating one or more of the following sections of the Code: 330.710a) and 330.1530f). No Fine

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.710a) and 330.2000). A fine of $1,100.00

Total Fine: $2,200.00

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

DOCKET NUMBER: NH 24-S0941

LICENSEE INFO: Bethany Health, LLC
LICENSEE ADDRESS: 412 E. Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 07/24/2024

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

Total Fine: $4,900.00

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

DOCKET NUMBER: NH 24-C1133

LICENSEE INFO: Bethany Health, LLC
LICENSEE ADDRESS: 412 E. Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 09/24/2024

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

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

DOCKET NUMBER: NH 24-C0968

LICENSEE INFO: Petersen Health Operations, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 08/14/2024

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

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

DOCKET NUMBER: NH 24-C1028

LICENSEE INFO: Petersen Health Operations, LLC
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 07/30/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.690a), 300.690b), 300.690c), 300.1210b), 300.1210d)3)6), and 300.1220b)3). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.690, 300.1210b) and 300.1210d)6). A fine of $25,000.00

FACILITY NAME: Brandel Health and Rehab
FACILITY ADDRESS: 2155 Pfingsten Road
FACILITY CITY, STATE, ZIP: Northbrook, IL 60062

DOCKET NUMBER: NH 24-S0942

LICENSEE INFO: Covenant Health Care Center, Inc.
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 08/15/2024

FACILITY NAME: Breese Nursing Home
FACILITY ADDRESS: 1155 North First Street
FACILITY CITY, STATE, ZIP: Breese, IL 62230

DOCKET NUMBER: NH 24-C1210

LICENSEE INFO: Caring First, Inc.
LICENSEE ADDRESS: 785 Wall Street, Ste 100
LICENSEE CITY, STATE, ZIP: O’Fallon, IL 62269
Survey Date – 10/16/2024

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

DOCKET NUMBER: NH 24-C1091

LICENSEE INFO: Bria of Alton, LP
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 09/10/2024

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

DOCKET NUMBER: NH 24-C1146

LICENSEE INFO: Bria of Alton, LP
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 09/24/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b)4)5), 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: Bria of Belleville
FACILITY ADDRESS: 150 North 27^th Street
FACILITY CITY, STATE, ZIP: Belleville, IL 62226

DOCKET NUMBER: NH 24-C1123

LICENSEE INFO: The Lincoln Home, Inc.
LICENSEE ADDRESS: 465 Central Avenue, Suite 100
LICENSEE CITY, STATE, ZIP: Northfield, IL 60093
Survey Date – 09/12/2024

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

DOCKET NUMBER: NH 24-C1228

LICENSEE INFO: The Lincoln Home, LLC
LICENSEE ADDRESS: 465 Central Avenue, Suite 100
LICENSEE CITY, STATE, ZIP: Northfield, IL 60093
Survey Date – 10/09/2024

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

DOCKET NUMBER: NH 24-C0869

LICENSEE INFO: Atrium Hlth Care & Rehab Ctr of Cahokia, LP
LICENSEE ADDRESS: 465 Central Avenue, #100
LICENSEE CITY, STATE, ZIP: Northfield, IL 60093
Survey Date – 07/19/2024

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

DOCKET NUMBER: NH 24-C0976

LICENSEE INFO: Atrium Hlth Care & Rehab Ctr of Cahokia, LP
LICENSEE ADDRESS: 465 Central Avenue #100
LICENSEE CITY, STATE, ZIP: Northfield, IL 60093
Survey Date – 08/20/2024

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

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

DOCKET NUMBER: NH 24-CS1230

LICENSEE INFO: Atrium Hlth Care & Rehab Ctr of Cahokia, LP
LICENSEE ADDRESS: 465 Central Avenue #100
LICENSEE CITY, STATE, ZIP: Northfield, IL 60093
Survey Date – 10/02/2024

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

DOCKET NUMBER: NH 24-CS0958

LICENSEE INFO: MST Health Properties, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 07/18/2024

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

DOCKET NUMBER: NH 24-C0969

LICENSEE INFO: Bria of Columbia, LP
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 08/14/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 3001210c), 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: Bria of Elmwood Park
FACILITY ADDRESS: 7733 West Grand Avenue
FACILITY CITY, STATE, ZIP: Elmwood Park, IL 60707

DOCKET NUMBER: NH 24-CS1040

LICENSEE INFO: Bria of Elmwood Park, LP
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 08/14/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 3001210a), 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: Bria of Forest Edge
FACILITY ADDRESS: 8001 South Western Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60620

DOCKET NUMBER: NH 24-CS1198

LICENSEE INFO: Forest Edge Healthcare & Rehabilitation Center, LP
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 10/03/2024

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

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.625c)2). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.625c). 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). No Fine

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.686g) and 300.686h)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: 300.686). A fine of $500.00

Total Fine: $26,500.00

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

DOCKET NUMBER: NH 24-CS0970

LICENSEE INFO: Bria of Godfrey, LP
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 08/16/2024

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

DOCKET NUMBER: NH 24-S0959

LICENSEE INFO: Bria of Mascoutah, LP
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 08/12/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.650a), 300.650c) and 300.650d), and 300.661. This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.661). A fine of $500.00

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

DOCKET NUMBER: NH 24-CS1129

LICENSEE INFO: Palos Hills Healthcare, LP
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 08/29/2024

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

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

Total Fine: $4,400.00

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

DOCKET NUMBER: NH 24-CS0943

LICENSEE INFO: River Oaks Healthcare & Rehabilitation Center, LP
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60044
Survey Date – 08/01/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210c), and 300.1210d)3). A fine of $12,500.00.

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210c), and 300.1210d)3). A fine of $12,500.00

Total Fine: $25,000.00

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

DOCKET NUMBER: NH 24-C1306

LICENSEE INFO: River Oaks Healthcare & Rehabilitation Center, LP
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60044
Survey Date – 10/10/2024

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

FACILITY NAME: Bria of Westmont
FACILITY ADDRESS: 6501 S. Cass Ave
FACILITY CITY, STATE, ZIP: Westmont, IL 60559

DOCKET NUMBER: NH 24-CS1076

LICENSEE INFO: Westmont Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 09/26/2024

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

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

Total Fine: $1,000.00

FACILITY NAME: Briar Place Nursing
FACILITY ADDRESS: 6800 West Joliet
FACILITY CITY, STATE, ZIP: Indian Head Park, IL 60525

DOCKET NUMBER: NH 24-CS1153

LICENSEE INFO: Briar Place Nursing, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 08/29/2024

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

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

Total Fine $6,600.00

FACILITY NAME: Bridge Care Suites, The
FACILITY ADDRESS: 3089 Old Jacksonville Road
FACILITY CITY, STATE, ZIP: Springfield, IL 62704

DOCKET NUMBER: NH 24-C1251

LICENSEE INFO: OJCC, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 10/11/2024

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

DOCKET NUMBER: NH 24-S1074

LICENSEE INFO: Brookdale Living Communities of Illinois-DNC, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 09/20/2024

FACILITY NAME: Burt Sheltered Care Home
FACILITY ADDRESS: 1414 Milton Road
FACILITY CITY, STATE, ZIP: Alton, IL 62002

DOCKET NUMBER: NH 24-CS0780

LICENSEE INFO: Mary Jo Swengrosh
LICENSEE ADDRESS: 1414 Milton Road
LICENSEE CITY, STATE, ZIP: Alton, IL 62002
Survey Date – 07/19/2024

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

Type C violation of an occurrence for violating one or more of the following sections of the Code: 330.715a), 330.715b), 330.715c), 330.715d), 330.715e), and 330.715f). This instance in accordance with 330.282i) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 330.715a), 330.715b), and 330.715c). A fine of $500.00

Total Fine: $1,000.00

FACILITY NAME: Burt Sheltered Care Home
FACILITY ADDRESS: 1414 Milton Road
FACILITY CITY, STATE, ZIP: Alton, IL 62002

DOCKET NUMBER: NH 24-C0871

LICENSEE INFO: Mary Jo Swengrosh
LICENSEE ADDRESS: 1414 Milton Road
LICENSEE CITY, STATE, ZIP: Alton, IL 62002
Survey Date – 07/16/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.4260a), 330.4260b), 330.4260c), 330.4260d), 330.4260e), 330.4260g), 330.4260m), and 330.4260o). A fine of $1,100.00

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

DOCKET NUMBER: NH 24-S1000

LICENSEE INFO: Calhoun Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 901 S. 2^nd Street, Ste 201
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 07/19/2024

FACILITY NAME: Carlinville Rehab & HCC
FACILITY ADDRESS: 751 North Oak Street
FACILITY CITY, STATE, ZIP: Carlinville, IL 62626

DOCKET NUMBER: NH 24-S0995

LICENSEE INFO: Carlinville Rehabilitation and Health Care Center, LLC
LICENSEE ADDRESS: 412 E. Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 08/12/2024

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

FACILITY NAME: Carlinville Rehab & HCC
FACILITY ADDRESS: 751 North Oak Street
FACILITY CITY, STATE, ZIP: Carlinville, IL 62626

DOCKET NUMBER: NH 24-CS1024

LICENSEE INFO: Carlinville Rehabilitation and Health Care Center, LLC
LICENSEE ADDRESS: 412 E. Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 09/03/2024

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

FACILITY NAME: Casey Health Care Center
FACILITY ADDRESS: 100 N.E. 15^th Street
FACILITY CITY, STATE, ZIP: Casey, IL 62420

DOCKET NUMBER: NH 24-C0965

LICENSEE INFO: Casey HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 08/13/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210c), 300.1210d)6), 300.1220b)3), and 300.3100d)2). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b), 300.1210d)6), and 300.3100d)2). A fine of $25,000.00.

FACILITY NAME: Celebrate Sr. Living of Moline
FACILITY ADDRESS: 7300 34^th Avenue
FACILITY CITY, STATE, ZIP: Moline, IL 60712

DOCKET NUMBER: NH 24-S1140

LICENSEE INFO: Moline Nursing and Rehabilitation, LLC
LICENSEE ADDRESS: 7101 N. Cicero Ave., Ste 200
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 10/10/2024

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

FACILITY NAME: Central Nursing Home
FACILITY ADDRESS: 2450 N. Central Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60639

DOCKET NUMBER: NH 24-C1161

LICENSEE INFO: Central Nursing Home, LLC
LICENSEE ADDRESS: 6500 N. Hamlin
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 09/20/2024

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). The fine was doubled in this instance in accordance with 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: Charleston Rehab Health Care C
FACILITY ADDRESS: 716 Eighteenth Street
FACILITY CITY, STATE, ZIP: Charleston, IL 61920

DOCKET NUMBER: NH 24-S1149

LICENSEE INFO: Charleston HCO, LLC
LICENSEE ADDRESS: 412 E. Lawrence Ave
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 09/06/2024

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

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

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.661, 955.110, 955.165a)1)A)2), 955.165b), 955.165f), and 955.165i)4)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: 300.661). A fine of $500.00

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.625b), 300.625c)1)2), 300.625d), 300.625f)3)A)B)4), 300.625i), 300.625j), 300.625k), 300.625m), and 300.625n). 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: 300.625b), 300.625c), 300.625k), and 300.625n). A fine of $500.00

Total Fine: $1,500.00

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

DOCKET NUMBER: NH 24-S0966

LICENSEE INFO: BMSL Hazel OPCO, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 08/12/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 330.710a) and 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 $25,000.00.

FACILITY NAME: Claridge Healthcare Center
FACILITY ADDRESS: 700 Jenkisson
FACILITY CITY, STATE, ZIP: Lake Bluff, IL 60044

DOCKET NUMBER: NH 24-S1092

LICENSEE INFO: Claridge Operations, LLC
LICENSEE ADDRESS: 3300 W. Peterson Ave., Ste E
LICENSEE CITY, STATE, ZIP: Chicago, IL 60659
Survey Date – 08/13/2024

Type A 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 $25,000.00.

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

DOCKET NUMBER: NH 24-CS0945

LICENSEE INFO: Laureate Chicago Operations, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 08/02/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.1810l), 300.3210u), and 300.3210v). No Fine

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.625c)1)2) and 300.625k). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.625c) and 300.625k). A fine of $500.00

Total Fine: $500.00

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

DOCKET NUMBER: NH 24-S0990

LICENSEE INFO: Lutheran Senior Services
LICENSEE ADDRESS: 208 So. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 08/22/2024

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

DOCKET NUMBER: NH 24-CS0716

LICENSEE INFO: Continental Nursing and Rehabilitation, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 08/16/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 3001210a), 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: Continental Nursing & Rehab Center
FACILITY ADDRESS: 5336 North Western Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60625

DOCKET NUMBER: NH 24-C1264

LICENSEE INFO: Continental Nursing and Rehabilitation, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 10/24/2024

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

DOCKET NUMBER: NH 24-S0894

LICENSEE INFO: Petersen Health Properties, LLC
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 07/26/2024

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)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: Danish Home, The
FACILITY ADDRESS: 5656 North Newcastle Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60631

DOCKET NUMBER: NH 24-C0882

LICENSEE INFO: The Society for the Danish Old Peoples’ Home
LICENSEE ADDRESS: 5656 North Newcastle Avenue
LICENSEE CITY, STATE, ZIP: Chicago, IL 60631
Survey Date – 08/21/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.697a) and 300.697b)1)A)B)C)D)E)F)G)H)I). A fine of $1,100.00

FACILITY NAME: Danish Home, The
FACILITY ADDRESS: 5656 North Newcastle Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60631

DOCKET NUMBER: NH 24-S1172

LICENSEE INFO: The Society for the Danish Old Peoples’ Home
LICENSEE ADDRESS: 5656 North Newcastle Avenue
LICENSEE CITY, STATE, ZIP: Chicago, IL 60631
Survey Date – 10/17/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.1650a). No Fine

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.715a) and 300.715b). No Fine

Total Fine: $500.00

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

DOCKET NUMBER: NH 24-S1111

LICENSEE INFO: Decatur HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 09/25/2024

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

Total Fine: $2,700.00

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

DOCKET NUMBER: NH 24-C0873

LICENSEE INFO: Downers Grove SNF Operations, LLC
LICENSEE ADDRESS: 208 So. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 07/29/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.690a), 300.690b), and 300.690c). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.690). A fine of $500.00.

FACILITY NAME: Effingham Rehab & Health C Ctr
FACILITY ADDRESS: 1601 North Lakewood Drive
FACILITY CITY, STATE, ZIP: Effingham, IL 62401

DOCKET NUMBER: NH 24-S1195

LICENSEE INFO: Effingham HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 09/20/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b)3)4), 300.1210c), 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 C violation of an occurrence for violating one or more of the following sections of the Code: 300.650d) and 300.661). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.661). A fine of $500.00.

Total Fine: $2,700.00

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

DOCKET NUMBER: NH 24-S0974

LICENSEE INFO: EL Paso HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 07/23/2024

Total Fine: $1,000.00

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 24-C0923

LICENSEE INFO: Elevate Care Country Club Hills, LLC
LICENSEE ADDRESS: 4655 W. Chase Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 07/25/2024

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

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 24-C1152

LICENSEE INFO: Elevate Care Country Club Hills, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 09/16/2024

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

DOCKET NUMBER: NH 24-C0848

LICENSEE INFO: Elevate Care North Branch, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 07/11/2024

Type AA violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), 300.1210c), and 300.1210d)1)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 $50,000.00

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

DOCKET NUMBER: NH 24-C1297

LICENSEE INFO: Elevate Care North Branch, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave.
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 10/11/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), and 1210d)1). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $25,000.00

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

DOCKET NUMBER: NH 24-CS1134

LICENSEE INFO: Elevate Care Palos Heights, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 09/22/2024

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

DOCKET NUMBER: NH 24-S0874

LICENSEE INFO: Elevate Care Riverwoods, LLC
LICENSEE ADDRESS: 4655 W. Chase Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 07/25/2024

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

DOCKET NUMBER: NH 24-C0910

LICENSEE INFO: Elevate Care South Holland, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 07/12/2024

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

Total Fine: $27,200.00

FACILITY NAME: Elevate Care Waukegan
FACILITY ADDRESS: 2222 Audrey Nixon Boulevard
FACILITY CITY, STATE, ZIP: Waukegan, IL 60085

DOCKET NUMBER: NH 24-C1285

LICENSEE INFO: Elevate Care Waukegan, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 10/08/2024

Type AA violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1035e), 300.1210b), and 300.1210c).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 $50,000.00

FACILITY NAME: Elmhurst Extended Care Center
FACILITY ADDRESS: 200 East Lake Street
FACILITY CITY, STATE, ZIP: Elmhurst, IL 60126

DOCKET NUMBER: NH 24-CS1001

LICENSEE INFO: SBNB, Inc.
LICENSEE ADDRESS: 1701 East Lake Ave, Ste 200
LICENSEE CITY, STATE, ZIP: Glenview, IL 60025
Survey Date – 08/30/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1210b)4)5), and 300.1210d)3)6). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6). A fine of $25,000.00

FACILITY NAME: Elmhurst Extended Care Center
FACILITY ADDRESS: 200 East Lake Street
FACILITY CITY, STATE, ZIP: Elmhurst, IL 60126

DOCKET NUMBER: NH 24-CS1231

LICENSEE INFO: SBNB, Inc.
LICENSEE ADDRESS: 1701 East Lake Ave., Ste 200
LICENSEE CITY, STATE, ZIP: Glenview, IL 60025
Survey Date – 10/10/2024

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

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

Total Fine: $4,400.00

FACILITY NAME: Encore Village
FACILITY ADDRESS: 350 W. Schaumburg Road
FACILITY CITY, STATE, ZIP: Schaumburg, IL 60194

DOCKET NUMBER: NH 24-S0946

LICENSEE INFO: IL CCRC, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 07/23/2024

FACILITY NAME: Encore Village
FACILITY ADDRESS: 350 W. Schaumburg Rd
FACILITY CITY, STATE, ZIP: Schaumburg, IL 60194

DOCKET NUMBER: NH 24-C1143

LICENSEE INFO: IL CCRC, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 08/26/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), and 300.1620a). 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 24-S1164

LICENSEE INFO: Fargo Health Care Center, LLC
LICENSEE ADDRESS: 208 S. LaSalle Street, Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 09/06/2024

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

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

DOCKET NUMBER: NH 24-C0929

LICENSEE INFO: Petersen Health Network, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 08/09/2024

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

DOCKET NUMBER: NH 24-S1041

LICENSEE INFO: Petersen Health Operations, LLC
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 08/21/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.625a), 300.625b), 300.625c)1)2), 300.625e), 300.625f)1)2), 300.625g), 300.625h), 300.625i), 300.625j), 300.625k), and 300.625n). 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: 300.625a), 300.625b), 300.625c), 300.625f), 300.625j), 300.625k), and 300.625n). 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), 300.1620a), and 300.1630e). A fine of $1,100.00

Totally Fine: $2,100.00

FACILITY NAME: Foster Health and Rehab
FACILITY ADDRESS: 2840 West Foster Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60625

DOCKET NUMBER: NH 24-CS1160

LICENSEE INFO: Foster Health & Rehabilitation Center, LLC
LICENSEE ADDRESS: 2835 W. North Shore Avenue
LICENSEE CITY, STATE, ZIP: Chicago, IL 60645
Survey Date – 10/11/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.1810l), and 300.3210v). No Fine

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

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.610a) and 300.625c). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.625c). A fine of $500.00

Total Fine: $1,000.00

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

DOCKET NUMBER: NH 24-S1003

LICENSEE INFO: Franciscan Communities, Inc.
LICENSEE ADDRESS: 208 So. LaSalle Street, Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 08/09/2024

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

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

DOCKET NUMBER: NH 24-S1064

LICENSEE INFO: Freeburg Care Center, Inc.
LICENSEE ADDRESS: 4 Industrial Dr., P.O. Box 97
LICENSEE CITY, STATE, ZIP: Freeburg, IL 62243
Survey Date – 08/30/2024

Total Fine: $25,500.00

FACILITY NAME: Friendship Manor
FACILITY ADDRESS: 1209 21^st Avenue
FACILITY CITY, STATE, ZIP: Rock Island, IL 61201

DOCKET NUMBER: NH 24-S0895

LICENSEE INFO: Friendship Manor, Inc.
LICENSEE ADDRESS: 329 18^th Street, Ste 300
LICENSEE CITY, STATE, ZIP: Rock Island, IL 61201
Survey Date – 07/24/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1210b)4)5), and 300.1210d)6). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6). A fine of $2,200.00

FACILITY NAME: Galena Strauss Nursing Home
FACILITY ADDRESS: 215 Summitt Street
FACILITY CITY, STATE, ZIP: Galena, IL 61036

DOCKET NUMBER: NH 24-S1031

LICENSEE INFO: Midwest Medical Center
LICENSEE ADDRESS: 100 Park Avenue, P.O. Box 1389
LICENSEE CITY, STATE, ZIP: Rockford, IL 61105
Survey Date – 09/04/2024

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: Galena Strauss Nursing Home
FACILITY ADDRESS: 215 Summit Street
FACILITY CITY, STATE, ZIP: Galena, IL 61036

DOCKET NUMBER: NH 24-S1148

LICENSEE INFO: Midwest Medical Center
LICENSEE ADDRESS: 100 Park Avenue, P.O. Box 1389
LICENSEE CITY, STATE, ZIP: Rockford, IL 61105
Survey Date – 10/03/2024

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

DOCKET NUMBER: NH 24-C1267

LICENSEE INFO: Generations at Regency, LLC
LICENSEE ADDRESS: 6842 N. Lincoln Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 10/13/2024

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

DOCKET NUMBER: NH 24-C1298

LICENSEE INFO: Generations at Oakton Pavilion, LLC
LICENSEE ADDRESS: 6840 N. Lincoln Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 10/04/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b)3), 300.1210c), 300.1210d)2)3), 300.1810c)3), and 300.1810h). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $25,000.00

FACILITY NAME: Glenwood Terrace Springfield
FACILITY ADDRESS: 2724 Glenwood Avenue
FACILITY CITY, STATE, ZIP: Springfield, IL 62704

DOCKET NUMBER: NH 24-S0978

LICENSEE INFO: Community Living Options, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 07/22/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code: 350.625e) and 350.625f). 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: 350.625e) and 350.625f). A fine of $175.00

Type C violation of an occurrence for violating one or more of the following sections of the Code: 350.681. 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: 350.681. A fine of $175.00

Type C violation of an occurrence for violating one or more of the following sections of the Code: 350.3920f). No Fine

Total Fine: $350.00

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

DOCKET NUMBER: NH 24-C0877

LICENSEE INFO: Goldwater Care Bloomington, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 07/18/2024

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

DOCKET NUMBER: NH 24-S0899

LICENSEE INFO: Goldwater Care Gibson City, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 10/01/2024

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

DOCKET NUMBER: NH 24-C1169

LICENSEE INFO: Goldwater Care Gibson City, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 09/26/2024

Type AA violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1610a)1), 300.1620a), and 300.1630b). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $50,000.00

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

DOCKET NUMBER: NH 24-S1274

LICENSEE INFO: Goldwater Care Gibson City, LLC
LICENSEE ADDRESS: 4655 W. Chase Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 10/23/2024

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

DOCKET NUMBER: NH 24-S1042

LICENSEE INFO: Goldwater Care Spring Valley, LLC
LICENSEE ADDRESS: 4655 W. Chase Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 07/31/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.686a)2)8), 300.686b), 300.686c), 300.686d), 300.68ea), and 300.686g)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: 300.686). A fine of $2,200.00

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010g)3), 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

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), and 300.1630a)1)2)3). No Fine

Total Fine: $4,400.00

FACILITY NAME: Goldwater Care Toluca
FACILITY ADDRESS: 101 E. Via Ghiglieri
FACILITY CITY, STATE, ZIP: Toluca, IL 61369

DOCKET NUMBER: NH 24-S0947

LICENSEE INFO: Goldwater Care Toluca, LLC
LICENSEE ADDRESS: 4655 W. Chase Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 08/01/2024

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

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.3250a). No Fine

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)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: 300.1210d)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: 300.1210d)5). 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 C violation of an occurrence for violating one or more of the following sections of the Code: 300.3210a). No Fine

Total Fine: $6,000.00

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

DOCKET NUMBER: NH 24-S1117

LICENSEE INFO: Greenville Nursing & Rehabilitation Center, LLC
LICENSEE ADDRESS: 215 E. Locust Street
LICENSEE CITY, STATE, ZIP: Harrisburg, IL 62946
Survey Date – 08/22/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210c), 300.1210d)6), and 300.1220b)3). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6). A fine of $25,000.00

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

DOCKET NUMBER: NH 24-C0948

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 – 08/05/2024

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

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

DOCKET NUMBER: NH 24-CS1095

LICENSEE INFO: The Grove Health and Rehab Center, LLC
LICENSEE ADDRESS: 600 South Second St., Ste 404
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 09/13/2024

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

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

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

Total Fine: $52,200.00

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

DOCKET NUMBER: NH 24-S1055

LICENSEE INFO: Evanston Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 09/09/2024

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

DOCKET NUMBER: NH 24-S1065

LICENSEE INFO: Harmony Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 3450 Oakton Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 09/06/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.625c). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.625c). A fine of $500.00

Total Fine $1,000.00

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

DOCKET NUMBER: NH 24-S1056

LICENSEE INFO: Havana HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 09/10/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.3210f), 300.3210g), 300.3240a), 300.3240b), 300.3240c), 300.3240d), and 300.3260g). The fine was doubled in this instance in accordance 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: Hearthstone Manor
FACILITY ADDRESS: 920 North Seminary Avenue
FACILITY CITY, STATE, ZIP: Woodstock, IL 60098

DOCKET NUMBER: NH 24-S1004

LICENSEE INFO: Woodstock Christian Life Services
LICENSEE ADDRESS: 20 N. Seminary Avenue
LICENSEE CITY, STATE, ZIP: Woodstock, IL 60098
Survey Date – 08/28/2024

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

Total Fine $4,400.00

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

DOCKET NUMBER: NH 24-S1043

LICENSEE INFO: Helia Healthcare of Newton, LLC
LICENSEE ADDRESS: 1010 Lake Street, Ste 428
LICENSEE CITY, STATE, ZIP: Oak Park, IL 60301
Survey Date – 09/13/2024

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

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

DOCKET NUMBER: NH 24-CS1019

LICENSEE INFO: Helia Southbelt Healthcare, LLC
LICENSEE ADDRESS: 118 W. Edwards Street, Ste 200
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 08/13/2024

Total Fine: $1,000.00

FACILITY NAME: Hickory Point Christian Village
FACILITY ADDRESS: 565 W. Marion Ave
FACILITY CITY, STATE, ZIP: Forsyth, IL 62535

DOCKET NUMBER: NH 24-C1049

LICENSEE INFO: Hickory Point Christian Village, Inc.
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 09/12/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), 300.1210d)2)3)5), and 300.1220b)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)5). A fine of $25,000.00

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

DOCKET NUMBER: NH 24-S1167

LICENSEE INFO: Highland Care and Rehabilitation Center, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 09/27/2024

FACILITY NAME: Highland Oaks
FACILITY ADDRESS: 2750 West Highland Avenue
FACILITY CITY, STATE, ZIP: Elgin, IL 60124

DOCKET NUMBER: NH 24-S0949

LICENSEE INFO: Apostolic Christian Resthaven
LICENSEE ADDRESS: 2750 W. Highland Ave
LICENSEE CITY, STATE, ZIP: Elgin, IL 60124
Survey Date – 08/14/2024

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

FACILITY NAME: Highlight Hlthcr of Woodstock
FACILITY ADDRESS: 309 McHenry Avenue
FACILITY CITY, STATE, ZIP: Woodstock, IL 60098

DOCKET NUMBER: NH 24-S1212

LICENSEE INFO: Highlight Healthcare of Woodstock, LLC
LICENSEE ADDRESS: 5750 Old Orchard Rd, Ste 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 10/11/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.615e), 300.615f), 300.615g) and 300.615j). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.615e), 300.615f), and 300.615g). A fine of $2,200.00

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

DOCKET NUMBER: NH 24-S1096

LICENSEE INFO: Hillcrest Retirement Village, LTD
LICENSEE ADDRESS: 1908 Franklin Drive
LICENSEE CITY, STATE, ZIP: Glenview, IL 60026
Survey Date – 09/25/2024

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

DOCKET NUMBER: NH 24-CS1209

LICENSEE INFO: Hillsboro Rehabilitation and Health Care Center, LLC
LICENSEE ADDRESS: 412 E. Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 09/26/2024

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

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

Total Fine: $27,200.00

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

DOCKET NUMBER: NH 24-S0858

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 – 07/19/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)6), 300.3210t), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b), 300.1210d)6), and 300.3240a). A fine of $2,200.00

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

DOCKET NUMBER: NH 24-S1166

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 – 10/18/2024

FACILITY NAME: Hitz Memorial Home
FACILITY ADDRESS: 201 Belle Street, P.O. Box 79
FACILITY CITY, STATE, ZIP: Alhambra, IL 62001

DOCKET NUMBER: NH 24-S1108

LICENSEE INFO: Hitz Memorial Home
LICENSEE ADDRESS: 201 Belle Street, P.O. Box 79
LICENSEE CITY, STATE, ZIP: Alhambra, IL 62001
Survey Date – 09/12/2024

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

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

DOCKET NUMBER: NH 24-CS1126

LICENSEE INFO: Hope Creek Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 5683 N. Lincoln Avenue
LICENSEE CITY, STATE, ZIP: Chicago, IL 60659
Survey Date – 08/31/2024

FACILITY NAME: Illinois Veterans Home at LaSalle
FACILITY ADDRESS: 1015 O’Connor Ave
FACILITY CITY, STATE, ZIP: LaSalle, IL 61301

DOCKET NUMBER: NH 24-S1240

LICENSEE INFO: Illinois Department of Veterans’ Affairs
LICENSEE ADDRESS: 833 South Spring St. P.O. Box 19432
LICENSEE CITY, STATE, ZIP: Springfield, IL 62794
Survey Date – 10/17/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 340.1300a), 340.1505a), and 340.1505b)3). 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: 3340.1305a) and 340.1505b). A fine of $2,200.00

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

Type C violation of an occurrence for violating one or more of the following sections of the Code: 340.1300a), 340.1610a)4), and 340.1610c). 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: 340.1610). A fine of $500.00

Total Fine: $3,200.00

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

DOCKET NUMBER: NH 24-C0925

LICENSEE INFO: Illinois Department of Veterans Affairs
LICENSEE ADDRESS: 833 South Spring St., Box 19432
LICENSEE CITY, STATE, ZIP: Springfield, IL 62794
Survey Date – 07/12/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 340.1330a)1) and 340.1505b). 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: 3340.1330 and 340.1505b). A fine of $25,000.00

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

DOCKET NUMBER: NH 24-C1168

LICENSEE INFO: Illinois Department of Veterans’ Affairs
LICENSEE ADDRESS: 833 South Spring Street
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 09/26/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 340.1335a). 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: 3340.1335. A fine of $2,200.00

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

DOCKET NUMBER: NH 24-C1005

LICENSEE INFO: Imboden Creek Senior Living & Rehabilitation, LLC
LICENSEE ADDRESS: 215 E. Locust Street
LICENSEE CITY, STATE, ZIP: Harrisburg, IL 62946
Survey Date – 08/28/2024

Type A 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 $25,000.00

FACILITY NAME: Integrity HC of Anna
FACILITY ADDRESS: 315 South Brady Mill Road
FACILITY CITY, STATE, ZIP: Anna, IL 62906

DOCKET NUMBER: NH 24-S1138

LICENSEE INFO: Anna Rehabilitation and Nursing Center, LLC
LICENSEE ADDRESS: 600 S. 2^nd Street, Ste 104
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 10/03/2024

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

FACILITY NAME: Integrity HC of Herrin
FACILITY ADDRESS: 1900 North Park Avenue
FACILITY CITY, STATE, ZIP: Herrin, IL 62948

DOCKET NUMBER: NH 24-S1196

LICENSEE INFO: Herrin Rehabilitation and Nursing Center, LLC
LICENSEE ADDRESS: 600 S. 2^nd Street, Ste 104
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 09/23/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), and 300.3300a)b)e)j). The fine was doubled in this instance in accordance with 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: Integrity HC of Marion
FACILITY ADDRESS: 1301 East DeYoung
FACILITY CITY, STATE, ZIP: Marion, IL 62959

DOCKET NUMBER: NH 24-S0912

LICENSEE INFO: Marion Rehabilitation and Nursing Center, LLC
LICENSEE ADDRESS: 600 S. 2^nd Street. Ste 104
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 07/19/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.625c)1)2) and 300.625f)1)2). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.625c) and 300.625f). A fine of $500.00

Total Fine: $1,500.00

FACILITY NAME: Jacksonville Skld Nur & Rhb
FACILITY ADDRESS: 1517 West Walnut Street
FACILITY CITY, STATE, ZIP: Jacksonville, IL 62650

DOCKET NUMBER: NH 24-C1015

LICENSEE INFO: Jacksonville Care and Rehabilitation Center, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 08/13/2024

FACILITY NAME: Jacksonville Skld Nur & Rehab
FACILITY ADDRESS: 1517 West Walnut Street
FACILITY CITY, STATE, ZIP: Jacksonville, IL 62650

DOCKET NUMBER: NH 24-C1193

LICENSEE INFO: Jacksonville Care and Rehabilitation Center, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 09/25/2024

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

FACILITY NAME: Jerseyville Nsg & Rehab Center
FACILITY ADDRESS: 1001 South State Street
FACILITY CITY, STATE, ZIP: Jerseyville, IL 62052

DOCKET NUMBER: NH 24-S1211

LICENSEE INFO: Helia Healthcare of Jerseyville, LLC
LICENSEE ADDRESS: 1010 Lake Street, Ste 428
LICENSEE CITY, STATE, ZIP: Oak Park, IL 62052
Survey Date – 10/10/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210c), 300.3210t), 300.3240b), 300.3240c), and 300.3240e). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.3240e). 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), 300.810a), 300.1210c), and 300.1210d)6). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210d)6). A fine of $25,000.00

Total Fine: $50,000.00

FACILITY NAME: La Bella of Alton
FACILITY ADDRESS: 3490 Humbert Road
FACILITY CITY, STATE, ZIP: Alton, IL 62002

DOCKET NUMBER: NH 24-C0987

LICENSEE INFO: Alton Nursing and Rehab Center, LLC
LICENSEE ADDRESS: 6554 N. Trumbull Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 08/22/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1035a)4), and 300.1210b). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $25,000.00

FACILITY NAME: La Bella of Alton
FACILITY ADDRESS: 3490 Humbert Road
FACILITY CITY, STATE, ZIP: Alton, IL 62002

DOCKET NUMBER: NH 24-S1317

LICENSEE INFO: Alton Nursing and Rehab Center, LLC
LICENSEE ADDRESS: 6554 N. Trumbull Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60162
Survey Date – 10/01/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.615e), 300.615f), 300.625c)2). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.615e), 300.615f), and 300.625c). A fine of $500.00

Total Fine: $1,000.00

FACILITY NAME: Lakeside Health & Rehab Center
FACILITY ADDRESS: 1200 University Avenue
FACILITY CITY, STATE, ZIP: Carlinville, IL 62626

DOCKET NUMBER: NH 24-C1190

LICENSEE INFO: Lakeside Health and Rehab Center, LLC
LICENSEE ADDRESS: 600 South Second St., Ste 404
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 09/17/2024

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

DOCKET NUMBER: NH 24-CS1216

LICENSEE INFO: Landmark of Richton Park Rehabilitation and Nursing Center, LLC
LICENSEE ADDRESS: 5683 N. Lincoln Ave.
LICENSEE CITY, STATE, ZIP: Chicago, IL 60659
Survey Date – 09/12/2024

FACILITY NAME: LaSalle County Nursing Home
FACILITY ADDRESS: 1380 North 27^th Road
FACILITY CITY, STATE, ZIP: Ottawa, IL 61350

DOCKET NUMBER: NH 24-S0991

LICENSEE INFO: La Salle County
LICENSEE ADDRESS: 707 Etna Road, LCBO, Room 245
LICENSEE CITY, STATE, ZIP: Ottawa, IL 61350
Survey Date – 08/15/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 3001210a), 300.1210b)4), and 300.1210d)3). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $2,200.00

FACILITY NAME: Lawrence Place
FACILITY ADDRESS: 715 South Washington Street
FACILITY CITY, STATE, ZIP: Lincoln, IL 62656

DOCKET NUMBER: NH 24-S0982

LICENSEE INFO: Community Living Options, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 08/05/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code: 350.670c). No Fine

Type B violation of an occurrence for violating one or more of the following sections of the Code: 350.2020d). A fine of $1,100.00.

Type B violation of an occurrence for violating one or more of the following sections of the Code: 350.2700d)2). 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: 350.2700d)2). A fine of $1,100.00

Type AW violation of an occurrence for violating one or more of the following sections of the Code: 350.3920f). No Fine

Total Fine: $2,450.00

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

DOCKET NUMBER: NH 24-C0986

LICENSEE INFO: Lena Living Center, LLC
LICENSEE ADDRESS: 150 N. Riverside Plaza, #3000
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 08/01/2024

FACILITY NAME: Lewis Memorial Christian Vlg
FACILITY ADDRESS: 3400 West Washington
FACILITY CITY, STATE, ZIP: Springfield, IL 62711

DOCKET NUMBER: NH 24-S1110

LICENSEE INFO: Lewis Memorial Christian Village
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 09/26/2024

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

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), 300.1210c), and 300.1210d)3). The fine was doubled in this instance in accordance with 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: Lincolnwood Place
FACILITY ADDRESS: 7000 N. McCormick Boulevard
FACILITY CITY, STATE, ZIP: Lincolnwood, IL 60712

DOCKET NUMBER: NH 24-S1121

LICENSEE INFO: GA HC Reit II Lincolnwood TRS Sub, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 10/01/2024

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

FACILITY NAME: Little Sisters of the Poor
FACILITY ADDRESS: 2325 North Lakewood Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60614

DOCKET NUMBER: NH 24-S1006

LICENSEE INFO: Little Sisters of the Poor of Chicago, Inc.
LICENSEE ADDRESS: 11 W. Washington, Ste 1437
LICENSEE CITY, STATE, ZIP: Chicago, IL 60602
Survey Date – 08/29/2024

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

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

DOCKET NUMBER: NH 24-CS0902

LICENSEE INFO: Loft Rehabilitation & Nursing, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 08/01/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.615e), 300.615f), 300.615g), 300.615i), and 300.615j). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.615e), 300.615f), and 300.615g). 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), 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: $5,400.00

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

DOCKET NUMBER: NH 24-C1205

LICENSEE INFO: The Loft Rehabilitation & Nursing, LLC
LICENSEE ADDRESS: 208 So. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 09/25/2024

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)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 $25,000.00

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

DOCKET NUMBER: NH 24-C1007

LICENSEE INFO: Loft Rehabilitation and Nursing of Normal, LLC
LICENSEE ADDRESS: 208 So. LaSalle Street, Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 08/05/2024

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

FACILITY NAME: Luther Oaks
FACILITY ADDRESS: 601 Lutz Road
FACILITY CITY, STATE, ZIP: Bloomington, IL 61704

DOCKET NUMBER: NH 24-S1072

LICENSEE INFO: Luther Oaks, Inc.
LICENSEE ADDRESS: 30 S. Wacker Drive, Ste 2600
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 08/01/2024

Total Fine: $1,000.00

FACILITY NAME: Lutheran Care Center
FACILITY ADDRESS: 702 West Cumberland
FACILITY CITY, STATE, ZIP: Altamont, IL 62411

DOCKET NUMBER: NH 24-S1023

LICENSEE INFO: Lutheran Care Center
LICENSEE ADDRESS: 702 W. Cumberland Road
LICENSEE CITY, STATE, ZIP: Altamont, IL 62411
Survey Date – 07/26/2024

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

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

DOCKET NUMBER: NH 24-S1119

LICENSEE INFO: Lutheran Home for the Aged, Inc.
LICENSEE ADDRESS: 800 West Oakton Street
LICENSEE CITY, STATE, ZIP: Arlington Heights, IL 60004
Survey Date – 10/02/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b)5), 300.1210c), 300.1210d)6), and 300.1220b)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: Mado Healthcare - Uptown
FACILITY ADDRESS: 4621 North Racine Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60640

DOCKET NUMBER: NH 24-C1171

LICENSEE INFO: Forty-Six Twenty-One Corporation Incorporated
LICENSEE ADDRESS: 405 N. Wabash Ave., #P2W
LICENSEE CITY, STATE, ZIP: Chicago, IL 60611
Survey Date – 09/23/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.1830a), 300.1830b), 300.1830c), 300.3240a), 300.3240c), 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

Total Fine: $25,500.00

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

DOCKET NUMBER: NH 24-C0860

LICENSEE INFO: UDI #5, LLC
LICENSEE ADDRESS: 285 S. Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 08/22/2024

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

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 3001210d)1), 300.1630d), 300.1630e), and 300.1630f). A fine of $1,100.00

Total Fine: $3,300.00

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

DOCKET NUMBER: NH 24-C1077

LICENSEE INFO: UDI #5, LLC
LICENSEE ADDRESS: 285 S. Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 09/12/2024

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

DOCKET NUMBER: NH 24-CS1180

LICENSEE INFO: Residential Alternatives of Illinois, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 10/02/2024

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

DOCKET NUMBER: NH 24-S1008

LICENSEE INFO: Residential Alternatives of Illinois, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 08/29/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), 300.1210c), and 300.1210d)2)3)5). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)5). A fine of $25,000.00

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

Total Fine: $27,200.00

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

DOCKET NUMBER: NH 24-S1050

LICENSEE INFO: Residential Alternatives of Illinois, Inc.
LICENSEE ADDRESS: 285 Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 09/11/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b) 300.1210c), and 300.1210d)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: Mar Ka Nursing Home
FACILITY ADDRESS: 201 South 10^th Street
FACILITY CITY, STATE, ZIP: Mascoutah, IL 62258

DOCKET NUMBER: NH 24-CS1218

LICENSEE INFO: Community Care center of Mascoutah, Inc.
LICENSEE ADDRESS: 858 Sunnyhill Lane
LICENSEE CITY, STATE, ZIP: Columbia, IL 62236
Survey Date – 09/20/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.615)e) and 300.661). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.615)e) and 300.661). A fine of $500.00

Total Fine: $2,700.00

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

DOCKET NUMBER: NH 24-C1139

LICENSEE INFO: Mayfield Care and Rehabilitation Center, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 60644
Survey Date – 10/07/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), and 300.1210d)2). A fine of $12,500.00

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

DOCKET NUMBER: NH 24-S0921

LICENSEE INFO: McLean County
LICENSEE ADDRESS: 115 E. Washington Street, Rm 401
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61702
Survey Date – 08/14/2024

FACILITY NAME: Meadowbrook Manor Naperville
FACILITY ADDRESS: 720 Raymond Drive
FACILITY CITY, STATE, ZIP: Naperville, IL 60563

DOCKET NUMBER: NH 24-CS1303

LICENSEE INFO: Butterfield Health Care II, Inc.
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 10/10/2024

FACILITY NAME: Mercy Rehab and Care Center
FACILITY ADDRESS: 100 Rosewood Village Drive
FACILITY CITY, STATE, ZIP: Swansea, IL 62226

DOCKET NUMBER: NH 24-S0903

LICENSEE INFO: Mercy Rehab and Care Center, Inc.
LICENSEE ADDRESS: 412 E. Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 07/26/2024

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)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: Miller Health Care Center
FACILITY ADDRESS: 1601 Butterfield Trail
FACILITY CITY, STATE, ZIP: Kankakee, IL 60901

DOCKET NUMBER: NH 24-S0823

LICENSEE INFO: Riverside Senior Living Center
LICENSEE ADDRESS: 350 North Wall Street
LICENSEE CITY, STATE, ZIP: Kankakee, IL 60901
Survey Date – 07/18/2024

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

DOCKET NUMBER: NH 24-C1144

LICENSEE INFO: Community Care Center of Monmouth, Inc.
LICENSEE ADDRESS: 858 Sunnyhill Lane
LICENSEE CITY, STATE, ZIP: Columbia, IL 62236
Survey Date – 10/04/2024

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

DOCKET NUMBER: NH 24-C1097

LICENSEE INFO: Morgan Park Healthcare, LLC
LICENSEE ADDRESS: 3531 Howard Street, Ste 1006
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 08/12/2024

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

DOCKET NUMBER: NH 24-S1232

LICENSEE INFO: Morgan Park Healthcare, LLC
LICENSEE ADDRESS: 3531 Howard St., Ste 1006
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 10/04/2024

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

DOCKET NUMBER: NH 24-C1233

LICENSEE INFO: Morgan Park Healthcare, LLC
LICENSEE ADDRESS: 3531 Howard St., Ste 1006
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 09/30/2024

Type AA violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010i), 300.1210b), 300.1210c), and 300.1220b)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 300.1220b)6). A fine of $50,000.00

FACILITY NAME: Mount Vernon Countryside Manor
FACILITY ADDRESS: 600 East IL Highway 15
FACILITY CITY, STATE, ZIP: Mount Vernon, IL 62864

DOCKET NUMBER: NH 24-S1066

LICENSEE INFO: Palladian Mt. Vernon SNF, LLC
LICENSEE ADDRESS: 1010 Lake Street, Ste 428
LICENSEE CITY, STATE, ZIP: Oak Park, IL 60301
Survey Date – 08/27/2024

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: Mount Vernon Health Care Center
FACILITY ADDRESS: 5 Doctors Park Road
FACILITY CITY, STATE, ZIP: Mount Vernon, IL 62864

DOCKET NUMBER: NH 24-C1112

LICENSEE INFO: Petersen Management Company, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 10/03/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1810b), and 300.1810c)1)3). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $2,200.00

FACILITY NAME: Newman Rehab & Healthcare Ctr
FACILITY ADDRESS: 418 South Memorial Park Road
FACILITY CITY, STATE, ZIP: Newman, IL 61942

DOCKET NUMBER: NH 24-S1120

LICENSEE INFO: Petersen Health & Wellness, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 09/17/2024

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

DOCKET NUMBER: NH 24-C0819

LICENSEE INFO: North Aurora HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 07/15/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1035a)4)5), 300.1210b), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.3240a). A fine of $25,000.00

FACILITY NAME: Oak Hill
FACILITY ADDRESS: 623 Hamacher Street
FACILITY CITY, STATE, ZIP: Waterloo, IL 62298

DOCKET NUMBER: NH 24-S1067

LICENSEE INFO: County of Monroe
LICENSEE ADDRESS: 100 South Main Street
LICENSEE CITY, STATE, ZIP: Waterloo, IL 62298
Survey Date – 08/23/2024

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

DOCKET NUMBER: NH 24-CS1299

LICENSEE INFO: Illinois Old Folks’ Home
LICENSEE ADDRESS: 201 Lafayette East
LICENSEE CITY, STATE, ZIP: Mattoon, IL 61938
Survey Date – 10/08/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1210b)4), and 300.1210d)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), 300.1610a)1), 300.1620a), and 300.1630d). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $2,200.00

Total Fine: $29,400.00

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

DOCKET NUMBER: NH 24-CS1018

LICENSEE INFO: Parc Joliet Nursing, LLC
LICENSEE ADDRESS: 6302 N. Monticello Avenue
LICENSEE CITY, STATE, ZIP: Chicago, IL 60659
Survey Date – 09/06/2024

FACILITY NAME: Paris Health & Rehab Center
FACILITY ADDRESS: 1101 North Main Street
FACILITY CITY, STATE, ZIP: Paris, IL 61944

DOCKET NUMBER: NH 24-S0951

LICENSEE INFO: Paris Health and Rehab Center, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 07/24/2024

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

Total Fine: $1,000.00

FACILITY NAME: Paris Health and Rehab Center
FACILITY ADDRESS: 1011 N. Main Street
FACILITY CITY, STATE, ZIP: Paris, IL 61944

DOCKET NUMBER: NH 24-C1029

LICENSEE INFO: Paris Health and Rehab Center, LLC
LICENSEE ADDRESS: 208 S. LaSalle Street, Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 08/07/2024

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

FACILITY NAME: Park Place Christian Community
FACILITY ADDRESS: 1150 Euclid Avenue
FACILITY CITY, STATE, ZIP: Elmhurst, IL 60126

DOCKET NUMBER: NH 24-C1082

LICENSEE INFO: Timothy Place, NFP
LICENSEE ADDRESS: 118601 N. Creek Drive
LICENSEE CITY, STATE, ZIP: Tinley Park, IL 60477
Survey Date – 09/22/2024

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

DOCKET NUMBER: NH 24-CS1051

LICENSEE INFO: Parkshore Estates Nursing and Rehab Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 07/25/2024

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

DOCKET NUMBER: NH 24-CS0971

LICENSEE INFO: Pavilion of Logan Square, LLC
LICENSEE ADDRESS: 191 N. Wacker Drive, Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 08/12/2024

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

FACILITY NAME: Pavilion of South Shore
FACILITY ADDRESS: 7750 South Shore Drive
FACILITY CITY, STATE, ZIP: Chicago, IL 60649

DOCKET NUMBER: NH 24-S1219

LICENSEE INFO: The Pavilion of South Shore, LLC
LICENSEE ADDRESS: 191 N. Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 09/30/2024

FACILITY NAME: Pearl of Elgin, The
FACILITY ADDRESS: 2355 Royal Blvd
FACILITY CITY, STATE, ZIP: Elgin, IL 60123

DOCKET NUMBER: NH 24-S0918

LICENSEE INFO: Pearl of Elgin, LLC
LICENSEE ADDRESS: 6865 N. Lincoln Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 08/22/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.610a) and 300.615e). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.615e). A fine of $500.00

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.650c), 300.650d), and 300.661. This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.661). A fine of $500.00

Total Fine: $1,000.00

FACILITY NAME: Pearl of Elk Grove, The
FACILITY ADDRESS: 1920 Nerge Road
FACILITY CITY, STATE, ZIP: Elk Grove Village, IL 60007

DOCKET NUMBER: NH 24-C1124

LICENSEE INFO: Pearl of Elk Grove, LLC
LICENSEE ADDRESS: 4711 Golf Rd, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 09/26/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)6), and 300.3210t). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6). A fine of $25,000.00

FACILITY NAME: Pearl of Hinsdale, The
FACILITY ADDRESS: 600 West Ogden Avenue
FACILITY CITY, STATE, ZIP: Hinsdale, IL 60521

DOCKET NUMBER: NH 24-S1147

LICENSEE INFO: Pearl of Hinsdale, LLC
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 10/18/2024

FACILITY NAME: Pearl of Joliet, The
FACILITY ADDRESS: 306 N. Larken Ave
FACILITY CITY, STATE, ZIP: Joliet, IL 60435

DOCKET NUMBER: NH 24-C1239

LICENSEE INFO: Pearl of Joliet, LLC
LICENSEE ADDRESS: 4711 Golf Rd, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 10/04/2024

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

FACILITY NAME: Pearl of Montclare, The
FACILITY ADDRESS: 2833 North Nordica Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60634

DOCKET NUMBER: NH 24-C0967

LICENSEE INFO: Pearl of Montclare, LLC
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 08/12/2024

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

DOCKET NUMBER: NH 24-S1073

LICENSEE INFO: Pearl of Naperville, LLC
LICENSEE ADDRESS: 4711 Golf Rd, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 09/19/2024

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

DOCKET NUMBER: NH 24-CS0952

LICENSEE INFO: Pearl of Rolling Meadows, LLC
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 08/01/2024

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

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

DOCKET NUMBER: NH 24-S0900

LICENSEE INFO: Pearl of St. Charles, LLC
LICENSEE ADDRESS: 6865 N. Lincoln Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 08/01/2024

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

Total Fine: $1,000.00

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

DOCKET NUMBER: NH 24-S1052

LICENSEE INFO: Pearl of St. Charles, LLC
LICENSEE ADDRESS: 6865 N. Lincoln Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 09/18/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.615e), 300.615f), 300.615g), and 300.625c)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: 300.615e), 300.615f), 300.615g), and 300.625c). 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) and 300.1210b)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 $500.00

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1640a), and 300.1640f). No Fine

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a) and 300.2090a). A fine of $1,100.00

Total Fine: $4,300.00

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

DOCKET NUMBER: NH 24-C1059

LICENSEE INFO: Pearl of St. Charles, LLC
LICENSEE ADDRESS: 6865 N. Lincoln Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 08/28/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.620d)1), 300.1850o), 300.1850p). 300.3300d)2), 300.3300e)1)2)3)4)5), and 300.3300k). A fine of $12,500.00

FACILITY NAME: Piasa Manor
FACILITY ADDRESS: 110 North Alby Court
FACILITY CITY, STATE, ZIP: Godfrey, IL 62035

DOCKET NUMBER: NH 24-CS1021

LICENSEE INFO: Home and Environments for Living and Programs, Inc.
LICENSEE ADDRESS: 208 South LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 07/17/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 350.620a), 350.700c), 350.1210a), 350.3240a), and 350.3240e). 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: 350.700, 350.1210, 350.3240a), and 350.3240e). A fine of $6,250.00

FACILITY NAME: Piasa Manor
FACILITY ADDRESS: 110 North Alby Court
FACILITY CITY, STATE, ZIP: Godfrey, IL 62035

DOCKET NUMBER: NH 24-S1083

LICENSEE INFO: Home and Environments for Living and Programs, Inc.
LICENSEE ADDRESS: 208 South LaSalle St., Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 09/17/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 350.620a), 350.1210a), 350.1230d)1)2), and 350.1230e). 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 and 350.1230). A fine of $6,250.00

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 24-S0861

LICENSEE INFO: Piper HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 07/16/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.625c)1)2), 300.625d), and 300.625e). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.625c) A fine of $500.00

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.350c) and 300.661). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.661). A fine of $500.00

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

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

Total Fine: $28,200.00

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 24-S1234

LICENSEE INFO: Piper HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date –10/25/2024

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

DOCKET NUMBER: NH 24-C1201

LICENSEE INFO: Pleasant Meadows Senior Living, LLC
LICENSEE ADDRESS: 5750 Old Orchard Rd, Ste 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 09/25/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), and 300.1210d)1)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: Pleasant Meadows Senior Living
FACILITY ADDRESS: 400 West Washington
FACILITY CITY, STATE, ZIP: Chrisman, IL 61924

DOCKET NUMBER: NH 24-C1255

LICENSEE INFO: Pleasant Meadows Senior Living, LLC
LICENSEE ADDRESS: 5750 Old Orchard Rd, Ste 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 10/08/2024

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

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

DOCKET NUMBER: NH 24-S1141

LICENSEE INFO: Prairie Manor Nursing & Rehabilitation Center, LLC
LICENSEE ADDRESS: 2201 West Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 09/12/2024

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

DOCKET NUMBER: NH 24-C0930

LICENSEE INFO: Sedgebrook OPCO (SL-VII), LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 08/09/2024

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

FACILITY NAME: Regency Care Springfield
FACILITY ADDRESS: 2120 W. Washington Street
FACILITY CITY, STATE, ZIP: Springfield, IL 62702

DOCKET NUMBER: NH 24-CS1068

LICENSEE INFO: Rutledge Regency Operations, LLC
LICENSEE ADDRESS: 202 N. Center Street
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61701
Survey Date – 09/25/2024

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

FACILITY NAME: Renwick Nursing and Rehab
FACILITY ADDRESS: 3401 Hennepin Drive
FACILITY CITY, STATE, ZIP: Joliet, IL 60431

DOCKET NUMBER: NH 24-CS1312

LICENSEE INFO: 3401 Hennepin OPCO, LLC
LICENSEE ADDRESS: 2201 W. Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 10/24/2024

Total Fine: $2,700.00

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

DOCKET NUMBER: NH 24-C0961

LICENSEE INFO: Helia Richard Healthcare, LLC
LICENSEE ADDRESS: 600 S. 2^nd Street, Ste 104
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 08/12/2024

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

DOCKET NUMBER: NH 24-S0984

LICENSEE INFO: River View Rehab Center, LLC
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 08/30/2024

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

DOCKET NUMBER: NH 24-CS1098

LICENSEE INFO: River View Rehab Center, LLC
LICENSEE ADDRESS: 4711 Golf Rd, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60123
Survey Date – 10/02/2024

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

DOCKET NUMBER: NH 24-S1301

LICENSEE INFO: Robing HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 10/24/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.650c), 300.650d), 300.660a), 300.660c)1), and 300.611. This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.661. A fine of $500.00

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

DOCKET NUMBER: NH 24-C1099

LICENSEE INFO: Petersen Health Network, LLC
LICENSEE ADDRESS: 830 Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 09/13/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1620e), and 300.1230d). A fine of $1,100.00

FACILITY NAME: Rochelle Rehab Health Care Center
FACILITY ADDRESS: 900 Third Street
FACILITY CITY, STATE, ZIP: Rochelle, IL 61068

DOCKET NUMBER: NH 24-CS1304

LICENSEE INFO: Petersen Health Network, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 11/06/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.3300v)2), and 300.3300y). A fine of $1,100.00

FACILITY NAME: Rock Falls Rehab Hlth Care C
FACILITY ADDRESS: 430 Martin Road
FACILITY CITY, STATE, ZIP: Rock Falls, IL 61071

DOCKET NUMBER: NH 24-C1314

LICENSEE INFO: Petersen Health & Wellness, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 11/08/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.3300a), and 300.3300y). The fine was doubled in this instance in accordance with 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 Falls Rehab Hlth Care C
FACILITY ADDRESS: 430 Martin Road
FACILITY CITY, STATE, ZIP: Rock Falls, IL 61071

DOCKET NUMBER: NH 24-S1319

LICENSEE INFO: Petersen Health & Wellness, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 09/05/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1210b), 300.1210d)1)3), 300.1620a), and 300.1630c)d). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). 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 24-S1302

LICENSEE INFO: Rock River Healthcare, LLC
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 10/09/2024

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

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

Total Fine: $2,700.00

FACILITY NAME: Rosiclare Rehab & HCC
FACILITY ADDRESS: 65 Ferrell Road, P.O. Box 220
FACILITY CITY, STATE, ZIP: Rosiclare, IL 62982

DOCKET NUMBER: NH 24-C0931

LICENSEE INFO: Rosiclare HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 08/05/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.2100), and 300.2210b)2)3)4)5)6)7)8)9). A fine of $1,100.00

FACILITY NAME: Royal Oaks Care Center
FACILITY ADDRESS: 600 East Church Street Box 600
FACILITY CITY, STATE, ZIP: Kewanee, IL 61443

DOCKET NUMBER: NH 24-S1100

LICENSEE INFO: Royal HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61443
Survey Date – 09/25/2024

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

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a) and 300.1210a)4)5). A fine of $1,100.00

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

Total Fine: $2,200.00

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

DOCKET NUMBER: NH 24-C0891

LICENSEE INFO: Ryze West, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 07/31/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.690b) and 300.690c). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.690). A fine of $500.00

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

DOCKET NUMBER: NH 24-C1101

LICENSEE INFO: Ryze West, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 08/29/2024

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

DOCKET NUMBER: NH 24-CS1107

LICENSEE INFO: Petersen Health Business, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 09/24/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b)3), and 300.3240d). 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) and 300.3240d). A fine of $2,200.00

FACILITY NAME: Scottish Home, The
FACILITY ADDRESS: 2800 Des Plaines Avenue
FACILITY CITY, STATE, ZIP: Riverside, IL 60546

DOCKET NUMBER: NH 24-S1256

LICENSEE INFO: The Illinois Saint Andrew Society
LICENSEE ADDRESS: 2800 Des Plaines Avenue
LICENSEE CITY, STATE, ZIP: Riverside, IL 60546
Survey Date – 10/13/2024

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 fine of $1,100.00

FACILITY NAME: Scottish Home, The
FACILITY ADDRESS: 2800 Des Plaines Avenue
FACILITY CITY, STATE, ZIP: Riverside, IL 60546

DOCKET NUMBER: NH 24-CS1260

LICENSEE INFO: The Illinois Saint Andrew Society
LICENSEE ADDRESS: 2800 Des Plaines Avenue
LICENSEE CITY, STATE, ZIP: North Riverside, IL 60546
Survey Date – 09/27/2024

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

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

DOCKET NUMBER: NH 24-CS0915

LICENSEE INFO: Shawnee Senior Living, LLC
LICENSEE ADDRESS: 1275 Milwaukee Ave., Ste 300
LICENSEE CITY, STATE, ZIP: Glenview, IL 60025
Survey Date – 07/24/2024

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

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

Total Fine: $29,400.00

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

DOCKET NUMBER: NH 24-CS1017

LICENSEE INFO: Shawnee Senior Living, LLC
LICENSEE ADDRESS: 1275 Milwaukee Ave., Ste 300
LICENSEE CITY, STATE, ZIP: Glenview, IL 60025
Survey Date – 08/29/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.625a), 300.625c)1)2), 300.625d), 300.625e), and 300.625g). 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: 300.625a) and 300.625c). 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), 300.1210c), and 300.1210d)1)2)3). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $25,000.00

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 300.2900d)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

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

Total Fine: $80,400.00

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

DOCKET NUMBER: NH 24-S0994

LICENSEE INFO: UDI #3, LLC
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 09/27/2024

FACILITY NAME: Shelbyville Rehab & Hlth C Ctr
FACILITY ADDRESS: 2116 South 3^rd & Dacey Drive
FACILITY CITY, STATE, ZIP: Shelbyville, IL 62565

DOCKET NUMBER: NH 24-S0979

LICENSEE INFO: Shelbyville HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 08/09/2024

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

Total Fine: $500.00

FACILITY NAME: Shore Home East
FACILITY ADDRESS: 503 Michigan Avenue
FACILITY CITY, STATE, ZIP: Evanston, IL 60202

DOCKET NUMBER: NH 24-S1137

LICENSEE INFO: Shore Community Services, Inc.
LICENSEE ADDRESS: 8350 Laramie
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 10/18/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code: 350.670c), 350.670d)1)2)3)4)5), 350.680a), and 350.681. 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: 350.681. A fine of $175.00

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

DOCKET NUMBER: NH 24-S1102

LICENSEE INFO: The Washington and Jane Smith Community-Beverly
LICENSEE ADDRESS: 208 S. LaSalle St., Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 09/19/2024

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

DOCKET NUMBER: NH 24-CS1045

LICENSEE INFO: 71^st and Exchange OPCO, LLC
LICENSEE ADDRESS: 2201 W. Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 07/26/2024

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

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.625c)2) and 300.625g). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.625c). A fine of $500.00

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

Total Fine: $26,500.00

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

DOCKET NUMBER: NH 24-S1046

LICENSEE INFO: 71^st and Exchange OPCO, LLC
LICENSEE ADDRESS: 2201 W. Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60649
Survey Date – 09/13/2024

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

DOCKET NUMBER: NH 24-C0973

LICENSEE INFO: South Suburban Rehabilitation Center, LLC
LICENSEE ADDRESS: 2201 West Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 08/06/2024

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

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

DOCKET NUMBER: NH 24-C1048

LICENSEE INFO: South Suburban Rehabilitation Center, LLC
LICENSEE ADDRESS: 2201 West Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 09/11/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), and 300.2900d)2). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.2900d)2). A fine of $2,200.00

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

DOCKET NUMBER: NH 24-CS1176

LICENSEE INFO: South Suburban Rehabilitation Center, LLC
LICENSEE ADDRESS: 2201 West Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 10/11/2024

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

DOCKET NUMBER: NH 24-C1235

LICENSEE INFO: Southgate Heath Care, Inc.
LICENSEE ADDRESS: 900 E 9^th Street
LICENSEE CITY, STATE, ZIP: Metropolis, IL 62960
Survey Date – 09/26/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), 300.1210d)3), and 300.1220b)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: Southpoint Nrsg & Rehab Ctr
FACILITY ADDRESS: 1010 West 95^th Street
FACILITY CITY, STATE, ZIP: Chicago, IL 60643

DOCKET NUMBER: NH 24-C1217

LICENSEE INFO: Southpoint Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 10/01/2024

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

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

Total Fine: $29,400.00

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

DOCKET NUMBER: NH 24-CS0954

LICENSEE INFO: Laureate Southview Operations, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 07/26/2024

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

Total Fine: $26,100.00

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

DOCKET NUMBER: NH 24-C1200

LICENSEE INFO: Spring Creek SNF, LLC
LICENSEE ADDRESS: 6302 N. Monticello Avenue
LICENSEE CITY, STATE, ZIP: Chicago, IL 60659
Survey Date – 09/10/2024

FACILITY NAME: Stevens House
FACILITY ADDRESS: 2182 Windish Drive
FACILITY CITY, STATE, ZIP: Galesburg, IL 61401

DOCKET NUMBER: NH 24-S1103

LICENSEE INFO: Community Living Options, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 10/03/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code: 350.625f). 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: 350.625f). A fine of $175.00

FACILITY NAME: Sullivan Rehab & Hlth Care Ctr
FACILITY ADDRESS: 11 Hawthorne Lane
FACILITY CITY, STATE, ZIP: Sullivan, IL 61951

DOCKET NUMBER: NH 24-S1116

LICENSEE INFO: Sullivan HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61951
Survey Date – 09/13/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.661, 955.100, and 955.165c). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.661). A fine of $500.00

FACILITY NAME: Sunset Rehabilitation & Hlth C
FACILITY ADDRESS: 3601 South Harlem
FACILITY CITY, STATE, ZIP: Berwyn, IL 60402

DOCKET NUMBER: NH 24-C0916

LICENSEE INFO: Petersen Health Junction, LLC
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 07/16/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.690b), 300.690c), 300.1210b), 300.1210c), 300.3210t), 300.3240b), 300.3240c), and 300.3240e). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.690), 300.1210b) and 300.3240e). A fine of $25,000.00

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

DOCKET NUMBER: NH 24-C0972

LICENSEE INFO: Petersen Health Junction, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 08/05/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1035d), 300.1035h), 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 $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), 300.1210d)2)3)5), and 300.1220b)3). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and300.1210d)5). A fine of $2,200.00

Total Fine: $27,200.00

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

DOCKET NUMBER: NH 24-C1104

LICENSEE INFO: Symphony Maple Crest, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 10/02/2024

FACILITY NAME: Symphony Northwoods
FACILITY ADDRESS: 2250 Pearl Street
FACILITY CITY, STATE, ZIP: Belvidere, IL 61008

DOCKET NUMBER: NH 24-S1215

LICENSEE INFO: Symphony Northwoods, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 10/23/2024

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

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 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: Timbercreek Rehab & Healthcare Center
FACILITY ADDRESS: 2220 State Street
FACILITY CITY, STATE, ZIP: Pekin, IL 61554

DOCKET NUMBER: NH 24-C1070

LICENSEE INFO: Petersen Health Operations, LLC
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 07/25/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.690a), 300.690b), 300.690c), 300.1210b), 300.1210c), 300.1210d)3)6), 300.1220b)3), and 300.3100d)2). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.690, 300.1210b), 300.1210d)6), and 300.3100d)2). A fine of $25,000.00

FACILITY NAME: Timbercreek Rehab Healthcare Center
FACILITY ADDRESS: 2220 State Street
FACILITY CITY, STATE, ZIP: Pekin, IL 61554

DOCKET NUMBER: NH 24-CS1069

LICENSEE INFO: Petersen Health Operations, LLC
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 08/07/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.615b), 300.615c), 300.615e), 300.615f) and 300.615g). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.615b), 300.615e), 300.615f), and 300.615g). A fine of $500.00

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

DOCKET NUMBER: NH 24-C1199

LICENSEE INFO: Petersen Health Operations, LLC
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 10/04/2024

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

DOCKET NUMBER: NH 24-C1081

LICENSEE INFO: Tri-State Village Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 208 S. LaSalle Street, Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 08/11/2024

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

DOCKET NUMBER: NH 24-C1130

LICENSEE INFO: Uptown Care and Rehabilitation Center, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 08/23/2024

FACILITY NAME: Vandalia Rehab & Health Care Center
FACILITY ADDRESS: 1500 West St. Louis Avenue
FACILITY CITY, STATE, ZIP: Vandalia, IL 62471

DOCKET NUMBER: NH 24-S0956

LICENSEE INFO: Vandalia HCO, LLC
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 08/02/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210c), and 300.1210d)2)3). The fine was doubled in this instance in accordance with 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 Lincoln Park
FACILITY ADDRESS: 2732 North Hampden Court
FACILITY CITY, STATE, ZIP: Chicago, IL 60614

DOCKET NUMBER: NH 24-C0957

LICENSEE INFO: Lincoln Park Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 07/25/2024

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

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

DOCKET NUMBER: NH 24-C0927

LICENSEE INFO: Warren Barr North Shore, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 08/01/2024

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

FACILITY NAME: Warren Barr Oak Lawn
FACILITY ADDRESS: 9401 South Kostner Avenue
FACILITY CITY, STATE, ZIP: Oak Lawn, IL 60453

DOCKET NUMBER: NH 24-C0988

LICENSEE INFO: Oak Lawn East Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 07/24/2024

Total Fine: $27,200.00

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

DOCKET NUMBER: NH 24-C0962

LICENSEE INFO: South Loop Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 07/19/2024

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

DOCKET NUMBER: NH 24-C1011

LICENSEE INFO: South Loop Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 08/01/2024

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

DOCKET NUMBER: NH 24-C1014

LICENSEE INFO: South Loop Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 08/15/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), 300.1210c), 300.1210d)3)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: Washington Senior Living
FACILITY ADDRESS: 1201 Newcastle Road
FACILITY CITY, STATE, ZIP: Washington, IL 61571

DOCKET NUMBER: NH 24-CS1109

LICENSEE INFO: Washington Senior Living, LLC
LICENSEE ADDRESS: 1275 Milwaukee Ave., Ste 300
LICENSEE CITY, STATE, ZIP: Glenview, IL 60025
Survey Date – 09/25/2024

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

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

DOCKET NUMBER: NH 24-CS1030

LICENSEE INFO: Watseka HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 60970
Survey Date – 08/28/2024

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

Total Fine: $27,200.00

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

DOCKET NUMBER: NH 24-S1105

LICENSEE INFO: Watseka HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 09/30/2024

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

DOCKET NUMBER: NH 24-S1165

LICENSEE INFO: Watseka HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 10/17/2024

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

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.615e), 300.615f), 300.615g), 300.615i), and 300.615j). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.615e), 300.615f), and 300.615g). A fine of $500.00

Total Fine: $4,900.00

FACILITY NAME: Wealshire Ctr for Excellence D/B/A Serenity Estates of Lincolnshire
FACILITY ADDRESS: 150 Jamestown Lane
FACILITY CITY, STATE, ZIP: Lincolnshire, IL 60069

DOCKET NUMBER: NH 24-C1257

LICENSEE INFO: Wealshire Ctr for Excellence D/B/A Serenity Estates of Lincolnshire
LICENSEE ADDRESS: 10 S. Wacker Dr., 40th FL
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 09/07/2024

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

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

DOCKET NUMBER: NH 24-C1192

LICENSEE INFO: Westmont Manor HRC, LLC
LICENSEE ADDRESS: 2201 Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 09/04/2024

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

DOCKET NUMBER: NH 24-S1181

LICENSEE INFO: White Hall Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 901 S. 2^nd Street, Ste 201
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 10/21/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.660c)1) and 300.661). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.661. A fine of $500.00

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

DOCKET NUMBER: NH 24-S0980

LICENSEE INFO: Willows Health Center
LICENSEE ADDRESS: 4141 North Rockton Avenue
LICENSEE CITY, STATE, ZIP: Rockford, IL 61103
Survey Date – 08/22/2024

FACILITY NAME: Zahav of Berwyn
FACILITY ADDRESS: 3601 South Harlem
FACILITY CITY, STATE, ZIP: Berwyn, IL 60402

DOCKET NUMBER: NH 24-C0933

LICENSEE INFO: Zahav of Berwyn, LLC
LICENSEE ADDRESS: 191 N. Wacker Drive, Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 07/16/2024

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)4)A)B), 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: Zahav of Des Plaines
FACILITY ADDRESS: 9300 Ballard Road
FACILITY CITY, STATE, ZIP: Des Plaines, IL 60016

DOCKET NUMBER: NH 24-C0934

LICENSEE INFO: Zahav of Des Plaines, LLC
LICENSEE ADDRESS: 191 N. Wacker Drive, Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 08/01/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210c), 300.1210d)1)2), and 300.1220b)3). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $25,000.00

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

DOCKET NUMBER: NH 24-CS1237

LICENSEE INFO: Zahav of Des Plaines, LLC
LICENSEE ADDRESS: 191 N. Wacker Drive, Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 09/26/2024

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

2024 4th Quarterly Report

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2024 4th Quarterly Report

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