Illinois Nursing Home Violations April Through June 2012

Julie Northcutt, 8/14/2012

Nursing home violations for the state of Illinois for the 2nd quarter of 2012 have been published by the Illinois Department of Health.  It is important to remember that nursing home violations are NOT included in the health inspection report star-ratings issued by Medicare.

Below is the overview of the nursing home violations for April through June, 2012, for Illinois, issued by the Illinois Department of Public Health.  All violations that are reported are investigated and then the nursing home must either pay a fine or the violation is removed if it is discovered it is unfounded.  In the event that violations continue there is the possibility of a facility having the department of health revoke the nursing home license.  Just as you can lose your driver's license after too man traffic violations, a nursing home can lose their nursing home license after too many violations.

Illinois Nursing Home Violation Report 2nd Quarter 2012

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: Albany Care
FACILITY ADDRESS: 901 Maple Avenue
Evanston, IL 60202

DOCKET #: NH 11-C0034
NAME OF OWNER OR LICENSEE: Albany Care, Inc.
ADDRESS: 2201 Main St
Evanston, IL 60202

Re: Survey of 11-29-10 By Final Order, Violation Reduced, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Alden Orland Park Rehab & Health Care Center
FACILITY ADDRESS: 16450 South 97th Ave
Orland Park, IL 60462

DOCKET #: NH 12-C0174
NAME OF OWNER OR LICENSEE: Alden – Orland Park Rehabilitation and Health Care Center, Inc.
ADDRESS: 4200 West Peterson, Ste 140
Chicago, IL 60646

Re: Survey of 3-8-12 On May 3, 2012, sent Notice of Type “A” Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $12,500.

FACILITY NAME: Alden Princeton Rehabilitation and Health Care Center
FACILITY ADDRESS: 255 West 69th St
Chicago, IL 60621

DOCKET #: NH 12-S0144
NAME OF OWNER OR LICENSEE: Alden – Princeton Rehabilitation and Health Care Center, Inc.
ADDRESS: 4200 West Peterson Ave., Ste. 140
Chicago, IL 60646

Re: Survey of 3-14-12 On April 16, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.

FACILITY NAME: Alden Princeton Rehabilitation and Health Care Center
FACILITY ADDRESS: 255 West 69th St
Chicago, IL 60621

DOCKET #: NH 12-C0256
NAME OF OWNER OR LICENSEE: Alden – Princeton Rehabilitation and Health Care Center, Inc.
ADDRESS: 4200 West Peterson Ave, Ste 140
Chicago, IL 60646

Re: Survey of 4-20-2012 On June 20, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $2,200.

FACILITY NAME: Alden Wentworth Rehabilitation and Health Care Center
FACILITY ADDRESS: 201 West 69th St
Chicago, IL 60621

DOCKET #: NH 12-C0142
NAME OF OWNER OR LICENSEE: Alden – Wentworth Rehabilitation and Health Care Center
ADDRESS: 4200 West Peterson Ave., Ste. 140
Chicago, IL 60646

Re: Survey of 2-10-12 On April 17, 2012, sent Notice of Type “A” Violations relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $20,000.

FACILITY NAME: All American Nursing Home
FACILITY ADDRESS: 5448 North Broadway St
Chicago, IL 60640

DOCKET #: NH 11-C0026
NH 11-C0145
NAME OF OWNER OR LICENSEE: Zikainim, Inc.
ADDRESS: 191 North Wacker Dr, Ste 1800
Chicago, IL 60606

Re: Surveys of 12-10-10 & 2-28-11 By Final Order, Violations Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: All Faith Pavilion
FACILITY ADDRESS: 3500 South Giles Ave
Chicago, IL 60653

DOCKET #: NH 12-C0170
NAME OF OWNER OR LICENSEE: PHWD, LLC.
ADDRESS: 8320 Skokie Blvd
Skokie, IL 60077

Re: Survey of 3-9-12 On May 3, 2012, sent Notice of Type “A” Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $25,000.

FACILITY NAME: Apostolic Christian Timber Ridge
FACILITY ADDRESS: 2125 Veterans Rd
Morton, IL 61550

DOCKET #: NH 12-S0245
NAME OF OWNER OR LICENSEE: Apostolic Christian Home for the Handicapped
ADDRESS: 2125 Veterans Rd
Morton, IL 61550

Re: Survey of 4-10-12 On June 8, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure, and Notice of Fine Assessment of $750.

FACILITY NAME: Asta Care Center of Bloomington
FACILITY ADDRESS: 1509 North Calhoun St.
Bloomington, IL 61701

DOCKET #: NH 12-C0165
NAME OF OWNER OR LICENSEE: Asta Care Center of Bloomington, LLC.
ADDRESS: 134 McLean Boulevard
Elgin, IL 60123

Re: Survey of 3-22-12 On April 18, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.

FACILITY NAME: Asta Care Center of Toluca
FACILITY ADDRESS: 101 East Via Ghiglieri
Toluca, IL 61369

DOCKET #: NH 12-S0156
NAME OF OWNER OR LICENSEE: Asta Care Center of Toluca, LLC.
ADDRESS: 134 North McLean Boulevard
Elgin, IL 60123

Re: Survey of 3-16-12 On April 16, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $500.

FACILITY NAME: Aurora Rehabilitation and Living Center
FACILITY ADDRESS: 1601 North Farnsworth Ave.
Aurora, IL 60505

DOCKET #: NH 12-S0133
NAME OF OWNER OR LICENSEE: Aurora Manor, Inc.
ADDRESS: 161 North Clark St., Ste. 4200

Re: Survey of 2-15-12 On April 18, 2012, sent Notice of Type “A” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $12,500.

FACILITY NAME: Balmoral Home
FACILITY ADDRESS: 2055 West Balmoral Ave.
Chicago, IL 60625

DOCKET #: NH 12-S0127
NAME OF OWNER OR LICENSEE: Balmoral Home, Inc.
ADDRESS: 6500 North Hamlin
Lincolnwood, IL 60712

Re: Survey of 1-27-12 On April 5, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100. A hearing has been requested.

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

DOCKET #: NH 12-S0138
NAME OF OWNER OR LICENSEE: Petersen Health Care, Inc.
ADDRESS: 830 West Trailcreek Dr.
Peoria, IL 61614

Re: Survey of 3-8-12 On April 13, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Benton Rehabilitation and Health Care Center
FACILITY ADDRESS: 1409 North Main St., Box 847
Benton, IL 62812

DOCKET #: NH 12-S0153
NAME OF OWNER OR LICENSEE: Petersen Health Operations, LLC.
ADDRESS: 830 West Trailcreek Dr.
Peoria, IL 61614

Re: Survey of 3-8-12 On April 12, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Boulevard Care Nursing and Rehabilitation
FACILITY ADDRESS: 4305 South Michigan Ave
Chicago, IL 60616

DOCKET #: NH 12-S0258
NAME OF OWNER OR LICENSEE: Boulevard Care Nursing and Rehabilitation Center, LLC
ADDRESS: 2201 West Main St
Evanston, IL 60202

Re: Survey of 3-27-12 On June 20, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $1,100.

FACILITY NAME: Brentwood North Health Care and Rehabilitation Center
FACILITY ADDRESS: 3705 Deerfield Rd
Riverwoods, IL 60015

DOCKET #: NH 12-C0093
NAME OF OWNER OR LICENSEE: Brentwood North Healthcare and Rehabilitation Centre, Inc.
ADDRESS: 191 North Wacker Dr, Ste 1800
Chicago, IL 60606

Re: Survey of 1-25-12 By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Affirmed.

FACILITY NAME: Briarbrook Place
FACILITY ADDRESS: 228 Briarbrook Dr
East Peoria, IL 61611

DOCKET #: NH 12-C0241
NAME OF OWNER OR LICENSEE: Progressive Housing, Inc.
ADDRESS: 3615 Park Dr, Ste 100
Olympia Fields, IL 60461

Re: Survey of 4-5-12 On June 6, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $550.

FACILITY NAME: Bridgeway Christian Village Rehabilitation and SNF
FACILITY ADDRESS: 111 East Washington St
Bensenville, IL 60106

DOCKET #: NH 12-C0212
NAME OF OWNER OR LICENSEE: Midwest Senior Ministries, Inc.
ADDRESS: 200 North Postville Dr
Lincoln, IL 62656

Re: Survey of 4-17-12 On June 6, 2012, sent Notice of Type “A” Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $8000.

FACILITY NAME: Broadway Terrace
FACILITY ADDRESS: 43 Broadway
Chicago Heights, IL 60411

DOCKET #: NH 12-C0128
NAME OF OWNER OR LICENSEE: Pioneer Concepts, Inc.
ADDRESS: 285 south Farnham St
Galesburg, IL 61401

Re: Survey of 2-16-12 On April 25, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $550. A hearing has been requested.

FACILITY NAME: Bryan Manor
FACILITY ADDRESS: 2150 East McCord
Centralia, IL 62801

DOCKET #: NH 12-S0270
NAME OF OWNER OR LICENSEE: Penta Group, Inc.
ADDRESS: 623 East Broadway
Centralia, IL 62801

Re: Survey of 5-17-12 On June 28, 2012, sent Notice of Type “A” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $12,500.

FACILITY NAME: Burnham Healthcare
FACILITY ADDRESS: 14500 South Manistee
Burnham, IL 60633

DOCKET #: NH 11-o0412
NAME OF OWNER OR LICENSEE: Burnham Healthcare Properties, LLC.
ADDRESS: 6865 North Lincoln Ave
Lincolnwood, IL 60712

On May 15, 2012, sent Notice of License Revocation. A hearing has been requested.

FACILITY NAME: Camelot Terrace
FACILITY ADDRESS: 516 West Frech St
Streator, IL 61364

DOCKET #: NH 10-C0070
NAME OF OWNER OR LICENSEE: Camelot Terrace, Inc.
ADDRESS: 3553 West Peterson, Ste 101
Chicago, IL 60659

Re: Survey of 2-5-10 By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Caseyville Nursing and Rehabilitation Center
FACILITY ADDRESS: 601 West Lincoln Ave
Caseyville, IL 62232

DOCKET #: NH 12-S0252
NAME OF OWNER OR LICENSEE: Caseyville Nursing and Rehabilitation Center, Inc.
ADDRESS: 30 South Wacker Dr, Ste 2900
Chicago, IL 60606

Re: Survey of 4-27-12 On June 22, 2012, sent Notice of Type “A & B” Violations relating to the areas of policy & procedure and nursing, Notice of Conditional License and Notice of Fine Assessment of $16,250.

FACILITY NAME: Cedar Pointe Rehabilitation and Nursing
FACILITY ADDRESS: 5825 West Cermak Rd
Cicero, IL 60804

DOCKET #: NH 12-S0265
NAME OF OWNER OR LICENSEE: Cedar Pointe Rehabilitation and Nursing Center, LLC.
ADDRESS: 191 North Wacker Dr, Ste 1800
Chicago, IL 60606

Re: Survey of 3-15-12 On June 20, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.

FACILITY NAME: Central Plaza Residential Home
FACILITY ADDRESS: 321-27 North Central
Chicago, IL 60644

DOCKET #: NH 12-S0272
NAME OF OWNER OR LICENSEE: B and D Hotel Corporation
ADDRESS: 465 Central Ave, Ste 100
Northfield, IL 60093

Re: Survey of 5-21-12 On June 25, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.

FACILITY NAME: Chamness Square
FACILITY ADDRESS: 340 Heritage Dr
Bourbonnais, IL 60914

DOCKET #: NH 10-S0200
NAME OF OWNER OR LICENSEE: Pinnacle Opportunities, Inc.
ADDRESS: 285 South Farnham St
Galesburg, IL 61401

Re: Survey of 5-24-10 By Final Order, Violation Amended, Fine Assessment Withdrawn and Notice of Conditional License Withdrawn.

FACILITY NAME: Champaign Urbana Regional Rehabilitation Center
FACILITY ADDRESS: 302 Burwash Ave
Savoy, IL 61874

DOCKET #: NH 12-C0187
NAME OF OWNER OR LICENSEE: Champaign Regional Rehabilitation Center, LLC.
ADDRESS: 208 South LaSalle St, Ste 814
Chicago, IL 60604

Re: Survey of 3-30-12 On May 30, 2012, sent Notice of Type “A” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $8,000.

FACILITY NAME: Chestnut Manor
FACILITY ADDRESS: 1404 South 14th St.
Herrin, IL 62948

DOCKET #: NH 12-C0157
NAME OF OWNER OR LICENSEE: New Way Developers, Inc.
ADDRESS: 105 South Commercial, P.O. Box 372
Harrisburg, IL 62946

Re: Survey of 12-9-11 On April 18, 2012, sent Notice of Type “A” Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $10,000.

FACILITY NAME: Chestnut Manor
FACILITY ADDRESS: 1404 South 14th St
Herrin, IL 62948

DOCKET #: NH 12-o0191
NAME OF OWNER OR LICENSEE: New Way Developers, Inc.
ADDRESS: 105 South Commercial, PO Box 972
Harrisburg, IL 62946

On June 6, 2012, sent Notice of License Revocation.

FACILITY NAME: Chestnut Manor
FACILITY ADDRESS: 1404 South 14th St
Herrin, IL 62948

DOCKET #: NH 12-C0191
NAME OF OWNER OR LICENSEE: New Way Developers, Inc.
ADDRESS: 105 South Commercial, PO Box 972
Harrisburg, IL 62946

Re: Survey of 3-14-12 On May 6, 2012, sent Notice of Type “A” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $6,250. A hearing has been requested.

FACILITY NAME: Colonial Manor
FACILITY ADDRESS: 300 Church St.
Zeigler, IL 62999

DOCKET #: NH 12-C0105
NAME OF OWNER OR LICENSEE: Colonial Manor, Inc.
ADDRESS: 2001 West Main St., Ste 1570
Carbondale IL 62901

Re: Survey of 2-23-12 On April 6, 2012, sent Notice of Type “A” Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $10,000.

FACILITY NAME: Colonial Manor
FACILITY ADDRESS: 620 Warrington Ave
Danville, IL 61832

DOCKET #: NH 12-S0117
NAME OF OWNER OR LICENSEE: Danville Joint Ventures, LLC
ADDRESS: 115 West Jefferson St, #401
Bloomington, IL 61701

Re: Survey of 2-23-12 On April 5, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.

FACILITY NAME: Columbia Rehabilitation and Nursing Center
FACILITY ADDRESS: 253 Bradington Dr.
Columbia, IL 62236

DOCKET #: NH 12-S0104
NAME OF OWNER OR LICENSEE: Columbia Rehabilitation and Nursing Center, LLC.
ADDRESS: 8170 McCormick Blvd., Ste 219
Skokie, IL 60076

Re: Survey of 3-1-12 On April 6, 2012, sent Notice of Type “A” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of 
$12,500. A hearing has been requested.

FACILITY NAME: Columbus Manor Residential Care Home
FACILITY ADDRESS: 5107-21 West Jackson Blvd
Chicago, IL 60644

DOCKET #: NH 10-o0127
NAME OF OWNER OR LICENSEE: Columbus Manor Residential Care Home, Inc.
ADDRESS: 5107 West Jackson Blvd
Chicago, IL 60644

Re: Survey of 5-20-2012 By Final Order, Notice of License Revocation Withdrawn.

FACILITY NAME: Columbus Manor Residential Care Home
FACILITY ADDRESS: 5107-21 West Jackson Blvd
Chicago, IL 60644

DOCKET #: NH 11-C0349
NH 11-C0263
NH 11-S0177
NH 10-S0216
NH 07-S0237
NAME OF OWNER OR LICENSEE: Columbus Manor Residential Care Home, Inc.
ADDRESS: 5107 West Jackson Blvd
Chicago, IL 60644

Re: Surveys of 7-6-10, 4-22-11, 8-31-11 & 10-20-11 By Final Order, Violations Affirmed, Fine Assessments Reduced and Notice of Conditional Licenses Withdrawn. 
Re: Survey of 4-20-07 By Final Order, Violation, Fine Assessment & Notice of Conditional License Withdrawn in consideration of previous survey cites and fines.

FACILITY NAME: Countryview Home
FACILITY ADDRESS: 503 South Bourne St.
Tolono, IL 61880

DOCKET #: NH 12-S0023
NAME OF OWNER OR LICENSEE: Residential Developers, Inc.
ADDRESS: 30 Main St., P.O. Box 560
Champaign, IL 61824

Re: Survey of 1-10-12 On April 24, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $550.

FACILITY NAME: Cumberland Rehabilitation and Health Care Center
FACILITY ADDRESS: 300 North Marietta St.
Greenup, IL 62428

DOCKET #: NH 12-C0131
NAME OF OWNER OR LICENSEE: Petersen Health Network, LLC.
ADDRESS: 830 West Trailcreek Dr.
Peoria, IL 61614

Re: Survey of 3-1-12 On April 6, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.

FACILITY NAME: Eden Village Care Center
FACILITY ADDRESS: 400 South Station Rd.
Glen Carbon, IL 62034

DOCKET #: NH 12-S0172
NAME OF OWNER OR LICENSEE: Eden Retirement Center, Inc.
ADDRESS: 400 South Station Rd.
Glen Carbon, IL 62034

Re: Survey of 3-30-12 On April 26, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Elmwood Nursing and Rehabilitation Center
FACILITY ADDRESS: 152 Wilma Dr
Maryville, IL 62062

DOCKET #: NH 12-S0202
NAME OF OWNER OR LICENSEE: Elmwood Nursing and Rehabilitation Center, LLC.
ADDRESS: 8170 North McCormick Blvd, Ste 219
Skokie, IL 60076

Re: Survey of 4-17-12 On May 15, 2012, sent Notice of Type “Repeat B” Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $1,100. A hearing has been requested.

FACILITY NAME: Evanston Nursing and Rehabilitation Center
FACILITY ADDRESS: 1300 Oak Ave
Evanston, IL 60201

DOCKET #: NH 12-C0192
NAME OF OWNER OR LICENSEE: Evanston Nursing and Rehabilitation Center, LLC.
ADDRESS: 8131 North Monticello
Skokie, IL 60076

Re: Survey of 3-30-12 On May 4, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Evergreen Health Care Center
FACILITY ADDRESS: 10124 South Kedzie
Evergreen Park, IL 60805

DOCKET #: NH 10-o0060
NH 10-C0189
NH 10-o0254
NAME OF OWNER OR LICENSEE: Evergreen Healthcare Center, LLC.
ADDRESS: 6400 Shafer Court, Ste 600
Rosemont, IL 60018

Re: Surveys of 1-26-10, 4-13-10, 6-4-10 & 8-20-10 By Final Order, Violations 
Amended, Fine Assessments Reduced and Notices of License Revocation Withdrawn.

FACILITY NAME: Exceptional Care and Training Center
FACILITY ADDRESS: 2601 Woodlawn Rd
Sterling, IL 61081

DOCKET #: NH 09-S0214
NAME OF OWNER OR LICENSEE: Hoosier Car, Inc.
ADDRESS: 208 South LaSalle St
Chicago, IL 60604

Re: Survey of 6-16-09 By Final Order, Violation Reduced, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Fairview Care Center of Joliet
FACILITY ADDRESS: 222 North Hammes Ave
Joliet, IL 60435

DOCKET #: NH 12-C0219
NAME OF OWNER OR LICENSEE: Fairview Care Center of Joliet, LLC.
ADDRESS: 8131 North Monticello
Skokie, IL 60076

Re: Survey of 4-20-12 On May 31, 2012, sent Notice of Type “B” Violations relating to the areas of nursing and policy & procedure, and Notice of Fine Assessment of $5,500.

FACILITY NAME: Forest Villa Nursing and Rehabilitation Center
FACILITY ADDRESS: 6840 West Touhy Ave.
Niles, IL 60714

DOCKET #: NH 12-C0140
NAME OF OWNER OR LICENSEE: Forest Villa Nursing and Rehabilitation Center, LLC.
ADDRESS: 7257 North Lincoln Ave.
Lincolnwood, IL 60712

Re: Survey of 2-27-12 On April 19, 2012, sent Notice of Type “A” Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $25,000.

FACILITY NAME: Forest Villa Nursing and Rehabilitation Center
FACILITY ADDRESS: 6840 West Touhy Ave.
Niles, IL 60714

DOCKET #: NH 12-C0141
NAME OF OWNER OR LICENSEE: Forest Villa Nursing and Rehabilitation Center, LLC.
ADDRESS: 7257 North Lincoln Ave.
Lincolnwood, IL 60712

Re: Survey of 2-16-12 On April 18, 2012, sent Notice of Type “A” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $25,000. A hearing has been requested.

FACILITY NAME: Frankfort Healthcare and Rehabilitation Center
FACILITY ADDRESS: 2500 East St Louis St
West Frankfort, IL 62896

DOCKET #: NH 12-C0204
NAME OF OWNER OR LICENSEE: Frankfort Healthcare and Rehabilitation Center, LLC.
ADDRESS: 600 South Second St
Springfield, IL 62704

Re: Survey of 4-9-12 On May 15, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Gilman Healthcare Center
FACILITY ADDRESS: 1390 South Crescent St
Gilman, IL 60938

DOCKET #: NH 12-C0269
NAME OF OWNER OR LICENSEE: Gilman Healthcare Center, LLC.
ADDRESS: 8320 Skokie Blvd
Skokie, IL 60077

Re: Survey of 5-17-12 On June 22, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Good Samaritan Nursing Home - Knoxville
FACILITY ADDRESS: 407 North Hebard St
Knoxville, IL 61448

DOCKET #: NH 12-C0199
NAME OF OWNER OR LICENSEE: Good Samaritan Sanitarium and Hospital
ADDRESS: 407 North Hebard St
Knoxville, IL 61448

Re: Survey of 4-10-12 On May 15, 2012, sent Notice of Type “A” Violations relating to the area of nursing and Notice of Fine Assessment of $25,000.

FACILITY NAME: Good Samaritan Pontiac
FACILITY ADDRESS: 15335 US Highway 66
Pontiac, IL 61764

DOCKET #: NH 12-C0263
NAME OF OWNER OR LICENSEE: Good Samaritan - Pontiac
ADDRESS: 2130 Harrison St
Quincy, IL 62301

Re: Survey of 4-19-12 On June 20, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $2,200.

FACILITY NAME: The Grove of Evanston
FACILITY ADDRESS: 500 Asbury St
Evanston, IL 60202

DOCKET #: NH 12-C0197
NAME OF OWNER OR LICENSEE: Grove of Evanston, LLC.
ADDRESS: 191 North Wacker Dr, Ste 1800
Chicago, IL 60606

Re: Survey of 4-3-12 On May 9, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Hammond House
FACILITY ADDRESS: 6701 South Morgan
Chicago, IL 60621

DOCKET #: NH 12-S0210
NAME OF OWNER OR LICENSEE: Ada S McKinley Community Services, Inc.
ADDRESS: 725 South Wells, Ste 1-A
Chicago, IL 60607

Re: Survey of 3-21-12 On May 18, 2012, sent Notice of Type “A” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $6,250.

FACILITY NAME: Helia Healthcare of Energy-DD
FACILITY ADDRESS: 210 East College
Energy, IL 62933

DOCKET #: NH 12-S0073
NAME OF OWNER OR LICENSEE: Helia Healthcare of Energy, LLC.
ADDRESS: 600 South 2nd St.
Springfield, IL 62704

Re: Survey of 1-17-12 On April 18, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $750.00.

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

DOCKET #: NH 12-C0189
NAME OF OWNER OR LICENSEE: Helia Southbelt Healthcare, LLC.
ADDRESS: 600 South Second St, Ste 103
Springfield, IL 62704

Re: Survey of 4-4-12 On May 4, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $2,200.

FACILITY NAME: Henderson County Retirement Center
FACILITY ADDRESS: 604 Oakwood Dr.
Stronghurst, IL 61480

DOCKET #: NH 12-S0152
NAME OF OWNER OR LICENSEE: Henderson County Retirement Center, Inc.
ADDRESS: 110 South Broadway
Stronghurst, IL 61480

Re: Survey of 3-8-12 On May 4, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $2,200.

FACILITY NAME: Heritage Health – Gibson City
FACILITY ADDRESS: 620 East 1st St.
Gibson City, IL 60936

DOCKET #: NH 12-S0139
NAME OF OWNER OR LICENSEE: Heritage Manor – Gibson City, LLC.
ADDRESS: 115 West Jefferson St., Ste. 400
Bloomington, IL 61701

Re: Survey of 1-10-12 On April 5, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.

FACILITY NAME: Hillcrest Nursing and Rehabilitation Center
FACILITY ADDRESS: 777 Draper Ave.
Joliet, IL 60432

DOCKET #: NH 12-o0122
NAME OF OWNER OR LICENSEE: Hillcrest Nursing and Rehabilitation Center, LLC.
ADDRESS: 2201 West Main St.
Evanston, IL 60202

Re: Surveys of 11-15-11, 2-3-12, & 2-7-12 On April 11, 2012, sent Notice of License Revocation. A hearing has been requested.

FACILITY NAME: Hillcrest Nursing and Rehabilitation Center
FACILITY ADDRESS: 777 Draper Ave
Joliet, IL 60432

DOCKET #: NH 12-C0227
NAME OF OWNER OR LICENSEE: Hillcrest Nursing and Rehabilitation Center, LLC.
ADDRESS: 2201 West Main St
Evanston, IL 60202

Re: Survey of 4-6-12 On May 30, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100. A hearing has been requested.

FACILITY NAME: Hillcrest Nursing and Rehabilitation Center
FACILITY ADDRESS: 777 Draper Ave.
Joliet, IL 60432

DOCKET #: NH 12-S0158
NAME OF OWNER OR LICENSEE: Hillcrest Nursing and Rehabilitation Center, LLC.
ADDRESS: 2201 West Main St.
Evanston, IL 60202

Re: Survey of 3-21-12 On April 16, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100. A hearing has been requested.

FACILITY NAME: Hitz Memorial Home
FACILITY ADDRESS: 201 Belle St., P.O. 79
Alhambra, IL 62001

DOCKET #: NH 12-S0034
NAME OF OWNER OR LICENSEE: Hitz Memorial Home
ADDRESS: 201 Belle St., P.O. Box 79
Alhambra, IL 62001

Re: Survey of 12-16-11 By Final Order, Violations Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Jerseyville Manor
FACILITY ADDRESS: 1251 North State St.
Jerseyville, IL 62052

DOCKET #: NH 12-C0110
NAME OF OWNER OR LICENSEE: UDI #11, LLC
ADDRESS: 285 South Farnham St.
Galesburg, IL 61401

Re: Survey of 1-31-12 On April 6, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200. A hearing has been requested.

FACILITY NAME: Jonesboro Rehabilitation and Health Care Center
FACILITY ADDRESS: Route 127 South, PO Box 8
Jonesboro, IL 62952

DOCKET #: NH 12-S0228
NAME OF OWNER OR LICENSEE: Petersen Health Operations, LLC.
ADDRESS: 830 West Trailcreek Dr
Peoria, IL 61614

Re: Survey of 4-24-12 On June 4, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Lake Cook Terrace Nursing Center
FACILITY ADDRESS: 263 Skokie Blvd
Northbrook, IL 60062

DOCKET #: NH 12-C0215
NAME OF OWNER OR LICENSEE: GAF Lake Cook Terrace, Inc.
ADDRESS: 465 Central Ave, Ste 100
Northfield, IL 60093

Re: Survey of 4-19-12 On May 30, 2012, sent Notice of Type “A” Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $12,500. A hearing has been requested.

FACILITY NAME: LaSalle County Nursing Home
FACILITY ADDRESS: 1380 North 27th Rd
Ottawa, IL 61350

DOCKET #: NH 06-C0371
NH 10-C0279
NAME OF OWNER OR LICENSEE: LaSalle County
ADDRESS: 707 Etna Rd
Ottawa, IL 61350

Re: Surveys of 8-8-06 & 11-5-10 By Final Order, Violations Reduced, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

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

DOCKET #: NH 12-S0168
NAME OF OWNER OR LICENSEE: Petersen Health Network, LLC.
ADDRESS: 830 West Trailcreek Dr.
Peoria, IL 61614

Re: Survey of 3-7-12 On April 24, 2012, sent Notice Type “A & B” Violations relating to the areas of policy & procedure and nursing, Notice of Conditional License and Notice of Fine Assessment of $13,600. A hearing has been requested.

FACILITY NAME: Leroy Manor
FACILITY ADDRESS: 509 South Buck Rd, PO Box 149
Leroy, IL 61752

DOCKET #: NH 12-C0218
NAME OF OWNER OR LICENSEE: UDI #4, LLC.
ADDRESS: 285 South Farnham St
Galesburg, IL 61401

Re: Survey of 5-1-12 On June 5, 2012, sent Notice of Type “B” Violations relating to the area of nursing and Notice of Fine Assessment of $3,300.

FACILITY NAME: Lexington Healthcare Center of Bloomingdale
FACILITY ADDRESS: 165 South Bloomingdale Rd.
Bloomingdale, IL 60108

DOCKET #: NH 12-S0137
NAME OF OWNER OR LICENSEE: Lexington Health Care Center of Bloomingdale, Inc.
ADDRESS: 665 West North Ave.
Lombard, IL 60148

Re: Survey of 1-20-12 On April 5, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.

FACILITY NAME: Lutheran Home for the Aged
FACILITY ADDRESS: 800 West Oakton St.
Arlington Heights, IL 60004

DOCKET #: NH 12-S0126
NAME OF OWNER OR LICENSEE: Lutheran Home for the Aged, Inc.
ADDRESS: 800 West Oakton St.
Arlington Heights, IL 60004

Re: Survey of 3-8-12 On April 5, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Manor Court of Maryville
FACILITY ADDRESS: 6955 State Route 162
Maryville, IL 62062

DOCKET #: NH 11-C0171
NH 11-S0345
NAME OF OWNER OR LICENSEE: UDI #2, LLC
ADDRESS: 285 South Farnham St
Galesburg, IL 61401

Re: Surveys of 3-14-11 & 10-21-11 By Final Order, Violations Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Manor Court of Princeton
FACILITY ADDRESS: 140 North Sixth St
Princeton, IL 61356

DOCKET #: NH 12-S0239
NAME OF OWNER OR LICENSEE: Residential Alternatives of Illinois, Inc.
ADDRESS: 285 South Farnham St
Galesburg, IL 61401

Re: Survey of 4-20-12 On June 6, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Manorcare of Oak Lawn East
FACILITY ADDRESS: 9401 South Kostner Ave
Oak Lawn, IL 60453

DOCKET #: NH 12-C0223
NAME OF OWNER OR LICENSEE: Manor Care of Oak Lawn (East) IL, LLC.
ADDRESS: 208 South LaSalle St, Ste 814
Chicago, IL 60604

Re: Survey of 2-28-12 On June 5, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $1,100.

FACILITY NAME: Maple Crest Care Center
FACILITY ADDRESS: 4452 Squaw Prairie Rd
Belvidere, IL 61008

DOCKET #: NH 12-C0236
NAME OF OWNER OR LICENSEE: Symphony Maple Crest, LLC.
ADDRESS: 801 Adlai Stevenson Dr
Springfield, IL 62703

Re: Survey of 5-3-12 On June 5, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.

FACILITY NAME: Maple Ridge Care Centre
FACILITY ADDRESS: 2202 North Kickapoo St
Lincoln, IL 62656

DOCKET #: NH 12-S0151
NAME OF OWNER OR LICENSEE: Symphony Maple Ridge, LLC.
ADDRESS: 801 Adlai Stevenson Dr
Springfield, IL 62703

Re: Survey of 3-16-12 On May 9, 2012, sent Notice of Type “A” Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $15,000.

FACILITY NAME: Marion Rehabilitation and Nursing Center
FACILITY ADDRESS: 1301 East DeYoung 
Marion, IL 62959

DOCKET #: NH 12-C0273
NAME OF OWNER OR LICENSEE: Marion Rehabilitation and Nursing Center, LLC.
ADDRESS: 8170 North McCormick Blvd, Ste 219
Skokie, IL 60076

Re: Survey of 6-5-12 On June 27, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.

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

DOCKET #: NH 12-S0276
NAME OF OWNER OR LICENSEE: McLean County
ADDRESS: 202 North Main, Rm 205, PO Box 2400
Bloomington, IL 61702

Re: Survey of 6-7-12 On June 28, 2012, sent Notice of Type ”B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.

FACILITY NAME: Meadow Manor
FACILITY ADDRESS: 800 McAdam Dr.
Taylorville, IL 62568

DOCKET #: NH 12-S0092
NAME OF OWNER OR LICENSEE: Covenant Care Meadow Manor, LLC.
ADDRESS: 208 South LaSalle St., Ste. 814
Chicago, IL 60604

Re: Survey of 2-10-12 On April 5, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Meadowbrook Manor
FACILITY ADDRESS: 431 West Remington Blvd.
Bolingbrook, IL 60440

DOCKET #: NH 12-C0121
NAME OF OWNER OR LICENSEE: Butterfield Health Care, Inc.
ADDRESS: 161 North Clark St., Ste. 4200
Chicago, IL 60601

Re: Survey of 2-23-12 On April 6, 2012, sent Notice of Type “A” Violation relating to the area of nursing, Notice of Conditional License and Fine Assessment of $25,000. A hearing has been requested.

FACILITY NAME: Meadowbrook Manor LaGrange
FACILITY ADDRESS: 339 9th Ave
LaGrange, IL 60525

DOCKET #: NH 12-S0238
NAME OF OWNER OR LICENSEE: Butterfield Health Care VII, LLC.
ADDRESS: 161 North Clark St, Ste 4200
Chicago, IL 60601

Re: Survey of 4-6-12 On June 6, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Meadowood
FACILITY ADDRESS: Second and Commerce
Grayville, IL 62844

DOCKET #: NH 12-S0181
NAME OF OWNER OR LICENSEE: Bonum, Inc.
ADDRESS: 11th and State, PO Box 511
Lawrenceville, IL 62439

Re: Survey of 3-15-12 On April 27, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100. A hearing has been requested.

FACILITY NAME: Mid America Care Center
FACILITY ADDRESS: 4920 North Kenmore Ave
Chicago, IL 60640

DOCKET #: NH 12-C0183
NAME OF OWNER OR LICENSEE: Mid America Care Center, LLC.
ADDRESS: 3553 West Peterson Ave, Ste 300
Chicago, IL 60659

Re: Survey of 3-8-12 On May 1, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.

FACILITY NAME: Morton Terrace Care Center
FACILITY ADDRESS: 191 East Queenwood
Morton, IL 61550

DOCKET #: NH 12-S0251
NAME OF OWNER OR LICENSEE: Morton Terrace Care Center, LLC.
ADDRESS: 8320 Skokie Blvd
Skokie, IL 60077

Re: Survey of 5-18-12 On June 15, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $2,200.

FACILITY NAME: Morton Villa Care Center
FACILITY ADDRESS: 190 East Queenwood
Morton, IL 61550

DOCKET #: NH 12-C0196
NAME OF OWNER OR LICENSEE: Morton Villa Care Center, LLC.
ADDRESS: 8320 Skokie Blvd
Skokie, IL 60077

Re: Survey of 3-30-12 On May 22, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.

FACILITY NAME: Mulberry Manor
FACILITY ADDRESS: 612 East Davie St, Box 88
Anna, IL 62906

DOCKET #: NH 12-S0166
NAME OF OWNER OR LICENSEE: Mulberry Manor, Inc.
ADDRESS: 614 East Davie St, Box 88
Anna, IL 62906

Re: Survey of 2-28-12 On April 27, 2012, sent Notice of Type “A” Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $5000.

FACILITY NAME: Nathan Health Care Center
FACILITY ADDRESS: 5050 Summit Ave
East St Louis, IL 62205

DOCKET #: NH 12-S0167
NAME OF OWNER OR LICENSEE: Nathan Health Care Center, LLC.
ADDRESS: 5050 Summit Ave
East St Louis, IL 62205

Re: Survey of 2-24-12 On April 27, 2012, sent Notice of Type “A & B” Violations relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $14,700.

FACILITY NAME: Nature Trail Health Care Center
FACILITY ADDRESS: 1001 South 34th St
Mount Vernon, IL 62864

DOCKET #: NH 12-C0260
NAME OF OWNER OR LICENSEE: SSC Mount Vernon Operating Co., LLC.
ADDRESS: 208 South LaSalle St, Ste 814
Chicago, IL 60604

Re: Survey of 5-17-12 On June 20, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $2,200.

FACILITY NAME: Neighbors Rehabilitation Center
FACILITY ADDRESS: 811 West 2nd St
Byron, IL 61010

DOCKET #: NH 11-S0425
NAME OF OWNER OR LICENSEE: Neighbors Rehabilitation Center, LLC.
ADDRESS: 6840 North Lincoln Ave
Lincolnwood, IL 60712

Re: Survey of 11-17-11 By Final Order, Violation Amended and Fine Assessment Reduced.

FACILITY NAME: North Church Nursing and Rehabilitation
FACILITY ADDRESS: 1021 North Church St.
Jacksonville, IL 62650

DOCKET #: NH 12-C0159
NAME OF OWNER OR LICENSEE: North Church Nursing and Rehabilitation, LLC.
ADDRESS: 8320 West Trailcreek Dr.
Peoria, IL 61614

Re: Survey of 3-13-12 On April 17, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.

FACILITY NAME: Northwoods Care Centre
FACILITY ADDRESS: 2250 Pearl St
Belvidere, IL 61008

DOCKET #: NH 12-C0044
NAME OF OWNER OR LICENSEE: Northwoods Care Centre, LP
ADDRESS: 801 Skokie Blvd, Ste 100
Northbrook, IL 60062

Re: Survey of 1-13-12 By Final Order, Violation Amended and Fine Assessment Affirmed.

FACILITY NAME: Norwood Crossing
FACILITY ADDRESS: 6016 North Nina Ave
Chicago, IL 60631

DOCKET #: NH 12-S0180
NAME OF OWNER OR LICENSEE: Norwood Crossing Association
ADDRESS: 6016 North Nina Ave
Chicago, IL 60631

Re: Survey of 4-4-12 On May 15, 2012, sent Notice of Type “A” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $12,500. A hearing has been requested.

FACILITY NAME: Oak Park Healthcare Center
FACILITY ADDRESS: 625 North Harlem
Oak Park, IL 60302

DOCKET #: NH 12-C0106
NAME OF OWNER OR LICENSEE: Oak Park Healthcare Center, LLC.
ADDRESS: 8320 West Skokie Blvd.
Skokie, IL 60077

Re: Survey of 3-1-12 On April 18, 2012, sent Notice of Type “A” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $25,000. A hearing has been requested.

FACILITY NAME: Our Place
FACILITY ADDRESS: 301 North 13th St., PO Box 1240
Murphysboro, IL 62966

DOCKET #: NH 12-S0186
NAME OF OWNER OR LICENSEE: Developmental Planning and Services, Inc.
ADDRESS: 20258 Broadway, PO Box 2369
Mt Vernon, IL 62864

Re: Survey of 3-22-12 On May 18, 2012, sent Notice of Type “A” Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $3,125.

FACILITY NAME: Palm Terrace of Mattoon
FACILITY ADDRESS: 1000 Palm Ave
Mattoon, IL 61938

DOCKET #: NH 12-S0214
NAME OF OWNER OR LICENSEE: Petersen Health Care II, Inc.
ADDRESS: 8320 West Trailcreek Dr
Peoria, IL 61614

Re: Survey of 4-12-12 On May 25, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.

FACILITY NAME: Palos Hills Healthcare
FACILITY ADDRESS: 10426 South Roberts
Palos Hills, IL 60465

DOCKET #: NH 12-C0248
NAME OF OWNER OR LICENSEE: Palos Hills Healthcare, LLC.
ADDRESS: 6865 North Lincoln
Lincolnwood, IL 60712

Re: Survey of 3-14-12 On June 18, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of$1,100.

FACILITY NAME: Park Place
FACILITY ADDRESS: 205 Park Ave.
Pana, IL 62557

DOCKET #: NH 12-S0129
NAME OF OWNER OR LICENSEE: Progressive Housing, Inc.
ADDRESS: 615 Park Dr., Ste. 100
Olympia Fields, IL 60461

Re: Survey of 3-1-12 On April 24, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $550.

FACILITY NAME: Parker Nursing and Rehabilitation Center
FACILITY ADDRESS: 516 West Frech St.
Streator, IL 61364

DOCKET #: NH 12-C0155
NAME OF OWNER OR LICENSEE: Parker Rehabilitation and Nursing Center, LLC.
ADDRESS: 150 Fencl Ln.
Hillside, IL 60162

Re: Survey of 3-8-12 On April 17, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.

FACILITY NAMEParkshore Estates Nursing and Rehabilitation
FACILITY ADDRESS: 6125 South Kenwood
Chicago, IL 60637

DOCKET #: NH 12-S0113
NAME OF OWNER OR LICENSEE: Parkshore Estates Nursing and Rehabilitation Center, LLC.
ADDRESS: 150 Fencl Ln.
Hillside, IL 60162

Re: Survey of 2-10-12 On April 3, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Phoenix Court
FACILITY ADDRESS: 17312 Clyde Ave
South Holland, IL 60473

DOCKET #: NH 11-S0126
NAME OF OWNER OR LICENSEE: New Hope Center, Inc.
ADDRESS: 321 North Clark St, Ste 3400
Chicago, IL 60610

Re: Survey of 3-10-11 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Pinckneyville Health Care Center
FACILITY ADDRESS: 708 Virginia Ct. Box 205
Pinckneyville, IL 62274

DOCKET #: NH 12-S0130
NAME OF OWNER OR LICENSEE: Pinckneyville Health care Center, LLC.
ADDRESS: 525 South Macon St.
Moweaqua, IL 62550

Re: Survey of 2-10-12 On April 16, 2012, sent Notice of Type “A” Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $5000.

FACILITY NAME: Plaza Nursing and Rehabilitation Center
FACILITY ADDRESS: 3249 West 147th St
Midlothian, IL 60445

DOCKET #: NH 11-C0273
NAME OF OWNER OR LICENSEE: Plaza Nursing and Rehabilitation Center, LLC.
ADDRESS: 8320 Skokie Blvd
Skokie, IL 60077

Re: Survey of 8-30-11 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Pleasant Meadows Christian Village
FACILITY ADDRESS: 400 West Washington
Chrisman, IL 61924

DOCKET #: NH 12-C0205
NAME OF OWNER OR LICENSEE: Christian Homes, Inc.
ADDRESS: 23 South First St
Belleville, IL 62220

Re: Survey of 4-13-12 On May 22, 2012, sent Notice of Type ”B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Prairie House
FACILITY ADDRESS: 1770 Sauk Trail
Sauk Village, IL 60411

DOCKET #: NH 12-S0190
NAME OF OWNER OR LICENSEE: Pioneer Concepts, Inc.
ADDRESS: 285 South Farnham St
Galesburg, IL 61401

Re: Survey of 3-15-12 On May 15, 2012, sent Notice of Type “A” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $5000.

FACILITY NAME: Presidential Pavilion
FACILITY ADDRESS: 8001 South Western Ave
Chicago, IL 60620

DOCKET #: NH 12-C0244
NAME OF OWNER OR LICENSEE: Presidential Pavilion, LLC.
ADDRESS: 6865 North Lincoln Ave
Lincolnwood, IL 60712

Re: Survey of 3-29-12 On June 6, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $2,200.

FACILITY NAME: Provena St. Anne Center
FACILITY ADDRESS: 4405 Highcrest Rd.
Rockford, IL 61107

DOCKET #: NH 12-C0161
NAME OF OWNER OR LICENSEE: Provena Senior Services
ADDRESS: 19065 Hickory Creek Dr.
Mokena, IL 60448

Re: Survey of 3-15-12 On April 17, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Providence South Holland
FACILITY ADDRESS: 16300 Wausau St
South Holland, IL 60473

DOCKET #: NH 12-C0231
NAME OF OWNER OR LICENSEE: Rest Haven Illiana Christian convalescent Home
ADDRESS: 18601 North Creek Dr
Tinley Park, IL 60477

Re: Survey of 4-10-12 On May 31, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Regency Rehabilitation Center
FACILITY ADDRESS: 6631 Milwaukee Ave
Niles, IL 60714

DOCKET #: NH 12-C0175
NAME OF OWNER OR LICENSEE: Regency Rehabilitation Center, LLC.
ADDRESS: 6840 North Lincoln Ave
Lincolnwood, IL 60712

Re: Survey of 3-23-12 On May 9, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100. A hearing has been requested.

FACILITY NAME: Renaissance at 87th Street
FACILITY ADDRESS: 2940 West 87th St
Chicago, IL 60652

DOCKET #: NH 12-S0261
NAME OF OWNER OR LICENSEE: Renaissance at 87th Street, Inc.
ADDRESS: 191 North Wacker Dr, Ste 1800
Chicago, IL 60606

Re: Survey of 4-20-12 On June 20, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.

FACILITY NAME: Renaissance at Midway
FACILITY ADDRESS: 4437 South Cicero
Chicago, IL 60632

DOCKET #: NH 12-C0134
NAME OF OWNER OR LICENSEE: Renaissance at Midway, Inc.
ADDRESS: 191 North Wacker Dr., Ste. 1800
Chicago, IL 60606

Re: Survey of 2-24-12 On April 13, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.

FACILITY NAME: Richland Care and Rehabilitation
FACILITY ADDRESS: 410 East Mack
Olney, IL 62450

DOCKET #: NH 12-S0206
NAME OF OWNER OR LICENSEE: Helia Healthcare of Olney, LLC.
ADDRESS: 600 South Second St, Ste 103
Springfield, IL 62704

Re: Survey of 4-9-12 On May 23, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: River Bluff Nursing Home
FACILITY ADDRESS: 4401 North Main St.
Rockford, IL 61103

DOCKET #: NH 12-S0173
NAME OF OWNER OR LICENSEE: Winnebago County
ADDRESS: 404 Elm St., Room 504
Rockford, IL 61101

Re: Survey of 3-6-12 On April 24, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200. A hearing has been requested.

FACILITY NAME: Robings Manor Rehabilitation and Healthcare Center
FACILITY ADDRESS: 502 North Main
Brighton, IL 62012

DOCKET #: NH 12-C0266
NAME OF OWNER OR LICENSEE: Petersen Health Care, Inc.
ADDRESS: 830 West Trailcreek Dr
Peoria, IL 61614

Re: Survey of 5-23-12 On June 20, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $2,200.

FACILITY NAME: Rock Island Nursing and Rehabilitation Center
FACILITY ADDRESS: 2545 24th St
Rock Island, IL 61201

DOCKET #: NH 10-C0235
NAME OF OWNER OR LICENSEE: Rock Island Nursing and Rehabilitation Center, LLC.
ADDRESS: 6840 North Lincoln Ave
Lincolnwood, IL 60712

Re: Survey of 6-10-10 By Final Order, Violation Reduced, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: St. James Manor and Villa
FACILITY ADDRESS: 1251 East Richton Rd.
Crete, IL 60417

DOCKET #: NH 12-C0143
NAME OF OWNER OR LICENSEE: Trilogy Healthcare of Will, LLC.
ADDRESS: 208 South LaSalle St., Ste. 814
Chicago, I 60604

Re: Survey of 2-29-12 On April 12, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.

FACILITY NAME: St. Joseph Village of Chicago
FACILITY ADDRESS: 4021 West Belmont Ave
Chicago, IL 60641

DOCKET #: NH 12-S0262
NAME OF OWNER OR LICENSEE: Franciscan Communities, Inc.
ADDRESS: 208 South LaSalle St, Ste 814
Chicago, IL 60606

Re: Survey of 4-27-12 On June 22, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.

FACILITY NAME: St. Mary’s Square Living Center
FACILITY ADDRESS: 239 South Cherry
Galesburg, IL 61401

DOCKET #: NH 09-S0182
NAME OF OWNER OR LICENSEE: Community Residential Centers, Inc.
ADDRESS: 285 South Farnham St.
Galesburg, IL 61401

Re: Survey of 6-5-09 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: St. Mary’s Square Living Center
FACILITY ADDRESS: 239 South Cherry
Galesburg, IL 61401

DOCKET #: NH 12-S0146
NAME OF OWNER OR LICENSEE: Community Residential Centers, Inc.
ADDRESS: 285 South Farnham St.
Galesburg, IL 61401

Re: Survey of 2-10-12 On April 18, 2012, sent Notice of Type “A & B” Violations relating to the areas of policy & procedure and nursing, Notice of Conditional License and Fine Assessment of $15,250. A hearing has been requested.

FACILITY NAME: St. Mary’s Square Living Center
FACILITY ADDRESS: 239 South Cherry
Galesburg, IL 61401

DOCKET #: NH 11-S0289
NAME OF OWNER OR LICENSEE: Community Residential Centers, Inc.
ADDRESS: 285 South Farnham St.
Galesburg, IL 61401

Re: Survey of 8-26-11 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: St. Mary’s Square Living Center
FACILITY ADDRESS: 239 South Cherry
Galesburg, IL 61401

DOCKET #: NH 12-S0237
NAME OF OWNER OR LICENSEE: Community Residential Centers, Inc.
ADDRESS: 285 South Farnham St
Galesburg, IL 61401

Re: Survey of 5-11-12 On June 8, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Shore Homes East
FACILITY ADDRESS: 503 Michigan Ave
Evanston, IL 60202

DOCKET #: NH 12-S0211
NAME OF OWNER OR LICENSEE: Shore Community Services, Inc.
ADDRESS: 4232 Dempster St
Skokie, IL 60076

Re: Survey of 4-10-12 On May 18, 2012, sent Notice of Type “A” Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $5000.

FACILITY NAMESnow Valley Nursing and Rehabilitation Center
FACILITY ADDRESS: 5000 Lincoln Ave
Lisle, IL 60532

DOCKET #: NH 12-S0182
NAME OF OWNER OR LICENSEE: Snow Valley Nursing and Rehabilitation Center, LLC.
ADDRESS: 2201 Main St
Evanston, IL 60202

Re: Survey of 3-2-12 On May 1, 2012, sent Notice of Type “B” Violations relating to the area of nursing and Notice of Fine Assessment of $4,400. A hearing has been requested.

FACILITY NAMESunny Hill Nursing Home of Will County
FACILITY ADDRESS: 421 Doris Ave
Joliet, IL 60433

DOCKET #: NH 12-S0099
NAME OF OWNER OR LICENSEE: Will County
ADDRESS: 302 North Chicago St.
Joliet, IL 60431

Re: Survey of 2-21-12 On April 10, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.

FACILITY NAME: Sunny Hill Nursing Home of Will County
FACILITY ADDRESS: 421 Doris Ave
Joliet, IL 0533

DOCKET #: NH 12-C0185
NAME OF OWNER OR LICENSEE: Will County
ADDRESS: 302 North Chicago St
Joliet, IL 60431

Re: Survey of 2-21-12 On May 4, 2012 sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $2,200.

FACILITY NAME: Tibstra House
FACILITY ADDRESS: 271 East 161st St.
South Holland, IL 60473

DOCKET #: NH 11-C0285
NAME OF OWNER OR LICENSEE: Bethshan Association
ADDRESS: 12927 South Monitor Ave.
Palos Heights, IL 60463

Re: Survey of 9-13-11 By Final Order, Violation Amended, Fine Assessment Affirmed and Notice of Conditional License Withdrawn.

FACILITY NAME: Torrence Place
FACILITY ADDRESS: 2601 223rd St
Sauk Village, IL 60411

DOCKET #: NH 11-C0017
NAME OF OWNER OR LICENSEE: Pioneer Concepts, Inc.
ADDRESS: 285 South Farnham St
Galesburg, IL 61401

Re: Survey of 12-17-10 By Final Order, Violations Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAMEThe United Methodist Village
FACILITY ADDRESS: 1616 Cedar
Lawrenceville, IL 62439

DOCKET #: NH 12-S0150
NAME OF OWNER OR LICENSEE: United Methodist Village, Inc.
ADDRESS: 1616 Cedar St.
Lawrenceville, IL 62439

Re: Survey of 3-15-12 On April 13, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $2,200.

FACILITY NAME: University Nursing and Rehabilitation Center
FACILITY ADDRESS: 1095 University Dr.
Edwardsville, IL 62025

DOCKET #: NH 12-S0160
NAME OF OWNER OR LICENSEE: Edwardsville Health Care Center Investors, LLC.
ADDRESS: 8170 North McCormick Blvd., Ste. 219
Skokie, IL 60076

Re: Survey of 3-23-12 On April 16, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice Fine Assessment of $1,100.

FACILITY NAME: Valley Hi Nursing Home
FACILITY ADDRESS: 2406 Hartland Rd
Woodstock, IL 60098

DOCKET #: NH 12-C0188
NAME OF OWNER OR LICENSEE: McHenry County
ADDRESS: 2200 North Seminary Ave
Woodstock, IL 60098

Re: Survey of 4-2-12 On May 21, 2012, sent Notice of Type “AA” Violation relating to the area of policy & procedure, Notice of Conditional License and Notice of Fine Assessment of $50,000. A hearing has been requested.

FACILITY NAME: Vermilion Manor Nursing Home
FACILITY ADDRESS: 14792 Catlin-Tilton Rd.
Danville, IL 61834

DOCKET #: NH 12-S0135
NAME OF OWNER OR LICENSEE: Vermilion County
ADDRESS: 6 North Vermilion
Danville, IL 61832

Re: Survey of 2-17-12 On April 10, 2012, sent Notice of Type “B” Violations relating to the area of nursing and Notice of Fine Assessment of $3,300.

FACILITY NAME: The Village at Victory Lakes
FACILITY ADDRESS: 1055 East Grand Ave
Lindenhurst, IL 60046

DOCKET #: NH 12-S0209
NAME OF OWNER OR LICENSEE: Franciscan Communities, Inc.
ADDRESS: 208 South LaSalle St, Ste 814
Chicago, IL 60604

Re: Survey of 3-22-12 On May 15, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAME: Walnut Manor
FACILITY ADDRESS: 308 South Second St
Walnut, IL 61376

DOCKET #: NH 12-S0274
NAME OF OWNER OR LICENSEE: Walnut Manor, Inc.
ADDRESS: 308 South 2nd St, PO Box 623
Walnut, IL 61376

Re: Survey of 5-24-12 On June 28, 2012, sent Notice of Type “B” Violation relating to the area of policy & procedure and Notice of Fine Assessment of $2,200.

FACILITY NAME: Watseka Rehabilitation and Health Care Center
FACILITY ADDRESS: 715 East Raymond Rd.
Watseka, IL 60970

DOCKET #: NH 12-C0154
NAME OF OWNER OR LICENSEE: Petersen Health Care II, Inc.
ADDRESS: 830 West Trailcreek Dr.
Peoria, IL 61614

Re: Survey of 3-21-12 On April 13, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.

FACILITY NAMEWheaton Care Center
FACILITY ADDRESS: 1325 Manchester Rd
Wheaton, IL 60187

DOCKET #: NH 11-S0372
NAME OF OWNER OR LICENSEE: Eric Rothner Limited Partnership
ADDRESS: 8320 Skokie Blvd
Skokie, IL 60077

Re: Survey of 10-28-11 By Final Order, Violation Amended and Fine Assessment Reduced.

FACILITY NAME: Willow Crest Nursing Pavilion
FACILITY ADDRESS: 515 North Main
Sandwich, IL 60548

DOCKET #: NH 11-C0223
NAME OF OWNER OR LICENSEE: Willow Crest Nursing Pavilion, Ltd.
ADDRESS: 191 North Wacker Dr, Ste 1800
Chicago, IL 60606

Re: Survey of 6-7-11 By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Woodstock Residence
FACILITY ADDRESS: 309 McHenry Ave.
Woodstock, IL 60098

DOCKET #: NH 12-S0132
NAME OF OWNER OR LICENSEE: WRHC and RC, Inc.
ADDRESS: 10 South Wacker Dr., 40th Fl.
Chicago, IL 60606

Re: Survey of 2-14-12 On April 10, 2012, sent Notice of Type “B” Violation relating to the area of nursing and Notice of Fine Assessment of $1,100.


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