Illinois Announces 2Q 2011 Nursing Home Violations

Julie Northcutt, 5/1/2012

Nursing home violations are not included in the health inspections which are part of the Medicare star-ratings.  The state of Illinois has announced the violations for April through June, 2011.  You may review the nursing home's costs and star-ratings from the health inspection reports in Caregiverlist's nursing home directory.

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 Illinois Department of Healthcare and Family Services, or the Secretary of the U.S. Department of Health and Human Services for violations in relation to patient care, pursuant to Titles XVIII and XIX of the Social Security Act.

 

FACILITY NAME: Alden Town Manor Rehab & HCC 
FACILITY ADDRESS: 6120 West Ogden 
Cicero, Illinois 60804

DOCKET #: NH 11-o0081 
NAME OF OWNER OR LICENSEE: Alden Town Manor Rehab & HCC, Inc.
ADDRESS:
 4200 West Petersen, Suite 140 
Chicago, Illinois 60646

On April 11, 2011, sent Type “AA” Notice of Violations relating to the area of nursing and Notice of Fine Assessment of $50,000. A hearing has been requested.

FACILITY NAME: Alden Village North 
FACILITY ADDRESS: 7464 North Sheridan Road 
Chicago, Illinois 60626

DOCKET #: NH 11-C0183 
NAME OF OWNER OR LICENSEE: Alden Village North, Inc. 
ADDRESS: 4200 W. Peterson Ave., Step 140 
Chicago, Illinois 60646

On June 28, 2011, sent Notice of Type “A” Violations relating to the area of nursing and Notice of Fine Assessment of $20,000. A hearing has been requested.

FACILITY NAME: All America Nursing Home 
FACILITY ADDRESS: 5448 North Broadway Street 
Chicago, Illinois 60640

DOCKET #: NH 11-C0145 
NAME OF OWNER OR LICENSEE: Zikainim, Inc. 
ADDRESS: 10 South Wacker Dr., 40th 
Chicago, Illinois 60606

On May 26, 2011, sent Notice of Type ”A” Violations relating to the area of policy and procedure and Notice of Fine Assessment of $16,250. A hearing has been requested.

FACILITY NAME: Andover
FACILITY ADDRESS: 4636 West Andover 
Peoria, Illinois 61615

DOCKET #: NH 11-C0106 
NAME OF OWNER OR LICENSEE: Peoria Assoc. For Retarded Citizens, Inc. 
ADDRESS: 1913 West Townline Road, Box 3418 
Peoria, Illinois 61612

On April 8, 2011, sent Notice of Type “A” Violations relating to the area of nursing and Fine Assessment of $15,000. A hearing has been requested.

FACILITY NAME: Asta Care Center of Rockford 
FACILITY ADDRESS: 707 West Riverside Boulevard 
Rockford, Illinois 61103

DOCKET #: NH 10-C0291 
NAME OF OWNER OR LICENSEE: Asta Care Center of Rockford, L.L.C. 
ADDRESS: 134 North McLean Boulevard 
Elgin, Illinois 60123

By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Asta Care Center Of Toluca 
FACILITY ADDRESS: 101 East Via Ghiglieri 
Toluca, Illinois 61369

DOCKET #: NH 11-S0158 
NAME OF OWNER OR LICENSEE: Asta Care Center of Toluca, L.L.C. 
ADDRESS: 134 North McLean Boulevard 
Elgin, Illinois 60123

On May 26, 2011, sent Notice of Type “A” Violation relating to the area of policy and procedure and Notice of Fine Assessment of $5000. A hearing has been requested.

FACILITY NAME: Ballard Nursing Center 
FACILITY ADDRESS: 9300 Ballard Road 
Des Plaines, Illinois 60016

DOCKET #: NH 09-C0195 
NAME OF OWNER OR LICENSEE: Ballard Nursing Center, Inc. 
ADDRESS: 9300 Ballard Road 
Des Plaines, Illinois 60016

By Final Order, Violations Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Bethesda Lutheran- Aurora 
FACILITY ADDRESS: 14800 Reckinger Road 
Aurora, Illinois 60505

DOCKET #: NH 07-C0069 
NAME OF OWNER OR LICENSEE: Bethesda Lutheran Homes and Services, Inc. 
ADDRESS: 801 Adlai Stevenson Drive 
Springfield, Illinois 62703

By Final Order, Violation Reduced, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Brookside Manor 
FACILITY ADDRESS: 1740 West McCord 
Centralia, Illinois 62801

DOCKET #: NH 11-S0179 
NAME OF OWNER OR LICENSEE: Brookside Nursing Home, Inc. 
ADDRESS: 525 South Macon Street 
Macon, Illinois 62550

On June 24, 2011, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $12,500. A hearing has been requested.

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

DOCKET #: NH 11-S0157 
NAME OF OWNER OR LICENSEE: Penta Group, Inc. 
ADDRESS: 623 East Broadway 
Centralia, Illinois 62801

On May 26, 2011, sent Notice of Type “A” Violations relating to the area of nursing and Notice of Fine Assessment of $10,000. A hearing has been requested.

FACILITY NAME: Cedar Pointe Rehab & Nursing 
FACILITY ADDRESS: 5825 West Cermak Road 
Cicero, Illinois 60804

DOCKET #: NH 11-C0143 
NAME OF OWNER OR LICENSEE: Cedar Pointe Rehab & Nursing Center, LLC 
ADDRESS: 191 North Wacker Drive, Ste. 1800 
Chicago, Illinois 60606

On May 26, 2011, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $10,000. A hearing has been requested.

FACILITY NAME: Champaign County Nursing Home 
FACILITY ADDRESS: 500 South Art Bartell Drive 
Urbana, Illinois 61802

DOCKET #: NH 11-C0107 
NAME OF OWNER OR LICENSEE: Champaign County Board 
ADDRESS: 1776 East Washington Street 
Urbana, Illinois 61802

On April 8, 2011, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $25,000. A hearing has been requested.

FACILITY NAME: Columbus Manor Res Care Home 
FACILITY ADDRESS: 5107-21 West Jackson Boulevard 
Chicago, Illinois 60644

DOCKET #: NH 11-S0177 
NAME OF OWNER OR LICENSEE: Columbus Manor Res Care Home, Inc. 
ADDRESS: 5107 West Jackson Boulevard 
Chicago, Illinois 60644

On June 20, 2011, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $12,500. A hearing has been requested.

FACILITY NAME: Concord Nursing & Rehab Center
FACILITY ADDRESS: 9401 South Ridgeland Avenue 
Oak Lawn, Illinois 60453

DOCKET #: NH 11-C0173 
NAME OF OWNER OR LICENSEE: Concord Nursing and Rehab Center, Inc. 
ADDRESS: 8320 Skokie Blvd 
Skokie, Illinois 60077

On June 10, 2011, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $12,500. A hearing has been requested.

FACILITY NAME: Emeritus At Prospect Heights 
FACILITY ADDRESS: 700 East Euclid Avenue 
Prospect Heights, 60070

DOCKET #: NH 11-C0156 
NAME OF OWNER OR LICENSEE: Emericare, INC.
ADDRESS: 801 Adlai Stevenson Drive 
Springfield, Illinois 62703

On June 9, 2011, sent Notice of Type “AA” Violation relating to the area of nursing and Notice of Fine Assessment of $25,000.

FACILITY NAME: Hearthstone Manor 
FACILITY ADDRESS: 920 N. Seminary Ave., P.O. Box 520
Woodstock, Illinois 60098

DOCKET #: NH 10-S0360 
NAME OF OWNER OR LICENSEE: Woodstock Christian Life Services 
ADDRESS: 318 Christian Way 
Woodstock, Illinois 60098

By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Hickory Estates 
FACILITY ADDRESS: 310 Otha Street 
Sumner, Illinois 62466

DOCKET #: NH 11-o0164 
NAME OF OWNER OR LICENSEE: Hickory Estates, Inc. 
ADDRESS: 324 N. Main Street, P.O. Box 8 
Bridgeport, Illinois 62417

On June 9, 2011, sent Notice of Type “A” Violations relating to the area of policy and procedure and Notice of Fine Assessment of $30,000. A hearing has been requested.

FACILITY NAME: Hillcrest Retirement Village 
FACILITY ADDRESS: 1740 North Circuit Drive 
Round Lake Beach, Illinois 60073

DOCKET #: NH 10-S0271 
NAME OF OWNER OR LICENSEE: Hillcrest Retirement Village, Ltd. 
ADRESS: 1740 North Circuit Drive 
Round Lake Beach, Illinois 60073

By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Hope Creek Care Center 
FACILITY ADDRESS: 4343 Kennedy Drive 
East Moline, Illinois 61244

DOCKET #: NH 10-S0272 
NAME OF OWNER OR LICENSEE: Rock Island County 
ADDRESS: 1504 Third Avenue 
Rock Island, Illinois 61201

By Final Order, Violation Reduced, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Independence Place 
FACILITY ADDRESS: 1705 South Park Avenue 
Herrin, Illinois 62948

DOCKET #: NH 09-C0166 
NAME OF OWNER OR LICENSEE: Independence Place, Inc. 
ADDRESS: 15755 Nixon Road 
Nashville, Illinois 62263

By Final Order, Violation Affirmed, Fine Assessment Affirmed and Notice of Conditional License Affirmed.

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

DOCKET #: NH 11-S0057 
NAME OF OWNER OR LICENSEE: Petersen Health Network, LLC 
ADDRESS: 830 West Trailcreek Drive
Peoria, Illinois 61614

By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Lexington Health Care Center- Bloomingdale 
FACILITY ADDRESS: 165 South Bloomingdale Road 
Bloomingdale, Illinois 60108

DOCKET #: NH 11-S0175 
NAME OF OWNER OR LICENSEE: Lexington HCC of Bloomingdale, Inc. 
ADDRESS: 665 West North Avenue 
Lombard, Illinois 60148

On June 9, 2011, sent Notice of Type “A” Violations relating to the area of nursing and Notice of Fine Assessment of $20,000. A hearing has been requested.

FACILITY NAME: Manor Court Of Maryville 
FACILITY ADDRESS: 6955 State Route 162 
Maryville, Illinois 62062

DOCKET #: NH 11-C01713 
NAME OF OWNER OR LICENSEE: UDI #2, LLC 
ADDRESS: 285 South Farnham Street 
Galesburg, Illinois 61401

On June 9, 2011, sent Notice of Type ”A” Violation relating to the area of nursing and Notice of Fine Assessment of $12,500. A hearing has been requested.

FACILITY NAME: Manorcare At Peoria 
FACILITY ADDRESS: 5600 Glen Elm Drive 
Peoria, Illinois 61614

DOCKET #: NH 08-C0152
NAME OF OWNER OR LICENSEE: Manorcare Health Services, Inc. 
ADDRESS: 208 South LaSalle Street 
Chicago, Illinois 60604

By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Marigold Estates 
FACILITY ADDRESS: 3240 Barney Avenue 
Pekin, Illinois 61554

DOCKET #: NH 11-S0144 
NAME OF OWNER OR LICENSEE: Patterson House, Inc. 
ADDRESS: 110 Southbrooke 
Decatur, Illinois 62521

On May 26, 2011, sent Notice of Type “A” Violations relating to the area of policy and procedure and Notice of Fine Assessment of $10,000. A hearing has been requested.

FACILITY NAME: Marks Sunset Manor
FACILITY ADDRESS: 1044 Whittle 
Olney, Illinois 62450

DOCKET #: NH 11-C0105
NAME OF OWNER OR LICENSEE: Glen & Dorothy Marks 
ADDRESS: 1044 Whittle 
Olney, Illinois 62450

On April 8, 2011, sent Notice of Type “A” Violation relating to the area of policy and procedure and Notice of Fine Assessment of $10,000. A hearing has been requested.

FACILITY NAME: Marks Sunset Manor 
FACILITY ADDRESS: 1044 Whittle 
Olney, Illinois 62450

DOCKET #: NH 11-S0191 
NAME OF OWNER OR LICENSEE: Glen & Dorothy Marks 
ADDRESS: 1044 Whittle
Olney, Illinois 62450

On June 30, 2011, sent Notice of Type “RPT B” Violation relating to the area of policy and procedure and Notice of Fine Assessment of $1,000.

FACILITY NAME: Meadows 
FACILITY ADDRESS: 3250 South Plum Grove Road 
Rolling Meadows, Illinois 60008

DOCKET #: NH 11-S0140 
NAME OF OWNER OR LICENSEE: Meadows Sheltered Care, Inc. 
ADDRESS: 3250 South Plum Grove Road 
Rolling Meadows, Illinois 60008

On May 25, 2011, sent Notice of Type “A” Violations relating to the area of policy and procedure and Notice of Fine Assessment of $20,000.

FACILITY NAME: Moultrie County Community Center 
FACILITY ADDRESS: 240 East State, P.O. Box 229 
Lovington, Illinois 61937

DOCKET #: NH 11-C0181 
NAME OF OWNER OR LICENSEE: Drew Corporation
ADDRESS:
 2576 North Greenway Road 
Cerro Gordo, Illinois 61818

On June 20, 2011, sent Notice of Type “A” Violations relating to the area of policy and procedure and Notice of Fine Assessment of $10,000.

FACILITY NAME: Our Place
FACILITY ADDRESS: 301 North 13th Street 
Murphysboro, Illinois 62966

DOCKET #: NH 11-S0104 
NAME OF OWNER OR LICENSEE: Developmental Planning and Services, Inc. 
ADDRESS: 61 Sugarapple Drive, R.R. 1 
Xenia, Illinois 62899

On April 8,2011, sent Notice of Type “A” Violations relating to the area of nursing and Notice of Fine Assessment of $20,000. A hearing has been requested.

FACILITY NAME: Phoenix Court 
FACILITY ADDRESS: 17312 Clyde Avenue
South Holland, Illinois 60473

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

On May 3, 2011, sent notice of Type “A” Violations relating to the area of nursing and Notice of Fine Assessment of $10,000. A hearing has been requested.

FACILITY NAME: Rainbow Beach Care Center 
FACILITY ADDRESS: 7325 South Exchange Street 
Chicago, Illinois 60649

DOCKET #: NH 09-S0280 
NAME OF OWNER OR LICENSEE: Rainbow Beach QOC, L.L.C. 
ADDRESS: 2201 West Main Street 
Evanston, Illinois 60202

By Final Order, Violation Reduced, Fine Assessment Withdrawn and Notice of Conditional License Withdrawn.

FACILITY NAME: Randolph County Care Center 
FACILITY ADDRESS: 312 West Belmont 
Sparta, Illinois 62286

DOCKET #: NH 11-S0138 
NAME OF OWNER OR LICENSEE: Randolph County Board 
ADDRESS: #1 Taylor Street 
Chester, Illinois 62233

On May 12, 2011, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $5000. A hearing has been requested.

FACILITY NAME: Regal Health and Rehab Center 
FACILITY ADDRESS: 9525 South Mayfield 
Oak Lawn, Illinois 60453

DOCKET #: NH 07-C-78, 08-C-77, 08-o166, 09-C-126, 09-C-249 
NAME OF OWNER OR LICENSEE: Regal Health and Rehab Center, Inc. 
ADDRESS: 3553 West Peterson Ave., Ste.101 
Chicago, Illinois 60659

By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Richland Care & Rehab 
FACILITY ADDRESS: 410 East Mack 
Olney, Illinois 62450

DOCKET #: NH 11-C0162 
NAME OF OWNER OR LICENSEE: Helia Healthcare of Olney, LLC 
ADDRESS: 600 South Second Street, Ste.103 
Springfield, Illinois 62704

On June 8, 2011, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $12,500.

FACILITY NAME: Royal Oaks Care Center 
FACILITY ADDRESS: 605 East Church Street, P.O. Box 600 
Kewanee, Illinois 61443

DOCKET #: NH 11-C0172 
NAME OF OWNER OR LICENSEE: Petersen Health Care II, Inc. 
ADDRESS: 830 West Trailcreek Drive 
Peoria, Illinois 61614

On June 10, 2011, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $10,000. A hearing has been requested.

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

DOCKET #: NH 11-S0115 
NAME OF OWNER OR LICENSEE: Community Residential Centers, Inc. 
ADDRESS: 285 South Farnham Street 
Galesburg, Illinois 61401

On April 13, 2011, sent Notice of Type “A” Violations relating to the area of nursing and Notice of Fine Assessment of $20,000. A hearing has been requested.

FACILITY NAME: Sacred Heart Home 
FACILITY ADDRESS: 1550 South Albany 
Chicago, Illinois 60623

DOCKET#: NH 11-S0141 
NAME OF OWNER Sacred Heart Home Incorporated 
ADDRESS: 1541 North Wells Street 
Chicago, Illinois 60610

On May 25, 2011, sent Notice of Type “A & B” Violations relating to the area of policy and procedure and Notice of Fine Assessment of $11,000. A hearing has been requested.

FACILITY NAME: Sherman West Court 
FACILITY ADDRESS: 1950 Larkin Avenue 
Elgin, Illinois 60123

DOCKET #: NH 08-C0226 
NAME OF OWNER OR LICENSEE: Sherman West Court 
ADDRESS: 1950 Larkin Avenue 
Elgin, Illinois 60123

By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Timber Point Healthcare Center 
FACILITY ADDRESS: 205 East Spring Street 
Camp Point, Illinois 62320

DOCKET #; NH 10-S0319 
NAME OF OWNER OR LICENSEE: Timber Point Healthcare Center, Inc. 
ADDRESS: 8320 Skokie Boulevard 
Skokie, Illinois 60077

By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.

FACILITY NAME: Transitions Nursing and Rehabilitation Center 
FACILITY ADDRESS: 1000 Dixon Avenue 
Rock Falls, Illinois 61071

DOCKET #: NH 11-S0124
NAME OF OWNER OR LICENSEE: Colonial Acres Health Care Centre, Inc. 
ADDRESS: 1625 South 6th Street 
Springfield, Illinois 62703

On April 22, 2011, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $12,500.

FACILITY NAME: Vermilion Manor Nursing Home 
FACILITY ADDRESS: 14792 Catlin Tilton Road 
Danville, Illinois 61834

DOCKET #: NH 11-S0139 
NAME OF OWNER OR LICENSEE: Vermilion County 
ADDRESS: 6 North Vermilion 
Danville, Illinois 61832

On May 12, 2011, sent Notice of Type “A” Violation relating to the area of policy and procedure and Notice of Fine Assessment of $10,000.


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