2024 1st Quarterly Report

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

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

DOCKET NUMBER: NH 24-C0137

LICENSEE INFO: Accolade Healthcare of Danville, LLC
LICENSEE ADDRESS: 2501 Chatham Road, Ste R
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 01/09/2024

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

DOCKET NUMBER: NH 24-CS0010

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 – 11/28/2023

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

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

DOCKET NUMBER: NH 24-C0115

LICENSEE INFO: Alden Estates of Naperville, Inc.
LICENSEE ADDRESS: 4200 W. Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 12/26/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1210b), 300.1210d)3), and 300.1610a)1). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $2,200.00

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

DOCKET NUMBER: NH 23-C1074

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 – 10/30/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.686a)1)3)6), 300.686b)1), 300.1210b)1), 300.1210d)1), 300.1610a), 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: 300.686 and 300.1210b). A fine of $25,000.00

FACILITY NAME: Aledo Rehab & Health Care Cr
FACILITY ADDRESS: 304 SW 12th Street
FACILITY CITY, STATE, ZIP: Aledo, IL 61231

DOCKET NUMBER: NH 24-C0133

LICENSEE INFO: Aledo HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Dr
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 01/11/2024

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

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

Total Fine: $4,400.00

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

DOCKET NUMBER: NH 23-C1099

LICENSEE INFO: Aliya of Oak Lawn, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 11/14/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210a), 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 $25,000.00

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

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

Total Fine: $52,200.00

FACILITY NAME: Aliya on 87th Street
FACILITY ADDRESS: 2940 W. 87th Street
FACILITY CITY, STATE, ZIP: Chicago, IL 60652

DOCKET NUMBER: NH 23-S1025

LICENSEE INFO: Aliya of Wrightwood, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 10/31/2023

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

FACILITY NAME: Aliya on 87th
FACILITY ADDRESS: 2940 W. 87th Street
FACILITY CITY, STATE, ZIP: Chicago, IL 60652

DOCKET NUMBER: NH 23-C1043

LICENSEE INFO: Aliya of Wrightwood, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 11/13/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1210b)4), 300.1210d)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: Aliya on 87th
FACILITY ADDRESS: 2940 W, 87th Street
FACILITY CITY, STATE, ZIP: Chicago, IL 60652

DOCKET NUMBER: NH 24-S0058

LICENSEE INFO: Aliya of Wrightwood, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 12/18/2023

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

FACILITY NAME: Allure of Knox County
FACILITY ADDRESS: 280 E. Losey Street
FACILITY CITY, STATE, ZIP: Galesburg, IL 61401

DOCKET NUMBER: NH 24-C0119

LICENSEE INFO: Allure of Knox County, LLC
LICENSEE ADDRESS: 2711 W. Howard Street
LICENSEE CITY, STATE, ZIP: Chicago, IL 60645
Survey Date – 12/28/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1210b)3) and 300.1210d)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: Allure of Peru
FACILITY ADDRESS: 1301 21st Street
FACILITY CITY, STATE, ZIP: Peru, IL 61354

DOCKET NUMBER: NH 24-C0008

LICENSEE INFO: Allure of Peru, LLC
LICENSEE ADDRESS: 2711 W. Howard Street
LICENSEE CITY, STATE, ZIP: Chicago, IL 60645
Survey Date – 12/17/2023

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

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

DOCKET NUMBER: NH 23-C1084

LICENSEE INFO: Allure of Pinecrest, LLC
LICENSEE ADDRESS: 2711 W. Howard Street
LICENSEE CITY, STATE, ZIP: Chicago, IL 60645
Survey Date – 11/19/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1010h), 300.1210b) and 300.1210d)6). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6). A fine of $2,200.00

FACILITY NAME: Allure of the Quad Cities
FACILITY ADDRESS: 833 Sixteenth Avenue
FACILITY CITY, STATE, ZIP: Moline, IL 61265

DOCKET NUMBER: NH 24-S0100

LICENSEE INFO: Allure of the Quad Cities, LLC
LICENSEE ADDRESS: 2711 W. Howard Street
LICENSEE CITY, STATE, ZIP: Chicago, IL 60645
Survey Date – 12/08/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1210b), 300.1210d)1), 300.1210d)3) and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.3240a). A fine of $2,200.00

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

DOCKET NUMBER: NH 23-C1034

LICENSEE INFO: Cedar Hills Health & Rehab, LLC
LICENSEE ADDRESS: 208 S. LaSalle St. Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 10/23/2023

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

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), 300.1210d)1) and 300.1630e). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $25,000.00

Total Fine: $27,200.00

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

DOCKET NUMBER: NH 24-C0156

LICENSEE INFO: Cedar Hills Health & Rehab, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 01/02/2024

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

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

Total Fine: $50,000.00

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

DOCKET NUMBER: NH 24-S0027

LICENSEE INFO: Alpine Fireside Health Center, Ltd
LICENSEE ADDRESS: 3650 N. Alpine Road
LICENSEE CITY, STATE, ZIP: Rockford, IL 61114
Survey Date – 12/20/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 330.790a). The fine was doubled in this instance in accordance with 330.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 330.780 and 330.790). A fine of $25,000.00

FACILITY NAME: Aperion Care Bradley
FACILITY ADDRESS: 650 North Kinzie
FACILITY CITY, STATE, ZIP: Bradley, IL 60915

DOCKET NUMBER: NH 23-C1063

LICENSEE INFO: Aperion Care Bradley, LLC
LICENSEE ADDRESS: 4655 W. Chase Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 11/08/2023

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

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

DOCKET NUMBER: NH 23-CS0985

LICENSEE INFO: Exceptional Care, LLC
LICENSEE ADDRESS: 4655 W. Chase Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 10/25/2023

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

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

DOCKET NUMBER: NH 24-C0028

LICENSEE INFO: Dolton Nursing & Rehab, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 12/12/2023

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

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

DOCKET NUMBER: NH 24-C0168

LICENSEE INFO: Evanston Nursing & Rehab Center, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 01/09/2024

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 300.2210b)1). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $25,000.00

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

DOCKET NUMBER: NH 23-C1095

LICENSEE INFO: Berkshire Nursing & Rehab Center, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 10/27/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code:
300.690b), 300.690c), 300.695c)1), 300.695c)3), 300.1030a)4), 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: 300.690, 300.1210b) and 300.1210d)6). A fine of $25,000.00

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

DOCKET NUMBER: NH 24-C0033

LICENSEE INFO: Aperion Care Glenwood, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 11/30/2023

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

DOCKET NUMBER: NH 23-C1062

LICENSEE INFO: Highland Park Nursing and Rehab Center, LLC
LICENSEE ADDRESS: 4655 W. Chase Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 10/26/2023

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

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

DOCKET NUMBER: NH 23-C1047

LICENSEE INFO: Aperion Care Hillside, LLC
LICENSEE ADDRESS: 4655 W. Chase Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 10/28/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1010h), 300.1210b), 300.1210d)1) 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: Aperion Care Midlothian
FACILITY ADDRESS: 3249 West 147th Street
FACILITY CITY, STATE, ZIP: Midlothian, IL 60445

DOCKET NUMBER: NH 24-C0148

LICENSEE INFO: Plaza Nursing and Rehab Center, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 01/17/2024

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: 300.690, 300.1210b) and 300.3240a). A fine of $25,000.00

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

DOCKET NUMBER: NH 24-C0143

LICENSEE INFO: Aperion Care Morton Villa, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 01/12/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1010h) and 300.3210t). 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: Aperion Care Peoria Heights
FACILITY ADDRESS: 1629 E. Gardner Lane
FACILITY CITY, STATE, ZIP: Peoria Heights, IL 61616

DOCKET NUMBER: NH 24-CS0146

LICENSEE INFO: Aperion Care Peoria Heights, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 01/08/2024

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

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.2020 and 300.2100. A fine of $1,100.00

Total Fine: $3,300.00

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

DOCKET NUMBER: NH 24-S0101

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

Type C violation of an occurrence for violating one or more of the following sections of the Code:
300.340c)3)C)iii). No fine

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

FACILITY NAME: Aperion Care Westchester
FACILITY ADDRESS: 2901 South Wolf Road
FACILITY CITY, STATE, ZIP: Westchester, IL 60154

DOCKET NUMBER: NH 24-C0042

LICENSEE INFO: Aperion Care Westchester, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 12/03/2023

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

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

DOCKET NUMBER: NH 24-C0037

LICENSEE INFO: Island City Rehabilitation Center, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 11/21/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.3240a) and 300.3240b). The fine was doubled in this instance in accordance with 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: Apostolic Christian Skylines
FACILITY ADDRESS: 7023 North East Skyline Drive
FACILITY CITY, STATE, ZIP: Peoria, IL 61614

DOCKET NUMBER: NH 24-CS0063

LICENSEE INFO: Apostolic Christian Home
LICENSEE ADDRESS: 7023 Northeast Skyline Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 12/21/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), and 300.1210d)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: Arc at Normal
FACILITY ADDRESS: 509 North Adelaide
FACILITY CITY, STATE, ZIP: Normal, IL 61761

DOCKET NUMBER: NH 23-C1021

LICENSEE INFO: Arc of Normal, LLC
LICENSEE ADDRESS: 4655 W. Chase Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 11/11/2023

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

FACILITY NAME: Arcadia Care Auburn
FACILITY ADDRESS: 304 Maple Avenue
FACILITY CITY, STATE, ZIP: Auburn, IL 62615

DOCKET NUMBER: NH 23-C1083

LICENSEE INFO: Arcadia Care Auburn, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 11/22/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1010h), 300.1210b) and 300.1210d)1). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $2,200.00

FACILITY NAME: Arcadia Care Auburn
FACILITY ADDRESS: 304 Maple Avenue
FACILITY CITY, STATE, ZIP: Auburn, IL 62615

DOCKET NUMBER: NH 24-S0189

LICENSEE INFO: Arcadia Care Auburn, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 01/11/2024

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

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

DOCKET NUMBER: NH 24-S0099

LICENSEE INFO: Clifton Operations, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 12/26/2023

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

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

DOCKET NUMBER: NH 24-S0017

LICENSEE INFO: Arcadia Care Bloomington, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 12/11/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1010h), 300.1010i), 300.1210b)5) and 300.1210d)6). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6). A fine of $2,200.00

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

DOCKET NUMBER: NH 23-S1120

LICENSEE INFO: Arcadia Care Jacksonville, LLC
LICENSEE ADDRESS: 4655 W. Chase Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 11/08/2023

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

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

DOCKET NUMBER: NH 24-S0098

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

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1010h), 300.1210b), 300.1210d)2) 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: Archer Heights Healthcare
FACILITY ADDRESS: 4437 South Cicero
FACILITY CITY, STATE, ZIP: Chicago, IL 60632

DOCKET NUMBER: NH 24-C0046

LICENSEE INFO: Archer Heights Healthcare, LLC
LICENSEE ADDRESS: 3531 Howard St., Ste 1006
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 12/24/2023

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

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

DOCKET NUMBER: NH 23-S1040

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 – 11/06/2023

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

Type B violation of an occurrence for violating one or more of the following sections of the Code:
330.710a), 330.4240a) and 330.4240e). The fine was doubled in this instance in accordance with 330.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation:
330.4240a) and 330.4240e). A fine of $2,200.00
Total Fine: $3,300.00

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

DOCKET NUMBER: NH 23-S1127

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 – 11/30/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code:
330.4210a). 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 23-S1126

LICENSEE INFO: Arden Courts of Northbrook IL, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 11/22/2023

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

FACILITY NAME: Ascension Casa Scalabrini
FACILITY ADDRESS: 480 North Wolf Road
FACILITY CITY, STATE, ZIP: Northlake, IL 60164

DOCKET NUMBER: NH 24-S0128

LICENSEE INFO: Presence Senior Services-Chicagoland
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 01/05/2024

FACILITY NAME: Ascension Heritage Village
FACILITY ADDRESS: 901 North Entrance Avenue
FACILITY CITY, STATE, ZIP: Kankakee, IL 60901

DOCKET NUMBER: NH 23-S1104

LICENSEE INFO: Presence Life Connections
LICENSEE ADDRESS: 18927 Hickory Creek Dr., Ste 300
LICENSEE CITY, STATE, ZIP: Mokena, IL 60448
Survey Date – 11/20/2023

Type AA violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1010h), 300.1035a)2)3)4)5), 300.1035c)1)2), 300.1035d), 300.1035e), 300.1035g)
300.1035h), 300.1210b), 300.1210d)3), 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.3240a). A fine of $50,000.00

FACILITY NAME: Ascension Resurrection Life
FACILITY ADDRESS: 7370 West Talcott Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60631

DOCKET NUMBER: NH 23-C1076

LICENSEE INFO: Presence Senior Service-Chicagoland
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 11/12/2023

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

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 300.2410a). The fine was doubled in this instance in accordance with 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: Ascension Saint Anne Place
FACILITY ADDRESS: 4405 Highcrest Road
FACILITY CITY, STATE, ZIP: Rockford, IL 61107

DOCKET NUMBER: NH 23-C1128

LICENSEE INFO: Presence Life Connections
LICENSEE ADDRESS: 18927 Hickory Creek Drive, Ste 300
LICENSEE CITY, STATE, ZIP: Mokena, IL 60448
Survey Date – 11/15/2023

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

FACILITY NAME: Astoria Place Living & Rehab
FACILITY ADDRESS: 6300 North California Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60659

DOCKET NUMBER: NH 24-S0102

LICENSEE INFO: Astoria Place Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 12/13/2023

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

DOCKET NUMBER: NH 23-S1016

LICENSEE INFO: The Austin Oasis, LLC
LICENSEE ADDRESS: 4711 Golf Rd, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 10/27/2023

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

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

DOCKET NUMBER: NH 24-C0014

LICENSEE INFO: The Austin Oasis, LLC
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 12/14/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.625a), 300.625b), 300.625c)1)2), 300.625d), 300.625e), 300.625f)1)2), 300.6253)A)B and 300.625g).
The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.625a), 300.625b), 300.625c), 300.625f) and 300.625g). 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-C0116

LICENSEE INFO: Cahokia Nursing & Rehabilitation Center, Inc.
LICENSEE ADDRESS: 7434 North Skokie Boulevard
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 12/12/2023

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

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

DOCKET NUMBER: NH 24-C0056

LICENSEE INFO: Elgin Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 11/30/2023

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

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

DOCKET NUMBER: NH 23-C0994

LICENSEE INFO: Avantara Park Ridge, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 11/02/2023

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

FACILITY NAME: Barry Healthcare & Sr Living
FACILITY ADDRESS: 1313 Pratt Street
FACILITY CITY, STATE, ZIP: Barry, IL 62312

DOCKET NUMBER: NH 24-S0097

LICENSEE INFO: Barry Healthcare and Senior Living, LLC
LICENSEE ADDRESS: 4711 Golf Rd, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 12/12/2023

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

FACILITY NAME: Beacon Hill
FACILITY ADDRESS: 2400 South Finley Road
FACILITY CITY, STATE, ZIP: Lombard, IL 60148

DOCKET NUMBER: NH 24-S0049

LICENSEE INFO: Lifespace Communities, Inc.
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 12/28/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1210b), 300.1210c) and 300.1210d)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: Belhaven Nursing & Rehab Ctr
FACILITY ADDRESS: 11401 South Oakley Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60643

DOCKET NUMBER: NH 24-C0070

LICENSEE INFO: Belhaven Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 12/07/2023

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

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

DOCKET NUMBER: NH 23-C0991

LICENSEE INFO: Morton Grove Living & Rehab Center, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 10/31/2023

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

FACILITY NAME: Bella Terra Schaumburg
FACILITY ADDRESS: 675 South Roselle Road
FACILITY CITY, STATE, ZIP: Schaumburg, IL 60193

DOCKET NUMBER: NH 23-S1086

LICENSEE INFO: Schaumburg Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 10/25/2023

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

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

DOCKET NUMBER: NH 23-C1061

LICENSEE INFO: Wheeling Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 11/15/2023

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

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

DOCKET NUMBER: NH 23-CS1109

LICENSEE INFO: Belleville Healthcare Center, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 11/09/2023

Type AA violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1010h), 300.1210b), 300.1210d)1), 300.1210d)2), 300.1210d)3) and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.3240a). A fine of $50,000.00

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

DOCKET NUMBER: NH 23-C1129

LICENSEE INFO: Big Meadows, Inc.
LICENSEE ADDRESS: 1000 Longmoor Ave
LICENSEE CITY, STATE, ZIP: Savanna, IL 61074
Survey Date – 11/14/2023

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

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

DOCKET NUMBER: NH 24-C0021

LICENSEE INFO: Petersen Health Operations, LLC
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 12/11/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1210b)5), 300.1210c), 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: Bloomington Rehabilitation & HCC
FACILITY ADDRESS: 1925 South Main Street
FACILITY CITY, STATE, ZIP: Bloomington, IL 61701

DOCKET NUMBER: NH 24-C0081

LICENSEE INFO: Petersen Health Operations, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 01/09/2024

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)4)C), 300.1220b)3) and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.3240a). A fine of $2,200.00

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

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1210b), 300.1210d)4)A), 300.1210d)4)C), 300.1210d)4)D), 300.1220b)1) and 300.1220b)7). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $2,200.00

Total Fine: $6,600.00

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

DOCKET NUMBER: NH 23-C1100

LICENSEE INFO: Bria of Alton, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 11/14/2023

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

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

DOCKET NUMBER: NH 24-C0038

LICENSEE INFO: Belleville Healthcare & Rehabilitation Center, Inc.
LICENSEE ADDRESS: 465 Central Ave., Ste 100
LICENSEE CITY, STATE, ZIP: Northfield, IL 60093
Survey Date – 11/28/2023

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

DOCKET NUMBER: NH 24-C0127

LICENSEE INFO: Bria of Columbia, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 01/12/2024

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

DOCKET NUMBER: NH 24-C0071

LICENSEE INFO: Bria of Elmwood Park, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 12/12/2023

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

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

DOCKET NUMBER: NH 24-C0176

LICENSEE INFO: Bria of Elmwood Park, LP
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 01/11/2024

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

DOCKET NUMBER: NH 24-C0138

LICENSEE INFO: Bria of Mascoutah, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 01/12/2024

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

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

DOCKET NUMBER: NH 23-C1079

LICENSEE INFO: River Oaks Healthcare & Rehabilitation Center, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60044
Survey Date – 11/03/2023

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

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

DOCKET NUMBER: NH 24-C0147

LICENSEE INFO: River Oaks Healthcare & Rehabilitation Center, LP
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60044
Survey Date – 01/09/2024

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

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

DOCKET NUMBER: NH 23-S1044

LICENSEE INFO: Westmont Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 11/14/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1210b), 300.1210d)6 and 300.1220b)7). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6). A fine of $25,000.00

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

DOCKET NUMBER: NH 24-C0145

LICENSEE INFO: Westmont Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 5151 Church Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 01/17/2024

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

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

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

Total Fine: $50,500.00

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

DOCKET NUMBER: NH 24-C0039

LICENSEE INFO: Burbank Rehabilitation Center, LLC
LICENSEE ADDRESS: 2201 Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 11/28/2023

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

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

DOCKET NUMBER: NH 23-S1075

LICENSEE INFO: California Terrace SNF, LLC
LICENSEE ADDRESS: 3531 Howard St., Ste 1006
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 11/17/2023

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

FACILITY NAME: Carlton at the Lakes, The
FACILITY ADDRESS: 725 West Montrose Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60613

DOCKET NUMBER: NH 23-CS1101

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

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

FACILITY NAME: Carmi Manor Rehab & Nrsg Ctr
FACILITY ADDRESS: 615 W. Webb St., P.O. Box 133
FACILITY CITY, STATE, ZIP: Carmi, IL 62821

DOCKET NUMBER: NH 24-C0064

LICENSEE INFO: Carmi Manor Rehabilitation and Nursing Center, LLC
LICENSEE ADDRESS: 615 W. Webb Street
LICENSEE CITY, STATE, ZIP: Carmi, IL 62821
Survey Date – 12/27/2023

Type C violation of an occurrence for violating one or more of the following sections of the Code:
300.650a), 300.660a) and 300.661. The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.661. A fine of $500.00

FACILITY NAME: Carmi Manor Rehab & Nrsg Ctr
FACILITY ADDRESS: 615 W. Webb Street, P.O. Box 133
FACILITY CITY, STATE, ZIP: Carmi, IL 62821

DOCKET NUMBER: NH 24-S0191

LICENSEE INFO: Carmi Manor Rehabilitation and Nursing Center, LLC
LICENSEE ADDRESS: 615 W. Webb Street
LICENSEE CITY, STATE, ZIP: Carmi, IL 62821
Survey Date – 01/11/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code:
300.650d) and 300.661. The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.661. A fine of $500.00

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

DOCKET NUMBER: NH 23-C1048

LICENSEE INFO: Caseyville Nursing & Rehabilitation Center, Inc.
LICENSEE ADDRESS: 7434 N. Skokie Blvd
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 11/02/2023

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

DOCKET NUMBER: NH 23-C1069

LICENSEE INFO: Caseyville Nursing & Rehabilitation Center, Inc.
LICENSEE ADDRESS: 7434 N. Skokie Blvd
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 11/16/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1210b), 300.1210c) and 300.1210d)2). The fine was doubled in this instance in accordance with 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: Caseyville Nursing & Rehab Ctr
FACILITY ADDRESS: 601 West Lincoln Avenue
FACILITY CITY, STATE, ZIP: Caseyville, IL 62232

DOCKET NUMBER: NH 24-C0068

LICENSEE INFO: Caseyville Nursing & Rehabilitation Center, Inc.
LICENSEE ADDRESS: 7434 N. Skokie Blvd
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 01/02/2024

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

DOCKET NUMBER: NH 23-CS1032

LICENSEE INFO: Center Home Hispanic Elderly, LLC
LICENSEE ADDRESS: 191 N. Wacker Drive, Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 10/27/2023

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

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

DOCKET NUMBER: NH 23-S1087

LICENSEE INFO: S-H OPCO Hoffman Estates, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 10/30/2023

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

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

DOCKET NUMBER: NH 24-C0029

LICENSEE INFO: S-H OPCO Hoffman Estates, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 11/30/2023

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

FACILITY NAME: Chateau Nrsg & Rehab Center
FACILITY ADDRESS: 7050 Madison Street
FACILITY CITY, STATE, ZIP: Willowbrook, IL 60521

DOCKET NUMBER: NH 24-C0126

LICENSEE INFO: Chateau Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 2201 Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 01/09/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code:
300.696f)7). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.696. A fine of $500.00

FACILITY NAME: Chestnut Corner SC
FACILITY ADDRESS: 905 West Chestnut Street
FACILITY CITY, STATE, ZIP: Louisville, IL 62858

DOCKET NUMBER: NH 23-C1130

LICENSEE INFO: Diamond Development Co
LICENSEE ADDRESS: 411 S. Church Street
LICENSEE CITY, STATE, ZIP: Louisville, IL 62858
Survey Date – 11/22/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code:
330.2210a)1) and 330.2210a)4). A fine of $1,100.00

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

DOCKET NUMBER: NH 24-C0065

LICENSEE INFO: Chicago Ridge SNF, LLC
LICENSEE ADDRESS: 3531 Howard St., Ste 1006
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 01/11/2024

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: Cisne Rehabilitation & Health Center
FACILITY ADDRESS: 107 North Watkins Street
FACILITY CITY, STATE, ZIP: Cisne, IL 62823

DOCKET NUMBER: NH 24-S0018

LICENSEE INFO: Petersen Health Operations, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 12/08/2023

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

FACILITY NAME: Citadel Care Center Kankakee
FACILITY ADDRESS: 900 West River Place
FACILITY CITY, STATE, ZIP: Kankakee, IL 60901

DOCKET NUMBER: NH 24-S0193

LICENSEE INFO: Citadel Care Center Kankakee, LLC
LICENSEE ADDRESS: 191 N. Wacker Drive, Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 01/12/2024

FACILITY NAME: Citadel of Bourbonnais, The
FACILITY ADDRESS: 20 Briarcliff Lane
FACILITY CITY, STATE, ZIP: Bourbonnais, IL 60914

DOCKET NUMBER: NH 24-C0096

LICENSEE INFO: Citadel of Bourbonnais, LLC
LICENSEE ADDRESS: 191 N. Wacker Drive, Street 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 12/29/2023

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

FACILITY ADDRESS: 3300 Milwaukee Ave
FACILITY CITY, STATE, ZIP: Northbrook, IL 60062

DOCKET NUMBER: NH 24-C0131

LICENSEE INFO: Citadel of Northbrook, LLC
LICENSEE ADDRESS: 191 N. Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 01/27/2024

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). The fine was doubled in this instance in accordance 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: City View Multicare Center
FACILITY ADDRESS: 5825 West Cermak Road
FACILITY CITY, STATE, ZIP: Cicero, IL 60804

DOCKET NUMBER: NH 23-C1019

LICENSEE INFO: City View Multicare Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 11/08/2023

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

Type A violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1010h), 300.1210a), 300.1210b) and 300.1220b)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

Total Fine: $50,000.00

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

DOCKET NUMBER: NH 23-C1094

LICENSEE INFO: City View Multicare Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 09/28/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.3330a), 300.3300c)1)A)B)C)D), 300.3300d)1), 300.3300e)1)2)3)4)5), 300.3300g), 300.3300j), 300.3300k), 300.3300l), and 300.3300o). A fine of $1,100.00

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

DOCKET NUMBER: NH 24-S0019

LICENSEE INFO: Collinsville HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 11/17/2023

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

DOCKET NUMBER: NH 24-C0043

LICENSEE INFO: Continental Nursing and Rehabilitation, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 12/01/2023

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

FACILITY NAME: Cornerstone Rehab & HC
FACILITY ADDRESS: 5533 North Galena Road
FACILITY CITY, STATE, ZIP: Peoria Heights, IL 61616

DOCKET NUMBER: NH 23-C1046

LICENSEE INFO: Midwest Health Operations, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 10/31/2023

Type C violation of an occurrence for violating one or more of the following sections of the Code:
300.1230c) and 300.1230d). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1230. A fine of $500.00

FACILITY NAME: Cornerstone Rehab & HC
FACILITY ADDRESS: 5533 North Galena Road
FACILITY CITY, STATE, ZIP: Peoria Heights, IL 61614

DOCKET NUMBER: NH 24-C0069

LICENSEE INFO: Midwest Health Operations, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 12/21/2023

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

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.696a), 300.1210a), 300.1210b), 300.1210c), 300.1210d)2)5), and 300.1220b)3). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)5). A fine of $25,000.00

Total Fine: $50,000.00

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

DOCKET NUMBER: NH 23-S1105

LICENSEE INFO: Crescent Care Nursing and Rehabilitation of Elgin, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 11/16/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.2210b)2) and 300.3130c)3)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:
300.610a), 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

Total Fine: $3,800.00

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

DOCKET NUMBER: NH 23-S1073

LICENSEE INFO: Laureate Crestwood Operations, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 11/19/2023

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

FACILITY NAME: Deerfield Crossing Northbrook
FACILITY ADDRESS: 4101 Lake Cook Road
FACILITY CITY, STATE, ZIP: Northbrook, IL 60062

DOCKET NUMBER: NH 23-S1036

LICENSEE INFO: Northbrook NH, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 10/27/2023

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

FACILITY NAME: Dimensions Living Burr Ridge
FACILITY ADDRESS: 6801 Highgrove Boulevard
FACILITY CITY, STATE, ZIP: Burr Ridge, IL 60527

DOCKET NUMBER: NH 23-S0971

LICENSEE INFO: S-H OPCO Burr Ridge, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 11/01/2023

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

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

DOCKET NUMBER: NH 24-C0104

LICENSEE INFO: Eastview HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 12/14/2023

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

FACILITY NAME: Effingham Rehab & Health C Ctr
FACILITY ADDRESS: 1610 North Lakewood Drive
FACILITY CITY, STATE, ZIP: Effingham, IL 62401

DOCKET NUMBER: NH 24-S0076

LICENSEE INFO: Effingham HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 12/15/2023

FACILITY NAME: Elevate Care Chicago North
FACILITY ADDRESS: 2451 West Touhy Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60645

DOCKET NUMBER: NH 23-CS1080

LICENSEE INFO: Elevate Care Chicago North, LLC
LICENSEE ADDRESS: 4655 W. Chase Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 11/15/2023

Type C violation of an occurrence for violating one or more of the following sections of the Code:300.686 f)1), 300.686 f)2), 300.686 f)3)A), 300.686 f)3)B), 300.686 f)3)C), 300.686 f)3)D), 300.386 f)3)E), 300.686 f)3)F), 300.686 f)3)G), 300.686 f)3)H), 300.686 f)3)I), 300.686 f)5), 300.686 f)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: 300.686. A fine of $500.00

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

Total Fine: $2,700.00

FACILITY NAME: Elevate Care Chicago North
FACILITY ADDRESS: 2451 W. Touhy Ave
FACILITY CITY, STATE, ZIP: Chicago, IL 60645

DOCKET NUMBER: NH 24-C0077

LICENSEE INFO: Elevate Care Chicago North, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 01/05/2024

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

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

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

Total Fine: $29,400.00

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

DOCKET NUMBER: NH 23-C1088

LICENSEE INFO: Elevate Care Country Club Hills, LLC
LICENSEE ADDRESS: 4655 W. Chase Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 11/15/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.690b)c), 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). 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)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). A fine of $2,200.00
Total Fine: $27,200.00

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-C0114

LICENSEE INFO: Elevate Care Country Club Hills, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 12/22/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1210b), and 300.1210d)3)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: Elevate Care Niles
FACILITY ADDRESS: 8333 West Golf Road
FACILITY CITY, STATE, ZIP: Niles, IL 60714

DOCKET NUMBER: NH 24-C0095

LICENSEE INFO: Elevate Care Niles, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 12/15/2023

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

DOCKET NUMBER: NH 24-C0109

LICENSEE INFO: Elevate Care Niles, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 12/07/2023

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

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

DOCKET NUMBER: NH 24-S0094

LICENSEE INFO: Elevate Care Riverwoods, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 01/22/2024

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

DOCKET NUMBER: NH 23-C0926

LICENSEE INFO: Elmwood Nursing & Rehabilitation Center, LLC
LICENSEE ADDRESS: 2202 Main Street, Suite 180
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 11/15/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.2210b)1), 300.2210b)2) and 300.2210b)9). A fine of $1,100.00

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

DOCKET NUMBER: NH 24-S0161

LICENSEE INFO: Fair Havens Senior Living, LLC
LICENSEE ADDRESS: 1275 Milwaukee Ave., Ste 300
LICENSEE CITY, STATE, ZIP: Glenview, IL 60025
Survey Date – 01/17/2024

FACILITY NAME: Farmer City Rehab & Healthcare
FACILITY ADDRESS: 404 Brookview Drive
FACILITY CITY, STATE, ZIP: Farmer City, IL 61842

DOCKET NUMBER: NH 23-S1131

LICENSEE INFO: Petersen Health Care Farmer City, LLC
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 11/13/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.690a), 300.690b), 300.690c), 300.3210t), 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: 300.690. A fine of $2,200.00

FACILITY NAME: Fireside House of Centralia
FACILITY ADDRESS: 1030 Martin Luther King Blvd
FACILITY CITY, STATE, ZIP: Centralia, IL 62801

DOCKET NUMBER: NH 23-C0983

LICENSEE INFO: HCC Healthcare Properties, LLC
LICENSEE ADDRESS: 2501 Chatham Rd., Ste R
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 10/23/2023

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

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

DOCKET NUMBER: NH 24-S0013

LICENSEE INFO: Forest City Rehab and Nursing Center, LLC
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 12/07/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.625b). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.625b). 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)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: Forest View Rehab
FACILITY ADDRESS: 535 South Elm
FACILITY CITY, STATE, ZIP: Itasca, IL 60143

DOCKET NUMBER: NH 24-C0206

LICENSEE INFO: Forest View Rehabilitation and Nursing Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 01/04/2024

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

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

DOCKET NUMBER: NH 24-C0092

LICENSEE INFO: Freeburg Care Center, Inc.
LICENSEE ADDRESS: 4 Industrial Dr., P.O. Box 97
LICENSEE CITY, STATE, ZIP: Freeburg, IL 62243
Survey Date – 12/12/2023

FACILITY NAME: Freeburg Terrace
FACILITY ADDRESS: #4 Hill Mine Road
FACILITY CITY, STATE, ZIP: Freeburg, IL 62243

DOCKET NUMBER: NH 23-C1112

LICENSEE INFO: Community Living Options, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 11/02/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code:
350.1840b) and 350.1890b). A fine of $550.00

FACILITY NAME: Friendship Manor Health Care
FACILITY ADDRESS: 485 South Friendship Drive
FACILITY CITY, STATE, ZIP: Nashville, IL 62263

DOCKET NUMBER: NH 24-S0125

LICENSEE INFO: Friendship Manor Group, LLC
LICENSEE ADDRESS: 485 South Friendship Drive
LICENSEE CITY, STATE, ZIP: Nashville, IL 62263
Survey Date – 01/09/2024

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 300.661. The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.661. A fine of $500.00

Type C violation of an occurrence for violating one or more of the following sections of the Code:
300.625a), 300.625b), 300.625c1)2), 300.625d), 300.665e), 300.625i) and 300.625j). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.625a), 300.625b), 300.625c and 300.625j). A fine of $500.00

Total Fine: $51,000.00

FACILITY NAME: Generations at Applewood
FACILITY ADDRESS: 21020 Kostner Avenue
FACILITY CITY, STATE, ZIP: Matteson, IL 60443

DOCKET NUMBER: NH 24-C0117

LICENSEE INFO: Generations at Applewood, LLC
LICENSEE ADDRESS: 6840 N. Lincoln Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 12/19/2023

Type AA violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1035a), 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 $50,000.00

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

DOCKET NUMBER: NH 23-CS1011

LICENSEE INFO: Generations at Regency, LLC
LICENSEE ADDRESS: 6840 N. Lincoln Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 10/26/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)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: Generations at Regency
FACILITY ADDRESS: 6631 Milwaukee Avenue
FACILITY CITY, STATE, ZIP: Niles, IL 60714

DOCKET NUMBER: NH 23-CS1011

LICENSEE INFO: Generations at Regency, LLC
LICENSEE ADDRESS: 6840 N. Lincoln Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 10/26/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)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: Glenwood Terrace Springfield
FACILITY ADDRESS: 2724 Glenwood Ave
FACILITY CITY, STATE, ZIP: Springfield, IL 62704

DOCKET NUMBER: NH 24-C0175

LICENSEE INFO: Community Living Options, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 01/10/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code:
350.620a), 350.1210a) and 350.3240a), 350.3240b). 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 350.3240a). A fine of $1,100.00

FACILITY NAME: Goldwater Care Bloomington
FACILITY ADDRESS: 700 East Walnut Street
FACILITY CITY, STATE, ZIP: Bloomington, IL 60712

DOCKET NUMBER: NH 24-C0162

LICENSEE INFO: Goldwater Care Bloomington, LLC
LICENSEE ADDRESS: 4655 W. Chase Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 01/23/2024

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

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

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1210b), 300.1210c), 300.1210d)1), 300.1210d)2), 300.1210d)3), 300.1210d)5) and 300.1220b)3). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)5). A fine of $2,200.00

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

Total Fine: $54,400.00

FACILITY NAME: Golfview Developmental Center
FACILITY ADDRESS: 9555 West Golf Road
FACILITY CITY, STATE, ZIP: Des Plaines, IL 60016

DOCKET NUMBER: NH 24-S0091

LICENSEE INFO: Golfview Developmental Center, Inc.
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 01/10/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code:
350.1230 a)2), 350.1230 b)1), 350.1230 b)2), 350.1230 b)3), 350.1230 b)4), 350.1230 b)5), 350.1230 b)6), 350.1230 b)7), 350.1230 c), 350.1230 d)1), 350.1230 d)2), 350.1230 d)3) and 350.1230 d)4). The fine was doubled in this instance in accordance with 350.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 350.1230. A fine of $2,200.00

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

DOCKET NUMBER: NH 24-S0031

LICENSEE INFO: Friendship Village of Mill Creek, NFP
LICENSEE ADDRESS: 10 S. LaSalle St., Ste 2660
LICENSEE CITY, STATE, ZIP: Chicago, IL 60603
Survey Date – 12/14/2023

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

Type AW violation of an occurrence for violating one or more of the following sections of the Code:
300.615e) and 300.615f). No fine

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

Total Fine: $27,200.00

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

DOCKET NUMBER: NH 23-C1020

LICENSEE INFO: Grove Health and Rehab Center, LLC
LICENSEE ADDRESS: 600 South Second Street, Ste 404
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 11/13/2023

FACILITY NAME: Grove of Northbrook, The
FACILITY ADDRESS: 263 Skokie Boulevard
FACILITY CITY, STATE, ZIP: Northbrook, IL 60062

DOCKET NUMBER: NH 24-S0016

LICENSEE INFO: Northbrook Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 12/14/2023

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

FACILITY NAME: Hallmark HC of Carlinville
FACILITY ADDRESS: 826 N. High Street
FACILITY CITY, STATE, ZIP: Carlinville, IL 62626

DOCKET NUMBER: NH 24-S0155

LICENSEE INFO: Hallmark Healthcare of Carlinville, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 01/23/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.625a), 300.625b), 300.625c)1) and 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

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

Total Fine: $2,700.00

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

DOCKET NUMBER: NH 24-C0062

LICENSEE INFO: Hallmark Healthcare of Pekin, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 12/07/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1210b) and 300.3240a). 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: Harbor House
FACILITY ADDRESS: 760 Old McHenry Road
FACILITY CITY, STATE, ZIP: Wheeling, IL 60090

DOCKET NUMBER: NH 24-C0090

LICENSEE INFO: Harbor House of Wheeling IV, LLC
LICENSEE ADDRESS: 191 North Wacker Drive, Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 12/27/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 330.710a)3), 330.758b)5), and 330.785c)4). The fine was doubled in this instance in accordance with 330.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 330.785b). A fine of $25,000.00

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: $25,500.00.

FACILITY NAME: Heather Health Care Center
FACILITY ADDRESS: 15600 South Honore Street
FACILITY CITY, STATE, ZIP: Harvey, IL 60426

DOCKET NUMBER: NH 23-CS1045

LICENSEE INFO: Heather Health Care Center, Inc.
LICENSEE ADDRESS: 4200 W. Peterson Ave., Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 11/03/2023

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

Total Fine: $4,400.00

FACILITY NAME: Helia Healthcare of Energy
FACILITY ADDRESS: 210 East College
FACILITY CITY, STATE, ZIP: Energy, IL 62933

DOCKET NUMBER: NH 24-S0121

LICENSEE INFO: Helia Healthcare of Energy, LLC
LICENSEE ADDRESS: 600 S. Second Street, Suite 104
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 12/22/2023

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

Type 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 300.282i) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.661). A fine of $500.00

Total Fine: $25,500.00

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

DOCKET NUMBER: NH 24-C0007

LICENSEE INFO: Helia Southbelt Healthcare, LLC
LICENSEE ADDRESS: 118 W. Edwards St., Ste 200
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 11/22/2023

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

FACILITY NAME: Hickory Vlg Nrsg & Rhb
FACILITY ADDRESS: 9246 South Roberts Road
FACILITY CITY, STATE, ZIP: Hickory Hills, IL 60457

DOCKET NUMBER: NH 23-CS1108

LICENSEE INFO: Hickory Village Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 208 So. LaSalle Street., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 11/02/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1210b), 300.3210t) 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 se vctions of the Code with a high-risk designation: 300.3240e). A fine of $2,200.00

FACILITY NAME: Highlight Healthcare of Aurora
FACILITY ADDRESS: 1017 West Galena
FACILITY CITY, STATE, ZIP: Aurora, IL 60506

DOCKET NUMBER: NH 24-S0060

LICENSEE INFO: Highlight Healthcare of Aurora, LLC
LICENSEE ADDRESS: 5750 Old Orchard Road, Ste 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 12/21/2023

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

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

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.696d)2). This instance in accordance with 300.282i) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.696). A fine of $500.00

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

Total Fine: $2,000.00

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

DOCKET NUMBER: NH 23-S1137

LICENSEE INFO: Highlight Healthcare of Woodstock, LLC
LICENSEE ADDRESS: 5750 Old Orchard Road, Ste 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 12/12/2023

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

Type C violation of an occurrence for violating one or more of the following sections of the Code:
300.696d)2). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.696. A fine of $500.00

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

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

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

Type 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:
300.2030. No fine

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

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

Total Fine: $6,500.00

FACILITY NAME: Hillside Rehab & Care Center
FACILITY ADDRESS: 1308 Game Farm Road
FACILITY CITY, STATE, ZIP: Yorkville, IL 60560

DOCKET NUMBER: NH 23-S1119

LICENSEE INFO: Helia Healthcare of Yorkville, LLC
LICENSEE ADDRESS: 118 W. Edwards St., Ste 200
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 11/17/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code:
300.610a) and 300.3210t). A fine of $12,500.00

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

DOCKET NUMBER: NH 24-S0020

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 – 11/01/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210c), 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: Illinois Veterans Home at Manteno
FACILITY ADDRESS: One Veterans Drive
FACILITY CITY, STATE, ZIP: Manteno, IL 60950

DOCKET NUMBER: NH 24-C0022

LICENSEE INFO: Illinois Department of Veterans’ Affairs
LICENSEE ADDRESS: 833 South Spring St., Box 19432
LICENSEE CITY, STATE, ZIP: Springfield, IL 62794
Survey Date – 11/28/2023

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: 340.1335. A fine of $2,200.00

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

DOCKET NUMBER: NH 24-C0089

LICENSEE INFO: Illinois Department of Veterans’ Affairs
LICENSEE ADDRESS: 833 South Spring St., Box 19432
LICENSEE CITY, STATE, ZIP: Springfield, IL 62794
Survey Date – 12/14/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code:
340.1500c). A fine of $1,100.00

FACILITY NAME: Illinois Veterans Home at Quincy
FACILITY ADDRESS: 1707 North 12th Street
FACILITY CITY, STATE, ZIP: Quincy, IL 62301

DOCKET NUMBER: NH 23-S1059

LICENSEE INFO: Illinois Department of Veterans’ Affairs
LICENSEE ADDRESS: 833 South Spring St., Box 19432
LICENSEE CITY, STATE, ZIP: Springfield, IL 62794
Survey Date – 10/25/2023

Type C violation of an occurrence for violating one or more of the following sections of the Code:
340.1580d). 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: 340.1580. A fine of $500.00

Type C violation of an occurrence for violating one or more of the following sections of the Code:
340.1610a)4). 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: $1,000.00

FACILITY NAME: Illinois Veterans’ Home at Quincy
FACILITY ADDRESS: 1707 North 12th Street
FACILITY CITY, STATE, ZIP: Quincy, IL 62301

DOCKET NUMBER: NH 24-C0124

LICENSEE INFO: Illinois Department of Veterans’ Affairs
LICENSEE ADDRESS: 833 South Spring St., Box 19432
LICENSEE CITY, STATE, ZIP: Springfield, IL 62794
Survey Date – 01/10/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code:
340.1440b), 340.1440d) and 340.1440f). 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: 340.1440d). A fine of $500.00

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

DOCKET NUMBER: NH 24-C0140

LICENSEE INFO: Alton Nursing and Rehab Center, LLC
LICENSEE ADDRESS: 6554 N. Trumbull Ave
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 01/25/2024

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). A fine of $2,200.00

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

DOCKET NUMBER: NH 24-S0088

LICENSEE INFO: Lake Forest Place, LLC
LICENSEE ADDRESS: 8707 Skokie Blvd, Ste 400
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 01/11/2024

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

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

DOCKET NUMBER: NH 23-C1098

LICENSEE INFO: Lakeview Rehabilitation and Nursing Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 11/17/2023

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)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: 300.690 and 300.1210b). A fine of $25,000.00

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

DOCKET NUMBER: NH 24-C0074

LICENSEE INFO: Landmark o Richton Park Rehabilitation and Nursing Center, LLC
LICENSEE ADDRESS: 5683 N. Lincoln Ave
LICENSEE CITY, STATE, ZIP: Chicago, IL 60659
Survey Date – 12/15/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1210a), 300.1210b), 300.1210d)3), 300.1610a)1) and 300.1620a). The fine was doubled in this instance in accordance with 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: Lebanon Care Center
FACILITY ADDRESS: 1201 North Alton
FACILITY CITY, STATE, ZIP: Lebanon, IL 62254

DOCKET NUMBER: NH 23-C1060

LICENSEE INFO: Lebanon HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 11/02/2023

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

FACILITY NAME: Lewis Memorial Christian Vlg
FACILITY ADDRESS: 3400 West Washington
FACILITY CITY, STATE, ZIP: Springfield, IL 62702

DOCKET NUMBER: NH 23-C1138

LICENSEE INFO: Lewis Memorial Christian Village
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 11/16/2023

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

FACILITY NAME: Lincoln Village Healthcare
FACILITY ADDRESS: 2202 North Kickapoo Street
FACILITY CITY, STATE, ZIP: Lincoln, IL 62656

DOCKET NUMBER: NH 24-C0073

LICENSEE INFO: Lincoln Village Healthcare Center, LLC
LICENSEE ADDRESS: 2201 Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 12/14/2023

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

FACILITY NAME: Little Village Nrsg & Rhb Ctr
FACILITY ADDRESS: 2320 South Lawndale Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60623

DOCKET NUMBER: NH 23-C1102

LICENSEE INFO: Little Village Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 5752 Old Orchard, Ste 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 11/08/2023

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

FACILITY NAME: Little Village Nrsg & Rhb Ctr
FACILITY ADDRESS: 2320 South Lawndale Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60623

DOCKET NUMBER: NH 24-S0225

LICENSEE INFO: Little Village Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 5720 Old Orchard Road, Ste 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 01/19/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1210b) and 300.3240a). 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: Macomb Post Acute Care Center
FACILITY ADDRESS: 8 Doctors Lane
FACILITY CITY, STATE, ZIP: Macomb, IL 61455

DOCKET NUMBER: NH 24-C0170

LICENSEE INFO: Macomb Post Acute Care Center, LLC
LICENSEE ADDRESS: 615 W. Webb Street
LICENSEE CITY, STATE, ZIP: Carmi, IL 62821
Survey Date – 12/23/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)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: Manor Court of Freeport
FACILITY ADDRESS: 2170 W. Navajo Drive
FACILITY CITY, STATE, ZIP: Freeport, IL 61032

DOCKET NUMBER: NH 24-S0107

LICENSEE INFO: Residential Alternatives of Illinois, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 01/09/2024

FACILITY NAME: Marigold Rehabilitation HCC
FACILITY ADDRESS: 275 East Carl Sandburg Drive
FACILITY CITY, STATE, ZIP: Galesburg, IL 61401

DOCKET NUMBER: NH 23-S1132

LICENSEE INFO: Marigold HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Skokie, IL 61614
Survey Date – 11/16/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210c) and 300.1210)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: Mayfield Care and Rehab
FACILITY ADDRESS: 5905 West Washington
FACILITY CITY, STATE, ZIP: Chicago, IL 60644

DOCKET NUMBER: NH 23-C1121

LICENSEE INFO: Mayfield Care and Rehabilitation Center, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 11/28/2023

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

FACILITY NAME: Meadowbrook Manor LaGrange
FACILITY ADDRESS: 339 9th Avenue
FACILITY CITY, STATE, ZIP: LaGrange, IL 60525

DOCKET NUMBER: NH 23-C1089

LICENSEE INFO: Butterfield Health Care VII, LLC
LICENSEE ADDRESS: 200 S. Wacker Dr., Ste 3800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 11/20/2023

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

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

DOCKET NUMBER: NH 24-S0139

LICENSEE INFO: Butterfield Health Care II, Inc.
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 01/23/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1210b), 300.1210d)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: Meadows
FACILITY ADDRESS: 3250 South Plum Grove Road
FACILITY CITY, STATE, ZIP: Rolling Meadows, IL 60008

DOCKET NUMBER: NH 23-C1133

LICENSEE INFO: Meadows Sheltered Care, Inc.
LICENSEE ADDRESS: 3250 S. Plum Grove Road
LICENSEE CITY, STATE, ZIP: Rolling Meadows, IL 60008
Survey Date – 11/20/203

Type A violation of an occurrence for violating one or more of the following sections of the Code:
350.620a), 350.1210b), 350.1230a)1), 350.1230b)1)2)3)4)5)6)7) and 350.3240a). The fine was doubled in this instance in accordance with 350.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 350.1210 and 350.3240a). A fine of $20,000.00

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

DOCKET NUMBER: NH 24-C0136

LICENSEE INFO: Medina Nursing Center, Inc.
LICENSEE ADDRESS: 402 South Center Street
LICENSEE CITY, STATE, ZIP: Durand, IL 61024
Survey Date – 01/16/2024

FACILITY NAME: Metropolis Rehab & HCC
FACILITY ADDRESS: 2299 Metropolis Street
FACILITY CITY, STATE, ZIP: Metropolis, IL 62960

DOCKET NUMBER: NH 23-S1090

LICENSEE INFO: Metropolis Health Care Center, LLC
LICENSEE ADDRESS: 412 E. Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 10/31/2023

FACILITY NAME: Momence Meadows Nursing & Rehab
FACILITY ADDRESS: 500 South Walnut
FACILITY CITY, STATE, ZIP: Momence, IL 60954

DOCKET NUMBER: NH 24-C0087

LICENSEE INFO: Momence Meadows Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 12/20/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)1)2)3)4)5), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b), 300.1210d)5), and 300.3240a). A fine of $2,200.00

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

DOCKET NUMBER: NH 24-S0023

LICENSEE INFO: Community Care Center of Monmouth, Inc.
LICENSEE ADDRESS: 858 Sunnyhill Lane
LICENSEE CITY, STATE, ZIP: Columbia, IL 62236
Survey Date – 11/29/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code:
300.696b)3), 300.696d)16), 300.696f)1), 300.696f)2)A), 300.696f)3)B), 300.696f)4), 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: 300.696 and 300.1210b). A fine of $25,000.00

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

DOCKET NUMBER: NH 23-CS1113

LICENSEE INFO: Morgan Park Healthcare, LLC
LICENSEE ADDRESS: 3531 Howard St., Ste 1006
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 11/07/2023

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

FACILITY NAME: Moweaqua Rehab & HCC
FACILITY ADDRESS: 525 South Macon Street
FACILITY CITY, STATE, ZIP: Moweaqua, IL 62550

DOCKET NUMBER: NH 23-S1115

LICENSEE INFO: Moweaqua Rehabilitation & Health Care Center, LLC
LICENSEE ADDRESS: 412 E. Lawrence Avenue
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 11/27/2023

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

FACILITY NAME: Mt. Zion Health & Rehab Center
FACILITY ADDRESS: 1225 Woodland Drive
FACILITY CITY, STATE, ZIP: Mount Zion, IL 62549

DOCKET NUMBER: NH 23-S1037

LICENSEE INFO: Mount Zion Health and Rehab Center, LLC
LICENSEE ADDRESS: 600 South Second St., Ste 404
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 10/25/2023

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.610a) and 300.1210d)2). No Fine

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

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.686b)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: 300.668. A fine of $500.00

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.330 and 300.2010a)1). No Fine

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.2930c)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: 300.3120g). A fine of $1,100.00
Total Fine: $3,200.00

FACILITY NAME: Nature Trail Health and Rehab
FACILITY ADDRESS: 1001 South 34th Street
FACILITY CITY, STATE, ZIP: Mount Vernon, IL 62864

DOCKET NUMBER: NH 23-C1139

LICENSEE INFO: Nature Trail Health and Rehab Center, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 11/10/2023

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

DOCKET NUMBER: NH 23-S0986

LICENSEE INFO: Petersen Health Network, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 10/26/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b) and 300.1210d)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: Norridge Gardens
FACILITY ADDRESS: 7001 West Cullom
FACILITY CITY, STATE, ZIP: Norridge, IL 60706

DOCKET NUMBER: NH 24-C0232

LICENSEE INFO: Norridge Gardens, LLC
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 01/11/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210a), 300.1210b), 300.1210d)6), 300.1640a)1)2), 300.1650a), and 300.1650b). The fine was doubled in this instance in accordance with 300.282i) 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: North Aurora Care Center
FACILITY ADDRESS: 310 Banbury Road
FACILITY CITY, STATE, ZIP: North Aurora, IL 60542

DOCKET NUMBER: NH 23-C0993

LICENSEE INFO: North Aurora HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 11/02/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1010h), 300.1210b), 300.1210d)6) and 300.3210t). 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: Oak Park Oasis
FACILITY ADDRESS: 625 North Harlem
FACILITY CITY, STATE, ZIP: Oak Park, IL 60302

DOCKET NUMBER: NH 23-C1118

LICENSEE INFO: Oak Park Oasis, LLC
LICENSEE ADDRESS: 4711 Gold Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 11/16/2023

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

DOCKET NUMBER: NH 24-S0050

LICENSEE INFO: Illinois I.O.O.F. Old Folks’ Home Mattoon, IL
LICENSEE ADDRESS: 201 Lafayette East
LICENSEE CITY, STATE, ZIP: Mattoon, IL 61938
Survey Date – 12/06/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1210a), 300.1210b) and 300.1210d)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: Odd Fellow Rebekah Home
FACILITY ADDRESS: 201 La Fayette Avenue East
FACILITY CITY, STATE, ZIP: Mattoon, IL 61938

DOCKET NUMBER: NH 24-S0228

LICENSEE INFO: Illinois I.O.O.F. Old Folks’ Home
LICENSEE ADDRESS: 201 La Fayette East
LICENSEE CITY, STATE, ZIP: Mattoon, IL 61938
Survey Date – 01/25/2024

FACILITY NAME: Palos Heights Rehabilitation
FACILITY ADDRESS: 13259 South Central Avenue
FACILITY CITY, STATE, ZIP: Crestwood, IL 60418

DOCKET NUMBER: NH 23-CS1114

LICENSEE INFO: Palos Heights Rehabilitation, LLC
LICENSEE ADDRESS: 2201 Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 11/28/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1010h), 300.1210a), 300.1210b), 300.1210d)6) .The fine was doubled in this instance in accordance with 300.282i) 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:
300.1210a), 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
Total Fine: $27,200.00

FACILITY NAME: Palos Heights Rehabilitation
FACILITY ADDRESS: 13259 South Central Avenue
FACILITY CITY, STATE, ZIP: Crestwood, IL 60418

DOCKET NUMBER: NH 24-S0075

LICENSEE INFO: Palos Heights Rehabilitation, LLC
LICENSEE ADDRESS: 2201 Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 01/12/2024

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

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

DOCKET NUMBER: NH 24-C0178

LICENSEE INFO: Paris Health & Rehab Center, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste. 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 01/05/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1210b), 300.1210d)6) and 300.3210h)1). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6). A fine of $2,200.00

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

DOCKET NUMBER: NH 24-C0198

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 – 01/10/2024

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: Parker Nursing and Rehab Ctr
FACILITY ADDRESS: 516 W. Frech Street
FACILITY CITY, STATE, ZIP: Streator, IL 61364

DOCKET NUMBER: NH 24-C0080

LICENSEE INFO: Parker Nursing & Rehabilitation Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 01/04/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1210b), 300.1210d)4)A) and 300.1230e). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $2,200.00

FACILITY NAME: Parkway Manor
FACILITY ADDRESS: 3116 Williamson County Pkwy
FACILITY CITY, STATE, ZIP: Marion, IL 62959

DOCKET NUMBER: NH 24-S0112

LICENSEE INFO: UDI #1, LLC
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 01/12/2024

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). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.690. A fine of $500.00

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

DOCKET NUMBER: NH 24-C0059

LICENSEE INFO: The Pavilion of Logan Square, LLC
LICENSEE ADDRESS: 191 N. Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 12/18/2023

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

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

Total Fine: $27,200.00

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

DOCKET NUMBER: NH 24-C0141

LICENSEE INFO: Pavilion of South Shore, LLC
LICENSEE ADDRESS: 191 N. Wacker Street, Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 01/12/2024

FACILITY NAME: Pavilion of Waukegan
FACILITY ADDRESS: 2217 Washington Street
FACILITY CITY, STATE, ZIP: Waukegan, IL 60085

DOCKET NUMBER: NH 24-S0024

LICENSEE INFO: Pavilion of Waukegan, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 11/30/2023

FACILITY NAME: Pavilion of Waukegan
FACILITY ADDRESS: 2217 Washington Street
FACILITY CITY, STATE, ZIP: Waukegan, IL 60085

DOCKET NUMBER: NH 24-C0078

LICENSEE INFO: Pavilion of Waukegan, LLC
LICENSEE ADDRESS: 208 S. LaSalle Street, Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 12/22/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.120a), 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: Pearl of Crystal Lake, The
FACILITY ADDRESS: 1000 East Brighton
FACILITY CITY, STATE, ZIP: Crystal Lake, IL 60012

DOCKET NUMBER: NH 24-S0142

LICENSEE INFO: Pearl of Crystal Lake, LLC
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 01/02/2024

Type C violation of an occurrence for violating one or more of the following sections of the Code:
300.696f)4). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.696. A fine of $500.00

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-C0015

LICENSEE INFO: Pearl of Elk Grove, LLC
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 12/19/2023

FACILITY NAME: Pearl of Hillside, The
FACILITY ADDRESS: 4600 North Frontage Road
FACILITY CITY, STATE, ZIP: Hillside, IL 60162

DOCKET NUMBER: NH 23-C1066

LICENSEE INFO: Pearl of Hillside, LLC
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 11/02/2023

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

DOCKET NUMBER: NH 23-C1097

LICENSEE INFO: Pearl of Montclare, LLC
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 11/17/2023

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

DOCKET NUMBER: NH 24-C0105

LICENSEE INFO: Pearl Pavilion, LLC
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 11/28/2023

Type AA violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.690a), 300.1010i), 300.1030a)1)2)5), 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: 300.690, 300.1210b) and 300.1210d)6). A fine of $50,000.00

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

DOCKET NUMBER: NH 24-S0158

LICENSEE INFO: Pearl Pavilion, LLC
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 12/19/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.610c)2), 300.1210a), 300.1210b), 300.1210d)3), 300.1620a), 300.1620e), 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) and 300.1210d)6). A fine of $2,200.00

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

Total Fine: $27,200.00

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

DOCKET NUMBER: NH 23-CS1018

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 – 10/25/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 350.620a), 350.1210b)2), 350.1230d)1), 350.2700d)2) and 350.3240a). The fine was doubled in this instance in accordance with 350.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 350.1210, 350.1230 and 350.3240a). A fine of $1,100.00

FACILITY NAME: Pinckneyville Nursing & Rehab
FACILITY ADDRESS: 708 Virginia Court
FACILITY CITY, STATE, ZIP: Pinckneyville, IL 62274

DOCKET NUMBER: NH 23-C1091

LICENSEE INFO: Pinckneyville Nursing & Rehabilitation Center, LLC
LICENSEE ADDRESS: 215 E. Locust Street
LICENSEE CITY, STATE, ZIP: Harrisburg, IL 62946
Survey Date – 10/24/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b) and 300.3240b). The fine was doubled in this instance in accordance with 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: Pittsfield Manor
FACILITY ADDRESS: 610 Lowry Street
FACILITY CITY, STATE, ZIP: Pittsfield, IL 62363

DOCKET NUMBER: NH 24-S0086

LICENSEE INFO: UDI #9, LLC
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 01/02/2024

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

Type A violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.696a), 300.696b)3), 300.696d)6), 300.696f)2)A) 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) and 300.696. A fine of $25,000.00

Total Fine: $50,000.00

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

DOCKET NUMBER: NH 23-S1056

LICENSEE INFO: Pleasant Meadows Senior Living, LLC
LICENSEE ADDRESS: 5752 Old Orchard Rd., Ste 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 11/08/2023

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

DOCKET NUMBER: NH 24-C0123

LICENSEE INFO: Pleasant View Luther Home, Inc.
LICENSEE ADDRESS: 800 W. Oakton Street
LICENSEE CITY, STATE, ZIP: Arlington Heights, IL 60004
Survey Date – 01/11/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.690b), 300.1210b) and 300.1210d)6). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6). A fine of $2,200.00

FACILITY NAME: Pleasant View Rehab & HCC
FACILITY ADDRESS: 500 N. Jackson Street
FACILITY CITY, STATE, ZIP: Morrison, IL 61270

DOCKET NUMBER: NH 24-S0085

LICENSEE INFO: Pleasant View HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 01/03/2024

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

FACILITY NAME: Polo Rehabilitation & HCC
FACILITY ADDRESS: 703 East Buffalo
FACILITY CITY, STATE, ZIP: Polo, IL 61064

DOCKET NUMBER: NH 23-S1122

LICENSEE INFO: Polo HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 11/29/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.696b) and 300.696f)1)2)3)B)4). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.696.
A fine of $2,200.00

Type C violation of an occurrence for violating one or more of the following sections of the Code:
300.1035a)2) and 300.1035d). No fine

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

Type C violation of an occurrence for violating one or more of the following sections of the Code:
300.2080a). No fine

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

Type C violation of an occurrence for violating one or more of the following sections of the Code:
300.2930d)1)A)B). No fine
Total Fine: $2,200.00

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

DOCKET NUMBER: NH 23-S1125

LICENSEE INFO: Prairie Crossing Living & Rehabilitation Center, LLC
LICENSEE ADDRESS: 7434 Skokie Blvd
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 12/06/2023

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

FACILITY NAME: Prairie Rose Health Care Ctr
FACILITY ADDRESS: 900 South Chestnut
FACILITY CITY, STATE, ZIP: Pana, IL 62557

DOCKET NUMBER: NH 23-S1117

LICENSEE INFO: SJL Health Systems, Inc.
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 11/16/2023

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

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

DOCKET NUMBER: NH 23-S1134

LICENSEE INFO: Quincy Healthcare & Senior Living, LLC
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 11/02/2023

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

DOCKET NUMBER: NH 23-C1031

LICENSEE INFO: Alton NH, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 10/19/2023

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

FACILITY NAME: River Crossing of St. Charles (AKA: Pearl of St. Charles, The)
FACILITY ADDRESS: 850 Dunham Road
FACILITY CITY, STATE, ZIP: St. Charles, IL 60174

DOCKET NUMBER: NH 23-C1055

LICENSEE INFO: St. Charles NH, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 11/01/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1210b), 300.1210d)1)3) and 300.3220f). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $2,200.00

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

DOCKET NUMBER: NH 24-S0034

LICENSEE INFO: Petersen Health Network, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 12/20/2023

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

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a) and 300.620a). A fine of $1,100.00

Total Fine: $51,100.00

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

DOCKET NUMBER: NH 24-C0040

LICENSEE INFO: Petersen Health Network, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 12/20/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a) and 300.620a). A fine of $1,100.00

Total Fine: $51,100.00

FACILITY NAME: Roseville Rehab & Health Care
FACILITY ADDRESS: 145 South Chamberlain St
FACILITY CITY, STATE, ZIP: Roseville, IL 61473

DOCKET NUMBER: NH 23-C1110

LICENSEE INFO: Petersen Health Care Roseville, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 11/15/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1210b) and 300.3240a). 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: Rosiclare Rehab & HCC
FACILITY ADDRESS: 55 Ferrell Road
FACILITY CITY, STATE, ZIP: Rosiclare, IL 62982

DOCKET NUMBER: NH 24-S0025

LICENSEE INFO: Rosiclare HCO, LLC
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 12/06/2023

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

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

DOCKET NUMBER: NH 23-S1054

LICENSEE INFO: Royal HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 10/26/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a) and 300.3210t). No Fine

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

DOCKET NUMBER: NH 23-C1107

LICENSEE INFO: Salem Village Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 111 N. Ottawa Street
LICENSEE CITY, STATE, ZIP: Joliet, IL 60432
Survey Date – 11/29/2023

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

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

DOCKET NUMBER: NH 24-C0084

LICENSEE INFO: Petersen Health Business, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 12/08/2023

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

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.510a), 300.510c), 300.610a), 300.650f)1), 300.650f)2), 300.820a), 300.1010h), 300.1210b), 300.1210d)3), 300.1210d)6) and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b), 300.1210d)6) and 300.3240a). A fine of $2,200.00

Type C violation of an occurrence for violating one or more of the following sections of the Code:
300.690)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: 300.690. A fine of $500.00

Total Fine: $27,700.00

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

DOCKET NUMBER: NH 24-C0051

LICENSEE INFO: UDI # 7, LLC
LICENSEE ADDRESS: 285 S. Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 01/03/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1210b), 300.1210d)2) 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: Sharon Healthcare Pines
FACILITY ADDRESS: 3614 North Rochelle
FACILITY CITY, STATE, ZIP: Peoria, IL 61604

DOCKET NUMBER: NH 23-S1135

LICENSEE INFO: Sharon Health Care Pines, Inc.
LICENSEE ADDRESS: 465 Central Avenue, Suite 100
LICENSEE CITY, STATE, ZIP: Northfield, IL 60093
Survey Date – 11/01/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1210b) and 300.3210t). 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: South Shore Rehabilitation
FACILITY ADDRESS: 2425 East 71st Street
FACILITY CITY, STATE, ZIP: Chicago, IL 60649

DOCKET NUMBER: NH 24-C0044

LICENSEE INFO: 71st and Exchange OPCP, LLC
LICENSEE ADDRESS: 2201 W. Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 12/18/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1210b), 300.1210c), 300.1210d)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 3100d)2). A fine of $25,000.00

FACILITY NAME: Southpoint Nrsg & Rehab Ctr
FACILITY ADDRESS: 1010 West 95th Street
FACILITY CITY, STATE, ZIP: Chicago, IL 60643

DOCKET NUMBER: NH 24-CS0057

LICENSEE INFO: Southpoint Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 12/01/2023

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

DOCKET NUMBER: NH 23-C1097

LICENSEE INFO: Pearl of Montclare, LLC
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 11/17/2023

FACILITY NAME: Pearl of Hillside, The
FACILITY ADDRESS: 4600 North Frontage Road
FACILITY CITY, STATE, ZIP: Hillside, IL 60162

DOCKET NUMBER: NH 23-C1066

LICENSEE INFO: Pearl of Hillside, LLC
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 11/02/2023

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-C0015

LICENSEE INFO: Pearl of Elk Grove, LLC
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 12/19/2023

FACILITY NAME: Pearl of Crystal Lake, The
FACILITY ADDRESS: 1000 East Brighton
FACILITY CITY, STATE, ZIP: Crystal Lake, IL 60012

DOCKET NUMBER: NH 24-S0142

LICENSEE INFO: Pearl of Crystal Lake, LLC
LICENSEE ADDRESS: 4711 Golf Road, Ste 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 01/02/2024

FACILITY NAME: Pavilion of Waukegan
FACILITY ADDRESS: 2217 Washington Street
FACILITY CITY, STATE, ZIP: Waukegan, IL 60085

DOCKET NUMBER: NH 24-C0078

LICENSEE INFO: Pavilion of Waukegan, LLC
LICENSEE ADDRESS: 208 S. LaSalle Street, Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 12/22/2023

FACILITY NAME: Pavilion of Waukegan
FACILITY ADDRESS: 2217 Washington Street
FACILITY CITY, STATE, ZIP: Waukegan, IL 60085

DOCKET NUMBER: NH 24-S0024

LICENSEE INFO: Pavilion of Waukegan, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 11/30/2023

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

DOCKET NUMBER: NH 24-CS0006

LICENSEE INFO: Laureate Southview Operations, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 11/08/2023

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), 300.1210d)6), 300.2900d)2), 300.2940a)1)2) and
300.2940f) The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b), 300.1210d)6) and 300.2900d)2). A fine of $25,000.00

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.3240d) and 300.3240f). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.3240d). 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)1)2)3) and 300.2210b)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). A fine of $2,200.00

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-S0118

LICENSEE INFO: Laureate Southview Operations, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 12/26/2023

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

FACILITY NAME: Spanish Oaks Center
FACILITY ADDRESS: 223 West Vienna, P.O. Box 118
FACILITY CITY, STATE, ZIP: Anna, IL 62906

DOCKET NUMBER: NH 24-S0032

LICENSEE INFO: Spanish Oaks Center, Inc.
LICENSEE ADDRESS: 223 W. Vienna St., P.O. Box 118
LICENSEE CITY, STATE, ZIP: Anna, IL 62906
Survey Date – 12/12/2023

Type AW violation of an occurrence for violating one or more of the following sections of the Code:
330.715a). No fine

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: $500.00

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

DOCKET NUMBER: NH 24-S0052

LICENSEE INFO: Spring Creek SNF, LLC
LICENSEE ADDRESS: 6302 N. Monticello Avenue
LICENSEE CITY, STATE, ZIP: Chicago, IL 60659
Survey Date – 12/18/2023

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

FACILITY NAME: St. Anthony’s Nsg & Rehab Ctr
FACILITY ADDRESS: 767 30th Street
FACILITY CITY, STATE, ZIP: Rock Island, IL 61201

DOCKET NUMBER: NH 23-C1052

LICENSEE INFO: St. Anthonys Rehabilitation and Nursing Center, LLC
LICENSEE ADDRESS: 767 30th Street
LICENSEE CITY, STATE, ZIP: Rock Island, IL 61201
Survey Date – 10/31/2023

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

FACILITY NAME: St. Anthony’s Nsg & Rehab Ctr
FACILITY ADDRESS: 767 30th Street
FACILITY CITY, STATE, ZIP: Rock Island, IL 61201

DOCKET NUMBER: NH 24-C0160

LICENSEE INFO: St. Anthonys Rehabilitation and Nursing Center, LLC
LICENSEE ADDRESS: 767 30th St
LICENSEE CITY, STATE, ZIP: Rock Island, IL 61201
Survey Date – 01/02/2024

Type A violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1010h), 300.1210a), 300.1210b), 300.1210c), 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: St. Paul’s Senior Community
FACILITY ADDRESS: 1021 West E. Street
FACILITY CITY, STATE, ZIP: Belleville, IL 62220

DOCKET NUMBER: NH 24-CS0053

LICENSEE INFO: St. Paul’s Senior Community, LLC
LICENSEE ADDRESS: 412 E. Lawrence Avenue
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 12/05/2023

Type AW violation of an occurrence for violating one or more of the following sections of the Code:
330.720b). No fine

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

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

Type C 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 $500.00
Total Fine: $50,500.00

FACILITY NAME: St. Paul’s Senior Community
FACILITY ADDRESS: 1021 West E Street
FACILITY CITY, STATE, ZIP: Belleville, IL 62220

DOCKET NUMBER: NH 24-C0054

LICENSEE INFO: St. Paul’s Senior Community, LLC
LICENSEE ADDRESS: 412 E. Lawrence Ave
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 12/21/2023

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

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

DOCKET NUMBER: NH 23-C0989

LICENSEE INFO: Petersen Health Junction, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 10/29/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1210b), 30.1210d)2), 300.1210d)5) and 300.1220b)3). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210b)5). A fine of $2,200.00

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

DOCKET NUMBER: NH 23-S1096

LICENSEE INFO: Petersen Health Operations, LLC
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 11/17/2023

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

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

DOCKET NUMBER: NH 24-C0067

LICENSEE INFO: Petersen Health Operations, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 01/04/2024

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

DOCKET NUMBER: NH 24-C0066

LICENSEE INFO: Tri-State Village Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 12/06/2023

Type C violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1210b) and 300.1210d)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: 300.210b). A fine of $500.00

FACILITY NAME: Tuscola Health Care Center
FACILITY ADDRESS: 1203 Egyptian Trail
FACILITY CITY, STATE, ZIP: Tuscola, IL 61953

DOCKET NUMBER: NH 23-C1092

LICENSEE INFO: Tuscola HCO, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 10/31/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1010h), 300.1210b) and 300.1210d)1)2)3). The fine was doubled in this instance in accordance with 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: Twin Lakes Rehab & Health Care
FACILITY ADDRESS: 310 Eads Avenue
FACILITY CITY, STATE, ZIP: Paris, IL 61944

DOCKET NUMBER: NH 24-C0055

LICENSEE INFO: Twin HCO, LLC
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 12/14/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1210b), 300.3210t) and 300.3240b). The fine was doubled in this instance in accordance with 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: Uptown Care and Rehabilitation
FACILITY ADDRESS: 4920 North Kenmore Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60640

DOCKET NUMBER: NH 23-C1111

LICENSEE INFO: Uptown Care and Rehabilitation Center, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 11/19/2023

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

FACILITY NAME: Village at Victory Lakes, The
FACILITY ADDRESS: 1055 East Grand Avenue
FACILITY CITY, STATE, ZIP: Lindenhurst, IL 60046

DOCKET NUMBER: NH 24-C0083

LICENSEE INFO: Franciscan Communities, Inc.
LICENSEE ADDRESS: 208 S. LaSalle Street, Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 01/03/2024

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

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

DOCKET NUMBER: NH 23-S0990

LICENSEE INFO: Buffalo Grove Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 10/30/2023

Type A violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1010h), 300.1210b) and 300.1210d)3). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.686 and 300.1210b). A fine of $25,000.00

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

DOCKET NUMBER: NH 24-S0009

LICENSEE INFO: Warren Barr Living & Rehab Center, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 11/02/2023

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

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

DOCKET NUMBER: NH 24-C0072

LICENSEE INFO: Warren Barr Living & Rehab Center, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 12/14/2023

FACILITY NAME: Warren Barr Lincoln Park
FACILITY ADDRESS: 2732 North Hampden Court
FACILITY CITY, STATE, ZIP: Chicago, IL 60614

DOCKET NUMBER: NH 24-S0026

LICENSEE INFO: Lincoln Park Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 12/15/2023

Type C violation of an occurrence for violating one or more of the following sections of the Code:
300.615e300.625f)1) and 300.625g). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.625f).
A fine of $500.00.

Total Fine: $1,000.00

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

DOCKET NUMBER: NH 24-S0203

LICENSEE INFO: Warren Barr North Shore, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 01/24/2024

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

DOCKET NUMBER: NH 23-S1116

LICENSEE INFO: Warren Park Health and Living Center, LLC
LICENSEE ADDRESS: 6700 North Damen Avenue
LICENSEE CITY, STATE, ZIP: Chicago, IL 60645
Survey Date – 11/15/2023

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

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

FACILITY NAME: Waterford Care Center, The
FACILITY ADDRESS: 7445 North Sheridan Road
FACILITY CITY, STATE, ZIP: Chicago, IL 60626

DOCKET NUMBER: NH 24-S0122

LICENSEE INFO: Waterford, LLC
LICENSEE ADDRESS: 5611 Dempster Street
LICENSEE CITY, STATE, ZIP: Morton Grove, IL 60053
Survey Date – 01/12/2024

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

FACILITY NAME: Wheaton Village Nrsg & Rhb Ctr
FACILITY ADDRESS: 1325 Manchester Road
FACILITY CITY, STATE, ZIP: Wheaton, IL 60187

DOCKET NUMBER: NH 23-S1051

LICENSEE INFO: Wheaton Village Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 11/02/2023

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

FACILITY NAME: White Oak Rehabilitation HCC
FACILITY ADDRESS: 1700 White Street
FACILITY CITY, STATE, ZIP: Mount Vernon, IL 62864

DOCKET NUMBER: NH 23-S1106

LICENSEE INFO: Petersen Management Company, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 11/21/2023

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

Type A violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1210b), 300.1210c), 300.2040e) and 300.2040f)..The fine was doubled in this instance in accordance with 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: White Oak Rehabilitation & HCC
FACILITY ADDRESS: 1700 White Street
FACILITY CITY, STATE, ZIP: Mount Vernon, IL 62864

DOCKET NUMBER: NH 24-C0082

LICENSEE INFO: Petersen Management Company, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 01/05/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1210b), 300.1210c), 300.1210d)2) 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: White Oak Rehabilitation & HCC
FACILITY ADDRESS: 1700 White Street
FACILITY CITY, STATE, ZIP: Mount Vernon, IL 62864

DOCKET NUMBER: NH 24-C0108

LICENSEE INFO: Petersen Management Company, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 01/11/2024

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1010), 300.1210b), 300.1210d)5) and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.3240a). A fine of $2,200.00

FACILITY NAME: Winning Wheels
FACILITY ADDRESS: 701 East 3^rd Street
FACILITY CITY, STATE, ZIP: Prophetstown, IL 61277

DOCKET NUMBER: NH 23-S1136

LICENSEE INFO: Winning Wheels, Inc.
LICENSEE ADDRESS: 701 East Third Street
LICENSEE CITY, STATE, ZIP: Prophetstown, IL 61277
Survey Date – 11/02/2023

Type B violation of an occurrence for violating one or more of the following sections of the Code:
300.610a), 300.1210a), 300.1210b), 300.1210d)3) and 300.1610a)1). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b). A fine of $2,200.00

FACILITY NAME: Wynscape Health & Rehab
FACILITY ADDRESS: 2180 Manchester Road
FACILITY CITY, STATE, ZIP: Wheaton, IL 60187

DOCKET NUMBER: NH 24-S0048

LICENSEE INFO: Wyndemere Senior Care, LLC
LICENSEE ADDRESS: 208 S. LaSalle St., Ste 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 11/15/2023

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

DOCKET NUMBER: NH 23-C1012

LICENSEE INFO: Zahav of Des Plaines, LLC
LICENSEE ADDRESS: 191 N. Wacker Dr., Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 10/18/2023

Type AA 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 $50,000.00

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

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

Total Fine: $125,000.00

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

DOCKET NUMBER: NH 23-S1078

LICENSEE INFO: Zahav of Des Plaines, LLC
LICENSEE ADDRESS: 191 N. Wacker Drive, Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 11/09/2023

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

Type 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

Total Fine: $50,000.00

2024 1st Quarterly Report

INFORMATION FOR

RESOURCES

QUICKLINKS

2024 1st Quarterly Report

Footer

INFORMATION FOR

RESOURCES

QUICKLINKS