1st Quarter Report January-March 2017

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

DOCKET NUMBER: NH 16-C0023

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 – 12/22/2015

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

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

DOCKET NUMBER: NH 17-C0028

LICENSEE INFO: Alden Lakeland Rehabilitation and Health Care Center, Inc.
LICENSEE ADDRESS: 4200 West Peterson Avenue, #140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 11/22/2016

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

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

DOCKET NUMBER: NH 17-C0018

LICENSEE INFO: Alden Town Manor Rehabilitation and Health Care Center, Inc.
LICENSEE ADDRESS: 4200 West Peterson Avenue, Suite 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 11/22/2016

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), 300.1210d)2), 300.1210d)3), 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), 300.1210d)5) and 300.3240a). A fine of $25,000.00.

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

Total fines of $27,000.00.

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

DOCKET NUMBER: NH 16-C0335

LICENSEE INFO: Alden Wentworth Rehabilitation and Health Care Center, Inc.
LICENSEE ADDRESS: 4200 West Peterson Avenue, Ste 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 06/22/2016

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Alhambra Care Center
FACILITY ADDRESS: 417 East Main Street, Box 310
FACILITY CITY, STATE, ZIP: Alhambra, IL 62001

DOCKET NUMBER: NH 17-S0004

LICENSEE INFO: Alhambra Care Center, Inc.
LICENSEE ADDRESS: 11501 Brothers Lane, P.O. Box 41
LICENSEE CITY, STATE, ZIP: Highland, IL 62249
Survey Date – 11/23/2016

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

Total fines of $4,400.00.

Type B violation of an occurrence for violating the following section of the Code: 300.615f)- No fine.

Type B violation of an occurrence for violating the following section of the Code: 300.661)- No fine

FACILITY NAME: All American Nursing Home
FACILITY ADDRESS: 5448 North Broadway Street
FACILITY CITY, STATE, ZIP: Chicago, IL 60640

DOCKET NUMBER: NH 17-S0084

LICENSEE INFO: Zikainim, Inc.
LICENSEE ADDRESS: 191 North Wacker Drive, Suite 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 01/19/2017

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), 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), 300.1210d)5) and 300.3240a). A fine of $2,200.00.

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

DOCKET NUMBER: NH 17-S0039

LICENSEE INFO: Ambassador Nursing & Rehabilitation II, LLC
LICENSEE ADDRESS: 150 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 12/20/2016

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

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

DOCKET NUMBER: NH 17-C0117

LICENSEE INFO: Aperion Care Bloomington, LLC
LICENSEE ADDRESS: 208 South LaSalle Street, Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 12/29/2016

Type B violation for violating one or more sections: 300.1230b), d), 1)2), j) 5), k), l) 1-6). No fine

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

DOCKET NUMBER: NH 17-C0132

LICENSEE INFO: North Church Nursing and Rehab, LLC
LICENSEE ADDRESS: 208 S. LaSalle Street, Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 02/01/2017

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

Type C violation of an occurrence for violating the following section of the Code: 300.4000. No fine.

Administrative Warning for violating the following section of the Code: 300.1230. No fine

FACILITY NAME: Aperion Care Midlothian
FACILITY ADDRESS: 3249 West 147^th Street
FACILITY CITY, STATE, ZIP: Midlothian, IL 60445

DOCKET NUMBER: NH 17-C0073

LICENSEE INFO: Plaza Nursing and Rehab Center, LLC
LICENSEE ADDRESS: 208 S. LaSalle Street, Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 01/06/2017

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1030a)1), 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 $2,200.00.

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

DOCKET NUMBER: NH 17-S0010

LICENSEE INFO: Aperion Care Toluca, LLC
LICENSEE ADDRESS: 208 S. LaSalle Street, Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 12/08/2016

Type B violation for violating one or more sections: 300.1220b)3). No fine

Type B violation for violating one or more sections: 300.696a). No fine

Administrative Warning for violating the following section of the Code: 300.2100. No fine

FACILITY NAME: Arden Courts of Glen Ellyn
FACILITY ADDRESS: 2 South 706 Park Boulevard
FACILITY CITY, STATE, ZIP: Glen Ellyn, IL 60137

DOCKET NUMBER: NH 17-S0063

LICENSEE INFO: Arden Courts of Glen Ellyn, IL, LLC.
LICENSEE ADDRESS: 208 South LaSalle Street, Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 01/06/2017

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.1710f). A fine of $1,100.00.

Administrative Warning for violating the following section of the Code: 330.2010. No fine.

FACILITY NAME: Arthur Home, The
FACILITY ADDRESS: 423 Eberhardt Drive
FACILITY CITY, STATE, ZIP: Arthur, IL 61911

DOCKET NUMBER: NH 17-S0106

LICENSEE INFO: Community Retirement, Inc.
LICENSEE ADDRESS: 423 South Eberhardt Drive
LICENSEE CITY, STATE, ZIP: Arthur, IL 61911
Survey Date – 01/10/2017

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

FACILITY NAME: Aspen Rehab & Health Care
FACILITY ADDRESS: 1403 9^th Avenue
FACILITY CITY, STATE, ZIP: Silvis, IL 61282

DOCKET NUMBER: NH 15-C0139

LICENSEE INFO: Petersen Health & Wellness, LLC
LICENSEE ADDRESS: 830 W. Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 02/11/2015

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Aviston Countryside Manor
FACILITY ADDRESS: 450 West First Street
FACILITY CITY, STATE, ZIP: Aviston, IL 62216

DOCKET NUMBER: NH 17-S0064

LICENSEE INFO: Aviston Countryside Manor, Inc.
LICENSEE ADDRESS: 450 West First Street, Box 487
LICENSEE CITY, STATE, ZIP: Aviston, IL 62216
Survey Date – 01/10/2017

FACILITY NAME: Bellwood Development Center
FACILITY ADDRESS: 105 Eastern Avenue
FACILITY CITY, STATE, ZIP: Bellwood, IL 60104

DOCKET NUMBER: NH 17-S0052

LICENSEE INFO: Bellwood Nursing Center, LLC
LICENSEE ADDRESS: 5750 Old Orchard Road, Suite 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 12/22/2016

Type B violation for violating one or more of the following sections of the Code: 350.510a), 350.510b), 350.510e), 350.510f), 350.620a), 350.1060a), 350.1060c)1)2), 350.1060d), 350.1060f), 350.1060h), 350.1060j), 350.1070, 350.1210, 350.1430)2), 350.1810a)1)2) and 350.3240a). A fine of $750.00.

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

DOCKET NUMBER: NH 17-C0037

LICENSEE INFO: Belleville Healthcare & Rehabilitation Center, Inc.
LICENSEE ADDRESS: 465 Central Avenue, Suite 100
LICENSEE CITY, STATE, ZIP: Northfield, IL 60093
Survey Date – 12/06/2016

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.1010h), 300.1210b), 300.1210d)3), 300.1210d)5), 300.1220b)3), 300.1630d) 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 $25,000.00.

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

DOCKET NUMBER: NH 17-C0037

LICENSEE INFO: Belleville Healthcare & Rehabilitation Center, Inc.
LICENSEE ADDRESS: 465 Central Avenue, Suite 100
LICENSEE CITY, STATE, ZIP: Northfield, IL 60093
Survey Date – 12/06/2016

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

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

DOCKET NUMBER: NH 16-S0458

LICENSEE INFO: Briar Place, LTD
LICENSEE ADDRESS: 2201 Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 08/31/2016

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Brookdale Hoffman Est Golf Rd
FACILITY ADDRESS: 2150 West Golf Road
FACILITY CITY, STATE, ZIP: Hoffman Estates, IL 60169

DOCKET NUMBER: NH 17-S0066

LICENSEE INFO: S-H Opco Hoffman Estates, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 01/25/2017

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.2210a)1) and 300.2210a)2). A fine of $1,100.00.

FACILITY NAME: Brother James Court
FACILITY ADDRESS: 2508 St. James Road
FACILITY CITY, STATE, ZIP: Springfield, IL 62707

DOCKET NUMBER: NH 17-C0123

LICENSEE INFO: Brother James Court
LICENSEE ADDRESS: 1214 South 8^th Street
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 01/23/2017

Type A violation of an occurrence for violating one or more of the following sections of the Code: 350.620a), 350.1210), 350.1220j), 350.1230d)1), 350.1230)e) and 350.3240a). A fine of $10,000.00.

FACILITY NAME: Cahokia Nursing & Rehab Center
FACILITY ADDRESS: 2 Annabel Court
FACILITY CITY, STATE, ZIP: Cahokia, IL 62206

DOCKET NUMBER: NH 15-C0277

LICENSEE INFO: Cahokia Nursing & Rehabilitation Center, Inc.
LICENSEE ADDRESS: 7434 North Skokie Boulevard
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 05/06/2015

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Citadel Estates – Hazel Crest
FACILITY ADDRESS: 3701 West 183^rd Street
FACILITY CITY, STATE, ZIP: Hazel Crest, IL 60429

DOCKET NUMBER: NH 17-C0068

LICENSEE INFO: Citadel Estates – Hazel Crest, LLC
LICENSEE ADDRESS: 191 N. Wacker Drive, Suite 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 01/23/2017

Type A violation of an occurrence for violating one or more of the following sections of the Code: 330.710a), 330.710c), 330.7103)A), 330.710B) and 330.720b). A fine of $12,500.00.

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

DOCKET NUMBER: NH 17-C0050

LICENSEE INFO: Citadel Care Center – Kankakee, LLC
LICENSEE ADDRESS: 191 North Wacker Drive, Suite 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 12/19/2016

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.

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

DOCKET NUMBER: NH 17-C0050

LICENSEE INFO: Citadel Care Center – Kankakee, LLC
LICENSEE ADDRESS: 191 North Wacker Drive, Suite 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 12/19/2016

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Clearbrook Center
FACILITY ADDRESS: 3201 West Campbell Street
FACILITY CITY, STATE, ZIP: Rolling Meadows, IL 60008

DOCKET NUMBER: NH 16-S0534

LICENSEE INFO: Clearbrook
LICENSEE ADDRESS: 1835 West Central Road
LICENSEE CITY, STATE, ZIP: Arlington Heights, IL 60005
Survey Date – 11/15/2016

Type B violation for violating one or more of the following sections of the Code: 350.620a), 350.1210b), 350.1230b)6)7), 350.1230d)1)2) and 350.3240a)b). A fine of $750.00.

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

DOCKET NUMBER: NH 17-C0065

LICENSEE INFO: Petersen Health Properties, LLC
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 01/19/2017

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

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

DOCKET NUMBER: NH 17-C0133

LICENSEE INFO: Danville Care Center, LTD
LICENSEE ADDRESS: 5750 Old Orchard Road, Suite 420
LICENSEE CITY, STATE, ZIP: Danville, IL 60077
Survey Date – 02/11/2017

Type AA violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1035a), 300.1035d), 300.1035e), 300.1210a), 300.1210b), 300.1210d)2), 300.1810b) 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: Eden Village Care Center
FACILITY ADDRESS: 400 South Station Road
FACILITY CITY, STATE, ZIP: Glen Carbon, IL 62034

DOCKET NUMBER: NH 17-C0015

LICENSEE INFO: Eden Retirement Center, Inc.
LICENSEE ADDRESS: 400 South Station Road
LICENSEE CITY, STATE, ZIP: Glen Carbon, IL 62034
Survey Date – 12/14/2016

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: Elmwood Care
FACILITY ADDRESS: 7733 West Grand Avenue
FACILITY CITY, STATE, ZIP: Elmwood Park, IL 60707

DOCKET NUMBER: NH 16-S0069

LICENSEE INFO: Elmwood Care, Inc.
LICENSEE ADDRESS: 6840 N. Lincoln Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 01/21/2016

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

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

DOCKET NUMBER: NH 17-S0058

LICENSEE INFO: Fairhaven Christian Retirement Center
LICENSEE ADDRESS: 3470 North Alpine Road
LICENSEE CITY, STATE, ZIP: Rockford, IL 61114
Survey Date – 01/10/2017

Type B violation of an occurrence for violating one or more of the following sections of the Code: 330.3620g). A fine of $1,100.00.

FACILITY NAME: Forty-Fourth Street Place
FACILITY ADDRESS: 1479 South 44^th Street
FACILITY CITY, STATE, ZIP: Decatur, IL 62521

DOCKET NUMBER: NH 17-S0016

LICENSEE INFO: Autumn Leaves, Inc.
LICENSEE ADDRESS: 2576 North Greenway Road
LICENSEE CITY, STATE, ZIP: Cerro Gordo, IL 61818
Survey Date – 11/04/2016

Type B violation for violating one or more of the following sections of the Code: 350.620a), 350.1210), 350.1230b)7), 350.1230c), 350.1230d)1), 350.3240a), 350.3240b) and 350.3240d). A fine of $550.00.

FACILITY NAME: Frankfort Hlthcare & Rehab Ctr
FACILITY ADDRESS: 2500 East St. Louis Street
FACILITY CITY, STATE, ZIP: West Frankfort, IL 62896

DOCKET NUMBER: NH 17-C0124

LICENSEE INFO: Frankfort Healthcare & Rehabilitation Center, L.L.C.
LICENSEE ADDRESS: 118 West Edwards Street, Suite 200
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 01/26/2017

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

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

DOCKET NUMBER: NH 17-S0005

LICENSEE INFO: Friendship Manor Group, LLC
LICENSEE ADDRESS: 485 Friendship Drive
LICENSEE CITY, STATE, ZIP: Nashville, IL 62263
Survey Date – 12/01/2016

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1220b)3), and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high risk designation: 300.1210b) and 300.3240a). A fine of $2,200.00.

FACILITY NAME: Gardenview Manor
FACILITY ADDRESS: 14792 Catlin-Tilton Road
FACILITY CITY, STATE, ZIP: Danville, IL 61834

DOCKET NUMBER: NH 17-S0013

LICENSEE INFO: Gardenview Manor, LLC
LICENSEE ADDRESS: 5750 Old Orchard Road, Suite 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 12/07/2016

Type AA violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)6), 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), 300.1210d)6) and 300.3240a). A fine of $50,000.00

FACILITY NAME: Gibson Community Hsp Annex
FACILITY ADDRESS: 430 East 19^th Street
FACILITY CITY, STATE, ZIP: Gibson City, IL 60936

DOCKET NUMBER: NH 17-S0100

LICENSEE INFO: Gibson Area Hospital & Health Services
LICENSEE ADDRESS: 1120 North Melvin Street
LICENSEE CITY, STATE, ZIP: Gibson City, IL 60936
Survey Date – 01/19/2017

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

FACILITY NAME: Glen Bridge N & Rehab Centre
FACILITY ADDRESS: 8333 West Golf Road
FACILITY CITY, STATE, ZIP: Niles, IL 60714

DOCKET NUMBER: NH 16-S0423 & NH 16-C0424

LICENSEE INFO: Glenbridge Nursing and Rehabilitation Centre, LTD
LICENSEE ADDRESS: 191 North Wacker Drive, Suite 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 08/12/2016

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Glencrest Healthcare and Rehab Centre
FACILITY ADDRESS: 2451 West Touhy Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60645

DOCKET NUMBER: NH 17-C0076

LICENSEE INFO: Glencrest Healthcare and Rehabilitation Centre, LTD
LICENSEE ADDRESS: 191 North Wacker Drive, Suite 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 01/03/2017

FACILITY NAME: Hallmark House Nursing Center
FACILITY ADDRESS: 2501 Allentown Road
FACILITY CITY, STATE, ZIP: Pekin, IL 61554

DOCKET NUMBER: NH 17-S0036

LICENSEE INFO: L.W. Miller – Advanced Capital Management Company
LICENSEE ADDRESS: 2501 Allentown Road
LICENSEE CITY, STATE, ZIP: Pekin, IL 61554
Survey Date – 12/01/2016

Type B violation for violating one or more sections: 300.670c)1), 300.670c)3). No fine

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

DOCKET NUMBER: NH 17-S0102

LICENSEE INFO: Harbor Healthcare, LLC
LICENSEE ADDRESS: 120 South Riverside Plaza, Suite 1200
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 02/02/2017

Type B violation for violating one or more sections: 330.725f)3)A)B)i)j)k)n). No fine

Type B violation for violating one or more sections: 330.790a)c)1)4). No fine

Type B violation for violating one or more sections: 330.1530a)c). No fine

Type B violation for violating one or more sections: 330.2220a)1)c)d). No fine

Administrative Warning for violating the following section of the Code: 330.2000. No fine

FACILITY NAME: Heartland of Galesburg
FACILITY ADDRESS: 280 East Losey Street
FACILITY CITY, STATE, ZIP: Galesburg, IL 61401

DOCKET NUMBER: NH 17-C0096

LICENSEE INFO: Heartland of Galesburg, IL, LLC
LICENSEE ADDRESS: 208 South LaSalle Street, Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 01/11/2017

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

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

DOCKET NUMBER: NH 17-C0136

LICENSEE INFO: Helia Healthcare of Belleville, LLC
LICENSEE ADDRESS: 118 W. Edwards Street, Suite 200
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 01/17/2017

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 300.3240a). 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: Heritage Health – Gibson City
FACILITY ADDRESS: 620 East 1^st Street
FACILITY CITY, STATE, ZIP: Gibson City, IL 60936

DOCKET NUMBER: NH 17-S0081

LICENSEE INFO: Heritage Manor – Gibson City, LLC
LICENSEE ADDRESS: 115 West Jefferson Street, Suite 400
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61701
Survey Date – 01/27/2017

Type B violation for violating one or more sections: 300.670c)1)2)3)d)e)f). No fine

FACILITY NAME: Heritage Health - Litchfield
FACILITY ADDRESS: 628 South Illinois Street
FACILITY CITY, STATE, ZIP: Litchfield, IL 62056

DOCKET NUMBER: NH 17-S0057

LICENSEE INFO: Heritage Health – Litchfield, LLC
LICENSEE ADDRESS: 115 West Jefferson Street, Suite 4004
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61701
Survey Date – 12/16/2016

FACILITY NAME: Heritage Health – Mt. Sterling
FACILITY ADDRESS: 435 Camden Road
FACILITY CITY, STATE, ZIP: Mt. Sterling, IL 62353

DOCKET NUMBER: NH 17-S0054

LICENSEE INFO: Heritage Health – Mt. Sterling, LLC
LICENSEE ADDRESS: 115 West Jefferson Street, Suite 400
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61701
Survey Date – 12/22/2016

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), 300.1210d)5) and 300.3240a). A fine of $2,200.00.

FACILITY NAME: Heritage Health - Staunton
FACILITY ADDRESS: 215 West Pennsylvania Avenue
FACILITY CITY, STATE, ZIP: Staunton, IL 62088

DOCKET NUMBER: NH 17-S0079

LICENSEE INFO: Heritage Health – Staunton, LLC
LICENSEE ADDRESS: 115 West Jefferson Street, Suite 401
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61701
Survey Date – 01/13/2017

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

DOCKET NUMBER: NH 17-S0020

LICENSEE INFO: Covenant Care Hilltop, LLC
LICENSEE ADDRESS: 2015 West Main Street, Suite 111
LICENSEE CITY, STATE, ZIP: Carbondale, IL 62901
Survey Date – 12/09/2016

Type B violation for violating one or more sections: 300.670c)1)2)3)k)1). No fine

Administrative Warning for violating the following section of the Code: 300.1230b)d)1)2)j)5)k)l)1)2)3)4). No fine.

FACILITY NAME: Illinois Presbyterian Home
FACILITY ADDRESS: 2005 West Lawrence
FACILITY CITY, STATE, ZIP: Springfield, IL 62704

DOCKET NUMBER: NH 17-S0021

LICENSEE INFO: Illinois Presbyterian Home
LICENSEE ADDRESS: 205 South 5^th Street, Suite 700
LICENSEE CITY, STATE, ZIP: Springfield, IL 62701
Survey Date – 12/22/2016

Type B violation for violating one or more sections: 300.1210d)1), 300.1630b), 300.1640a)2), No fine

Type B violation for violating one or more sections: 300.1010h), 300.1210d)6). No fine

Type B violation for violating one or more sections: 300.2100. No fine.

Type B violation for violating one or more sections: 330.1510g), 330.1520a). No fine

Type B violation for violating one or more sections: 330.2000. No fine

FACILITY NAME: Jerseyville Manor
FACILITY ADDRESS: 1251 North State Street
FACILITY CITY, STATE, ZIP: Jerseyville, IL 62052

DOCKET NUMBER: NH 17-S0017

LICENSEE INFO: UDI #11, L.L.C.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 11/18/2016

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)5),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), 300.1210d)5) and 300.3240a). A fine of $2,200.00.

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

DOCKET NUMBER: NH 17-C0119

LICENSEE INFO: Helia Healthcare of Jerseyville, LLC
LICENSEE ADDRESS: 118 West Edwards Street, Suite 200
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 01/19/2017

FACILITY NAME: Kanthak House
FACILITY ADDRESS: 724 Second Avenue
FACILITY CITY, STATE, ZIP: Ottawa, IL 61350

DOCKET NUMBER: NH 17-C0056

LICENSEE INFO: Frances House, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 11/30/2016

Type A violation of an occurrence for violating one or more of the following sections of the Code: 350.620a), 350.1060k), 350.1220j), 350.1230e), 350.1840 and 350.3240a). A fine of $6,250.00

FACILITY NAME: Kepley House
FACILITY ADDRESS: 408 East Washington
FACILITY CITY, STATE, ZIP: Pittsfield, IL 62363

DOCKET NUMBER: NH 17-C0089

LICENSEE INFO: Community Living Options, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 02/02/2017

Type B violation for violating one or more of the following sections of the Code: 350.620a), 350.1210, 350.3240a) and 350.3240d). A fine of $550.00.

FACILITY NAME: Lydia Healthcare
FACILITY ADDRESS: 13901 South Lydia
FACILITY CITY, STATE, ZIP: Robbins, IL 60472

DOCKET NUMBER: NH 17-S0105

LICENSEE INFO: Lydia Healthcare, I, L.L.C.
LICENSEE ADDRESS: 13901 S. Lydia Avenue
LICENSEE CITY, STATE, ZIP: Robbins, IL 60472
Survey Date – 02/22/2017

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

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

DOCKET NUMBER: NH 16-S0340

LICENSEE INFO: Residential Alternatives of Illinois, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 07/14/2016

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Manor Court of Peru
FACILITY ADDRESS: 3230 Becker Drive
FACILITY CITY, STATE, ZIP: Peru, IL

DOCKET NUMBER: NH 17-S0029

LICENSEE INFO: Residential Alternatives of Illinois, Inc.
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 12/13/2016

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: Manorcare of Palos Hts West
FACILITY ADDRESS: 11860 Southwest Highway
FACILITY CITY, STATE, ZIP: Palos Heights, IL 60463

DOCKET NUMBER: NH 17-C0019

LICENSEE INFO: Manor Care of Palos Heights (West) IL, LLC
LICENSEE ADDRESS: 208 South LaSalle Street, Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 11/23/2016

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

DOCKET NUMBER: NH 17-C0062

LICENSEE INFO: Symphony Maple Crest, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 01/09/2017

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.690c), 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: 300.690c), 300.1210d)6) and 300.3240a). A fine of $2,200.00.

FACILITY NAME: Mason Point
FACILITY ADDRESS: One Masonic Way
FACILITY CITY, STATE, ZIP: Sullivan, IL 61951

DOCKET NUMBER: NH 17-C0030

LICENSEE INFO: Petersen Health Care VII, LLC
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 12/08/2016

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), 300.1210d)2) and 300.1210d)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: Mattoon Rehab & HCC
FACILITY ADDRESS: 2121 South 9^th Street
FACILITY CITY, STATE, ZIP: Mattoon, IL 61938

DOCKET NUMBER: NH 17-S0023

LICENSEE INFO: Mattoon Manor, LLC
LICENSEE ADDRESS: 412 East Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 12/09/2016

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

DOCKET NUMBER: NH 17-S0055

LICENSEE INFO: Butterfield Health Care II, Inc.
LICENSEE ADDRESS: 161 North Clark Street, Suite 420
LICENSEE CITY, STATE, ZIP: Chicago, IL 60601
Survey Date – 12/16/2016

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), 300.1210d)5), 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), 300.1210d)5) and 300.3240a). A fine of $2,200.00.

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

DOCKET NUMBER: NH 17-C0093

LICENSEE INFO: Butterfield Health Care II, Inc.
LICENSEE ADDRESS: 161 North Clark Street, Suite 4200
LICENSEE CITY, STATE, ZIP: Chicago, IL 60601
Survey Date – 01/03/2017

FACILITY NAME: Meadow Manor Skld Nur & Rehab
FACILITY ADDRESS: 800 McAdam Drive
FACILITY CITY, STATE, ZIP: Taylorville, IL 62568

DOCKET NUMBER: NH 17-C0107 & NH 17-S0113

LICENSEE INFO: Covenant Care Meadow Manor, LLC
LICENSEE ADDRESS: 2015 West Main Street, Suite 111
LICENSEE CITY, STATE, ZIP: Carbondale, IL 62901
Survey Date – 01/19/2017

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 300.3240a). 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: Meadows
FACILITY ADDRESS: 3250 S. Plum Grove Road
FACILITY CITY, STATE, ZIP: Rolling Meadows, IL 60008

DOCKET NUMBER: NH 17-C0122

LICENSEE INFO: Meadows Sheltered Care, Inc.
LICENSEE ADDRESS: 3250 S. Plum Grove Road
LICENSEE CITY, STATE, ZIP: Rolling Meadows, IL 60008
Survey Date – 01/18/2017

Type B violation for violating one or more of the following sections of the Code: 350.620a), 350.1210) and 350.3240a). A fine of $750.00.

FACILITY NAME: Meadows Mennonite Home
FACILITY ADDRESS: 24588 Church Street
FACILITY CITY, STATE, ZIP: Chena, IL 61726

DOCKET NUMBER: NH 15-S0474

LICENSEE INFO: Meadows Mennonite Retirement Community Association, Inc.
LICENSEE ADDRESS: 24588 Church Street
LICENSEE CITY, STATE, ZIP: Chenoa, IL 61726
Survey Date – 10/09.2015

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Monroe Pav, Hlth/Treatment Ctr.
FACILITY ADDRESS: 1400 West Monroe Street
FACILITY CITY, STATE, ZIP: Chicago, IL 60607

DOCKET NUMBER: NH 17-C0083

LICENSEE INFO: Monroe Corp
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 01/09/2017

Type B violation for violating one or more sections: 300.690a)c), 300.1010h), 300.1210d)1). No fine

FACILITY NAME: Montgomery Nursing & Rehab Ctr
FACILITY ADDRESS: State Route 127, PO Box 309
FACILITY CITY, STATE, ZIP: Hillsboro, IL 62049

DOCKET NUMBER: NH 17-S0049

LICENSEE INFO: Helia Healthcare of Hillsboro, LLC
LICENSEE ADDRESS: 118 West Edwards Street, Suite 200
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 01/12/2017

Type B violation for violating one or more sections: 300.615e)f). No fine

FACILITY NAME: Morton Villa Health & Rehab Centre
FACILITY ADDRESS: 190 East Queenwood Road
FACILITY CITY, STATE, ZIP: Morton, IL 61550

DOCKET NUMBER: NH 17-S0134

LICENSEE INFO: Morton Villa Healthcare and Rehabilitation Centre, LLC
LICENSEE ADDRESS: 4600 West Touhy Avenue, Suite 200
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 01/26/2017

Administrative Warning for violating the following section of the Code: 300.1230j)5) and 300.1230k). No fine.

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

DOCKET NUMBER: NH 16-C0532

LICENSEE INFO: Petersen Health Network, LLC
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 11/03/2016

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: Oak Terrace Healthcare Center
FACILITY ADDRESS: 1750 West Washington Street
FACILITY CITY, STATE, ZIP: Springfield, IL 62702

DOCKET NUMBER: NH 17-S0012

LICENSEE INFO: The Oak Manor Properties Land Trust
LICENSEE ADDRESS: 1750 West Washington Street
LICENSEE CITY, STATE, ZIP: Springfield, IL 62702
Survey Date – 11/17/2016

Type B violation for violating one or more sections: 300.661h). No fine

Type B violation for violating one or more sections: 300.1210d)5). No fine

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

DOCKET NUMBER: NH 16-S0533

LICENSEE INFO: Illinois I.O.O.F. Old Folks Home
LICENSEE ADDRESS: 201 Lafayette Avenue East
LICENSEE CITY, STATE, ZIP: Mattoon, IL 61938
Survey Date – 11/04/2016

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)6), 300.1220b)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), 300.1210d)6) and 300.3240a). A fine of $2,200.00.

Type B violation of an occurrence for violating the following section of the Code: 300.670a), 300.670c)1), 300.670c)2) and 300.670c)3)- No fine.

FACILITY NAME: OSF St. Anthony Healthcare
FACILITY ADDRESS: 915 East 5^th Street
FACILITY CITY, STATE, ZIP: Alton, IL 62002

DOCKET NUMBER: NH 17-S0061

LICENSEE INFO: OSF St. Anthony’s Healthcare
LICENSEE ADDRESS: 915 East 5^th Street
LICENSEE CITY, STATE, ZIP: Alton, IL 62002
Survey Date – 12/22/2016

FACILITY NAME: Paramount Oak Park R & N Ctr
FACILITY ADDRESS: 625 North Harlem
FACILITY CITY, STATE, ZIP: Oak, Park, IL 60302

DOCKET NUMBER: NH 17-S0087 & NH 17-C0088

LICENSEE INFO: Paramount of Oak Park Rehabilitation & Nursing Center, LLC
LICENSEE ADDRESS: 191 North Wacker Drive, Suite 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 12/21/2016

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.620a), 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: Parents & Friends of the SLC
FACILITY ADDRESS: 1450 Caseyville Avenue
FACILITY CITY, STATE, ZIP: Swansea, IL 62226

DOCKET NUMBER: NH 16-S0525

LICENSEE INFO: Parents and Friends of the Specialized Living Center
LICENSEE ADDRESS: 1450 Caseyville Avenue
LICENSEE CITY, STATE, ZIP: Swansea, IL 62226
Survey Date – 11/07/2016

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

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

DOCKET NUMBER: NH 16-C0342

LICENSEE INFO: Parkview Home of Freeport, Illinois, Inc.
LICENSEE ADDRESS: 1234 South Park Boulevard
LICENSEE CITY, STATE, ZIP: Freeport, IL 61032
Survey Date – 08/04/2016

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Paxton Healthcare and Rehab
FACILITY ADDRESS: 1240 North Market Street
FACILITY CITY, STATE, ZIP: Paxton, IL 60957

DOCKET NUMBER: NH 17-C0120

LICENSEE INFO: Paxton Healthcare and Rehab, LLC
LICENSEE ADDRESS: 2202 Main Street, Suite 180
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 01/25/2017

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

DOCKET NUMBER: NH 17-S0099

LICENSEE INFO: Pearl Pavilion, LLC
LICENSEE ADDRESS: 4711 Golf Road, Suite 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 01/31/2017

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b)5), 300.1210d)6), and 300.3240a). 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: 300.1210d)6) and 300.3240a). A fine of $25,000.00.

FACILITY NAME: Peterson Park Health Care Center
FACILITY ADDRESS: 6141 North Pulaski Road
FACILITY CITY, STATE, ZIP: Chicago, IL 60646

DOCKET NUMBER: NH 17-C0072

LICENSEE INFO: Peterson Park Associates, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 12/23/2016

FACILITY NAME: Post Acute Care
FACILITY ADDRESS: 700 North Main Street
FACILITY CITY, STATE, ZIP: Eureka, IL 61530

DOCKET NUMBER: NH 17-S0024

LICENSEE INFO: Select Post Acute Care, LLC
LICENSEE ADDRESS: 191 North Wacker Drive, Suite 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 11/23/2016

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.3240a), 300.32040b), 300.3240d) 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: 300.3240a), 300.3240d) and 300.3240e). A fine of $2,200.00

Type B violation of an occurrence for violating the following section of the Code: 300.2100)- No fine.

Type C violation of an occurrence for violating the following section of the Code: 300.696a)- No fine.

Administrative Warning for violating the following section of the Code: 300.650a). No fine

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

DOCKET NUMBER: NH 16-S0254

LICENSEE INFO: Presence Life Connections
LICENSEE ADDRESS: 18927 Hickory Creek Dr. Ste 300
LICENSEE CITY, STATE, ZIP: Mokena, IL 60448
Survey Date – 05/16/2016

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Providence Downers Grove
FACILITY ADDRESS: 3450 Saratoga
FACILITY CITY, STATE, ZIP: Downers Grove, IL 60515

DOCKET NUMBER: NH 17-S0038

LICENSEE INFO: Providence Operations, LLC
LICENSEE ADDRESS: 18601 N. Creek Drive, Suite A
LICENSEE CITY, STATE, ZIP: Tinley Park, IL 60477
Survey Date – 12/08/2016

Type B violation for violating one or more sections: 330.1155a)1)3)e)1). No fine.

FACILITY NAME: Providence Palos Heights
FACILITY ADDRESS: 13259 South Central Avenue
FACILITY CITY, STATE, ZIP: Palos Heights, IL 60463

DOCKET NUMBER: NH 16-C0212

LICENSEE INFO: Providence Operations, LLC
LICENSEE ADDRESS: 18601 N. Creek Drive, Ste A
LICENSEE CITY, STATE, ZIP: Tinley Park, IL 60477
Survey Date – 04/04/2016

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Renaissance Care Center
FACILITY ADDRESS: 1675 East Ash Street
FACILITY CITY, STATE, ZIP: Canton, IL 61520

DOCKET NUMBER: NH 17-S0110

LICENSEE INFO: Renaissance Care Center, Inc.
LICENSEE ADDRESS: 5750 Old Orchard Road, Suite 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 01/20/2017

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

FACILITY NAME: Renaissance Care Center-DD
FACILITY ADDRESS: 1675 East Ash Street
FACILITY CITY, STATE, ZIP: Canton, IL 61520

DOCKET NUMBER: NH 17-C0053

LICENSEE INFO: Renaissance Care Center, Inc.
LICENSEE ADDRESS: 5750 Old Orchard Road, Suite 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 01/18/2017

Type B violation for violating one or more of the following sections of the Code: 350.620a), 350.1210, 350.1230d)2) and 350.3240a). A fine or $750.00.

Type B violation for violating one or more of the following sections of the Code: 350.620a), 350.1230e) and 350.3240a). A fine of $750.00.

Type B violation for violating one or more of the following sections of the Code: 350.3240a)b)c)d). A fine of $750.00.

Type B violation for violating one or more of the following sections of the Code: 350.810a) and 350.3240a). A fine of $750.00.

Total Fines of $3,000.00.

FACILITY NAME: Rivershores Hlth & Rehab Ctr
FACILITY ADDRESS: 578 West Commercial Street
FACILITY CITY, STATE, ZIP: Marseilles, IL 61341

DOCKET NUMBER: NH 17-S0034

LICENSEE INFO: Rivershores Healthcare and Rehabilitation Center, LLC
LICENSEE ADDRESS: 4600 West Touhy Avenue, Suite 200
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 12/13/2016

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

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

DOCKET NUMBER: NH 17-C0091

LICENSEE INFO: River View Rehab Center, LLC
LICENSEE ADDRESS: 50 North Jane
LICENSEE CITY, STATE, ZIP: Elgin, IL 60123
Survey Date – 01/11/2017

Type B violation for violating one or more sections: 300.1210a), 300.1210b), 300.1210d)5), 300.1220b)3), 300.3240a). No fine

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

DOCKET NUMBER: NH 16-S0527

LICENSEE INFO: Petersen Health Business, LLC
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 11/02/2016

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)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: Rosewood Care Enter Edwardsville
FACILITY ADDRESS: 6277 Center Grove Road
FACILITY CITY, STATE, ZIP: Edwardsville, IL 62025

DOCKET NUMBER: NH 17-C0080

LICENSEE INFO: Bravo Care of Edwardsville, Inc.
LICENSEE ADDRESS: 412 East Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 01/06/2017

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b)5), 300.1210d)6), 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)5), 300.1210)6) and 300.3240a). A fine of $25,000.00.

FACILITY NAME: Rosewood Care Ctr –Edwardsville
FACILITY ADDRESS: 6277 Center Grove Road
FACILITY CITY, STATE, ZIP: Edwardsville, IL 62028

DOCKET NUMBER: NH 17-C0098

LICENSEE INFO: Bravo Care of Edwardsville, Inc.
LICENSEE ADDRESS: 412 East Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 01/26/2017

FACILITY NAME: Sharon Health Care Elms
FACILITY ADDRESS: 3611 North Rochelle
FACILITY CITY, STATE, ZIP: Peoria, IL 61604

DOCKET NUMBER: NH 17-C0011

LICENSEE INFO: Sharon Health Care Elms, Inc.
LICENSEE ADDRESS: 465 Central Avenue, Suite 100
LICENSEE CITY, STATE, ZIP: Northfield, IL 60093
Survey Date – 11/23/2016

FACILITY NAME: Sharon Health Care Elms
FACILITY ADDRESS: 3611 North Rochelle
FACILITY CITY, STATE, ZIP: Peoria, IL 61604

DOCKET NUMBER: NH 17-C0011

LICENSEE INFO: Sharon Health Care Elms, Inc.
LICENSEE ADDRESS: 465 Central Avenue, Suite 100
LICENSEE CITY, STATE, ZIP: Northfield, IL 60093
Survey Date – 11/23/2016

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

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

DOCKET NUMBER: NH 17-C0127

LICENSEE INFO: Sharon Health Care Pines, Inc.
LICENSEE ADDRESS: 465 Central Avenue, Suite 100
LICENSEE CITY, STATE, ZIP: Northfield, IL 60093
Survey Date – 02/09/2017

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.2040b), 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: South Lawn Sheltered Care
FACILITY ADDRESS: 512 South Franklin
FACILITY CITY, STATE, ZIP: Bunker Hill, IL 62014

DOCKET NUMBER: NH 17-S0082

LICENSEE INFO: South Lawn Sheltered Care, Inc.
LICENSEE ADDRESS: R.R. #1, Route 159, PO Box H
LICENSEE CITY, STATE, ZIP: Bunker Hill, IL 62014
Survey Date – 01/12/2017

Type B violation for violating one or more sections: 330.2210a)1). No fine

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

DOCKET NUMBER: NH 17-C0116

LICENSEE INFO: SV Care, LLC
LICENSEE ADDRESS: 1S443 Summitt Avenue, Suite 204
LICENSEE CITY, STATE, ZIP: Oakbrook Terrace, IL 60181
Survey Date – 01/17/2017

FACILITY NAME: Squire’s Sheltered Care Home
FACILITY ADDRESS: 2601 North California
FACILITY CITY, STATE, ZIP: Chicago, IL 60647

DOCKET NUMBER: NH 17-S0009

LICENSEE INFO: Fellowship Home, Inc.
LICENSEE ADDRESS: 2601 North California Avenue
LICENSEE CITY, STATE, ZIP: Chicago, IL 60647
Survey Date – 11/2/2016

Type B violation for violating one or more sections: 330.710a)b)c)1)2). No fine

Type B violation for violating one or more sections: 330.2000. No fine

Type B violation for violating one or more sections: 330.2210a)1)4)5)6)7), 330.2220a)1)2), 330.3720a)b)8)9). No fine

Type B violation for violating one or more sections: 330.715a)b)c)d)e)f). No fine

FACILITY NAME: St. Joseph’s Home F/T Elderly
FACILITY ADDRESS: 80 West Northwest Highway
FACILITY CITY, STATE, ZIP: Palatine, IL 60067

DOCKET NUMBER: NH 17-S0118

LICENSEE INFO: Little Sisters of the Poor at Palatine, Inc
LICENSEE ADDRESS: 30 North LaSalle, Suite 4100
LICENSEE CITY, STATE, ZIP: Chicago, IL 60601
Survey Date – 02/10/2017

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210a), 300.1210b)5), 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: 300.1210d)6) and 300.3240a). A fine of $2,200.00.

FACILITY NAME: Sunny Acres Nursing Home
FACILITY ADDRESS: 19130 Sunny Acres Road
FACILITY CITY, STATE, ZIP: Petersburg, IL 62675

DOCKET NUMBER: NH 16-C0236

LICENSEE INFO: Menard County
LICENSEE ADDRESS: Route 97, Sixth Street, P.O. Box 465
LICENSEE CITY, STATE, ZIP: Petersburg, IL 62675
Survey Date – 04/27/2016

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Sunrise Skilled Nur & Rehab
FACILITY ADDRESS: 333 South Wrightsman Street
FACILITY CITY, STATE, ZIP: Virden, IL 62690

DOCKET NUMBER: NH 17-C0104

LICENSEE INFO: Covenant Care Sunrise, LLC
LICENSEE ADDRESS: 2015 West Main Street, Suite 111
LICENSEE CITY, STATE, ZIP: Carbondale, IL 62901
Survey Date – 02/02/2017

Type B violation for violating one or more sections: 300.1230b), 300.1230d)2). No fine

FACILITY NAME: Symphony at 87^th Street
FACILITY ADDRESS: 2940 West 87^th Street
FACILITY CITY, STATE, ZIP: Chicago, IL 60652

DOCKET NUMBER: NH 17-C0103

LICENSEE INFO: Symphony Beverly, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 01/06/2017

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), 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), 300.1210d)6) and 300.3240a). A fine of $2,200.00.

FACILITY NAME: Symphony at Bronzeville
FACILITY ADDRESS: 3400 South Indiana
FACILITY CITY, STATE, ZIP: Chicago, IL 60616

DOCKET NUMBER: NH 17-C0067

LICENSEE INFO: Symphony Bronzeville Park, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 12/27/2016

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.

FACILITY NAME: Symphony at Bronzeville
FACILITY ADDRESS: 3400 South Indiana
FACILITY CITY, STATE, ZIP: Chicago, IL 60616

DOCKET NUMBER: NH 17-C0075

LICENSEE INFO: Symphony at Bronzeville Park, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 01/17/2017

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.680c), 300.682a)1)2)3)4), 300.1210b), 300.7050b)d)e)2)3)8)g)h) 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: Symphony of Lincoln Park
FACILITY ADDRESS: 1366 West Fullerton Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60614

DOCKET NUMBER: NH 17-C0035

LICENSEE INFO: Symphony Lincoln Park, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 11/29/2016

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), 300.1210d)1), 300.1210d)2), 300.1620a) 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: The Lutheran Home
FACILITY ADDRESS: 6901 North Galena Road
FACILITY CITY, STATE, ZIP: Peoria, IL 61614

DOCKET NUMBER: NH 17-C0115

LICENSEE INFO: Lutheran Hillside Village, Inc.
LICENSEE ADDRESS: 6901 N. Galena Road
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 02/01/2017

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

DOCKET NUMBER: NH 17-S0031

LICENSEE INFO: Petersen Health Operations, L.L.C.
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61554
Survey Date – 12/02/2016

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

DOCKET NUMBER: NH 17-S0125

LICENSEE INFO: Petersen Health Operations, L.L.C.
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 02/01/2017

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

FACILITY NAME: Tower Hill Healthcare Center
FACILITY ADDRESS: 759 Kane Street
FACILITY CITY, STATE, ZIP: South Elgin, IL 60177

DOCKET NUMBER: NH 17-S0078

LICENSEE INFO: Tower Hill Rehabilitation, LLC
LICENSEE ADDRESS: 7434 Skokie Blvd
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 01/20/2017

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 3001010h), 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), 300.1210d)5) and 300.3240a). A fine of $2,200.00.

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

DOCKET NUMBER: NH 17-S0129

LICENSEE INFO: Edwardsville Health Care Center Investors, LLC
LICENSEE ADDRESS: 8170 N. McCormick Blvd., Suite 219
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 01/24/2017

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

DOCKET NUMBER: NH 17-S0041

LICENSEE INFO: Warren Barr North Shore, LLC
LICENSEE ADDRESS: 3450 Oakton Street
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 12/19/2016

Type B violation for violating one or more sections: 300.625c)1), 300.625e). No fine

FACILITY NAME: Warren Park Hlth & Living Center
FACILITY ADDRESS: 6700 North Damen
FACILITY CITY, STATE, ZIP: Chicago, IL 60645

DOCKET NUMBER: NH 17-C0070

LICENSEE INFO: Warren Park Health and Living Center, LLC
LICENSEE ADDRESS: 6700 North Damen Avenue
LICENSEE CITY, STATE, ZIP: Chicago, IL 60645
Survey Date – 12/28/2016

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)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: West Suburban Nsg & Rehab Ctr
FACILITY ADDRESS: 311 Edgewater Drive
FACILITY CITY, STATE, ZIP: Bloomingdale, IL 60108

DOCKET NUMBER: NH 17-S0126

LICENSEE INFO: West Suburban Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 150 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 01/03/2017

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: Windmill Nursing Pavilion
FACILITY ADDRESS: 16000 South Wabash
FACILITY CITY, STATE, ZIP: South Holland, IL 60473

DOCKET NUMBER: NH 16-C0163

LICENSEE INFO: Windmill Nursing Pavilion, LTD
LICENSEE ADDRESS: 191 North Wacker Drive, Ste 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 02/17/2016

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

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

DOCKET NUMBER: NH 17-S0008

LICENSEE INFO: Winning Wheels, Inc.
LICENSEE ADDRESS: 701 East Third Street
LICENSEE CITY, STATE, ZIP: Prophetstown, IL 61277
Survey Date – 11/15/2016

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

1st Quarter Report January-March 2017

RESOURCES

QUICKLINKS

1st Quarter Report January-March 2017

Footer

RESOURCES

QUICKLINKS