3rd Quarter Report July-September 2017

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

DOCKET NUMBER: NH 17-S0237

LICENSEE INFO: Franciscan Communities, Inc.
LICENSEE ADDRESS: 208 S. LaSalle Street, Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 04/07/2017

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Alden Long Grove Rehab & HCC
FACILITY ADDRESS: Box 2308 RFD Old Hicks Road
FACILITY CITY, STATE, ZIP: Long Grove, IL 60047

DOCKET NUMBER: NH 17-C0343

LICENSEE INFO: Alden Long Grove Rehabilitation and Health Care Center, Inc
LICENSEE ADDRESS: 4200 West Peterson Avenue, Suite 140
LICENSEE CITY, STATE, ZIP: Chicago, IL 60646
Survey Date – 06/21/2017

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

FACILITY NAME: Aperion Care Chicago Heights
FACILITY ADDRESS: 490 West 16^th Place
FACILITY CITY, STATE, ZIP: Chicago Heights, IL 60411

DOCKET NUMBER: NH 17-C0356

LICENSEE INFO: Riviera Care Center, LLC
LICENSEE ADDRESS: 208 South LaSalle Street, Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 06/12/2017

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.3300d). A fine of $1,100.00.

FACILITY NAME: Aperion Care Chicago Heights
FACILITY ADDRESS: 490 West 16^th Street
FACILITY CITY, STATE, ZIP: Chicago Heights, IL 60411

DOCKET NUMBER: NH 17-S0220

LICENSEE INFO: Riviera Care Center, LLC
LICENSEE ADDRESS: 208 S. LaSalle Street, Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 04/06/2017

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

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

FINAL ORDER – Violation Amended/Affirmed, Fine Assessment Reduced and/or Notice of Conditional License Withdrawn.

FACILITY NAME: Ballard Respiratory and Rehab
FACILITY ADDRESS: 9300 Ballard Road
FACILITY CITY, STATE, ZIP: Des Plaines, IL 60016

DOCKET NUMBER: NH 17-S0406

LICENSEE INFO: Ballard Respiratory and Rehabilitation Center, LLC
LICENSEE ADDRESS: 55 West Monroe Street, Suite 2400
LICENSEE CITY, STATE, ZIP: Chicago, IL 60603
Survey Date – 08/11/2017

Type B 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 $2,200.00.

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

DOCKET NUMBER: NH 17-C0312

LICENSEE INFO: Berkeley Nursing and Rehabilitation Center, LLC
LICENSEE ADDRESS: 321 North Clark Street, Suite 2800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60654
Survey Date – 06/01/2017

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

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

DOCKET NUMBER: NH 17-S0299

LICENSEE INFO: Bethany Health,. LLC
LICENSEE ADDRESS: 412 East Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 06/07/2017

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1030a), 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: Center Home Hispanic Elderly
FACILITY ADDRESS: 140 North California
FACILITY CITY, STATE, ZIP: Chicago, IL 60622

DOCKET NUMBER: NH 17-S0302

LICENSEE INFO: Center Home Hispanic Elderly, LLC
LICENSEE ADDRESS: 194 North Wacker Drive, Suite 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 05/18/2017

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: Chalet Living & Rehab
FACILITY ADDRESS: 7350 North Sheridan Road
FACILITY CITY, STATE, ZIP: Chicago, IL 60626

DOCKET NUMBER: NH 17-C0409

LICENSEE INFO: Chalet Skilled Nursing Facility LC
LICENSEE ADDRESS: 3450 West Oakton
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 08/03/2017

Type B 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 $2,200.00.

FACILITY NAME: Champaign County Nursing Home
FACILITY ADDRESS: 500 South Art Bartell Drive
FACILITY CITY, STATE, ZIP: Urbana, IL 61802

DOCKET NUMBER: NH 17-C0296

LICENSEE INFO: Champaign County Board
LICENSEE ADDRESS: 1776 East Washington Street
LICENSEE CITY, STATE, ZIP: Urbana, IL 61802
Survey Date – 06/06/2017

Type AA 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)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 $50,000.00.

FACILITY NAME: Champaign County Nursing Hoe
FACILITY ADDRESS: 500 South Art Bartell Drive
FACILITY CITY, STATE, ZIP: Urbana, IL 61802

DOCKET NUMBER: NH 17-S0335 & NH 17-C0336

LICENSEE INFO: Champaign County Board
LICENSEE ADDRESS: 1776 East Washington Street
LICENSEE CITY, STATE, ZIP: Urbana, IL 61802
Survey Date – 06/26/2017

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)6) 300.3240a), 300.7020b)6), 300.7060a) and 300.7060d). The fine was doubled in this instance in accordance with 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: Chateau Nrsh & Rehab Center
FACILITY ADDRESS: 7050 Madison Street
FACILITY CITY, STATE, ZIP: Willowbrook, IL 60521

DOCKET NUMBER: NH 17-S0367

LICENSEE INFO: Chateau Nursing and Rehabilitation Center, L.L.C.
LICENSEE ADDRESS: 2201 Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 07/27/2017

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

FACILITY NAME: Citadel Care Center - Elgin
FACILITY ADDRESS: 180 South State Street
FACILITY CITY, STATE, ZIP: Elgin, IL 60123

DOCKET NUMBER: NH 17-C0319

LICENSEE INFO: Citadel Care Center – Elgin LLC
LICENSEE ADDRESS: 191 North Wacker Drive, Suite 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 06/02/2017

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.1210b), 300.1210d)1), 300.1210d)2), 300.3220f) 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 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

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

FACILITY NAME: Clark-Lindsey Village
FACILITY ADDRESS: 101 West Windsor Road
FACILITY CITY, STATE, ZIP: Urbana, IL 61801

DOCKET NUMBER: NH 17-C0345

LICENSEE INFO: Clark-Lindsey Village, Inc.
LICENSEE ADDRESS: 2507 South Neil Street
LICENSEE CITY, STATE, ZIP: Champaign, IL 61820
Survey Date – 07/25/2017

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)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: Collinsville Rehab & Health CC
FACILITY ADDRESS: 614 North Summitt
FACILITY CITY, STATE, ZIP: Collinsville, IL 62234

DOCKET NUMBER: NH 17-C0306

LICENSEE INFO: Petersen Health Business, LLC
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 06/20/2017

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

FACILITY NAME: Columbus Manor Res Care Home
FACILITY ADDRESS: 5107-21 West Jackson Blvd
FACILITY CITY, STATE, ZIP: Chicago, IL 60644

DOCKET NUMBER: NH 17-S0366

LICENSEE INFO: YSL Care, Inc.
LICENSEE ADDRESS: 1440 Maple Avenue, Suite 6A
LICENSEE CITY, STATE, ZIP: Lisle, IL 60532
Survey Date – 07/27/2017

Type B violation of an occurrence for violating one or more of the following sections of the Code 300.1210d)6) and 300.3300d)1)e)1)2)3)4)5)g)k). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high risk designation: 300.1210d)6). A fine of $2,200.00.

FACILITY NAME: Crossroads Care Ctr Woodstock
FACILITY ADDRESS: 309 McHenry Avenue
FACILITY CITY, STATE, ZIP: Woodstock, IL 60098

DOCKET NUMBER: NH 17-S0294

LICENSEE INFO: Crossroads Care Center of Woodstock
LICENSEE ADDRESS: 5750 Old Orchard Road, Suite 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 06/01/2017

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), 300.1210d)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: Daystar Nursing & Rehab Center
FACILITY ADDRESS: 2001 Cedar Street
FACILITY CITY, STATE, ZIP: Cairo, IL 62914

DOCKET NUMBER: NH 17-S0354

LICENSEE INFO: Daystar Nursing & Rehabilitation Center LLC
LICENSEE ADDRESS: 2202 Main Street, Suite 180
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 06/13/2017

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1035)3), 300.1210b), 300.1210c), 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 $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 300.3240a). 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 $27,200.00.

FACILITY NAME: DeKalb County Rehab & Nursing
FACILITY ADDRESS: 2600 North Annie Gliddon Road
FACILITY CITY, STATE, ZIP: DeKalb, IL 60115

DOCKET NUMBER: NH 17-C0341

LICENSEE INFO: The County of DeKalb
LICENSEE ADDRESS: 110 East Sycamore DeKalb Co Building
LICENSEE CITY, STATE, ZIP: Sycamore, IL 60178
Survey Date – 06/28/2017

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)6), 300.1220b)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), 300.1210d)6) and 300.3240a). A fine of $25,000.00.

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

DOCKET NUMBER: NH 17-C0292

LICENSEE INFO: Fair Haven Christian Homes, Inc.
LICENSEE ADDRESS: 200 North Postville Drive
LICENSEE CITY, STATE, ZIP: Lincoln, IL 62656
Survey Date – 05/24/2017

Type B 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 $2,200.00.

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

DOCKET NUMBER: NH 17-C0333

LICENSEE INFO: Forest City Rehab and Nursing Center, LLC
LICENSEE ADDRESS: 4711 Golf Road, Suite 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 06/06/2017

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.620a), 300.1210b), 300.1630d), 300.3240a), 300.3300e)1)2)3)4)5) and 300.3300g) The fine was doubled in this instance in accordance with 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: Forest City Rehab & Nrsg Ctr
FACILITY ADDRESS: 321 Arnold Avenue
FACILITY CITY, STATE, ZIP: Rockford, IL 61108

DOCKET NUMBER: NH 17-C0395 & NH 17-S0394

LICENSEE INFO: Forest City Rehab and Nursing Center, LLC
LICENSEE ADDRESS: 3711 Gold Road, Suite 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 61108
Survey Date – 07/18/2017

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)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: 300.610a), 300.1210b), 300.1210c)1)2)3), 300.1210d)6), 300.1630c), 300.3210n)o), 300.3220f) 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 $27,200.00.

FACILITY NAME: Friendship Village - Schaumburg
FACILITY ADDRESS: 350 West Schaumburg Road
FACILITY CITY, STATE, ZIP: Schaumburg, IL 60194

DOCKET NUMBER: NH 17-C0316

LICENSEE INFO: Evangelical Retirement Homes of Greater Chicago, Incorporated
LICENSEE ADDRESS: 350 West Schaumburg Road
LICENSEE CITY, STATE, ZIP: Schaumburg, IL 60194
Survey Date – 06/01/2017

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)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: Generations at Applewood
FACILITY ADDRESS: 21020 Kostner Avenue
FACILITY CITY, STATE, ZIP: Matteson, IL 60443

DOCKET NUMBER: NH 17-S0304

LICENSEE INFO: Generations at Applewood, LLC
LICENSEE ADDRESS: 6840 North Lincoln Avenue
LICENSEE CITY, STATE, ZIP: Lincolnwood, IL 60712
Survey Date – 05/26/2017

Type B violation of an occurrence for violating one or more of the following sections of the Code: 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: Gilman Healthcare Center
FACILITY ADDRESS: 1390 South Cresent Street
FACILITY CITY, STATE, ZIP: Gilman, IL 60938

DOCKET NUMBER: NH 17-S0386

LICENSEE INFO: Gilman Healthcare Center, LLC
LICENSEE ADDRESS: 4711 Golf Road, Suite 200
LICENSEE CITY, STATE, ZIP: Skokie, IL 60076
Survey Date – 07/14/2017

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), 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: Glenshire Nursing & Rehab Ctre
FACILITY ADDRESS: 22660 South Cicero Avenue
FACILITY CITY, STATE, ZIP: Richton Park, IL 60471

DOCKET NUMBER: NH 17-C0408

LICENSEE INFO: Glenshire Nursing and Rehabilitation Centre, Ltd
LICENSEE ADDRESS: 191 North Wacker Drive, Suite 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 07/31/2017

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)2), 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.

FACILITY NAME: Glenwood Healthcare & Rehab
FACILITY ADDRESS: 19330 South Cottage Grove
FACILITY CITY, STATE, ZIP: Glenwood, IL 60425

DOCKET NUMBER: NH 17-C0414

LICENSEE INFO: Glenwood Healthcare & Rehab, Inc.
LICENSEE ADDRESS: 5750 Old Orchard Road, Suite 420
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 08/01/2017

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 $2,200.00.

FACILITY NAME: Good Samaritan - Flanagan
FACILITY ADDRESS: 205 North Adams Street
FACILITY CITY, STATE, ZIP: Flanagan, IL 61740

DOCKET NUMBER: NH 17-S0318

LICENSEE INFO: Good Samaritan Home of Flanagan
LICENSEE ADDRESS: 205 North Adams Street
LICENSEE CITY, STATE, ZIP: Flanagan, IL 61740
Survey Date – 06/22/2017

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.

FACILITY NAME: Good Samaritan Flanagan
FACILITY ADDRESS: 205 North Adams Street
FACILITY CITY, STATE, ZIP: Flanagan, IL 61740

DOCKET NUMBER: NH 17-S0318

LICENSEE INFO: Good Samaritan Home of Flanagan
LICENSEE ADDRESS: 205 North Adams Street
LICENSEE CITY, STATE, ZIP: Flanagan, IL 61740
Survey Date – 06/22/2017

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

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

DOCKET NUMBER: NH 17-C0342

LICENSEE INFO: Grove at the Lake Skilled Nursing Facility, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 07/10/2017

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

FACILITY NAME: H & J Vonderlieth Lvg Ctr, The
FACILITY ADDRESS: 1120 North Topper Drive
FACILITY CITY, STATE, ZIP: Mount Pulaski, IL 62548

DOCKET NUMBER: NH 17-S0368

LICENSEE INFO: The Henry and Jane Vonderlieth Living Center, Inc.
LICENSEE ADDRESS: 234 2100^th Avenue
LICENSEE CITY, STATE, ZIP: Mt. Pulaski, IL 62548
Survey Date – 07/14/2017

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

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

FACILITY NAME: Heartland of Peoria
FACILITY ADDRESS: 5600 Glen Elm Drive
FACILITY CITY, STATE, ZIP: Peoria, IL 61614

DOCKET NUMBER: NH 17-C0314

LICENSEE INFO: Heartland of Peoria, IL, LLC
LICENSEE ADDRESS: 208 South LaSalle Street, Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 06/26/2017

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1830a) and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high risk designation: 300.3240a). A fine of $25,000.00.

FACILITY NAME: Helia Healthcare of Greenville
FACILITY ADDRESS: 400 East Hillview Avenue
FACILITY CITY, STATE, ZIP: Greenville, IL 62246

DOCKET NUMBER: NH 17-S0287

LICENSEE INFO: Bridgemark of Greenville, LLC
LICENSEE ADDRESS: 118 W Edwards Street, Ste 200
LICENSEE CITY, STATE, ZIP: Springfield, IL 62704
Survey Date – 05/19/2017

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)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: Heritage Health Carlinville
FACILITY ADDRESS: 1200 University Avenue
FACILITY CITY, STATE, ZIP: Carlinville, IL 62626

DOCKET NUMBER: NH 17-S0286

LICENSEE INFO: Heritage Manor-Carlinville, LLC
LICENSEE ADDRESS: 115 W Jefferson, Suite 201
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61701
Survey Date – 05/22/2017

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)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: Heritage Health Gillespie
FACILITY ADDRESS: 7588 Staunton Road
FACILITY CITY, STATE, ZIP: Gillespie, IL 62033

DOCKET NUMBER: NH 17-S0330

LICENSEE INFO: Heritage Health Gillespie, LLC
LICENSEE ADDRESS: 115 West Jefferson Street, Suite 401
LICENSEE CITY, STATE, ZIP: Bloomington, IL 61701
Survey Date – 06/16/2017

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.

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

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

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

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

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

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

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

DOCKET NUMBER: NH 17-S0344

LICENSEE INFO: Hillcrest Retirement Village, LTD
LICENSEE ADDRESS: 30 South Wacker Drive, Suite 2600
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 06/14/2017

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

FACILITY NAME: Hope Creek Care Center
FACILITY ADDRESS: 4343 Kennedy Drive
FACILITY CITY, STATE, ZIP: East Moline, IL 61244

DOCKET NUMBER: NH 17-S0329

LICENSEE INFO: Rock Island County
LICENSEE ADDRESS: 1504 Third Avenue
LICENSEE CITY, STATE, ZIP: Rock Island IL 61201
Survey Date – 06/13/2017

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

Total fines of $27,200.00.

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

DOCKET NUMBER: NH 17-C0092

LICENSEE INFO: Illinois Department of Veterans’ Affairs
LICENSEE ADDRESS: 833 South Spring Street, Box 19432
LICENSEE CITY, STATE, ZIP: Springfield, IL 62794
Survey Date – 02/08/2017

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

FACILITY NAME: Integrity HC of Godfrey
FACILITY ADDRESS: 1623-39 West Delmar Avenue
FACILITY CITY, STATE, ZIP: Godfrey, IL 62035

DOCKET NUMBER: NH 17-C0353

LICENSEE INFO: Godfrey Healthcare & Rehabilitation Center, LLC
LICENSEE ADDRESS: 2015 West Main Street Suite 111
LICENSEE CITY, STATE, ZIP: Carbondale, IL 62901
Survey Date – 06/22/2017

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210d)1), 300.1210d)2), 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 $25,000.00.

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

DOCKET NUMBER: NH 17-C0383

LICENSEE INFO: Lakeview Rehabilitation and Nursing Center, LLC
LICENSEE ADDRESS: 240 Fencl Lane
LICENSEE CITY, STATE, ZIP: Hillside, IL 60162
Survey Date – 07/10/2017

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.620a), 300.1210b), 300.3240a), 300.3300a), 300.3300e)1)2)3)4)5) and 300.3300g). The fine was doubled in this instance in accordance with 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: Lexington Hlth Cr Ctr - Lombard
FACILITY ADDRESS: 2100 South Finley Road
FACILITY CITY, STATE, ZIP: Lombard, IL 60148

DOCKET NUMBER: NH 17-C0398

LICENSEE INFO: Lexington Health Care Center of Lombard, Inc.
LICENSEE ADDRESS: 665 West North Avenue
LICENSEE CITY, STATE, ZIP: Lombard, IL 60148
Survey Date – 08/17/2017

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

FACILITY NAME: Lexington of Orland Park
FACILITY ADDRESS: 14601 South John Humphrey Drive
FACILITY CITY, STATE, ZIP: Orland Park, IL 60462

DOCKET NUMBER: NH 17-S0309

LICENSEE INFO: Lexington Health Care Center of Orland Park, Inc.
LICENSEE ADDRESS: 665 West North Avenue
LICENSEE CITY, STATE, ZIP: Lombard, IL 60148
Survey Date – 06/09/2017

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: Lincoln Manor
FACILITY ADDRESS: 2650 N. Monroe Street
FACILITY CITY, STATE, ZIP: Decatur, IL 62526

DOCKET NUMBER: NH 17-S0325

LICENSEE INFO: Lincoln Manor Healthcare, LLC
LICENSEE ADDRESS: 2650 N. Monroe Street
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 06/28/2017

Type C violation of an occurrence for violating one or more of the following sections of the Code: 300.1230b), 300.1230d)1)2), 300.1230j)5), 300.1230k) and 300.1230l)1)2)3)4)5). This instance in accordance with 300.282f) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high risk designation: 300.1230). A fine of $100.00.

FACILITY NAME: Mado Healthcare Uptown
FACILITY ADDRESS: 4621 North Racine Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60640

DOCKET NUMBER: NH 17-C0305

LICENSEE INFO: Forty Six Twenty One Corporation Incorporated
LICENSEE ADDRESS: 1540 North Wells Street
LICENSEE CITY, STATE, ZIP: Chicago, IL 60610
Survey Date – 05/11/2017

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)2), 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: Manorcare of Palos Hts East
FACILITY ADDRESS: 7850 West College Drive
FACILITY CITY, STATE, ZIP: Palos Heights, IL 60463

DOCKET NUMBER: NH 17-C0347

LICENSEE INFO: Manor Care of Palos Heights, IL, LLC
LICENSEE ADDRESS: 208 South LaSalle Street, Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 06/14/2017

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.

FACILITY NAME: Manorcare of Palos Heights 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

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

FACILITY NAME: Mattoon Rehab & HCC
FACILITY ADDRESS: 2121 South 9^th Street
FACILITY CITY, STATE, ZIP: Mattoon, IL 61938

DOCKET NUMBER: NH 17-C0334

LICENSEE INFO: Mattoon Manor, LLC
LICENSEE ADDRESS: 412 East Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 06/28/2017

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.690a)b)c), 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 and 300.1210d)6). 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
FACILITY CITY, STATE, ZIP: Chicago, IL 60601
Survey Date – 01/03/2017

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

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

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

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

DOCKET NUMBER: NH 17-C0389

LICENSEE INFO: Petersen Health Network, LLC
LICENSEE ADDRESS: 839 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 08/10/2017

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: Ottawa Pavilion
FACILITY ADDRESS: 704 East Glover Street
FACILITY CITY, STATE, ZIP: Ottawa, IL 61350

DOCKET NUMBER: NH 17-S0340

LICENSEE INFO: Ottawa Pavilion, ltd
LICENSEE ADDRESS: 191 North Wacker Drive, Suite 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 06/30/2017

Type B 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 $2,200.00.

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

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

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

DOCKET NUMBER: NH 17-C0357

LICENSEE INFO: UDI #1, LLC
LICENSEE ADDRESS: 285 South Farnham Street
LICENSEE CITY, STATE, ZIP: Galesburg, IL 61401
Survey Date – 06/21/2017

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: Pleasant Hill Village
FACILITY ADDRESS: 1010 West North Street
FACILITY CITY, STATE, ZIP: Girard. IL 62640

DOCKET NUMBER: NH 17-C0300

LICENSEE INFO: Brethren Home of Girard, Illinois
LICENSEE ADDRESS: 1010 West North Street
LICENSEE CITY, STATE, ZIP: Girard, IL 62640
Survey Date – 05/18/2017

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1010h), 300.1210b), 300.1210d)3), 300.1210d)4), 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: Prairie Crossing Living & Rehab
FACILITY ADDRESS: 409 West Comanche Avenue
FACILITY CITY, STATE, ZIP: Shabbona, IL 60550

DOCKET NUMBER: NH 17-S0339

LICENSEE INFO: Prairie Crossing Living & Rehabilitation Center, LLC
LICENSEE ADDRESS: 7434 Skokie Boulevard
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 06/15/2017

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.3210a), 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: Prairie Crossing Lvg & Rehab
FACILITY ADDRESS: 409 West Comanche Avenue
FACILITY CITY, STATE, ZIP: Shabbona, IL 60550

DOCKET NUMBER: NH 17-C0359

LICENSEE INFO: Prairie Crossing Living & Rehabilitation Center, LLC
LICENSEE ADDRESS: Skokie Boulevard
LICENSEE CITY, STATE, ZIP: Skokie, IL 60077
Survey Date – 07/21/2017

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.610c)1), 300.1210b), 300.1210d)3), 300.3210a), 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: Prairieview Lutheran Home
FACILITY ADDRESS: PO Box 4 Corner of North & 4^th
FACILITY CITY, STATE, ZIP: Danforth, IL 60930

DOCKET NUMBER: NH 17-S0338

LICENSEE INFO: Lutheran Home for Aged Development Corp.
LICENSEE ADDRESS: 403 North 4^th Street P.O. Box 4
LICENSEE CITY, STATE, ZIP: Danforth, IL 60930
Survey Date – 06/23/2017

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.

FACILITY NAME: Resthave Home – Whiteside County
FACILITY ADDRESS: 408 Maple Avenue
FACILITY CITY, STATE, ZIP: Morrison, IL 61270

DOCKET NUMBER: NH 17-S0373

LICENSEE INFO: Resthave Home of Whiteside County Illinois
LICENSEE ADDRESS: 408 Maple Avenue
LICENSEE CITY, STATE, ZIP: Morrison, IL 61270
Survey Date – 08/07/2017

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.1210d)1), 300.1210d)2), 300.1620a), 300.1620c), 300.3220f) and 300.3240a). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high risk designation: 300.3240a). A fine of $2,200.00.

FACILITY NAME: Renaissance Care Center
FACILITY ADDRESS: 1675 E. 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

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

FACILITY NAME: Rosewood Care Center - Galesburg
FACILITY ADDRESS: 1250 West Carl Sandburg Drive
FACILITY CITY, STATE, ZIP: Galesburg, IL 61401

DOCKET NUMBER: NH 17-S0331

LICENSEE INFO: Bravo Care of Galesburg, Inc.
LICENSEE ADDRESS: 412 East Lawrence
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 06/16/2017

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)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)6) and 300.3240a). A fine of $25,000.00.

FACILITY NAME: Snyder Village
FACILITY ADDRESS: 1200 East Partridge
FACILITY CITY, STATE, ZIP: Metamora, IL 61548

DOCKET NUMBER: NH 17-C0405

LICENSEE INFO: Metamora Community Nursing Home
LICENSEE ADDRESS: 1200 East Patridge
LICENSEE CITY, STATE, ZIP: Metamora, IL 61548
Survey Date – 07/27/2017

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 300.3240a. 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: Southview Manor Nursing Center
FACILITY ADDRESS: 3311 South Michigan Street
FACILITY CITY, STATE, ZIP: Chicago, IL 60616

DOCKET NUMBER: NH 17-C0158

LICENSEE INFO: SV Care, LLC
LICENSEE ADDRESS: 1S433 Summitt Avenue, Suite 204
LICENSEE CITY, STATE, ZIP: Oakbrook Terrace, IL 60181
Survey Date – 02/06/2017

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

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

DOCKET NUMBER: NH 17-C0172

LICENSEE INFO: SV Care, LLC
LICENSEE ADDRESS: 1S433 Summitt Avenue, Suite 204
LICENSEE CITY, STATE, ZIP: Oakbrook Terrace, IL 60181
Survey Date – 03/28/2017

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

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

DOCKET NUMBER: NH 17-C0308

LICENSEE INFO: The Springs at Crystal Lake, LLC
LICENSEE ADDRESS: 191 North Wacker Drive, Suite 1800
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 05/25/2017

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), 300.1220b)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 $25,000.00.

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

DOCKET NUMBER: NH 17-C0365

LICENSEE INFO: St. Anthony’s Nursing and Rehabilitation Center, L.L.C.
LICENSEE ADDRESS: 161 North Clark Street, Suite 4200
LICENSEE CITY, STATE, ZIP: Chicago, IL 69691
Survey Date – 07/12/2017

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

FACILITY NAME: St. Paul’s House & Hlth Cr Ctr.
FACILITY ADDRESS: 3800 North California Avenue
FACILITY CITY, STATE, ZIP: Chicago, IL 60618

DOCKET NUMBER: NH 17-S0407

LICENSEE INFO: St. Pauls House and Health Care Center
LICENSEE ADDRESS: 30 South Wacker Drive, Suite 2600
LICENSEE CITY, STATE, ZIP: Chicago, IL 60606
Survey Date – 07/27/2017

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

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

DOCKET NUMBER: NH 17-C0387

LICENSEE INFO: Petersen Health Junction, LC
LICENSEE ADDRESS: 830 West Trailcreek Drive
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 07/21/2017

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.

FACILITY NAME: Symphony of Joliet
FACILITY ADDRESS: 306 North Larkin Avenue
FACILITY CITY, STATE, ZIP: Joliet, IL 60435

DOCKET NUMBER: NH 17-C0317

LICENSEE INFO: Symphony Deerbrook, LLC
LICENSEE ADDRESS: 801 Adali Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62793
Survey Date – 06/01/2017

Type A violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)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: 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 North Galena Road
LICENSEE CITY, STATE, ZIP: Peoria, IL 61614
Survey Date – 02/01/2017

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

FACILITY NAME: Thomas Lombard House
FACILITY ADDRESS: 4129A North Route 1 & 17, P.O. Box 260
FACILITY CITY, STATE, ZIP: Momence, IL 60954

DOCKET NUMBER: NH 17-S0311

LICENSEE INFO: Good Shepherd Manor, Inc.
LICENSEE ADDRESS: 4129 North Route ` & 17
LICENSEE CITY, STATE, ZIP: Momence, IL 60954
Survey Date – 06/20/2017

Type AA violation of an occurrence for violating one or more of the following sections of the Code: 350.620a) 350.1210 and 350.3240a). A fine of $12,500.00.

FACILITY NAME: Timber Point Healthcare Center
FACILITY ADDRESS: 205 East Spring Street
FACILITY CITY, STATE, ZIP: Camp Point, IL 62320

DOCKET NUMBER: NH 17-C0332

LICENSEE INFO: Timber Point Healthcare Center, Inc.
LICENSEE ADDRESS: 2201 Main Street
LICENSEE CITY, STATE, ZIP: Evanston, IL 60202
Survey Date – 06/22/2017

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

FACILITY NAME: United Methodist Village North Campus
FACILITY ADDRESS: 2101 James Street
FACILITY CITY, STATE, ZIP: Lawrenceville, IL 62439

DOCKET NUMBER: NH 17-C0285

LICENSEE INFO: Village Health Care Management, LLC
LICENSEE ADDRESS: 192 S. LaSalle Street, Suite 3700
LICENSEE CITY, STATE, ZIP: Chicago, IL 60603
Survey Date – 05/10/2017

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: Victorian Village Hlth & Well
FACILITY ADDRESS: 12525 West Renaissance Circle
FACILITY CITY, STATE, ZIP: Homer Glen, IL 60491

DOCKET NUMBER: NH 17-S0358

LICENSEE INFO: Rest Haven Illiana Christian Convalescent Home
LICENSEE ADDRESS: 18601 North Creek Drive
LICENSEE CITY, STATE, ZIP: Tinley Park, IL 60477
Survey Date – 06/23/2017

Type B violation of an occurrence for violating one or more of the following sections of the Code: 300.610a), 300.1210b), 300.1210d)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: Victorian Village Hlth & Well
FACILITY ADDRESS: 12525 W. Renaissance Circle
FACILITY CITY, STATE, ZIP: Homer Glen, IL 60491

DOCKET NUMBER: NH 17-S0358

LICENSEE INFO: Rest Haven lliana Christian Convalescent Home
LICENSEE ADDRESS: 18601 North Creek Drive
LICENSEE CITY, STATE, ZIP: Tinley Park, IL 60477
Survey Date – 06/23/2017

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

FACILITY NAME: Warren Barr Lincolnshire
FACILITY ADDRESS: 150 Jamestown Lane
FACILITY CITY, STATE, ZIP: Lincolnshire, IL 60069

DOCKET NUMBER: NH 17-C0320

LICENSEE INFO: Lincolnshire Living & Rehab Center, LLC
LICENSEE ADDRESS: 801 Adlai Stevenson Drive
LICENSEE CITY, STATE, ZIP: Springfield, IL 62703
Survey Date – 06/01/2017

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: Westchester Health & Rehab Ctr
FACILITY ADDRESS: 2901 South Wolf Road
FACILITY CITY, STATE, ZIP: Westchester, IL 60154

DOCKET NUMBER: NH 17-S0322

LICENSEE INFO: SSC Westchester Operating Company, L.L.C.
LICENSEE ADDRESS: 208 South LaSalle Street, Suite 814
LICENSEE CITY, STATE, ZIP: Chicago, IL 60604
Survey Date – 06/23/2017

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), 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: Winning Wheels
FACILITY ADDRESS: 701 East 3^rd Street
FACILITY CITY, STATE, ZIP: Prophetstown, IL 61271

DOCKET NUMBER: NH 17-C0360

LICENSEE INFO: Winning Wheels
LICENSEE ADDRESS: 701 Eat Third Street
LICENSEE CITY, STATE, ZIP: Prophetstown, IL 61271
Survey Date – 08/01/2017

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-C0360

LICENSEE INFO: Winning Wheels, Inc.
LICENSEE ADDRESS: 701 East Third Street
LICENSEE CITY, STATE, ZIP: Prophetstown, IL 61277
Survey Date – 08/01/2017

Type B 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 $2,200.00.