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Friday, September 9, 2011
Illinois Nursing Home Care Act "VIOLATIONS" - QUARTERLY REPORT April - June 2011
Illinois has approximately 1,200 long-term care facilities serving more than 100,000 residents, from the young to the elderly. These facilities are licensed, regulated and inspected at least annually by the Illinois Department of Public Health. The Department also assists the U.S. Centers for Medicare and Medicaid Services (CMS) with certifying these facilities for participation in federal payment reimbursement programs.
The Department’s Bureau of Long-term Care is responsible for making sure nursing homes comply with the provisions of the state Nursing Home Care Act. In addition, under a cooperative agreement with CMS, the Department conducts certification surveys to ensure facilities receiving Medicaid (state) or Medicare (federal) money for resident payment abide by applicable federal regulations.
Each year, Department surveyors conduct about 10,000 surveys, including annual licensure inspections, complaint investigations and reinspections. The Department’s 24-hour a day Nursing Home Hotline (800-252-4343) receives nearly 19,000 calls and, as a result, staff respond to more than 5,000 complaints.
Illinois Department of Public Health
Quarterly Reports of Nursing Home Violators
April - June 2011
The Illinois Department of Public Health has initiated action, as indicated, against the following facilities which have been determined to be in violation of the Nursing Home Care Act, or has recommended decertification to the Director of the Illinois Department of Healthcare and Family Services, or the Secretary of the U.S. Department of Health and Human Services for violations in relation to patient care, pursuant to Titles XVIII and XIX of the Social Security Act.
#FACILITY NAME: Alden Town Manor Rehab & HCC
FACILITY ADDRESS: 6120 West Ogden
Cicero, Illinois 60804
DOCKET #: NH 11-o0081
NAME OF OWNER OR LICENSEE: Alden Town Manor Rehab & HCC, Inc.
ADDRESS: 4200 West Petersen, Suite 140
Chicago, Illinois 60646
On April 11, 2011, sent Type “AA” Notice of Violations relating to the area of nursing and Notice of Fine Assessment of $50,000. A hearing has been requested.
#FACILITY NAME: Alden Village North
FACILITY ADDRESS: 7464 North Sheridan Road
Chicago, Illinois 60626
DOCKET #: NH 11-C0183
NAME OF OWNER OR LICENSEE: Alden Village North, Inc.
ADDRESS: 4200 W. Peterson Ave., Step 140
Chicago, Illinois 60646
On June 28, 2011, sent Notice of Type “A” Violations relating to the area of nursing and Notice of Fine Assessment of $20,000. A hearing has been requested.
#FACILITY NAME: All America Nursing Home
FACILITY ADDRESS: 5448 North Broadway Street
Chicago, Illinois 60640
DOCKET #: NH 11-C0145
NAME OF OWNER OR LICENSEE: Zikainim, Inc.
ADDRESS: 10 South Wacker Dr., 40th
Chicago, Illinois 60606
On May 26, 2011, sent Notice of Type ”A” Violations relating to the area of policy and procedure and Notice of Fine Assessment of $16,250. A hearing has been requested.
#FACILITY NAME: Andover
FACILITY ADDRESS: 4636 West Andover
Peoria, Illinois 61615
DOCKET #: NH 11-C0106
NAME OF OWNER OR LICENSEE: Peoria Assoc. For Retarded Citizens, Inc.
ADDRESS: 1913 West Townline Road, Box 3418
Peoria, Illinois 61612
On April 8, 2011, sent Notice of Type “A” Violations relating to the area of nursing and Fine Assessment of $15,000. A hearing has been requested.
#FACILITY NAME: Asta Care Center of Rockford
FACILITY ADDRESS: 707 West Riverside Boulevard
Rockford, Illinois 61103
DOCKET #: NH 10-C0291
NAME OF OWNER OR LICENSEE: Asta Care Center of Rockford, L.L.C.
ADDRESS: 134 North McLean Boulevard
Elgin, Illinois 60123
By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
#FACILITY NAME: Ballard Nursing Center
FACILITY ADDRESS: 9300 Ballard Road
Des Plaines, Illinois 60016
DOCKET #: NH 09-C0195
NAME OF OWNER OR LICENSEE: Ballard Nursing Center, Inc.
ADDRESS: 9300 Ballard Road
Des Plaines, Illinois 60016
By Final Order, Violations Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
#FACILITY NAME: Bethesda Lutheran- Aurora
FACILITY ADDRESS: 14800 Reckinger Road
Aurora, Illinois 60505
DOCKET #: NH 07-C0069
NAME OF OWNER OR LICENSEE: Bethesda Lutheran Homes and Services, Inc.
ADDRESS: 801 Adlai Stevenson Drive
Springfield, Illinois 62703
By Final Order, Violation Reduced, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
#FACILITY NAME: Brookside Manor
FACILITY ADDRESS: 1740 West McCord
Centralia, Illinois 62801
DOCKET #: NH 11-S0179
NAME OF OWNER OR LICENSEE: Brookside Nursing Home, Inc.
ADDRESS: 525 South Macon Street
Macon, Illinois 62550
On June 24, 2011, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $12,500. A hearing has been requested.
#FACILITY NAME: Bryan Manor
FACILITY ADDRESS: 2150 East McCord
Centralia, Illinois 62801
DOCKET #: NH 11-S0157
NAME OF OWNER OR LICENSEE: Penta Group, Inc.
ADDRESS: 623 East Broadway
Centralia, Illinois 62801
On May 26, 2011, sent Notice of Type “A” Violations relating to the area of nursing and Notice of Fine Assessment of $10,000. A hearing has been requested.
#FACILITY NAME: Cedar Pointe Rehab & Nursing
FACILITY ADDRESS: 5825 West Cermak Road
Cicero, Illinois 60804
DOCKET #: NH 11-C0143
NAME OF OWNER OR LICENSEE: Cedar Pointe Rehab & Nursing Center, LLC
ADDRESS: 191 North Wacker Drive, Ste. 1800
Chicago, Illinois 60606
On May 26, 2011, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $10,000. A hearing has been requested.
#FACILITY NAME: Champaign County Nursing Home
FACILITY ADDRESS: 500 South Art Bartell Drive
Urbana, Illinois 61802
DOCKET #: NH 11-C0107
NAME OF OWNER OR LICENSEE: Champaign County Board
ADDRESS: 1776 East Washington Street
Urbana, Illinois 61802
On April 8, 2011, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $25,000. A hearing has been requested.
#FACILITY NAME: Columbus Manor Res Care Home
FACILITY ADDRESS: 5107-21 West Jackson Boulevard
Chicago, Illinois 60644
DOCKET #: NH 11-S0177
NAME OF OWNER OR LICENSEE: Columbus Manor Res Care Home, Inc.
ADDRESS: 5107 West Jackson Boulevard
Chicago, Illinois 60644
On June 20, 2011, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $12,500. A hearing has been requested.
#FACILITY NAME: Concord Nursing & Rehab Center
FACILITY ADDRESS: 9401 South Ridgeland Avenue
Oak Lawn, Illinois 60453
DOCKET #: NH 11-C0173
NAME OF OWNER OR LICENSEE: Concord Nursing and Rehab Center, Inc.
ADDRESS: 8320 Skokie Blvd
Skokie, Illinois 60077
On June 10, 2011, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $12,500. A hearing has been requested.
#FACILITY NAME: Emeritus At Prospect Heights
FACILITY ADDRESS: 700 East Euclid Avenue
Prospect Heights, 60070
DOCKET #: NH 11-C0156
NAME OF OWNER OR LICENSEE: Emericare, INC.
ADDRESS: 801 Adlai Stevenson Drive
Springfield, Illinois 62703
On June 9, 2011, sent Notice of Type “AA” Violation relating to the area of nursing and Notice of Fine Assessment of $25,000.
#FACILITY NAME: Hearthstone Manor
FACILITY ADDRESS: 920 N. Seminary Ave., P.O. Box 520
Woodstock, Illinois 60098
DOCKET #: NH 10-S0360
NAME OF OWNER OR LICENSEE: Woodstock Christian Life Services
ADDRESS: 318 Christian Way
Woodstock, Illinois 60098
By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn
#FACILITY NAME: Hickory Estates
FACILITY ADDRESS: 310 Otha Street
Sumner, Illinois 62466
DOCKET #: NH 11-o0164
NAME OF OWNER OR LICENSEE: Hickory Estates, Inc.
ADDRESS: 324 N. Main Street, P.O. Box 8
Bridgeport, Illinois 62417
On June 9, 2011, sent Notice of Type “A” Violations relating to the area of policy and procedure and Notice of Fine Assessment of $30,000. A hearing has been requested.
#FACILITY NAME: Hillcrest Retirement Village
FACILITY ADDRESS: 1740 North Circuit Drive
Round Lake Beach, Illinois 60073
DOCKET #: NH 10-S0271
NAME OF OWNER OR LICENSEE: Hillcrest Retirement Village, Ltd.
ADRESS: 1740 North Circuit Drive
Round Lake Beach, Illinois 60073
By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
#FACILITY NAME: Hope Creek Care Center
FACILITY ADDRESS: 4343 Kennedy Drive
East Moline, Illinois 61244
DOCKET #: NH 10-S0272
NAME OF OWNER OR LICENSEE: Rock Island County
ADDRESS: 1504 Third Avenue
Rock Island, Illinois 61201
By Final Order, Violation Reduced, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
#FACILITY NAME: Independence Place
FACILITY ADDRESS: 1705 South Park Avenue
Herrin, Illinois 62948
DOCKET #: NH 09-C0166
NAME OF OWNER OR LICENSEE: Independence Place, Inc.
ADDRESS: 15755 Nixon Road
Nashville, Illinois 62263
By Final Order, Violation Affirmed, Fine Assessment Affirmed and Notice of Conditional License Affirmed.
#FACILITY NAME: Lebanon Care Center
FACILITY ADDRESS: 1201 North Alton
Lebanon, Illinois 62254
DOCKET #: NH 11-S0057
NAME OF OWNER OR LICENSEE: Petersen Health Network, LLC
ADDRESS: 830 West Trailcreek Drive
Peoria, Illinois 61614
By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
#FACILITY NAME: Lexington Health Care Center- Bloomingdale
FACILITY ADDRESS: 165 South Bloomingdale Road
Bloomingdale, Illinois 60108
DOCKET #: NH 11-S0175
NAME OF OWNER OR LICENSEE: Lexington HCC of Bloomingdale, Inc.
ADDRESS: 665 West North Avenue
Lombard, Illinois 60148
On June 9, 2011, sent Notice of Type “A” Violations relating to the area of nursing and Notice of Fine Assessment of $20,000. A hearing has been requested.
#FACILITY NAME: Manor Court Of Maryville
FACILITY ADDRESS: 6955 State Route 162
Maryville, Illinois 62062
DOCKET #: NH 11-C01713
NAME OF OWNER OR LICENSEE: UDI #2, LLC
ADDRESS: 285 South Farnham Street
Galesburg, Illinois 61401
On June 9, 2011, sent Notice of Type ”A” Violation relating to the area of nursing and Notice of Fine Assessment of $12,500. A hearing has been requested.
#FACILITY NAME: Manorcare At Peoria
FACILITY ADDRESS: 5600 Glen Elm Drive
Peoria, Illinois 61614
DOCKET #: NH 08-C0152
NAME OF OWNER OR LICENSEE: Manorcare Health Services, Inc.
ADDRESS: 208 South LaSalle Street
Chicago, Illinois 60604
By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
#FACILITY NAME: Marigold Estates
FACILITY ADDRESS: 3240 Barney Avenue
Pekin, Illinois 61554
DOCKET #: NH 11-S0144
NAME OF OWNER OR LICENSEE: Patterson House, Inc.
ADDRESS: 110 Southbrooke
Decatur, Illinois 62521
On May 26, 2011, sent Notice of Type “A” Violations relating to the area of policy and procedure and Notice of Fine Assessment of $10,000. A hearing has been requested.
#FACILITY NAME: Marks Sunset Manor
FACILITY ADDRESS: 1044 Whittle
Olney, Illinois 62450
DOCKET #: NH 11-C0105
NAME OF OWNER OR LICENSEE: Glen & Dorothy Marks
ADDRESS: 1044 Whittle
Olney, Illinois 62450
On April 8, 2011, sent Notice of Type “A” Violation relating to the area of policy and procedure and Notice of Fine Assessment of $10,000. A hearing has been requested.
#FACILITY NAME: Marks Sunset Manor
FACILITY ADDRESS: 1044 Whittle
Olney, Illinois 62450
DOCKET #: NH 11-S0191
NAME OF OWNER OR LICENSEE: Glen & Dorothy Marks
ADDRESS: 1044 Whittle
Olney, Illinois 62450
On June 30, 2011, sent Notice of Type “RPT B” Violation relating to the area of policy and procedure and Notice of Fine Assessment of $1,000.
#FACILITY NAME: Meadows
FACILITY ADDRESS: 3250 South Plum Grove Road
Rolling Meadows, Illinois 60008
DOCKET #: NH 11-S0140
NAME OF OWNER OR LICENSEE: Meadows Sheltered Care, Inc.
ADDRESS: 3250 South Plum Grove Road
Rolling Meadows, Illinois 60008
On May 25, 2011, sent Notice of Type “A” Violations relating to the area of policy and procedure and Notice of Fine Assessment of $20,000.
#FACILITY NAME: Moultrie County Community Center
FACILITY ADDRESS: 240 East State, P.O. Box 229
Lovington, Illinois 61937
DOCKET #: NH 11-C0181
NAME OF OWNER OR LICENSEE: Drew Corporation
ADDRESS: 2576 North Greenway Road
Cerro Gordo, Illinois 61818
On June 20, 2011, sent Notice of Type “A” Violations relating to the area of policy and procedure and Notice of Fine Assessment of $10,000.
#FACILITY NAME: Our Place
FACILITY ADDRESS: 301 North 13th Street
Murphysboro, Illinois 62966
DOCKET #: NH 11-S0104
NAME OF OWNER OR LICENSEE: Developmental Planning and Services, Inc.
ADDRESS: 61 Sugarapple Drive, R.R. 1
Xenia, Illinois 62899
On April 8,2011, sent Notice of Type “A” Violations relating to the area of nursing and Notice of Fine Assessment of $20,000. A hearing has been requested.
#FACILITY NAME: Phoenix Court
FACILITY ADDRESS: 17312 Clyde Avenue
South Holland, Illinois 60473
DOCKET #: NH 11-S0126
NAME OF OWNER OR LICENSEE: New Hope Center, Inc.
ADDRESS: 321 N. Clark Street, Ste. 3400
Chicago, Illinois 60610
On May 3, 2011, sent notice of Type “A” Violations relating to the area of nursing and Notice of Fine Assessment of $10,000. A hearing has been requested.
#FACILITY NAME: Rainbow Beach Care Center
FACILITY ADDRESS: 7325 South Exchange Street
Chicago, Illinois 60649
DOCKET #: NH 09-S0280
NAME OF OWNER OR LICENSEE: Rainbow Beach QOC, L.L.C.
ADDRESS: 2201 West Main Street
Evanston, Illinois 60202
By Final Order, Violation Reduced, Fine Assessment Withdrawn and Notice of Conditional License Withdrawn.
#FACILITY NAME: Randolph County Care Center
FACILITY ADDRESS: 312 West Belmont
Sparta, Illinois 62286
DOCKET #: NH 11-S0138
NAME OF OWNER OR LICENSEE: Randolph County Board
ADDRESS: #1 Taylor Street
Chester, Illinois 62233
On May 12, 2011, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $5000. A hearing has been requested.
#FACILITY NAME: Regal Health and Rehab Center
FACILITY ADDRESS: 9525 South Mayfield
Oak Lawn, Illinois 60453
DOCKET #: NH 07-C-78, 08-C-77, 08-o166, 09-C-126, 09-C-249
NAME OF OWNER OR LICENSEE: Regal Health and Rehab Center, Inc.
ADDRESS: 3553 West Peterson Ave., Ste.101
Chicago, Illinois 60659
By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
#FACILITY NAME: Richland Care & Rehab
FACILITY ADDRESS: 410 East Mack
Olney, Illinois 62450
DOCKET #: NH 11-C0162
NAME OF OWNER OR LICENSEE: Helia Healthcare of Olney, LLC
ADDRESS: 600 South Second Street, Ste.103
Springfield, Illinois 62704
On June 8, 2011, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $12,500.
#FACILITY NAME: Royal Oaks Care Center
FACILITY ADDRESS: 605 East Church Street, P.O. Box 600
Kewanee, Illinois 61443
DOCKET #: NH 11-C0172
NAME OF OWNER OR LICENSEE: Petersen Health Care II, Inc.
ADDRESS: 830 West Trailcreek Drive
Peoria, Illinois 61614
On June 10, 2011, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $10,000. A hearing has been requested.
#FACILITY NAME: St. Mary’s Square Living Center
FACILITY ADDRESS: 239 South Cherry
Galesburg, Illinois 61401
DOCKET #: NH 11-S0115
NAME OF OWNER OR LICENSEE: Community Residential Centers, Inc.
ADDRESS: 285 South Farnham Street
Galesburg, Illinois 61401
On April 13, 2011, sent Notice of Type “A” Violations relating to the area of nursing and Notice of Fine Assessment of $20,000. A hearing has been requested.
#FACILITY NAME: Sacred Heart Home
FACILITY ADDRESS: 1550 South Albany
Chicago, Illinois 60623
DOCKET#: NH 11-S0141
NAME OF OWNER Sacred Heart Home Incorporated
ADDRESS: 1541 North Wells Street
Chicago, Illinois 60610
On May 25, 2011, sent Notice of Type “A & B” Violations relating to the area of policy and procedure and Notice of Fine Assessment of $11,000. A hearing has been requested.
#FACILITY NAME: Sherman West Court
FACILITY ADDRESS: 1950 Larkin Avenue
Elgin, Illinois 60123
DOCKET #: NH 08-C0226
NAME OF OWNER OR LICENSEE: Sherman West Court
ADDRESS: 1950 Larkin Avenue
Elgin, Illinois 60123
By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
#FACILITY NAME: Timber Point Healthcare Center
FACILITY ADDRESS: 205 East Spring Street
Camp Point, Illinois 62320
DOCKET #; NH 10-S0319
NAME OF OWNER OR LICENSEE: Timber Point Healthcare Center, Inc.
ADDRESS: 8320 Skokie Boulevard
Skokie, Illinois 60077
By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
#FACILITY NAME: Transitions Nursing and Rehabilitation Center
FACILITY ADDRESS: 1000 Dixon Avenue
Rock Falls, Illinois 61071
DOCKET #: NH 11-S0124
NAME OF OWNER OR LICENSEE: Colonial Acres Health Care Centre, Inc.
ADDRESS: 1625 South 6th Street
Springfield, Illinois 62703
On April 22, 2011, sent Notice of Type “A” Violation relating to the area of nursing and Notice of Fine Assessment of $12,500.
#FACILITY NAME: Vermilion Manor Nursing Home
FACILITY ADDRESS: 14792 Catlin Tilton Road
Danville, Illinois 61834
DOCKET #: NH 11-S0139
NAME OF OWNER OR LICENSEE: Vermilion County
ADDRESS: 6 North Vermilion
Danville, Illinois 61832
On May 12, 2011, sent Notice of Type “A” Violation relating to the area of policy and procedure and Notice of Fine Assessment of $10,000.
# # #
For IDHS Nursing Home website :
http://www.idph.state.il.us/healthca/nursinghometestjava.htm
Illinois Department of Public Health
535 West Jefferson Street
Springfield, Illinois 62761
Phone 217-782-4977
Fax 217-782-3987
TTY 800-547-0466
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