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: Abbington Rehab & Nursing Center
FACILITY ADDRESS: 31 West Central
Roselle, Illinois 60172
DOCKET #: NH 11-S0247
NAME OF OWNER OR LICENSEE: Abbington Rehab & Nursing Center, LTD.
ADDRESS: 191 North Wacker Drive, Suite 1800
Chicago, Illinois 60606
On September 19, 2011, sent Notice of Type “A” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $12,500. A hearing has been requested.
###
FACILITY NAME: Alden Wentworth Rehab & HCC
FACILITY ADDRESS: 201 West 69th Street
Chicago, Illinois 60621
DOCKET #: NH 10-C0208
NAME OF OWNER OR LICENSEE: Alden-Wentworth Rehab & HCC, Inc.
ADDRESS: 4200 W. Peterson Ave., Ste 140
Chicago, Illinois 60646
By Final Order, Violation Reduced, Fine Assessment Withdrawn and Notice of Conditional License Withdrawn.
###
FACILITY NAME: Ambassador Nursing & Rehab Center
FACILITY ADDRESS: 4900 North Bernard
Chicago, Illinois 60625
DOCKET #: NH 10-C0219
NAME OF OWNER OR LICENSEE: Ambassador Nursing and Rehabilitation II, Inc.
ADDRESS: 8170 N. McCormick Blvd., Ste.219
Skokie, Illinois 60076
By Final Order, Violations Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
###
FACILITY NAME: Arthur Home
FACILITY ADDRESS: 423 Eberhardt Drive
Arthur, Illinois 61911
DOCKET #: NH 10-C0351
NAME OF OWNER OR LICENSEE: Community Retirement Inc.
ADDRESS: 506 South Pine
Arthur, Illinois 61911
By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
###
FACILITY NAME: Batavia Rehabiliation & HCC
FACILITY ADDRESS: 520 Fabyan Parkway
Batavia, Illinois 60510
DOCKET #: NH 11-S0244
NAME OF OWNER OR LICENSEE: Petersen Health Operations, L.L.C.
ADDRESS: 830 West Trailcreek Drive
Peoria, Illinois 61614
On September 9, 2011, sent Notice of Type “A” Violation related to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $12,500.
###
FACILITY NAME: Belleville Healthcare & Rehab
FACILITY ADDRESS: 150 North 27th Street
Belleville, Illinois 62226
DOCKET #: NH 11-S0259
NAME OF OWNER OR LICENSEE: The Lincoln Home, Inc.
ADDRESS: 465 Central Avenue, Suite100
Northfield, Illinois 60093
On September 28, 2011, sent Notice of Type “A” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $12,500. A hearing has been requested.
###
FACILITY NAME: Burnham Healthcare
FACILITY ADDRESS: 14500 South Manistee
Burnham, Illinois 60633
DOCKET #: NH 11-S0232
NAME OF OWNER OR LICENSEE: Burnham Healthcare Properties, L.L.C.
ADDRESS: 6865 N. Lincoln Avenue
Lincolnwood, Illinois 60712
On September 6, 2011, sent Notice of Type ‘Repeat B” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $1,100. A hearing has been requested.
###
FACILITY NAME: Burnsides Community Health Center
FACILITY ADDRESS: 410 North Second St., P.O. Box 215
Marshall, Illinois 62441
DOCKET #: NH 10-S0328
NAME OF OWNER OR LICENSEE: Burnsides Nursing Home, NFP
ADDRESS: 410 North Second Street
Marshall, Illinois 62703
By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
###
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
By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
###
FACILITY NAME: Chestnut Corner Shelter Care
FACILITY ADDRESS: 905 West Chestnut Street, P.O. Box 250
Louisville, Illinois 62858
DOCKET #: NH 11-S0204
NAME OF OWNER OR LICENSEE: Diamond Development Co.
ADDRESS: 150 South State Rte.45, Box 250
Louisville, Illinois 62858
On July 29, 2011, sent Notice of Type “Repeat B” Violation relating to the area of policy and procedure, Notice of Conditional License and Notice of Fine Assessment of $1000.
###
FACILITY NAME: Colonial Manor
FACILITY ADDRESS: 300 Church Street
Zeigler Illinois 62999
DOCKET #: NH 11-S0195
NAME OF OWNER OR LICENSEE: Colonial Manor, Inc.
ADDRESS: 2001 West Main Street, Ste.1570
Carbondale, Illinois 62901
On July 14, 2011, sent Notice of Type “A” Violations relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $20,000. A hearing has been requested.
###
FACILITY NAME: Evergreen Nursing and Rehab Center
FACILITY ADDRESS: 1115 North Wenthe
Effingham, Illinois 62401
DOCKET #: NH 10-S0223
NAME OF OWNER OR LICENSEE: Evergreen Nursing and Rehab Center, L.L.C.
ADDRESS: 1625 South 6th Street
Springfield, Illinois 62703
By Final Order, Violations Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
###
FACILITY NAME: Fairview Care Center Of Joliet
FACILITY ADDRESS: 222 North Hammes
Joliet, Illinois 60435
DOCKET #: NH 11-C0224
NAME OF OWNER OR LICENSEE: Fairview Care Center of Joliet, L.L.C.
ADDRESS: 8320 Skokie Boulevard
Skokie, Illinois 60077
On August 19, 2011, sent Notice of Type “A” Violation relating to the area of policy and procedure, Notice of Conditional License and Notice of Fine Assessment of $12,500. A hearing has been requested.
###
FACILITY NAME: Fairview Nursing Plaza
FACILITY ADDRESS: 321 Arnold Avenue
Rockford, Illinois 61108
DOCKET #: NH 09-C0319
NAME OF OWNER OR LICENSEE: Fairview Nursing Plaza, Inc.
ADDRESS: 2201 Main Street
Evanston, Illinois 60202
By Final Order, Violations Dismissed, Fine Assessment Dismissed and Notice of Conditional License Withdrawn.
###
FACILITY NAME: Hammett House
FACILITY ADDRESS: 1845 1st Avenue
Sterling, Illinois 61081
DOCKET #: NH 11-C0196
NAME OF OWNER OR LICENSEE: Frances House, Inc.
ADDRESS: 285 South Farnham Street
Galesburg, Illinois 61401
On July 15, 2011, sent Notice of Type “A” Violations relating to the area of policy and procedure, Notice of Conditional License and Notice of Fine Assessment of $10,000. A hearing has been requested.
###
FACILITY NAME: Heartland Of Normal
FACILITY ADDRESS: 510 Broadway
Normal, Illinois 61761
DOCKET #: NH 10-C0096
NAME OF OWNER OR LICENSEE: Heartland of Normal IL, LLC
ADDRESS: 208 S. LaSalle St., Ste.814
Chicago, Illinois 60604
By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
###
FACILITY NAME: Heritage Manor-Bloomington
FACILITY ADDRESS: 700 East Walnut Street
Bloomington, Illinois 61701
DOCKET #: NH 10-C0162
NAME OF OWNER OR LICENSEE: Heritage Manor-Bloomington LLC
ADRESS: 115 W. Jefferson St., Ste.400
Bloomington, Illinois 61707
By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
###
FACILITY NAME: Kanthak House
FACILITY ADDRESS: 724 Second Avenue
Ottawa, Illinois 61350
DOCKET #: NH 10-S0021
NAME OF OWNER OR LICENSEE: Frances House, Inc.
ADDRESS: 285 South Farnham Street
Galesburg, Illinois 61401
By Final Order, Violations Amended, Fine Assessment Affirmed and Notice of Conditional License Affirmed.
###
FACILITY NAME: Kenwood Healthcare Center
FACILITY ADDRESS: 6125 South Kenwood
Chicago, Illinois 60637
DOCKET #: NH 10-C0199
NAME OF OWNER OR LICENSEE: Kenwood Healthcare Center, Inc.
ADDRESS: 7434 North Skokie Boulevard
Skokie, Illinois 60077
By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
###
FACILITY NAME: Lebanon Terrace
FACILITY ADDRESS: 221 East Third Street
Lebanon, Illinois 62254
DOCKET #: NH 11-S0233
NAME OF OWNER OR LICENSEE: Home and Environments for Living and Programs, Inc.
ADDRESS: 208 South LaSalle St., Ste. 814
Chicago, Illinois 60604
On September 6, 2011, sent Notice of Type “A” Violations relating to the area of policy and procedure, Notice of Conditional License and Notice of Fine Assessment of $10,000. A hearing has been requested.
###
FACILITY NAME: Manorcare of Oak Lawn
FACILITY ADDRESS: 9401 South Kostner Avenue
Oak Lawn, Illinois 60453
DOCKET #: NH 06-C0310
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
By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn
###
FACILITY NAME: Maryhaven Nursing & Rehab
FACILITY ADDRESS: 1700 East Lake Avenue
Glenview, Illinois 60025
DOCKET #: NH 11-C0255
NAME OF OWNER OR LICENSEE: Resurrection Senior Services
ADDRESS: 7435 West Talcott Avenue
Chicago, Illinois 60631
On September 22, 2011, sent Notice of Type “A” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $12,500. A hearing has been requested.
###
FACILITY NAME: Milestone Elmwood East
FACILITY ADDRESS: 2642 Elmwood Road
Rockford, Illinois 61103
DOCKET #: NH 09-C0272
NAME OF OWNER OR LICENSEE: Milestone, Inc.
ADDRESS: 4060 McFarland Road
Rockford, Illinois 6111
By Final Order, Violations Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
###
FACILITY NAME: Moore House
FACILITY ADDRESS: 9135 South Brandon Avenue
Chicago, Illinois 60617
DOCKET #: NH 10-S0352
NAME OF OWNER OR LICENSEE: Ada S. McKinley Community Services, Inc.
ADDRESS: 725 South Wells, Ste.1-A
Chicago, Illinois 60607
By Final Order, Violations Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
###
FACILITY NAME: Oak Hill
FACILITY ADDRESS: 623 Hamacher Street
Waterloo, Illinois 62298
DOCKET #: NH 10-S0293
NAME OF OWNER OR LICENSEE: County of Monroe
ADDRESS: 100 South Main Street
Waterloo, Illinois 62298
By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
###
FACILITY NAME: Oakbrook Healthcare Center
FACILITY ADDRESS: 2013 Midwest Road
Oakbrook, Illinois 60521
DOCKET #: NH 11-S0222
NAME OF OWNER OR LICENSEE: Oakbrook Healthcare Centre, Ltd.
ADDRESS: 5061 North Pulaski Road
Chicago, Illinois 60630
On August 19, 2011, sent Notice of Type “A” Violations relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $20,000.
###
FACILITY NAME: Olson Terrace
FACILITY ADDRESS: 3006 Alida Street
Rockford, Illinois 61103
DOCKET #: NH 10-C0089
NAME OF OWNER OR LICENSEE: Frances House, Inc.
ADDRESS: 285 South Farnham Street
Galesburg, Illinois 61401
By Final Order, Violation Reduced, Fine Assessment Withdrawn and Notice of Conditional License Withdrawn.
###
FACILITY NAME: Paris Health Care Center
FACILITY ADDRESS: 1011 North Main Street
Paris, Illinois 61944
DOCKET #: NH 10-C0146
NAME OF OWNER OR LICENSEE: Paris Health Care Center Investors, LLC
ADDRESS: 8170 N. McCormick Blvd., Ste 219
Skokie, Illinois 60076
By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
###
FACILITY NAME: Polo Rehab & HCC
FACILITY ADDRESS: 703 East Buffalo
Polo, Illinois 61064
DOCKET #: NH 11-C0228
NAME OF OWNER OR LICENSEE: Petersen Health Care V, LLC
ADDRESS: 830 W. Trailcreek Drive
Peoria, Illinois 61614
On September 6, 2011, 2010, sent notice of Type “AA” Violation relating to the area of policy and procedure, Notice of Conditional License and Notice of Fine Assessment of $25,000.
###
FACILITY NAME: Rainbow Beach Care Center
FACILITY ADDRESS: 7325 South Exchange
Chicago, Illinois 60649
DOCKET #: NH 11-S0226
NAME OF OWNER OR LICENSEE: Rainbow Beach QOC, L.L.C.
ADDRESS: 2201 West Main Street
Evanston, Illinois 60202
On September 9, 2011, sent Notice of Type “A & B” Violations relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $13,600. A hearing has been requested.
###
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
By Final Order, Violation Reduced, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
###
FACILITY NAME: Renaissance At Midway
FACILITY ADDRESS: 4437 South Cicero
Chicago, Illinois 60632
DOCKET #: NH 11-C0213
NAME OF OWNER OR LICENSEE: The Renaissance at Midway, Inc.
ADDRESS: 191 N. Wacker Drive Suite 1800
Chicago, Illinois 60606
On July 29, 2010, sent Notice of Type “A” Violation relating to the area of policy and procedure, Notice of Conditional License and Notice of Fine Assessment of $10,000. A hearing has been requested.
###
FACILITY NAME: Sacred Heart Home
FACILITY ADDRESS: 1550 South Albany
Chicago, Illinois 60623
DOCKET #: NH 10-C0094
NAME OF OWNER OR LICENSEE: Sacred Heart Home Incorporated
ADDRESS: 1541 North Wells Street
Chicago, Illinois 60610
By Final Order, Violation Affirmed, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
###
FACILITY NAME: Salem Village Nursing & Rehab Center
FACILITY ADDRESS: 1314 Rowell Avenue
Joliet, Illinois 60433
DOCKET #: NH 10-C0045
NAME OF OWNER OR LICENSEE: Salem Village Nursing & Rehab Ctr., L.L.C.
ADDRESS: 8170 N. McCormick Blvd., Ste.219
Skokie, Illinois 60076
By Final Order, Violation Amended, Fine Assessment Reduced and Notice of Conditional License Withdrawn.
###
FACILITY NAME: Shawnee Rose Care Center
FACILITY ADDRESS: 1000 West Sloan Street
Harrisburg, Illinois 62946
DOCKET #: NH 11-S0234
NAME OF OWNER OR LICENSEE: Midwest Health Operations, LLC
ADDRESS: 830 W. Trailcreek Drive
Peoria, Illinois 61614
On September 6, 2010, sent Notice of Type “B” Violation relating to the area of policy and procedure, and Notice of Fine Assessment of $500.
###
FACILITY NAME: Stuart Estates
FACILITY ADDRESS: 13 Northbrook Drive
McLeansboro, Illinois 62859
DOCKET#: NH 11-S0248
NAME OF OWNER OR LICENSEE: JJR Enterprises, Inc.
ADDRESS: 2025 B Broadway, P.O. Box 705
Mount Vernon, Illinois 62864
On September 5, 2011, sent Notice of Type “A” Violations relating to the area of policy and procedure, Notice of Conditional License and Notice of Fine Assessment of $10,000.
###
FACILITY NAME: Swann Special Care Center
FACILITY ADDRESS: 109 Kenwood Road
Champaign, Illinois 61820
DOCKET #: NH 11-S0194
NAME OF OWNER OR LICENSEE: Hoosier Care, Inc.
ADDRESS: 208 South LaSalle Street
Chicago, Illinois 60604
On July 14, 2011, sent Notice of Type “A” Violations relating to the area nursing, Notice of Conditional License and Notice of Fine Assessment of $10,000.
###
FACILITY NAME: Willow Crest Nursing Pavilion
FACILITY ADDRESS: 515 North Main
Sandwich, Illinois 60548
DOCKET #; NH 11-C0223
NAME OF OWNER OR LICENSEE: Willow Crest Nursing Pavilion, LTD.
ADDRESS: 191 North Wacker Dr., Ste. 1800
Chicago, Illinois 60601
On August 19, 2011, sent Notice of Type “A” Violation relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $12,500. A hearing has been requested.
###
FACILITY NAME: Woodbridge Nursing Pavilion
FACILITY ADDRESS: 2242 North Kedzie
Chicago, Illinois 60647
DOCKET #: NH 11-C0192 & 11-S0192
NAME OF OWNER OR LICENSEE: Woodbridge Nursing Pavilion. LTD
ADDRESS: 191 North Wacker Drive, Ste. 1800
Chicago, Illinois 60647
On July 14, 2011, sent Notice of Type “A & B” Violations relating to the area of nursing, Notice of Conditional License and Notice of Fine Assessment of $12,500.
###
Illinois Department of Public Health
535 West Jefferson Street
Springfield, Illinois 62761
Phone 217-782-4977
Fax 217-782-3987
TTY 800-547-0466
#http://www.idph.state.il.us/about/nursing_homes_violations11/quarterly_report_3-11.htm
No comments:
Post a Comment