Illinois › Cook County › Matteson
Generations At Applewood
21020 Kostner Avenue, Matteson, IL 60443
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 154 beds, Generations At Applewood serves Matteson in Cook County, Illinois and has taken Medicare and Medicaid residents since 1993.
CMS gives it 1 of 5 stars overall, below the Illinois median of 2; the health inspection rating is 1, staffing 2 and quality measures 4.
Inspectors recorded 66 health deficiencies across the three most recent survey cycles (26, 15, 25 by cycle, most recent first), 19 of them at the actual-harm or immediate-jeopardy level. That is 42.9 per 100 beds, more than the state median of 28.4.
CMS lists 8 penalties in the period covered: fines totalling $522K and 2 payment denials.
Reported nurse staffing is 3.3 hours per resident per day (1.0 RN), close to the Illinois median of 3.3; nursing staff turnover is 55.9%.
Compared with county, state and nation
| Measure | This facility | Cook Co. median | Illinois median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 2 | 3.0 |
| Health citations, 3 cycles | 66 | 37 | 34 | 28.7 |
| Citations per 100 beds | 42.9 | 23.8 | 28.4 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.2 | 3.3 | 3.9 |
| RN hours per resident day | 1.0 | 0.7 | 0.6 | 0.7 |
| Nursing staff turnover | 55.9% | 39.7% | 43.4% | 45.8% |
| Fines listed | $521,548 | $52,199 | $45,123 | — |
County and state figures are medians across facilities (202 in the county, 666 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Illinois average per facility for the same cycle, as published by CMS. Standard health survey dates: 9 May 2025, 28 Jun 2024.
Severity mix: J ×1 G ×18 D ×36 E ×11
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 2 Jul 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation (under dispute review) | Deficient, Provider has no plan of correction |
| 2 Jul 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation (under dispute review) | Deficient, Provider has no plan of correction |
| 1 Jul 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 2 Jul 2026 |
| 1 Jul 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 2 Jul 2026 |
| 8 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 3 Jun 2026 |
| 8 May 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 3 Jun 2026 |
| 8 May 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 3 Jun 2026 |
| 8 May 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 3 Jun 2026 |
| 8 May 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 3 Jun 2026 |
| 13 Feb 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint investigation | 20 Feb 2026 |
| 13 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 20 Feb 2026 |
| 13 Feb 2026 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint investigation | 20 Feb 2026 |
| 23 Jan 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 16 Feb 2026 |
| 23 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 20 Feb 2026 |
| 18 Nov 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 19 Nov 2025 |
| 18 Nov 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 19 Nov 2025 |
| 8 Jul 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 1 Aug 2025 |
| 29 May 2025 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | G | Complaint investigation | Deficient, Provider has plan of correction |
| 9 May 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 4 Jun 2025 |
| 9 May 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 4 Jun 2025 |
| 9 May 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 4 Jun 2025 |
| 9 May 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 4 Jun 2025 |
| 9 May 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 1 Aug 2025 |
| 9 May 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 4 Jun 2025 |
| 9 May 2025 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard survey | 4 Jun 2025 |
| 9 May 2025 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Standard survey | 4 Jun 2025 |
| 9 May 2025 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard survey | 4 Jun 2025 |
| 9 May 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 4 Jun 2025 |
| 28 Mar 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 17 Apr 2025 |
| 14 Mar 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 4 Apr 2025 |
| 20 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 28 Feb 2025 |
| 15 Jan 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 5 Feb 2025 |
| 15 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 5 Feb 2025 |
| 30 Dec 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 6 Jan 2025 |
| 30 Dec 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 6 Jan 2025 |
| 30 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 6 Jan 2025 |
| 18 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 4 Dec 2024 |
| 7 Nov 2024 | F0572 | Give residents a notice of rights, rules, services and charges. | D | Complaint investigation | 18 Nov 2024 |
| 28 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 1 Jul 2024 |
| 28 Jun 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 1 Jul 2024 |
| 28 Jun 2024 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 1 Jul 2024 |
| 30 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 1 Jul 2024 |
| 30 May 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Complaint investigation | 4 Jun 2024 |
| 30 May 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 4 Jun 2024 |
| 30 May 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 4 Jun 2024 |
| 8 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 1 Jul 2024 |
| 19 Dec 2023 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint investigation | 29 Dec 2023 |
| 19 Dec 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 29 Dec 2023 |
| 19 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 29 Dec 2023 |
| 19 Dec 2023 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | Complaint investigation | 29 Dec 2023 |
| 19 Dec 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint investigation | 29 Dec 2023 |
| 19 Dec 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 29 Dec 2023 |
| 19 Dec 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 29 Dec 2023 |
| 19 Dec 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 29 Dec 2023 |
| 1 Sep 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 22 Sep 2023 |
| 1 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 22 Sep 2023 |
| 1 Sep 2023 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 22 Sep 2023 |
| 1 Sep 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 22 Sep 2023 |
| 1 Sep 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 22 Sep 2023 |
| 1 Sep 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 22 Sep 2023 |
| 1 Sep 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 22 Sep 2023 |
| 1 Sep 2023 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 22 Sep 2023 |
| 1 Sep 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 22 Sep 2023 |
| 1 Sep 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 22 Sep 2023 |
| 1 Sep 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 22 Sep 2023 |
| 1 Sep 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 22 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 23 Jan 2026 | Fine | $68,510 | |
| 9 May 2025 | Payment denial | — | 56 days |
| 9 May 2025 | Fine | $135,502 | |
| 15 Jan 2025 | Fine | $33,040 | |
| 18 Dec 2024 | Fine | $14,050 | |
| 8 Apr 2024 | Payment denial | — | 55 days |
| 8 Apr 2024 | Fine | $161,680 | |
| 19 Dec 2023 | Fine | $108,766 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Illinois average. Turnover: nursing staff 55.9%, RNs 65.9%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Illinois median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.0% | 11.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.9% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.6% | 12.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 16.5% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 1.2% | 17.8% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Generations At Applewood, Llc. Chain: Generations Healthcare Network (4 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Barrish Group Limited Partnership | 5% or greater direct ownership interest | 11% | 03/01/2011 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Cook County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Addolorata Villa | Wheeling | 86 | 5 | 3 | 5 | 24 | 27.9 | $181K | 28 May 2026 |
| Alden Estates of Evanston | Evanston | 99 | 5 | 5 | 4 | 12 | 12.1 | — | 19 Dec 2025 |
| Alden Estates of Skokie | Skokie | 56 | 5 | 5 | 4 | 3 | 5.4 | — | 24 Oct 2024 |
| Alden Poplar Creek Rehab & HCC | Hoffman Estates | 217 | 5 | 4 | 2 | 29 | 13.4 | $8K | 11 Mar 2026 |
| Aperion Care Niles | Niles | 99 | 5 | 4 | 2 | 21 | 21.2 | $12K | 29 May 2026 |
| Ascension Nazarethville Place | Des Plaines | 68 | 5 | 5 | 4 | 5 | 7.4 | — | 31 Dec 2025 |
| Bella Terra Streamwood | Streamwood | 214 | 5 | 5 | 2 | 16 | 7.5 | — | 20 Dec 2025 |
| Brandel Health and Rehab | Northbrook | 102 | 5 | 5 | 5 | 3 | 2.9 | — | 12 Sep 2025 |
All 202 facilities in Cook County
Questions and answers
How many deficiencies has Generations At Applewood been cited for?
66 health deficiencies across the three most recent survey cycles, 19 at the actual-harm or immediate-jeopardy level. The Illinois median is 34 per facility.
Has Generations At Applewood been fined?
Yes. CMS lists fines totalling $522K in the period covered, plus 2 payment denials.
How does staffing at Generations At Applewood compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Illinois median of 3.3 and a national average of 3.9.
Who operates Generations At Applewood?
It is part of the Generations Healthcare Network chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Barrish Group Limited Partnership. Individual owners and managers are not listed on this site.
When was Generations At Applewood last inspected?
The most recent survey or investigation in the CMS record is dated 2 Jul 2026; the most recent standard health survey was 9 May 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.