nursing home in Matteson, IL
Generations at Applewood
21020 Kostner Avenue, Matteson, IL 60443 · (708) 747-1300
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★2
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Generations at Applewood at a glance
Generations at Applewood is a 154-bed for-profit nursing home in Matteson, Illinois (Cook County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Illinois average of 2.5.
Residents receive about 3.3 hours of nursing care per day (1 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (May 9, 2025) found 26 health citations. The Illinois average is 12.5.
Federal regulators fined it 6 times in the past three years, totaling $497,570.
Nursing staff turnover is 55.9% per year (state average 44.5%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 154
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Generations Healthcare Network
- Medicare-certified since
- December 22, 1993
- Resident/family council
- Resident
- County
- Cook County
- CMS Certification Number
- 145781
Ratings
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.5 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.1 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 2.5 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.31 hrs | 3.45 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.96 hrs | 0.72 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 1.94 hrs | 2.09 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.92 hrs | 3.07 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 55.9% | 44.5% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 65.9% | 41.8% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 26 | 12 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 16 | 5 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 278.8 | 143 | 80.6 | Worse |
Penalties
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 6 | 2 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $497,570 | $111,013 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 8 | 3 | 1 | Worse |
Size
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 154 | 128 | 107 | |
| Average residents per day | 129 | 95 | 86 | |
| Occupancy | 83.7% | 75% | 80.9% |
Long-stay residents
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.9% | 3.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 16.5% | 4.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 1.2% | 21.7% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.3% | 1.5% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.5% | 0.9% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 11% | 13.4% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 15.6% | 14.3% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 10.9% | 6.3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 61.7% | 54.2% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0.2% | 0.1% | 0.1% | Worse |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 9.9% | 18.3% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 18.5% | 20.6% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 96.3% | 91.8% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.8% | 90.3% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 76.3% | 63.1% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 90.3% | 69.7% | 82% | Better |
Inspection citations
State inspectors cited this home for 66 health deficiencies and 27 fire safety deficiencies in the inspection records CMS currently publishes. 19 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 2, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected August 1, 2026 |
| July 2, 2026 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected August 1, 2026 |
| July 1, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected July 2, 2026 |
| July 1, 2026 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected July 2, 2026 |
| May 8, 2026 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | G Actual harm, isolated | Corrected June 3, 2026 |
| May 8, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected June 3, 2026 |
| May 8, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | E Potential harm, pattern | Corrected June 3, 2026 |
| May 8, 2026 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected June 3, 2026 |
| May 8, 2026 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected June 3, 2026 |
| February 13, 2026 Complaint | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | E Potential harm, pattern | Corrected February 20, 2026 |
| February 13, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected February 20, 2026 |
| February 13, 2026 Complaint | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | D Potential harm, isolated | Corrected February 20, 2026 |
| January 23, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected February 20, 2026 |
| January 23, 2026 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected February 16, 2026 |
| November 18, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | E Potential harm, pattern | Corrected November 19, 2025 |
| November 18, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected November 19, 2025 |
| July 8, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected August 1, 2025 |
| May 29, 2025 Complaint | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Tag F0711 | G Actual harm, isolated | Deficient, Provider has plan of correction |
| May 9, 2025 Fire safety | Install a two-hour-resistant firewall separation. Construction Deficiencies · Tag K0133 | F Potential harm, widespread | Corrected May 7, 2025 |
| May 9, 2025 Fire safety | Have proper power supply for life support equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0915 | F Potential harm, widespread | Corrected May 14, 2025 |
| May 9, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected May 7, 2025 |
| May 9, 2025 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | E Potential harm, pattern | Corrected May 7, 2025 |
| May 9, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected May 7, 2025 |
| May 9, 2025 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected May 7, 2025 |
| May 9, 2025 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected June 4, 2025 |
| May 9, 2025 Standard | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Tag F0825 | D Potential harm, isolated | Corrected June 4, 2025 |
| May 9, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 4, 2025 |
| May 9, 2025 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0808 | D Potential harm, isolated | Corrected June 4, 2025 |
| May 9, 2025 Standard | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Tag F0745 | D Potential harm, isolated | Corrected June 4, 2025 |
| May 9, 2025 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected June 4, 2025 |
| May 9, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected August 1, 2025 |
| May 9, 2025 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected June 4, 2025 |
| May 9, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 4, 2025 |
| May 9, 2025 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected June 4, 2025 |
| March 28, 2025 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected April 17, 2025 |
| March 14, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected April 4, 2025 |
| February 20, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected February 28, 2025 |
| January 15, 2025 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected February 5, 2025 |
| January 15, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected February 5, 2025 |
| December 30, 2024 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected January 6, 2025 |
| December 30, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected January 6, 2025 |
| December 30, 2024 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected January 6, 2025 |
| December 18, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected December 4, 2024 |
| November 7, 2024 Complaint | Give residents a notice of rights, rules, services and charges. Resident Rights Deficiencies · Tag F0572 | D Potential harm, isolated | Corrected November 18, 2024 |
| June 28, 2024 Fire safety | Install a two-hour-resistant firewall separation. Construction Deficiencies · Tag K0133 | F Potential harm, widespread | Corrected July 9, 2024 |
| June 28, 2024 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | F Potential harm, widespread | Corrected July 9, 2024 |
| June 28, 2024 Fire safety | Establish policies and procedures for sheltering. Emergency Preparedness Deficiencies · Tag E0022 | F Potential harm, widespread | Corrected July 9, 2024 |
| June 28, 2024 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | F Potential harm, widespread | Corrected July 9, 2024 |
| June 28, 2024 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected July 9, 2024 |
| June 28, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected July 9, 2024 |
| June 28, 2024 Fire safety | Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. Electrical Deficiencies · Tag K0901 | F Potential harm, widespread | Corrected July 15, 2024 |
| June 28, 2024 Fire safety | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0916 | F Potential harm, widespread | Corrected July 9, 2024 |
| June 28, 2024 Fire safety | Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0929 | E Potential harm, pattern | Corrected July 9, 2024 |
| June 28, 2024 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected July 9, 2024 |
| June 28, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected July 9, 2024 |
| June 28, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected July 9, 2024 |
| June 28, 2024 Fire safety | Have proper power supply for life support equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0915 | E Potential harm, pattern | Corrected August 5, 2024 |
| June 28, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected July 9, 2024 |
| June 28, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected July 1, 2024 |
| June 28, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected July 1, 2024 |
| June 28, 2024 Standard | 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. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected July 1, 2024 |
| May 30, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected July 1, 2024 |
| May 30, 2024 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | G Actual harm, isolated | Corrected June 4, 2024 |
| May 30, 2024 Complaint | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected June 4, 2024 |
| May 30, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected June 4, 2024 |
| April 8, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected July 1, 2024 |
| December 19, 2023 Complaint | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Tag F0678 | J Immediate jeopardy, isolated | Corrected December 29, 2023 |
| December 19, 2023 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected December 29, 2023 |
| December 19, 2023 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected December 29, 2023 |
| December 19, 2023 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected December 29, 2023 |
| December 19, 2023 Complaint | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Tag F0557 | E Potential harm, pattern | Corrected December 29, 2023 |
| December 19, 2023 Complaint | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | E Potential harm, pattern | Corrected December 29, 2023 |
| December 19, 2023 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected December 29, 2023 |
| December 19, 2023 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected December 29, 2023 |
| September 1, 2023 Fire safety | Meet requirements for sections of health care facilities separated by fire resistive construction. Construction Deficiencies · Tag K0131 | F Potential harm, widespread | Corrected September 22, 2023 |
| September 1, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected September 22, 2023 |
| September 1, 2023 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected September 22, 2023 |
| September 1, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected September 22, 2023 |
| September 1, 2023 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected September 22, 2023 |
| September 1, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected September 22, 2023 |
| September 1, 2023 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected September 22, 2023 |
| September 1, 2023 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | E Potential harm, pattern | Corrected September 22, 2023 |
| September 1, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected September 22, 2023 |
| September 1, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected September 22, 2023 |
| September 1, 2023 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected September 22, 2023 |
| September 1, 2023 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected September 22, 2023 |
| September 1, 2023 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected September 22, 2023 |
| September 1, 2023 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected September 22, 2023 |
| September 1, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected September 22, 2023 |
| September 1, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected September 22, 2023 |
| September 1, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected September 22, 2023 |
| September 1, 2023 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected September 22, 2023 |
| September 1, 2023 Standard | 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. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected September 22, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 8 federal penalties in the past three years, including $497,570 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| January 23, 2026 | Fine | $44,532 |
| May 9, 2025 | Payment Denial | 56 days from June 6, 2025 |
| May 9, 2025 | Fine | $135,502 |
| January 15, 2025 | Fine | $33,040 |
| December 18, 2024 | Fine | $14,050 |
| April 8, 2024 | Payment Denial | 55 days from May 7, 2024 |
| April 8, 2024 | Fine | $161,680 |
| December 19, 2023 | Fine | $108,766 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BARRISH, BRYAN Individual | 5% or greater direct ownership interest | 11% | 03/01/2011 |
| BARRISH GROUP LIMITED PARTNERSHIP Organization | 5% or greater direct ownership interest | 11% | 03/01/2011 |
| BRYAN BARRISH TRUST DTD 9/1/04 Organization | 5% or greater direct ownership interest | 11% | 03/01/2011 |
| GESUALDO, RALPH Individual | 5% or greater direct ownership interest | 11% | 03/01/2011 |
| RALPH GESUALDO CHILDRENS TRUST Organization | 5% or greater direct ownership interest | 11% | 03/01/2011 |
| WINTER, THOMAS Individual | corporate director | NOT APPLICABLE | 03/01/2011 |
| WINTER, THOMAS Individual | operational/managerial control | NOT APPLICABLE | 04/01/2020 |
| RUIZ, REGINA Individual | w-2 managing employee | NOT APPLICABLE | 01/27/2020 |
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Frequently asked questions
What is Generations at Applewood's rating?
Generations at Applewood has 1 out of 5 stars on the CMS overall star rating. The average for Illinois nursing homes is 2.5 stars.
How many inspection citations did Generations at Applewood receive?
Its most recent standard health inspection found 26 citations, compared with a Illinois average of 12.5. Every citation is listed on this page with its severity.
Does Generations at Applewood accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Generations at Applewood?
It is for profit - limited liability company and part of Generations Healthcare Network. The ownership section on this page lists the owners and managers reported to CMS.
Where is Generations at Applewood and how do I contact it?
Generations at Applewood is at 21020 Kostner Avenue, Matteson, IL 60443. Phone: (708) 747-1300.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.