Nursing homes › Illinois › Generations at Applewood
21020 Kostner Avenue, Matteson, IL 60443 · 7087471300 · 154 certified beds
Per CMS filings, this facility is affiliated with Generations Healthcare Network, a group operating 4 facilities in 2 states. Group record: average rating 2.5/5, 1 abuse citation icons, 0 facilities on the Special Focus list, $867,005 in federal fines. This facility rates below its group average (2.5/5).
Total nurse staffing: 3.31 (Illinois median: 3.29). RN hours: 0.96. Weekend total: 2.92. Nursing staff turnover: 56%.
All-time on record: 62 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-08 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | Deficient, Provider has no plan of correction |
| 2026-05-08 | Provide safe, appropriate pain management for a resident who requires such services. | G | complaint | Deficient, Provider has no plan of correction |
| 2026-05-08 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | complaint | Deficient, Provider has no plan of correction |
| 2026-05-08 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | Deficient, Provider has no plan of correction |
| 2026-05-08 | 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 | Deficient, Provider has no plan of correction |
| 2026-02-13 | Reasonably accommodate the needs and preferences of each resident. | E | complaint | corrected 2026-02-20 |
| 2026-02-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2026-02-20 |
| 2026-02-13 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | complaint | corrected 2026-02-20 |
| 2026-01-23 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2026-02-16 |
| 2026-01-23 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2026-02-20 |
| 2025-11-18 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | complaint | corrected 2025-11-19 |
| 2025-11-18 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | complaint | corrected 2025-11-19 |
| 2025-07-08 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | complaint | corrected 2025-08-01 |
| 2025-05-29 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | G | complaint | Deficient, Provider has plan of correction |
| 2025-05-09 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Health | corrected 2025-06-04 |
| 2025-05-09 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Health | corrected 2025-06-04 |
| 2025-05-09 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-06-04 |
| 2025-05-09 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-06-04 |
| 2025-05-09 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-08-01 |
| 2025-05-09 | 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 | Health | corrected 2025-06-04 |
| 2025-05-09 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Health | corrected 2025-06-04 |
| 2025-05-09 | 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 | Health | corrected 2025-06-04 |
| 2025-05-09 | Provide or get specialized rehabilitative services as required for a resident. | D | Health | corrected 2025-06-04 |
| 2025-05-09 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-06-04 |
| 2025-03-28 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2025-04-17 |
| 2025-03-14 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-04-04 |
| 2025-02-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-02-28 |
| 2025-01-15 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2025-02-05 |
| 2025-01-15 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-02-05 |
| 2024-12-30 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2025-01-06 |
| 2024-12-30 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-01-06 |
| 2024-12-30 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-01-06 |
| 2024-12-18 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-12-04 |
| 2024-11-07 | Give residents a notice of rights, rules, services and charges. | D | complaint | corrected 2024-11-18 |
| 2024-06-28 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-07-01 |
| 2024-06-28 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2024-07-01 |
| 2024-06-28 | 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 | Health | corrected 2024-07-01 |
| 2024-05-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-07-01 |
| 2024-05-30 | Provide enough food/fluids to maintain a resident's health. | G | complaint | corrected 2024-06-04 |
| 2024-05-30 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | complaint | corrected 2024-06-04 |
| Date | Type | Amount |
|---|---|---|
| 2026-01-23 | Fine | $68,510 |
| 2025-05-09 | Fine | $132,893 |
| 2025-05-09 | Payment Denial | 56 days payment denial |
| 2025-01-15 | Fine | $33,040 |
| 2024-12-18 | Fine | $14,050 |
| 2024-04-08 | Fine | $161,680 |
| 2024-04-08 | Payment Denial | 55 days payment denial |
| 2023-12-19 | Fine | $108,766 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| BARRISH GROUP LIMITED PARTNERSHIP | 5% Or Greater Direct Ownership Interest | Organization | 11% | since 03/01/2011 |
| BRYAN BARRISH TRUST DTD 9/1/04 | 5% Or Greater Direct Ownership Interest | Organization | 11% | since 03/01/2011 |
| RALPH GESUALDO CHILDRENS TRUST | 5% Or Greater Direct Ownership Interest | Organization | 11% | since 03/01/2011 |
| BARRISH, BRYAN | 5% Or Greater Direct Ownership Interest | Individual | 11% | since 03/01/2011 |
| GESUALDO, RALPH | 5% Or Greater Direct Ownership Interest | Individual | 11% | since 03/01/2011 |
| WINTER, THOMAS | Corporate Director | Individual | NOT APPLICABLE | since 03/01/2011 |
| WINTER, THOMAS | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2020 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 145781. Corrections: data@carerecords.org.