Generations at Applewood
21020 Kostner Avenue · Matteson, IL · 60443 · 7087471300
154 certified beds For profit - Limited Liability company Chain: Generations Healthcare Network
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $248,493 in fines in the last 24 months.
- 14 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
4 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$248,493 in federal fines in the last 24 months
4 fines — CMS fines are reserved for verified, serious non-compliance.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.62 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.09 | 0.55–0.75 |
| Weekend hours / resident-day | 3.09 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | 6 · $518,939 |
Inspection citations (60 in the current record)
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Potential for harm · E February 13, 2026 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected February 20, 2026 · Resident Rights
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Potential for harm · D February 13, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 20, 2026 · Quality of Life and Care
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Potential for harm · D February 13, 2026 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected February 20, 2026 · Environmental
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Actual harm · G January 23, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 16, 2026 · Quality of Life and Care
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Actual harm · G January 23, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 20, 2026 · Quality of Life and Care
-
Potential for harm · E November 18, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E November 18, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 19, 2025 · Resident Assessment and Care Planning
-
Actual harm · G July 8, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 1, 2025 · Quality of Life and Care
-
Actual harm · G May 29, 2025 · found via complaint
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Deficient, Provider has plan of correction · Nursing and Physician Services
-
Actual harm · G May 9, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 4, 2025 · Quality of Life and Care
-
Potential for harm · D May 9, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected June 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 9, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 4, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D May 9, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 4, 2025 · Quality of Life and Care
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Potential for harm · D May 9, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 1, 2025 · Quality of Life and Care
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Potential for harm · D May 9, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected June 4, 2025 · Quality of Life and Care
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Potential for harm · D May 9, 2025
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected June 4, 2025 · Quality of Life and Care
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Potential for harm · D May 9, 2025
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.
Corrected June 4, 2025 · Nutrition and Dietary
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Potential for harm · D May 9, 2025
Provide or get specialized rehabilitative services as required for a resident.
Corrected June 4, 2025 · Quality of Life and Care
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Potential for harm · D May 9, 2025
Provide and implement an infection prevention and control program.
Corrected June 4, 2025 · Infection Control
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Potential for harm · D March 28, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 17, 2025 · Quality of Life and Care
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Potential for harm · D March 14, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 4, 2025 · Pharmacy Service
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Potential for harm · D February 20, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 28, 2025 · Quality of Life and Care
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Actual harm · G January 15, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 5, 2025 · Quality of Life and Care
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Potential for harm · D January 15, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 5, 2025 · Infection Control
-
Potential for harm · D December 30, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 6, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 23, 2026 | Fine | $68,510 |
| May 9, 2025 | Fine | $132,893 |
| May 9, 2025 | Payment Denial | 56 days |
| January 15, 2025 | Fine | $33,040 |
| December 18, 2024 | Fine | $14,050 |
| April 8, 2024 | Fine | $161,680 |
| April 8, 2024 | Payment Denial | 55 days |
| December 19, 2023 | Fine | $108,766 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145781 · certified since December 22, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.