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HomeIllinoisGenerations at Applewood

Generations at Applewood

21020 Kostner Avenue, Matteson, IL 604437087471300WebsiteGoogle Maps
2.6on Google(55 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
2/5
Quality
4/5
Beds
154
certified
6 fine(s) totaling $518,939

How Generations at Applewood Compares in Illinois

Facility results compared with averages for CMS-certified nursing homes in Illinois. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
IL average
2.6/5
Below state average
Health inspection rating
1/5
IL average
2.7/5
Below state average
Staffing rating
2/5
IL average
2.1/5
Close to state average
Nursing hours per resident
3.31 hrs/day
IL average
3.44 hrs/day
Close to state average
RN hours per resident
0.96 hrs/day
IL average
0.71 hrs/day
Above state average
Staff turnover
55.9%
IL average
44.4%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Illinois average of 2.6/5.
Its 1/5 health inspection rating is below the Illinois average of 2.7/5.
Reported RN time is 0.96 hours per resident per day, above the state average of 0.71.
Staff turnover is 55.9%, higher than the Illinois average of 44.4%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
27
deficiency citations
Inspected Jun 28, 2024
Most recent cycle
21
deficiency citations
Inspected May 9, 2025
The most recent cycle recorded 6 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$6,844/mo
Illinois median
Private Room
$8,122/mo
Illinois median
Cook County 65+
793,931
15.2% of county
County Population
5,225,367
Cook County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Generations at Applewood is a 1-star Medicare and Medicaid certified nursing home in Matteson, Illinois with 154 certified beds. It has been operating since 1993. Its overall CMS rating is 1 out of 5.

Beds
154
Avg Residents/Day
128.9
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Dec 22, 1993
Sprinklers
Yes
Council
Resident
County
Cook
Last Inspection
May 9, 2025
Deficiencies (Cycle 1)
21
Weighted Score
219.8
Infection Citations
0

Deficiency Citations (62)

F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: May 8, 2026Corrected: NoCycle: 1
F0697Actual Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey: May 8, 2026Corrected: NoCycle: 1
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: May 8, 2026Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: May 8, 2026Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: May 8, 2026Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Feb 13, 2026Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Feb 13, 2026Corrected: NoCycle: 1
F0919Potential for Harm

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey: Feb 13, 2026Corrected: NoCycle: 1
F0686Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Jan 23, 2026Corrected: NoCycle: 1
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jan 23, 2026Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Nov 18, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Nov 18, 2025Corrected: NoCycle: 1
F0684Actual Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Jul 8, 2025Corrected: NoCycle: 1
F0686Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: May 9, 2025Corrected: NoCycle: 1
F0605Potential for Harm

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Survey: May 9, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: May 9, 2025Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: May 9, 2025Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: May 9, 2025Corrected: NoCycle: 1
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: May 9, 2025Corrected: NoCycle: 1
F0745Potential for Harm

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Survey: May 9, 2025Corrected: NoCycle: 1
F0808Potential for Harm

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.

Survey: May 9, 2025Corrected: NoCycle: 1
F0825Potential for Harm

Provide or get specialized rehabilitative services as required for a resident.

Survey: May 9, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 9, 2025Corrected: NoCycle: 1
F0711Actual Harm

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Survey: May 29, 2025Corrected: NoCycle: 2
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Mar 28, 2025Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Mar 14, 2025Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Feb 20, 2025Corrected: NoCycle: 2
F0686Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Jan 15, 2025Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 15, 2025Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Dec 30, 2024Corrected: NoCycle: 2

+ 32 more deficiencies

Total Fines
$518,939
Number of Fines
6
Payment Denials
2
Total Penalties
8

Penalty History

FineDec 18, 2024
$14,050
FineJan 15, 2025
$33,040
FineJan 23, 2026
$68,510
FineDec 19, 2023
$108,766
FineMay 9, 2025
$132,893
FineApr 8, 2024
$161,680
Payment DenialMay 9, 2025
56 days denied
Payment DenialApr 8, 2024
55 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.94 hrs
National avg: 2.32 hrs
LPN0.42 hrs
National avg: 0.86 hrs
RN0.96 hrs
National avg: 0.69 hrs
Total Nursing3.31 hrs
National avg: 3.86 hrs
Weekend Total2.92 hrs
National avg: 0.00 hrs
Physical Therapist0.06 hrs
National avg: 0.07 hrs
Total Turnover
55.9%
RN Turnover
65.9%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (8)

NameRoleTypeOwnership %Since
BARRISH GROUP LIMITED PARTNERSHIP5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization11%Mar 1, 2011
BRYAN BARRISH TRUST DTD 9/1/045% OR GREATER DIRECT OWNERSHIP INTERESTOrganization11%Mar 1, 2011
RALPH GESUALDO CHILDRENS TRUST5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization11%Mar 1, 2011
BARRISH, BRYAN5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual11%Mar 1, 2011
GESUALDO, RALPH5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual11%Mar 1, 2011
RUIZ, REGINAW-2 MANAGING EMPLOYEEIndividualN/AJan 27, 2020
WINTER, THOMASCORPORATE DIRECTORIndividualN/AMar 1, 2011
WINTER, THOMASOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2020

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Generations at Applewood and nearby alternatives.

All Illinois facilities
Generations at Applewood
Matteson, ILCurrent facility
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $518,939
Landmark of Richton Park Rehab & Nsg Ctr
Richton Park, IL2.3 miAbuse flag
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $519,652
Aperion Care Chicago Heights
Chicago Heights, IL3.1 miAbuse flag
CMS
2/5
Health
2/5
Staffing
1/5
Recorded fines: $21,934
Elevate Care Country Club Hill
Country Club Hills, IL3.6 mi
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $436,375
Prairie Manor Nrsg & Rehab Ctr
Chicago Heights, IL3.8 mi
CMS
4/5
Health
4/5
Staffing
1/5
Recorded fines: None
Frankfort Terrace
Frankfort, IL4.0 mi
CMS
3/5
Health
2/5
Staffing
3/5
Recorded fines: None
Bria of Chicago Heights
South Chicago Height, IL4.4 miAbuse flag
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $165,764
FacilityDistanceCMSHealthStaffingRecorded fines
Generations at Applewood
Matteson, IL · Current facility
—1/51/52/5$518,939
Landmark of Richton Park Rehab & Nsg Ctr
Richton Park, IL
2.3 mi1/52/51/5$519,652
Aperion Care Chicago Heights
Chicago Heights, IL
3.1 mi2/52/51/5$21,934
Elevate Care Country Club Hill
Country Club Hills, IL
3.6 mi2/52/52/5$436,375
Prairie Manor Nrsg & Rehab Ctr
Chicago Heights, IL
3.8 mi4/54/51/5None recorded
Frankfort Terrace
Frankfort, IL
4.0 mi3/52/53/5None recorded
Bria of Chicago Heights
South Chicago Height, IL
4.4 mi1/52/51/5$165,764

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Generations at Applewood?▾
Generations at Applewood has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 2/5, and quality measures rating of 4/5. This facility is rated below average.
How much does Generations at Applewood cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Illinois is $6,844/month for a semi-private room and $8,122/month for a private room (Genworth/CareScout 2024). Generations at Applewood participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Generations at Applewood had any health inspection violations?▾
Generations at Applewood had 21 deficiency citations in its most recent health inspection (May 9, 2025). The current CMS dataset records 6 fine(s) totaling $518,939.
What are the staffing levels at Generations at Applewood?▾
Generations at Applewood provides 3.31 total nursing staff hours per resident per day, including 0.96 RN hours, 0.42 LPN hours, and 1.94 nurse aide hours. The total staff turnover rate is 55.9%.
How many beds does Generations at Applewood have?▾
Generations at Applewood has 154 certified beds with an average of 128.9 residents per day, resulting in approximately 84% occupancy. The facility is For profit - Limited Liability company owned and is part of the Generations Healthcare Network chain.
Are there other nursing homes near Generations at Applewood?▾
Yes. This page lists 6 nearby nursing homes in Illinois. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Generations at Applewood?▾
On Google Maps, Generations at Applewood has a rating of 2.6 out of 5 based on 55 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Generations Healthcare Network

This chain operates 4 facilities. View all →