NursingHomes.us
StatesRankingsCompare

Browse

  • All States
  • Rankings
  • Compare

Resources

  • About Us
  • Data Sources
  • Contact

About

  • About Us
  • Data Sources
  • Contact
  • Privacy Policy
  • Terms of Use

Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeIllinoisGenerations at Applewood

Generations at Applewood

21020 Kostner Avenue, Matteson, IL 604437087471300
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
2/5
Quality
4/5
Beds
154
certified
5 fine(s) totaling $521,986

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 154 certified beds with an average of 120.8 residents per day (78% occupancy)

• Last health inspection found 17 deficiencies (inspected May 9, 2025)

• Has been fined a total of $521,986 across 5 fine(s)

• Total nursing staff: 3.75 hours per resident per day

• Staff turnover rate: 45.8%

• Part of the Generations Healthcare chain (33 facilities)

Generations at Applewood is a 2-star Medicare and Medicaid certified nursing home in Matteson, Illinois with 154 certified beds. It has been operating since 1993. The facility scored below average compared to Illinois facilities.

Beds
154
Avg Residents/Day
120.8
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)
17
Weighted Score
176.8
Infection Citations
0

Deficiency Citations (55)

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
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: 1
F0686Potential for Harm

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

Survey: Mar 28, 2025Corrected: NoCycle: 1
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: 1
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: 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
F0686Actual Harm

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

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
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
F0755Potential for Harm

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

Survey: Dec 30, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 30, 2024Corrected: NoCycle: 2
F0689Actual Harm

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

Survey: Dec 18, 2024Corrected: NoCycle: 2
F0572Potential for Harm

Give residents a notice of rights, rules, services and charges.

Survey: Nov 7, 2024Corrected: NoCycle: 2
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: May 30, 2024Corrected: NoCycle: 2
F0689Actual Harm

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

Survey: May 30, 2024Corrected: NoCycle: 2
F0692Actual Harm

Provide enough food/fluids to maintain a resident's health.

Survey: May 30, 2024Corrected: NoCycle: 2
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: May 30, 2024Corrected: NoCycle: 2
F0689Actual Harm

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

Survey: Apr 8, 2024Corrected: NoCycle: 2
F0684Potential for Harm

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

Survey: Jun 28, 2024Corrected: NoCycle: 2

+ 25 more deficiencies

Total Fines
$521,986
Number of Fines
5
Payment Denials
2
Total Penalties
7

Penalty History

FineDec 18, 2024
$14,050
FineJan 15, 2025
$33,040
FineDec 19, 2023
$108,766
FineApr 8, 2024
$161,680
FineMay 9, 2025
$204,450
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 Aide2.18 hrs
National avg: 2.35 hrs
LPN0.63 hrs
National avg: 0.86 hrs
RN0.94 hrs
National avg: 0.68 hrs
Total Nursing3.75 hrs
National avg: 3.89 hrs
Weekend Total3.26 hrs
National avg: 0.00 hrs
Physical Therapist0.03 hrs
National avg: 0.07 hrs
Total Turnover
45.8%
RN Turnover
53.3%
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 (9)

NameRoleTypeOwnership %Since
ATIED ASSOCIATES LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization31%Mar 1, 2011
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
WINTER, THOMASOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2020
WINTER, THOMASCORPORATE DIRECTORIndividualN/AMar 1, 2011
RUIZ, REGINAW-2 MANAGING EMPLOYEEIndividualN/AJan 27, 2020

Frequently Asked Questions

What is the CMS rating for Generations at Applewood?▾
Generations at Applewood has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 2/5, and quality measures rating of 4/5. This facility is rated below average.
Has Generations at Applewood had any health inspection violations?▾
Generations at Applewood had 17 deficiency citations in its most recent health inspection (May 9, 2025). The facility has been fined a total of $521,986 across 5 fine(s).
What are the staffing levels at Generations at Applewood?▾
Generations at Applewood provides 3.75 total nursing staff hours per resident per day, including 0.94 RN hours, 0.63 LPN hours, and 2.18 nurse aide hours. The total staff turnover rate is 45.8%.
How many beds does Generations at Applewood have?▾
Generations at Applewood has 154 certified beds with an average of 120.8 residents per day, resulting in approximately 78% occupancy. The facility is For profit - Limited Liability company owned and is part of the Generations Healthcare chain.

Part of Generations Healthcare

This chain operates 33 facilities. View all →