Quick answers
- Where is Generations at Applewood?
- 21020 Kostner Avenue, Matteson, IL 60443, in Cook County, Illinois.
- What is the phone number of Generations at Applewood?
- (708) 747-1300, as listed by Medicare (CMS).
- What is the Medicare star rating of Generations at Applewood?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Generations at Applewood been fined?
- Medicare lists 6 fines totaling $497,570 and 2 payment denials.
- What did inspectors find at Generations at Applewood?
- In its last three inspection cycles (September 1, 2023 to July 2, 2026), Medicare lists 66 health citations; the most serious was level J. 19 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (September 1, 2023 to July 2, 2026), Generations at Applewood had 66 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 19 of them were level G or higher (actual harm or immediate jeopardy). It was fined $497,570 in total (6 fines, the latest on January 23, 2026) and had 2 Medicare payment denials. Nurse staffing is 3.39 hours per resident per day; the Illinois average is 3.47 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: May 9, 2025 — 26 health citations
Inspections in this cycle: May 9, 2025 (standard health inspection); November 18, 2025 (complaint investigation); January 23, 2026 (complaint investigation); February 13, 2026 (complaint investigation); May 8, 2026 (complaint investigation); July 1, 2026 (complaint investigation); July 2, 2026 (complaint investigation).
F0684 Level G
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0686 Level G
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0684 Level G
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0697 Level G
“Provide safe, appropriate pain management for a resident who requires such services.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0686 Level G
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0686 Level G
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 18 less serious citations (levels A to F)
F0600 Level E
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0558 Level E
“Reasonably accommodate the needs and preferences of each resident.”
F0609 Level E
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0919 Level D
“Make sure that a working call system is available in each resident's bathroom and bathing area.”
F0605 Level D
“Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0745 Level D
“Provide medically-related social services to help each resident achieve the highest possible quality of life.”
F0808 Level D
“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.”
F0825 Level D
“Provide or get specialized rehabilitative services as required for a resident.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Previous cycle: June 28, 2024 — 15 health citations
Inspections in this cycle: June 28, 2024 (standard health inspection); November 7, 2024 (complaint investigation); December 18, 2024 (complaint investigation); December 30, 2024 (complaint investigation); January 15, 2025 (complaint investigation); February 20, 2025 (complaint investigation); March 14, 2025 (complaint investigation); March 28, 2025 (complaint investigation); May 29, 2025 (complaint investigation); July 8, 2025 (complaint investigation).
F0684 Level G
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0711 Level G
“Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.”
actual harm to residents; isolated (a few residents) · Nursing and Physician Services Deficiencies
F0686 Level G
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 10 less serious citations (levels A to F)
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0572 Level D
“Give residents a notice of rights, rules, services and charges.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0688 Level D
“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.”
Earlier cycle: September 1, 2023 — 25 health citations
Inspections in this cycle: September 1, 2023 (standard health inspection); December 19, 2023 (complaint investigation); April 8, 2024 (complaint investigation); May 30, 2024 (complaint investigation); June 28, 2024 (complaint investigation).
F0678 Level J
“Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0692 Level G
“Provide enough food/fluids to maintain a resident's health.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0684 Level G
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 19 less serious citations (levels A to F)
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0557 Level E
“Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.”
F0558 Level E
“Reasonably accommodate the needs and preferences of each resident.”
F0584 Level E
“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.”
F0558 Level E
“Reasonably accommodate the needs and preferences of each resident.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0578 Level D
“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.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0688 Level D
“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.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0760 Level D
“Ensure that residents are free from significant medication errors.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (27)
K0133 Level F
“Install a two-hour-resistant firewall separation.”
K0915 Level F
“Have proper power supply for life support equipment.”
K0211 Level E
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0222 Level E
“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.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0911 Level E
“Meet requirements for the installation and maintenance of electrical systems.”
E0015 Level F
“Address subsistence needs for staff and patients.”
E0022 Level F
“Establish policies and procedures for sheltering.”
E0037 Level F
“Establish staff and initial training requirements.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0133 Level F
“Install a two-hour-resistant firewall separation.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0901 Level F
“Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.”
K0916 Level F
“Have a battery powered remote alarm panel in a location accessible by operating personnel.”
K0222 Level E
“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.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0355 Level E
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0915 Level E
“Have proper power supply for life support equipment.”
K0920 Level E
“Ensure proper usage of power strips and extension cords.”
K0929 Level E
“Ensure precautions for handling oxygen cylinders and equipment are correctly followed.”
K0131 Level F
“Meet requirements for sections of health care facilities separated by fire resistive construction.”
K0211 Level E
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0351 Level E
“Install an approved automatic sprinkler system.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0374 Level E
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
K0920 Level E
“Ensure proper usage of power strips and extension cords.”
K0923 Level E
“Have proper medical gas storage and administration areas.”
Fines and payment denials
Total fines over about the last three years: $497,570 (6 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| January 23, 2026 | Fine | $44,532 |
| May 9, 2025 | Fine | $135,502 |
| May 9, 2025 | Payment denial | from June 6, 2025, 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 | from May 7, 2024, 55 days |
| December 19, 2023 | Fine | $108,766 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Illinois | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.86 | 0.71 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.57 | 0.64 | 0.86 |
| Nurse aide hours per resident per day | 1.96 | 2.12 | 2.35 |
| Total nurse staff hours per resident per day | 3.39 | 3.47 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.97 | 3.08 | 3.43 |
| RN hours per resident per day on the weekend | 0.70 | 0.55 | 0.48 |
| Nursing staff turnover (per year) | 58.2% | 43.7% | 45.3% |
| RN turnover (per year) | 67.4% | 41.5% | 42.5% |
| Administrators who left in the last year | 1.0 | 0.5 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 4 nursing homes: Generations Healthcare Network.
Legal business name: Generations at Applewood, LLC.
Owners and managers Medicare lists (5)
| Name | Role | Share | Since |
|---|---|---|---|
| Barrish Group Limited Partnership | Direct owner | 11% | March 1, 2011 |
| Bryan Barrish Trust DTD 9/1/04 | Direct owner | 11% | March 1, 2011 |
| Ralph Gesualdo Childrens Trust | Direct owner | 11% | March 1, 2011 |
| Barrish, Bryan | Direct owner | 11% | March 1, 2011 |
| Gesualdo, Ralph | Direct owner | 11% | March 1, 2011 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 154 |
| Average residents per day | 125.9 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Generations Healthcare Network |
| Legal business name | Generations at Applewood, LLC |
| First approved by Medicare/Medicaid | 1993-12-22 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 21020 Kostner Avenue, Matteson, IL 60443 |
| County | Cook County |
| State | Illinois |
| Phone | (708) 747‑1300 |
| CMS Certification Number | 145781 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Landmark of Richton Park Rehab & Nursing Center2.3 mi · Richton Park, IL · 1 of 5 stars
- Aperion Care Chicago Heights3.1 mi · Chicago Heights, IL · 2 of 5 stars
- Elevate Care Country Club Hill3.6 mi · Country Club Hills, IL · 2 of 5 stars
- Prairie Manor Nursing & Rehab Center3.8 mi · Chicago Heights, IL · 4 of 5 stars
- Frankfort Terrace4.0 mi · Frankfort, IL · 5 of 5 stars
Nearest hospital emergency rooms
- Franciscan Health Olympia & Chicago Heights1.3 mi · Olympia Fields, IL · Acute Care Hospital
- Ingalls Memorial Hospital7.7 mi · Harvey, IL · Acute Care Hospital
- Franciscan Health Dyer10 mi · Dyer, IN · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13