Generations at Applewood
Nursing Home · Matteson, IL
CMS certification number145781
Contact & location
21020 Kostner AvenueMatteson, IL 60443
Cook County
- Phone
- (708) 747-1300
- ZIP code
- 60443 – all care providers
Facility details
- Certified beds
- 154
- Residents per day
- 128.9 (84% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Generations at Applewood, LLC
- Chain
- Generations Healthcare Network (4 facilities, avg 2.5★)
- Medicare certified since
- December 22, 1993
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.31 (state 3.45 · U.S. 3.86)
- Registered nurses (RN)
- 0.96 (state 0.72 · U.S. 0.69)
- Licensed practical nurses
- 0.42 (state 0.64 · U.S. 0.86)
- Nurse aides
- 1.94 (state 2.09 · U.S. 2.32)
- Weekend total
- 2.92 (state 3.08 · U.S. 3.42)
- Nursing staff turnover
- 55.9 (state 44.5 · U.S. 45.8)%
- RN turnover
- 65.9 (state 41.8 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- May 9, 2025
- Health deficiencies (last cycle)
- 24.0 (state 12.5 · U.S. 9.3)
- From complaints
- 14
- Citations on record (3 years)
- 60 health · 20 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-07-02 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Deficient, Provider has no plan of correction |
| 2026-07-02 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Deficient, Provider has no plan of correction |
| 2026-07-01 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-07-02 |
| 2026-07-01 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-02 |
| 2026-05-08 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-06-03 |
| 2026-05-08 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-06-03 |
| 2026-05-08 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-03 |
| 2026-05-08 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-03 |
| 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. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-03 |
| 2026-02-13 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
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. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-20 |
| 2026-02-13 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-20 |
| 2026-01-23 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
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. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-02-20 |
| 2025-11-18 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
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. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-11-19 |
| 2025-07-08 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
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. F0711 · Nursing and Physician Services Deficiencies · complaint inspection |
G Actual harm |
Deficient, Provider has plan of correction |
| 2025-05-09 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
G Actual harm |
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. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-04 |
| 2025-05-09 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-04 |
| 2025-05-09 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-04 |
| 2025-05-09 | Provide medically-related social services to help each resident achieve the highest possible quality of life. F0745 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0808 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-04 |
| 2025-05-09 | Provide or get specialized rehabilitative services as required for a resident. F0825 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-04 |
| 2025-05-09 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-04 |
| 2025-03-28 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
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. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
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. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-28 |
| 2025-01-15 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-02-05 |
| 2025-01-15 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-05 |
| 2024-12-30 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
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. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-06 |
| 2024-12-30 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
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. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-12-04 |
| 2024-11-07 | Give residents a notice of rights, rules, services and charges. F0572 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
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. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-07-01 |
| 2024-06-28 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0688 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-07-01 |
| 2024-05-30 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-06-04 |
| 2024-05-30 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-04 |
| 2024-05-30 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-04 |
| 2024-04-08 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-07-01 |
| 2023-12-19 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2023-12-29 |
| 2023-12-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2023-12-29 |
| 2023-12-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2023-12-29 |
| 2023-12-19 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. F0557 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-29 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
8 penalties in the last three years, including $521,548 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-01-23 | Fine | $68,510 |
| 2025-05-09 | Payment Denial | 56 days payment denial |
| 2025-05-09 | Fine | $135,502 |
| 2025-01-15 | Fine | $33,040 |
| 2024-12-18 | Fine | $14,050 |
| 2024-04-08 | Payment Denial | 55 days payment denial |
| 2024-04-08 | Fine | $161,680 |
| 2023-12-19 | Fine | $108,766 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Barrish Group Limited Partnership (organization) | 5%+ Direct Ownership Interest · 11% | |
| Barrish, Bryan (individual) | 5%+ Direct Ownership Interest · 11% | |
| Bryan Barrish Trust DTD 9/1/04 (organization) | 5%+ Direct Ownership Interest · 11% | |
| Gesualdo, Ralph (individual) | 5%+ Direct Ownership Interest · 11% | |
| Ralph Gesualdo Childrens Trust (organization) | 5%+ Direct Ownership Interest · 11% | |
| Winter, Thomas (individual) | Corporate Director · NOT APPLICABLE | |
| Winter, Thomas (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Ruiz, Regina (individual) | W-2 Managing Employee · NOT APPLICABLE |
Frequently asked questions
What is the rating of Generations at Applewood?
Generations at Applewood has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Illinois.
How many beds does Generations at Applewood have?
It has 154 certified beds and cares for about 129 residents per day.
Has Generations at Applewood been fined?
Yes. CMS lists 8 penalties totaling $521,548 in the last three years.
Who owns Generations at Applewood?
It is part of Generations Healthcare Network and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Generations at Applewood?
(708) 747-1300. The facility is located at 21020 Kostner Avenue, Matteson, IL 60443.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.