CareWitness
Federal record · CMS Care Compare · CCN 145781 · Processed JUN 1 2026
CareWitnessIllinoisMattesonNursing HomesGenerations At Applewood

Generations At Applewood

21020 Kostner Avenue, Matteson, IL, 60443

Type
Nursing home
Medicare/Medicaid certified · CCN 145781

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Federal Quality Data

Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.

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CMS Star Ratings

Overall2 / 5
Health inspections2 / 5
Staffing2 / 5
Quality measures4 / 5

Facility & Staffing

Ownership
For profit - Limited Liability company · Chain: Generations Healthcare Network
Certified beds
154 · avg 117 residents/day
Total nursing staff turnover
49.3%near the Illinois averageIllinois avg: 45.0% · National avg: 46.1% · per CMS Care Compare
RN turnover
55.8%higher than most Illinois nursing homesIllinois avg: 42.3% · National avg: 43.3% · per CMS Care Compare
Administrators who left
1 departednear the Illinois averageIllinois avg: 0.5 · National avg: 0.5 · per CMS Care Compare

Enforcement & Citations

Fines (past 3 years)
6 fines · $518,939 total
Payment denials
2 denials

Medicare certification

CMS Certification Number
145781
Certified beds
154 beds · avg 117 residents/day
Ownership type
For profit - Limited Liability company
Continuing-care community
No

CMS Care Compare, processing date June 1, 2026

Ownership & operations

Legal business name
Generations At Applewood, Llc
Chain affiliation
Generations Healthcare Network

CMS Care Compare, processing date June 1, 2026

Federal ownership record

For-profitLlc

Chain affiliation

Part of the Generations Healthcare Network chain — 7 facilities across 2 states. Chain-wide average overall rating 2.3 / 5.

Disclosed owners (8 on record)

  • Thomas Winter

    Operational/managerial Control · since 2020

  • Regina Ruiz

    W-2 Managing Employee · since 2020

  • Atied Associates Llc

    5% or Greater Direct Ownership Interest · 31% · since 2011

  • Barrish Group Limited Partnership

    5% or Greater Direct Ownership Interest · 11% · since 2011

  • Bryan Barrish

    5% or Greater Direct Ownership Interest · 11% · since 2011

  • Bryan Barrish Trust Dtd 9/1/04

    5% or Greater Direct Ownership Interest · 11% · since 2011

+ 2 additional owners on the federal record.

Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.

Federal inspection record

60 health citations on file1 immediate-jeopardy finding36 from complaints6 federal fines totalling $519K2 payment denials

Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.

Recent health-deficiency citations (most recent 8 of 60)

  • D0919·Feb 13, 2026Complaint

    Environmental Deficiencies

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

  • D0689·Feb 13, 2026Complaint

    Quality of Life and Care Deficiencies

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

  • E0558·Feb 13, 2026Complaint

    Resident Rights Deficiencies

    Reasonably accommodate the needs and preferences of each resident.

  • G0689·Jan 23, 2026Complaint

    Quality of Life and Care Deficiencies

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

  • G0686·Jan 23, 2026Complaint

    Quality of Life and Care Deficiencies

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

  • E0656·Nov 18, 2025Complaint

    Resident Assessment and Care Planning Deficiencies

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

  • E0609·Nov 18, 2025Complaint

    Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

  • G0684·Jul 8, 2025Complaint

    Quality of Life and Care Deficiencies

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

View the full inspection history on CMS Care Compare →

Federal penalties

By year

  • 20261 fine · $69K
  • 20252 fines · $166K · 1 payment denial
  • 20242 fines · $176K · 1 payment denial
  • 20231 fine · $109K

Most recent events

  • Jan 23, 2026Fine · $69K
  • May 9, 2025Payment denial · 56 days · starting Jun 6, 2025
  • May 9, 2025Fine · $133K
  • Jan 15, 2025Fine · $33K
  • Dec 18, 2024Fine · $14K
  • Apr 8, 2024Payment denial · 55 days · starting May 7, 2024

Largest single fine on record: $162K.

Fire-safety citations

27 Life-Safety-Code citations on file. Most recent: May 9, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.

Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.

Facility background report

The entire federal paper trail on this facility, in one report.

We compile everything the government publishes about Generations At Applewoodinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.

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Where this information comes from

  • Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.

Data comes unaltered from the federal files. See every source we publish from.