Senior Home Review
Home›Browse›Illinois›Matteson›Generations At Applewood
Nursing homeFAID #3244

Generations At Applewood

21020 KOSTNER AVENUE, MATTESON, IL, 60443
(708) 747-1300
154 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing4/5 quality measuresSource: CMS Care Compare

Generate this report

Delivered within 24–48 hours
Photo of GENERATIONS AT APPLEWOOD
Photo via Google · Generations at Applewood
What we can show you for free.
Bed capacity
154
CMS facility ID
145781
Care type
Nursing home
County
Cook
Facility name
Generations At Applewood
Street address
21020 KOSTNER AVENUE
City / state / ZIP
Matteson, IL 60443
Phone
(708) 747-1300

Generations At Applewood is a Medicare/Medicaid-certified skilled nursing facility in Matteson, Illinois. It is licensed for 154 beds — above the median for skilled nursing facilities in Illinois (112 beds).

It is one of 1 senior care facility in Matteson and 667 skilled nursing facilities across Illinois. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Generations At Applewood 93 times across 25 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $521,548 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Generations Healthcare Network
Ownership type
For profit - Limited Liability company

Registered owners & officers

Barrish Group Limited Partnership
Direct owner — 11% stake — since 2011
Barrish, Bryan
Direct owner — 11% stake — since 2011
Bryan Barrish Trust Dtd 9/1/04
Direct owner — 11% stake — since 2011
Gesualdo, Ralph
Direct owner — 11% stake — since 2011
Ralph Gesualdo Childrens Trust
Direct owner — 11% stake — since 2011
Ruiz, Regina
Managing employee — since 2020
Winter, Thomas
Director · Operational control — since 2011

Regulatory standing

Federal court records
1 naming this facility — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1993-12-22
CMS overall rating
1 of 5 stars
Health deficiencies
24 at the last standard inspection
Federal fines
$521,548 total
Last standard inspection
2025-05-09
Nurse staffing
3.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$413 per day (≈ $12,560/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
17% Medicaid · 10% Medicare · 74% private/other
Occupancy
93% (fiscal year 2023)
Vs. state median
21% above the IL median of $342/day — full state cost breakdown

Services & coverage

Licensed beds
154
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Monday: 9:00 AM – 10:00 PM · Tuesday: 9:00 AM – 10:00 PM · Wednesday: 9:00 AM – 10:00 PM · Thursday: 9:00 AM – 10:00 PM · Friday: 9:00 AM – 10:00 PM · Saturday: 7:00 AM – 8:00 PM · Sunday: 7:00 AM – 8:00 PM
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-07-02Health inspectionComplaint-triggered2 citations
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2026-07-01Health inspectionComplaint-triggered2 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-07-02
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-07-02
22 earlier / fire-safety inspections (89 citations)
2026-05-08Health inspectionComplaint-triggered5 citations
F-0600
E · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-06-03
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-06-03
F-0677
E · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-06-03
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-06-03
F-0697
G · Actual harmFrom a complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2026-06-03
2026-02-13Health inspectionComplaint-triggered3 citations
F-0558
E · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-02-20
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-02-20
F-0919
D · No harm foundFrom a complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2026-02-20
2026-01-23Health inspectionComplaint-triggered2 citations
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-02-16
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-02-20
2025-11-18Health inspectionComplaint-triggered2 citations
F-0609
E · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-11-19
F-0656
E · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-11-19
2025-07-08Health inspectionComplaint-triggered1 citation
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-08-01
2025-05-29Health inspectionComplaint-triggered1 citation
F-0711
G · Actual harmFrom a complaint
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
2025-05-09Health inspection10 citations
F-0605
D · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-06-04
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-06-04
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-06-04
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-08-01
F-0686
G · Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-06-04
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-06-04
F-0745
D · No harm found
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2025-06-04
F-0808
D · No harm foundFood safety
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.
Corrected 2025-06-04
F-0825
D · No harm found
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2025-06-04
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-06-04
2025-03-28Health inspectionComplaint-triggered1 citation
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-04-17
2025-03-14Health inspectionComplaint-triggered1 citation
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-04-04
2025-02-20Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-28
2025-01-15Health inspectionComplaint-triggered2 citations
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-02-05
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-02-05
2024-12-30Health inspectionComplaint-triggered3 citations
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-01-06
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-01-06
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-01-06
2024-12-18Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-04
2024-11-07Health inspectionComplaint-triggered1 citation
F-0572
D · No harm foundFrom a complaint
Give residents a notice of rights, rules, services and charges.
Corrected 2024-11-18
2024-06-28Health inspectionComplaint-triggered3 citations
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-01
F-0688
D · No harm found
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.
Corrected 2024-07-01
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-01
2024-05-30Health inspectionComplaint-triggered4 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-06-04
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-01
F-0692
G · Actual harmFrom a complaint
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-06-04
F-0804
E · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-06-04
2024-04-08Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-01
2023-12-19Health inspectionComplaint-triggered8 citations
F-0557
E · No harm foundFrom a complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2023-12-29
F-0558
E · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-12-29
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-12-29
F-0584
E · No harm foundFrom a complaint
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.
Corrected 2023-12-29
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-12-29
F-0678
J · Immediate jeopardyFrom a complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2023-12-29
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-12-29
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-29
2023-09-01Health inspection12 citations
F-0558
E · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-09-22
F-0578
D · No harm found
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.
Corrected 2023-09-22
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-09-22
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-09-22
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-09-22
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-09-22
F-0688
D · No harm found
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.
Corrected 2023-09-22
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-09-22
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-09-22
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-09-22
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2023-09-22
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-09-22
2025-05-09Fire-safety inspection6 citations
K-0133
F · No harm found
Install a two-hour-resistant firewall separation.
Corrected 2025-05-07
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-05-07
K-0222
E · No harm found
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.
Corrected 2025-05-07
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-05-07
K-0911
E · No harm found
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-05-07
K-0915
F · No harm found
Have proper power supply for life support equipment.
Corrected 2025-05-14
2024-06-28Fire-safety inspection14 citations
E-0015
F · No harm found
Address subsistence needs for staff and patients.
Corrected 2024-07-09
E-0022
F · No harm found
Establish policies and procedures for sheltering.
Corrected 2024-07-09
E-0037
F · No harm found
Establish staff and initial training requirements.
Corrected 2024-07-09
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2024-07-09
K-0133
F · No harm found
Install a two-hour-resistant firewall separation.
Corrected 2024-07-09
K-0222
E · No harm found
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.
Corrected 2024-07-09
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-07-09
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-09
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-07-09
K-0901
F · No harm found
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2024-07-15
K-0915
E · No harm found
Have proper power supply for life support equipment.
Corrected 2024-08-05
K-0916
F · No harm found
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2024-07-09
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-07-09
K-0929
E · No harm found
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2024-07-09
2023-09-01Fire-safety inspection7 citations
K-0131
F · No harm found
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2023-09-22
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-09-22
K-0351
E · No harm found
Install an approved automatic sprinkler system.
Corrected 2023-09-22
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-09-22
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-09-22
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2023-09-22
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2023-09-22

Federal penalties

2026-01-23Fine$68,510
2025-05-09Fine$135,502
2025-01-15Fine$33,040
2024-12-18Fine$14,050
2024-04-08Fine$161,680
2023-12-19Fine$108,766
2025-05-09Medicare payment denial — 56 days
2024-04-08Medicare payment denial — 55 days
Total fines$521,548
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 145781.
What people say on Google.
2.559 ratings on Google
★★★★D T · 2026-04-22 · via Google

“I was a short-term resident of this facility, and I have family members who have been residents there as well. My personal experience, as well as the experiences of my family members at this facility has been very positive. The facility's Administration has an open door policy and has been willing to listen to issues or concerns I had or my family members had, and then quickly addressed them. Staf…”

★Cheryl White · 2026-06-21 · via Google

“This facility is far from satisfactory and raises serious concerns about its continued operation. The staff is overworked and underappreciated, which is evident in the care they provide and the stress they exhibit during visits. The administration's performance is subpar, lacking a vital human resources presence. They treat staff poorly, and patients receive even worse treatment. It's advisable to…”

★Terence Hayden · 2026-02-02 · via Google

“Hands down my worst medical experience ever… I recently had an infection on my arm and was taken care of at the university of Chicago… After two weeks, they referred me to a list of nursing homes ONLY to finish treating my post-op wounds and I chose this one. When I arrived, they set me up with the room and the bed had an air mattress on it… I found out later, after a terrible nights sleep, that I…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 93 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered