F

Generations at Applewood

21020 KOSTNER AVENUE, MATTESON, IL 60443
Score: 21 / 100

With a score of 21/100, Generations At Applewood ranks in the bottom tier of Illinois nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing at Generations At Applewood is near the national average, with 3.75 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 57 deficiencies at Generations At Applewood, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide appropriate pressure ulcer care and prevent new ulcers from developing..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.75 3.8 Average
Registered Nurses (RN) 0.94 0.7 Above Average
Licensed Practical Nurses (LPN) 0.63 0.7 Average
Certified Nursing Assistants (CNA) 2.18 2.4 Average
Weekend Total Nursing 3.26 3.8 Below Average
Weekend RN Hours 0.74 0.7 Average

🔍 Inspection & Deficiency History

57
Total Deficiencies
Jan 22, 2026
Most Recent Inspection
🟠 56 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0686 Severity G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    Jan 22, 2026 · Quality of Life and Care Deficiencies
  • Tag 0689 Severity G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Jan 22, 2026 · Quality of Life and Care Deficiencies
  • Tag 0609 Severity E
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Nov 17, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0656 Severity E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Nov 17, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0684 Severity G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Jul 7, 2025 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 16.1% 4.5% Worse
Falls with major injury 2.8% 3.0% Average
On antipsychotic medication 3.9% 14.5% Better
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 12.5% 14.0% Better
Excessive weight loss 8.2% 7.5% Average
New/worsened incontinence 23.0% 45.0% Better

⚠️ Penalties & Fines

5 penalties recorded by CMS

Total fines: $521,986

How This Grade Was Calculated

This facility's grade of F is based on a score of 21 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
154
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
May 8, 2025
Deficiencies (Cycle 1)
18