Amberwood Care Centre

Penalties

• Jan 8, 2025 — IDPH fine (Nursing Home Care Act) ($2,200)
• Jan 8, 2025 — IDPH fine (Nursing Home Care Act) ($1,100)
• Jan 8, 2025 — IDPH fine (Nursing Home Care Act) ($2,200)
• Jan 8, 2025 — IDPH fine (Nursing Home Care Act) ($1,100)

Inspection findings

1. Feb 25, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0689 Quality of Life and Care Deficiencies

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

     Corrected Feb 27, 2026 · CMS health inspection

2. Oct 27, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0687 Quality of Life and Care Deficiencies

     Provide appropriate foot care.

     Corrected Nov 3, 2025 · CMS health inspection

3. Jul 3, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0584 Resident Rights Deficiencies

     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 Jul 7, 2025 · CMS health inspection

4. Jul 1, 2025 Health · 1 finding
   • Not serious Scope/severity F Complaint

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Jul 5, 2025 · CMS health inspection

5. May 14, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

     Corrected May 30, 2025 · CMS health inspection

6. Jan 10, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Jan 15, 2025 · CMS health inspection

7. Jan 8, 2025 IDPH docket NH 25-S0066 · 5 findings
   • Not serious Scope/severity B

     Type B Illinois Nursing Home Care Act violation

     Type B: more likely than not to cause more than minimal harm (1-130). Sections of the Illinois Administrative Code cited: 300.1210a), 300.1210b), and 300.1610a)1). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b).

     Statement of deficiencies (PDF)

   • Not serious Scope/severity B

     Type B Illinois Nursing Home Care Act violation

     Type B: more likely than not to cause more than minimal harm (1-130). Sections of the Illinois Administrative Code cited: 300.610a) and 300.1810g).

     Statement of deficiencies (PDF)

   • Not serious Scope/severity B

     Type B Illinois Nursing Home Care Act violation

     Type B: more likely than not to cause more than minimal harm (1-130). Sections of the Illinois Administrative Code cited: 300.1210b). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b).

     Statement of deficiencies (PDF)

   • Not serious Scope/severity B

     Type B Illinois Nursing Home Care Act violation

     Type B: more likely than not to cause more than minimal harm (1-130). Sections of the Illinois Administrative Code cited: 300.2100).

     Statement of deficiencies (PDF)

   • Not serious Scope/severity C

     Type C Illinois Nursing Home Care Act violation

     Type C: less than minimal harm (1-132). Sections of the Illinois Administrative Code cited: 300.1620a). No Fine

     Statement of deficiencies (PDF)

8. Sep 11, 2024 Health · 7 findings
   • Not serious Scope/severity E

     F0584 Resident Rights Deficiencies

     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 Sep 20, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0684 Quality of Life and Care Deficiencies

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

     Corrected Sep 20, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0686 Quality of Life and Care Deficiencies

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

     Corrected Sep 20, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0688 Quality of Life and Care Deficiencies

     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 Sep 20, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

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

     Corrected Sep 20, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

     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 Sep 20, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Sep 20, 2024 · CMS health inspection

9. Jun 15, 2024 Health · 1 finding
   • Not serious Scope/severity F Complaint

     F0803 Nutrition and Dietary Deficiencies

     Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

     Corrected Jun 24, 2024 · CMS health inspection

10. Jan 11, 2024 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected Jan 17, 2024 · CMS health inspection

11. Nov 16, 2023 Health · 2 findings
    • Not serious Scope/severity D Complaint

      F0583 Resident Rights Deficiencies

      Keep residents' personal and medical records private and confidential.

      Corrected Nov 22, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0760 Pharmacy Service Deficiencies

      Ensure that residents are free from significant medication errors.

      Corrected Nov 22, 2023 · CMS health inspection

12. Sep 16, 2023 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0689 Quality of Life and Care Deficiencies

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

      Corrected Sep 23, 2023 · CMS health inspection

13. Aug 30, 2023 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0584 Resident Rights Deficiencies

      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 Sep 8, 2023 · CMS health inspection

14. Jun 29, 2023 Fire Safety · 10 findings
    • Not serious Scope/severity F

      E0026 Emergency Preparedness Deficiencies

      Establish roles under a Waiver declared by secretary.

      Corrected Aug 15, 2023 · CMS fire safety

    • Not serious Scope/severity D

      F0550 Resident Rights Deficiencies

      Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      Corrected Jul 13, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0677 Quality of Life and Care Deficiencies

      Provide care and assistance to perform activities of daily living for any resident who is unable.

      Corrected Jul 13, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0684 Quality of Life and Care Deficiencies

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

      Corrected Jul 13, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0689 Quality of Life and Care Deficiencies

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

      Corrected Jul 13, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0690 Quality of Life and Care Deficiencies

      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 Jul 13, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0693 Quality of Life and Care Deficiencies

      Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

      Corrected Jul 13, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0695 Quality of Life and Care Deficiencies

      Provide safe and appropriate respiratory care for a resident when needed.

      Corrected Jul 13, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected Jul 13, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Jul 13, 2023 · CMS health inspection

15. Apr 6, 2022 Fire Safety · 18 findings
    • Not serious Scope/severity F

      E0015 Emergency Preparedness Deficiencies

      Address subsistence needs for staff and patients.

      Corrected Apr 29, 2022 · CMS fire safety

    • Not serious Scope/severity F

      E0022 Emergency Preparedness Deficiencies

      Establish policies and procedures for sheltering.

      Corrected Apr 29, 2022 · CMS fire safety

    • Not serious Scope/severity F

      E0034 Emergency Preparedness Deficiencies

      Provide a means of sharing information on occupancy/needs.

      Corrected Apr 29, 2022 · CMS fire safety

    • Not serious Scope/severity F

      E0036 Emergency Preparedness Deficiencies

      Establish emergency prep training and testing.

      Corrected Apr 29, 2022 · CMS fire safety

    • Not serious Scope/severity F

      E0041 Emergency Preparedness Deficiencies

      Implement emergency and standby power systems.

      Corrected Apr 29, 2022 · CMS fire safety

    • Not serious Scope/severity D

      F0550 Resident Rights Deficiencies

      Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      Corrected Apr 22, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0583 Resident Rights Deficiencies

      Keep residents' personal and medical records private and confidential.

      Corrected Apr 22, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0585 Resident Rights Deficiencies

      Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

      Corrected Apr 22, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0684 Quality of Life and Care Deficiencies

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

      Corrected Apr 22, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0686 Quality of Life and Care Deficiencies

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

      Corrected Apr 22, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0687 Quality of Life and Care Deficiencies

      Provide appropriate foot care.

      Corrected Apr 22, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0689 Quality of Life and Care Deficiencies

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

      Corrected Apr 22, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0690 Quality of Life and Care Deficiencies

      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 Apr 22, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0694 Quality of Life and Care Deficiencies

      Provide for the safe, appropriate administration of IV fluids for a resident when needed.

      Corrected Apr 22, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0695 Quality of Life and Care Deficiencies

      Provide safe and appropriate respiratory care for a resident when needed.

      Corrected Apr 22, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0697 Quality of Life and Care Deficiencies

      Provide safe, appropriate pain management for a resident who requires such services.

      Corrected Apr 22, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0759 Pharmacy Service Deficiencies

      Ensure medication error rates are not 5 percent or greater.

      Corrected Apr 22, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0812 Nutrition and Dietary Deficiencies

      Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      Corrected Apr 22, 2022 · CMS health inspection

Owners and managers (as published by CMS)

• GRAF, MARCELLA — operational/managerial control, NOT APPLICABLE, since 08/03/2018
• GRAF, MARCELLA — adp of the snf, NOT APPLICABLE, since 08/03/2018
• LABAK, SANDRA — operational/managerial control, NOT APPLICABLE, since 04/08/2025
• LABAK, SANDRA — adp of the snf, NOT APPLICABLE, since 04/08/2025
• LOGAN, JULIE — operational/managerial control, NOT APPLICABLE, since 01/06/2023
• LOGAN, JULIE — adp of the snf, NOT APPLICABLE, since 01/06/2023
• RIPSTEIN, KENNETH — operational/managerial control, NOT APPLICABLE, since 12/30/2021
• STERN, TODD — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/08/2025
• TODD STERN 2015 TRUST — 5% or greater direct ownership interest, 10%, since 12/30/2021