Friendship Manor

Penalties

• Sep 12, 2025 — IDPH fine (Nursing Home Care Act) ($1,100)
• Apr 9, 2025 — Fine ($10,519)
• Apr 9, 2025 — IDPH fine (Nursing Home Care Act) ($2,200)
• Jul 24, 2024 — Payment Denial · payment denial 12 days
• Jul 24, 2024 — IDPH fine (Nursing Home Care Act) ($2,200)

Inspection findings

1. Jan 30, 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 25, 2026 · CMS health inspection

2. Sep 12, 2025 Health · 2 findings
   • Serious Scope/severity G 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 30, 2025 · CMS health inspection

   • 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), 300.1210b)4)5), 300.1210d)3)6).

     Statement of deficiencies (PDF)

3. Apr 9, 2025 Health · 2 findings
   • Serious Scope/severity G 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 Apr 24, 2025 · CMS health inspection

   • 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), 300.1210b)4)5), and 300.1210d)6). 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) and 300.1210d)6).

     Statement of deficiencies (PDF)

4. Jul 24, 2024 Fire Safety · 11 findings
   • Not serious Scope/severity F

     E0015 Emergency Preparedness Deficiencies

     Address subsistence needs for staff and patients.

     Corrected Sep 3, 2024 · CMS fire safety

   • Serious Scope/severity G

     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 Aug 14, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jul 25, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0225 Egress Deficiencies

     Have stairways and smokeproof enclosures used as exits that meet safety requirements.

     Corrected Aug 13, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0341 Smoke Deficiencies

     Install a fire alarm system that can be heard throughout the facility.

     Corrected Aug 13, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Aug 15, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0346 Smoke Deficiencies

     Follow proper procedures when the fire alarm was out of service for more than 4 hours.

     Corrected Aug 14, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0354 Smoke Deficiencies

     Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

     Corrected Aug 14, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0914 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

     Corrected Aug 5, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0920 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure proper usage of power strips and extension cords.

     Corrected Aug 15, 2024 · CMS fire safety

   • 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), 300.1210a), 300.1210b)4)5), and 300.1210d)6). 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) and 300.1210d)6).

     Statement of deficiencies (PDF)

5. Jul 19, 2023 Health · 6 findings
   • 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 Aug 9, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0758 Pharmacy Service Deficiencies

     Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

     Corrected Aug 16, 2023 · CMS health inspection

   • Not serious Scope/severity F

     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 Aug 11, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0133 Construction Deficiencies

     Install a two-hour-resistant firewall separation.

     Corrected Jul 18, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0271 Egress Deficiencies

     Have exits that are accessible at all times.

     Corrected Jul 19, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0351 Smoke Deficiencies

     Install an approved automatic sprinkler system.

     Corrected Jul 19, 2023 · CMS fire safety

6. May 9, 2022 Fire Safety · 9 findings
   • Not serious Scope/severity F

     E0041 Emergency Preparedness Deficiencies

     Implement emergency and standby power systems.

     Corrected May 24, 2022 · CMS fire safety

   • Not serious Scope/severity D

     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 27, 2022 · CMS health inspection

   • Not serious Scope/severity D

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected May 27, 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 May 27, 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 May 27, 2022 · CMS health inspection

   • Not serious Scope/severity F

     F0886 Infection Control Deficiencies

     Perform COVID19 testing on residents and staff.

     Corrected May 27, 2022 · CMS health inspection

   • Not serious Scope/severity D

     F0888 Infection Control Deficiencies

     Ensure staff are vaccinated for COVID-19

     Corrected May 27, 2022 · CMS health inspection

   • Not serious Scope/severity D

     K0351 Smoke Deficiencies

     Install an approved automatic sprinkler system.

     Corrected May 31, 2022 · CMS fire safety

   • Not serious Scope/severity E

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected May 31, 2022 · CMS fire safety

Owners and managers (as published by CMS)

• AUSTIN, ANN — managing control - governing body, NOT APPLICABLE, since 01/01/2024
• AUSTIN, ANN — trustee of the snf, NOT APPLICABLE, since 01/01/2020
• CHRISTOPHER, ADA — managing control - governing body, NOT APPLICABLE, since 01/01/2023
• CHRISTOPHER, ADA — trustee of the snf, NOT APPLICABLE, since 01/01/2023
• COLVIN, DAMON — trustee of the snf, NOT APPLICABLE, since 01/01/2023
• COLVIN, DAMON — managing control - governing body, NOT APPLICABLE, since 01/01/2023
• DEPAUW ELSBERG, CHRISTINE — trustee of the snf, NOT APPLICABLE, since 01/01/2025
• DEPAUW ELSBERG, CHRISTINE — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• DEVINNEY, PATRICK — adp of the snf, NOT APPLICABLE, since 03/31/2008
• DEVINNEY, PATRICK — corporate officer, NOT APPLICABLE, since 03/31/2008
• DEVINNEY, PATRICK — operational/managerial control, NOT APPLICABLE, since 03/31/2008
• DOYLE, SHEA — trustee of the snf, NOT APPLICABLE, since 01/01/2023
• DOYLE, SHEA — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• FOLEY, MOLLY — managing control - governing body, NOT APPLICABLE, since 01/01/2020
• FOLEY, MOLLY — trustee of the snf, NOT APPLICABLE, since 01/01/2020
• HULLON, JESSEY — managing control - governing body, NOT APPLICABLE, since 01/01/2024
• HULLON, JESSEY — trustee of the snf, NOT APPLICABLE, since 04/01/2019
• LEVERENZ, MARK — adp of the snf, NOT APPLICABLE, since 09/01/2021
• LEVERENZ, MARK — operational/managerial control, NOT APPLICABLE, since 09/01/2021
• LOQUIST, JON — trustee of the snf, NOT APPLICABLE, since 02/01/2021
• LOQUIST, JON — managing control - governing body, NOT APPLICABLE, since 02/01/2021
• MCEVOY, JOHN — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• MCEVOY, JOHN — trustee of the snf, NOT APPLICABLE, since 01/01/2025
• PAPPAS, THEODOSIS — operational/managerial control, NOT APPLICABLE, since 08/08/2005
• PAPPAS, THEODOSIS — adp of the snf, NOT APPLICABLE, since 08/08/2005
• PAPPAS, THEODOSIS — managing control - governing body, NOT APPLICABLE, since 08/08/2005
• PAPPAS, THEODOSIS — trustee of the snf, NOT APPLICABLE, since 08/08/2005
• PAPPAS, THEODOSIS — corporate officer, NOT APPLICABLE, since 08/08/2005
• ROGALSKI, EDWARD — managing control - governing body, NOT APPLICABLE, since 01/01/2022
• ROGALSKI, EDWARD — trustee of the snf, NOT APPLICABLE, since 01/01/2022
• SHATTUCK, MOLLY — trustee of the snf, NOT APPLICABLE, since 02/01/2021
• SHATTUCK, MOLLY — managing control - governing body, NOT APPLICABLE, since 01/01/2024
• SPITZFADEN, THOMAS — managing control - governing body, NOT APPLICABLE, since 01/01/2023
• SPITZFADEN, THOMAS — trustee of the snf, NOT APPLICABLE, since 01/01/2023
• STALEY, THOMAS — adp of the snf, NOT APPLICABLE, since 05/01/2019
• STALEY, THOMAS — operational/managerial control, NOT APPLICABLE, since 05/01/2019
• TALLMAN, ELIZABETH — trustee of the snf, NOT APPLICABLE, since 01/01/2023
• TALLMAN, ELIZABETH — managing control - governing body, NOT APPLICABLE, since 01/01/2023
• THORSON, JOHN — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• THORSON, JOHN — trustee of the snf, NOT APPLICABLE, since 01/01/2025