Park Place Christian Community

Penalties

• Sep 22, 2024 — IDPH fine (Nursing Home Care Act) ($25,000)

Inspection findings

1. Apr 25, 2025 Health · 8 findings
   • 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 26, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0761 Pharmacy Service Deficiencies

     Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

     Corrected Apr 26, 2025 · 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 Apr 26, 2025 · CMS health inspection

   • Not serious Scope/severity F

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Apr 26, 2025 · CMS health inspection

   • Not serious Scope/severity F

     K0291 Egress Deficiencies

     Install emergency lighting that can last at least 1 1/2 hours.

     Corrected May 8, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected May 8, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0541 Services Deficiencies

     Install properly constructed and protected linen or trash chutes.

     Corrected May 8, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0920 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure proper usage of power strips and extension cords.

     Corrected May 8, 2025 · CMS fire safety

2. Sep 22, 2024 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 23, 2024 · CMS health inspection

   • Serious Scope/severity A

     Type A Illinois Nursing Home Care Act violation

     Type A: substantial probability of death or serious harm, or actual harm (1-129). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210b), 300.1210c), 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)

3. May 2, 2024 Fire Safety · 5 findings
   • Not serious Scope/severity F

     E0037 Emergency Preparedness Deficiencies

     Establish staff and initial training requirements.

     Corrected May 16, 2024 · CMS fire safety

   • 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 May 3, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected May 10, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected May 29, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected May 10, 2024 · CMS fire safety

4. Sep 28, 2023 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 Sep 29, 2023 · CMS health inspection

5. Jun 8, 2023 Fire Safety · 8 findings
   • Not serious Scope/severity F

     E0037 Emergency Preparedness Deficiencies

     Establish staff and initial training requirements.

     Corrected Jun 23, 2023 · CMS fire safety

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jun 9, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0133 Construction Deficiencies

     Install a two-hour-resistant firewall separation.

     Corrected Jun 27, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0311 Smoke Deficiencies

     Have an enclosure around a vertical opening shaft.

     Corrected Jun 28, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Jun 22, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0374 Smoke Deficiencies

     Install smoke barrier doors that can resist smoke for at least 20 minutes.

     Corrected Jun 22, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0923 Gas, Vacuum, and Electrical Systems Deficiencies

     Have proper medical gas storage and administration areas.

     Corrected Jun 22, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0929 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

     Corrected Jun 22, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• BREEMS, TIM — corporate director, NOT APPLICABLE, since 04/01/2025
• BUIKEMA, PAUL — corporate director, NOT APPLICABLE, since 04/01/2024
• DAMSTRA, EDWARD — corporate director, NOT APPLICABLE, since 04/02/2022
• DE YOUNG, WILLIAM — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• DE YOUNG, WILLIAM — adp of the snf, NOT APPLICABLE, since 01/01/2025
• DEGRAFF, DAVE — corporate director, NOT APPLICABLE, since 04/01/2025
• FEENSTRA, THEODORE — corporate director, NOT APPLICABLE, since 04/02/2022
• JABAAY, PATRICIA — corporate director, NOT APPLICABLE, since 04/02/2022
• KATS, STEVEN — corporate director, NOT APPLICABLE, since 04/11/2025
• KOLDENHOVEN, ARNOLD — corporate director, NOT APPLICABLE, since 04/01/2024
• LEO, GARY — corporate director, NOT APPLICABLE, since 04/01/2024
• PETROELJE, ROB — corporate director, NOT APPLICABLE, since 04/01/2025
• PUDWILL, CASEY — operational/managerial control, NOT APPLICABLE, since 05/27/2025
• PUDWILL, CASEY — adp of the snf, NOT APPLICABLE, since 06/09/2025
• VAN ESSEN, DARREN — corporate director, NOT APPLICABLE, since 04/02/2022
• VAN SOLKEMA, KEVIN — corporate director, NOT APPLICABLE, since 04/11/2025
• VANDERGENUGTEN, BARRY — operational/managerial control, NOT APPLICABLE, since 02/01/2012
• VOSS, DAVID — corporate director, NOT APPLICABLE, since 04/02/2022
• WOO, ERIC — corporate director, NOT APPLICABLE, since 04/01/2024
• YONKER, KYLE — corporate director, NOT APPLICABLE, since 04/01/2024
• YUNEZ, KARIM — operational/managerial control, NOT APPLICABLE, since 04/01/2024
• YUNEZ, KARIM — adp of the snf, NOT APPLICABLE, since 06/09/2025
• ZANDSTRA, JOHANNA — adp of the snf, NOT APPLICABLE, since 08/21/2012
• ZANDSTRA, JOHANNA — operational/managerial control, NOT APPLICABLE, since 08/21/2012
• ZANDSTRA, JOHANNA — corporate officer, NOT APPLICABLE, since 08/21/2012
• REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME — 5% or greater direct ownership interest, 100%, since 05/05/2004
• REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME — adp of the snf, NOT APPLICABLE, since 08/23/2012