Nursing home
Generations at Applewood
21020 Kostner Avenue, Matteson, IL 60443 · Map
For profit - Limited Liability company · Part of Generations Healthcare (33 facilities) · 154 certified beds
Generations at Applewood is a Medicare-certified nursing home in Matteson, Illinois. CMS rates it 2 out of 5 stars overall (2/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.75 hours per resident per day, above the Illinois average of 3.49. Its most recent inspection on May 9, 2025 cited 18 deficiencies.
- 5 fines totaling $521,986In CMS records: 7 total penalties, 2 Medicare payment denials.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Generations at Applewood compares
This facility vs. the Illinois and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Illinois avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.75 | 3.49 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.94 | 0.73 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.18 | 2.13 | 2.34 | above avg |
| Nursing staff turnover | 45.8% | 45.7% | 46.4% | above avg |
| Deficiencies cited, last inspection | 18.0 | 12.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 5 fines totaling $521,986, 7 total penalties, 2 Medicare payment denials.
What inspectors found at Generations at Applewood
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Feb 13, 2026 · Full report (PDF) - Potential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Feb 13, 2026 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Feb 13, 2026 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jan 23, 2026 · Full report (PDF) - Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Jan 23, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Nov 18, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Nov 18, 2025 · Full report (PDF) - Actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Jul 8, 2025 · Full report (PDF) - Actual harm
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Nursing and Physician Services Deficiencies · May 29, 2025 · Full report (PDF) - Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · May 9, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 9, 2025 · Full report (PDF) - Potential for harm
Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care Deficiencies · May 9, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 21020 Kostner Avenue
Matteson, IL 60443 - CMS certification #
- 145781
- Ownership
- For profit - Limited Liability company
- Certified beds
- 154
- Avg residents/day
- 120.8
- Provider type
- Medicare and Medicaid
- First certified
- 1993-12-22
- Chain
- Generations Healthcare (33 facilities)
- Setting
- Urban
Part of Generations Healthcare
Generations Healthcare operates 33 nursing facilities across the United States. View all Generations Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Generations at Applewood using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2010
- Emergency In FEMA's high-risk flood area (Zone AE)
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Nov 11, 2010 to Nov 10, 2012. Violations found: Fair Labor Standards Act (pay and hours). Employer as DOL recorded it: Applewood Rehabilitation Center (Applewood Rehabilitation Center, LLC). Case 1673159.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Franciscan Health Olympia & Chicago Heights, Olympia Fields. 1.3 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Landmark of Richton Park Rehab & NSG CTR, Richton Park. 2.3 miles away, straight line.
- Nearest home health agency office
- Healthy Health Home Health, Inc, Matteson. 0.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 60443 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Olympia Fields Dialysis Center, Matteson, 1.4 miles away, straight line (CMS rating 2 of 5 stars)
Dcc - Olympia Fields, Olympia Fields, 2.0 miles away, straight line (CMS rating 1 of 5 stars)
Home Dialysis Services Olympia Fields LLC, Olympia Fields, 2.1 miles away, straight line - Hospice
- 27 Medicare hospices tell CMS they serve ZIP code 60443.
Oasis Hospice & Palliative Care Inc, office in Flossmoor, 2.1 miles away, straight line (CMS family survey rating 4 of 5 stars)
Heartland Hospice (Frankfort), office in Frankfort, 4.1 miles away, straight line
Vitas Healthcare Corporation Of Illinois, office in Tinley Park, 6.3 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- University Of Chicago, Harvey. 7.7 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone AE: 1% annual chance flood area (high risk); base flood elevation set. This is inside FEMA's Special Flood Hazard Area, where flood insurance is required for federally backed mortgages. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding very high, wildfire very low, tornado very high, heat wave relatively high, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Generations at Applewood a good nursing home?
CMS gives Generations at Applewood an overall rating of 2 out of 5 stars, including 2/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Generations at Applewood staffed?
Generations at Applewood reports 3.75 total nurse hours per resident per day, compared with the Illinois average of 3.49.
Has Generations at Applewood had inspection problems?
Its most recent CMS inspection cited 18 deficiencies.
How many beds does Generations at Applewood have?
Generations at Applewood is certified for 154 beds.