All states › Illinois › Matteson › Generations at Applewood
21020 Kostner Avenue Matteson, IL 60443 · Cook County
CMS certification number 145781 · See this home on Medicare Care Compare
Is Generations at Applewood a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Generations at Applewood as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Illinois average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.39 hours per resident per day at Generations at Applewood, about the same as the Illinois median of 3.33 (US median: 3.72). About 0.86 of those hours are from registered nurses. On weekends it falls to 2.97 hours, 12% below its all-week average. 58.2% of nursing staff left within a year (Illinois median 43.5%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Generations at Applewood: Medicare and Medicaid
Generations at Applewood is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Illinois's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on May 9, 2025 and found 10 deficiencies, plus 16 from complaint inspections in the same period. In total, inspectors issued 66 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 66 citations at Generations at Applewood across 21 inspection dates, 42 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on December 19, 2023 (complaint inspection). The most common areas cited were quality of life and care (36) and resident rights (10). The most serious was cited under the CMS rule to "provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives" (tag F0678, level J, December 19, 2023). 3 citations were under CMS's abuse, neglect and exploitation rules.
July 2, 2026 · 2 citations · includes complaint inspection
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
July 1, 2026 · 2 citations, includes actual harm · includes complaint inspection
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
May 8, 2026 · 5 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
GProvide safe, appropriate pain management for a resident who requires such services.
EProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
February 13, 2026 · 3 citations · includes complaint inspection
EReasonably accommodate the needs and preferences of each resident.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
January 23, 2026 · 2 citations, includes actual harm · includes complaint inspection
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
November 18, 2025 · 2 citations · includes complaint inspection
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
July 8, 2025 · 1 citation, includes actual harm · includes complaint inspection
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
May 29, 2025 · 1 citation, includes actual harm · includes complaint inspection
GEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
May 9, 2025 · 10 citations, includes actual harm
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide medically-related social services to help each resident achieve the highest possible quality of life.
DEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
DProvide or get specialized rehabilitative services as required for a resident.
DProvide and implement an infection prevention and control program.
March 28, 2025 · 1 citation · includes complaint inspection
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
March 14, 2025 · 1 citation · includes complaint inspection
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
February 20, 2025 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
January 15, 2025 · 2 citations, includes actual harm · includes complaint inspection
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide and implement an infection prevention and control program.
December 30, 2024 · 3 citations · includes complaint inspection
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DProvide and implement an infection prevention and control program.
December 18, 2024 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
November 7, 2024 · 1 citation · includes complaint inspection
DGive residents a notice of rights, rules, services and charges.
June 28, 2024 · 3 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide 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.
May 30, 2024 · 4 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
GProvide enough food/fluids to maintain a resident's health.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
April 8, 2024 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
December 19, 2023 · 8 citations, includes immediate jeopardy · includes complaint inspection
JProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
EReasonably accommodate the needs and preferences of each resident.
EHonor 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.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
September 1, 2023 · 12 citations
EReasonably accommodate the needs and preferences of each resident.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide 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.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DEnsure medication error rates are not 5 percent or greater.
DEnsure that residents are free from significant medication errors.
Questions to ask on a tour of Generations at Applewood
- Inspectors cited the home at the immediate-jeopardy level on December 19, 2023 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on May 8, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 58.2% a year. How many of the staff come from agencies?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
8 penalties in the last three years, including $497,570 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jan 23, 2026 | Fine | $44,532 |
| May 9, 2025 | Fine | $135,502 |
| May 9, 2025 | Payment Denial | 56 days of payments denied |
| Jan 15, 2025 | Fine | $33,040 |
| Dec 18, 2024 | Fine | $14,050 |
| Apr 8, 2024 | Fine | $161,680 |
| Apr 8, 2024 | Payment Denial | 55 days of payments denied |
| Dec 19, 2023 | Fine | $108,766 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 3/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 4/5 |
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Location
Hospitals near Generations at Applewood
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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1.3 mi
Franciscan Health Olympia & Chicago Heights Olympia FieldsEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 48m for patients treated and sent home
-
7.7 mi
Ingalls Memorial Hospital HarveyEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 20m for patients treated and sent home
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10.3 mi
Franciscan St Margaret Health - Dyer DyerEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 40m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Generations at Applewood › All nursing homes in Matteson ›
Compare Generations at Applewood with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Frankfort Terrace · Frankfort · 5 stars · 4.0 mi
- Prairie Manor Nursing & Rehab Center · Chicago Heights · 4 stars · 3.8 mi
- Aliya of Homewood · Homewood · 4 stars · 6.0 mi
- Smith Crossing · Orland Park · 4 stars · 8.5 mi
Other Generations Healthcare Network nursing homes in Illinois
- Neighbors Health Center · Byron · 5 stars
- Lincoln Village Healthcare · Lincoln · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 4 Generations Healthcare Network nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.