Skilled nursing facility · CMS certification number 146178

VICTORIAN VILLAGE HLTH & WELL

HOMER GLEN, Illinois · Medicare

Certified beds, as filed in Care Compare: 50

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 15 September 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$11,388,718	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$890,980	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,497,738	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,405,001	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$907,263	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$907,263	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$907,263 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	54	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	19,764	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	9,127	CMS-2540-10 worksheet S300001 line 800 column 400
Other-payer patient days	8,670	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	17,797	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	459	CMS-2540-10 worksheet S300001 line 800 column 900
Other-payer discharges	76	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	535	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	19.88	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	33.27	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1439560, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 August 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$11,141,998	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,373,743	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,768,255	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,131,298	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$363,043	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$363,043	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$363,043 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,525	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	497	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	22.07	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	35.26	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1392589, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 September 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$10,894,211	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,525,491	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,368,720	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,710,571	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$341,851	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$341,851	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$341,851 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,989	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	503	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	22.52	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	33.78	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1364103, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 September 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$10,772,609	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,550,019	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,222,590	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,645,251	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$422,661	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$19,220	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$403,441	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$403,441 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,775	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	554	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	20.83	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	30.28	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1331908, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 November 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$9,367,475	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$945,509	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,421,966	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,832,785	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$410,819	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$578,599	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$167,780	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $167,780 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,367	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	455	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.28	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	35.97	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1304538, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 November 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$10,816,941	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,767,259	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,049,682	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,890,321	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$159,361	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$66,408	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$225,769	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $225,769 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,434	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	646	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	19.08	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	26.99	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1273820, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 December 2020.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$10,323,211	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,946,033	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,377,178	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,746,892	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$369,714	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,280	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$368,434	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$368,434 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,555	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	796	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	17.3	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	20.8	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1277434, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$9,470,892	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,507,667	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,963,225	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,964,406	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,181	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,909	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$728	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $728 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,338	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	590	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	17.45	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	27.69	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1207898, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 8 September 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$7,649,442	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$118,202	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,531,240	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,555,706	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$24,466	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$16,943	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$41,409	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$50,133 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,810	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	601	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	22.49	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	27.97	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1175499, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 May 2015 to 31 December 2015 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 30 September 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$4,144,246	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$25,369	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,118,877	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,148,883	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$30,006	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,847	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$27,159	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$40,209 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	9,601	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	252	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	22.46	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	38.1	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1143117, read from the public cost report file SNF10FY2015.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 01/26/2015
KRIEPS, JAMIE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/07/2025
MULKI, M GHAITH	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2024
REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/26/2015
BREEMS, TIM	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2024
DEGRAFF, DAVE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2024
FEENSTRA, THEODORE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/02/2022
KATS, STEVEN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2026
KOLDENHOVEN, ARNOLD	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2024
LEO, GARY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2024
PETROELJE, ROB	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2024
VAN ESSEN, DARREN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/02/2022
VAN SOLKEMA, KEVIN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2026
VOSS, DAVID	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/02/2022
WOO, ERIC	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2024
YONKER, KYLE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/02/2022
OTTE, LARRY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 10/01/2025
KRIEPS, JAMIE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2024
MULKI, M GHAITH	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2024
ZANDSTRA, JOHANNA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME (enrollment ID O20150415001911).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	1/26/2015	Private equity company: No Real estate investment trust: No Holding company: No
JAMIE L KRIEPS	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/7/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
M GHAITH MULKI	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/26/2015	Private equity company: No Real estate investment trust: No Holding company: No
ARNOLD KOLDENHOVEN	Individual	CORPORATE DIRECTOR	0	4/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DARREN VAN ESSEN	Individual	CORPORATE DIRECTOR	0	4/2/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVE DEGRAFF	Individual	CORPORATE DIRECTOR	0	4/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID VOSS	Individual	CORPORATE DIRECTOR	0	4/2/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ERIC M WOO	Individual	CORPORATE DIRECTOR	0	4/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GARY W LEO	Individual	CORPORATE DIRECTOR	0	4/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KEVIN VAN SOLKEMA	Individual	CORPORATE DIRECTOR	0	4/1/2026	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KYLE YONKER	Individual	CORPORATE DIRECTOR	0	4/2/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROB PETROELJE	Individual	CORPORATE DIRECTOR	0	4/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
STEVEN KATS	Individual	CORPORATE DIRECTOR	0	4/1/2026	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
THEODORE EARLE FEENSTRA	Individual	CORPORATE DIRECTOR	0	4/2/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TIM BREEMS	Individual	CORPORATE DIRECTOR	0	4/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LARRY JAY OTTE	Individual	CORPORATE OFFICER	0	10/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMIE L KRIEPS	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOHANNA ZANDSTRA	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
M GHAITH MULKI	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 August 2026: KENNETH ALAN HOVING no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: PATRICIA L JABAAY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: KAREN HUIZENGA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: BARRY VANDERGENUGTEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: EDWARD DAMSTRA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: PAUL BUIKEMA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: KEVIN VAN SOLKEMA appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: STEVEN KATS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: LARRY JAY OTTE appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 July 2026: KENNETH ALAN HOVING no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KENNETH ALAN HOVING appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 April 2025: WILLIAM ZANDSTRA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: EMILY MCMASTER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: SHERYL HAMMER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: BARRY VANDERGENUGTEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: ROGER BOEREMA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: JACOB J GROENEWOLD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: PAUL KATS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: JACKIE TERPSTRA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: JOHANNA ZANDSTRA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: DAVE DEGRAFF appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: ROB PETROELJE appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: ARNOLD KOLDENHOVEN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: GARY W LEO appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: TIM BREEMS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: M GHAITH MULKI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: M GHAITH MULKI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: ERIC M WOO appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: BARRY VANDERGENUGTEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: JAMIE L KRIEPS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: JAMIE L KRIEPS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: JOHANNA ZANDSTRA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv

Recent changes on this record

1 August 2026: KENNETH ALAN HOVING no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: PATRICIA L JABAAY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: KAREN HUIZENGA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: BARRY VANDERGENUGTEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: EDWARD DAMSTRA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: PAUL BUIKEMA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: KEVIN VAN SOLKEMA appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: STEVEN KATS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 August 2026: LARRY JAY OTTE appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
1 July 2026: KENNETH ALAN HOVING no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KENNETH ALAN HOVING appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
15 September 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 April 2025: WILLIAM ZANDSTRA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: EMILY MCMASTER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: SHERYL HAMMER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: BARRY VANDERGENUGTEN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: ROGER BOEREMA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: JACOB J GROENEWOLD no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: PAUL KATS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: JACKIE TERPSTRA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: JOHANNA ZANDSTRA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: DAVE DEGRAFF appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: ROB PETROELJE appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: ARNOLD KOLDENHOVEN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: GARY W LEO appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: TIM BREEMS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: M GHAITH MULKI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: M GHAITH MULKI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: ERIC M WOO appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: BARRY VANDERGENUGTEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: JAMIE L KRIEPS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: JAMIE L KRIEPS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: JOHANNA ZANDSTRA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
1 April 2025: REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
20 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
9 September 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
16 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
16 November 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
24 December 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
17 November 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	3 July 2025	3 July 2025	4	3
2	13 September 2024	13 September 2024	9	4
3	31 August 2023	31 August 2023	9	3

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

22 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
26 March 2026	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	G	Yes	Deficient, Provider has date of correction	27 March 2026
3 July 2025	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	4 July 2025
3 July 2025	Health	F 0808	Nutrition and Dietary Deficiencies	Ensure 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.	E	No	Deficient, Provider has date of correction	4 July 2025
3 July 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	4 July 2025
5 June 2025	Health	F 0583	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	D	Yes	Deficient, Provider has date of correction	6 June 2025
5 June 2025	Health	F 0628	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D	Yes	Deficient, Provider has date of correction	6 June 2025
13 September 2024	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	14 September 2024
13 September 2024	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	14 September 2024
13 September 2024	Health	F 0690	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.	D	No	Deficient, Provider has date of correction	14 September 2024
13 September 2024	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	No	Deficient, Provider has date of correction	14 September 2024
13 September 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	14 September 2024
13 September 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	14 September 2024
13 September 2024	Health	F 0887	Infection Control Deficiencies	Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.	F	No	Deficient, Provider has date of correction	14 September 2024
31 August 2023	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	1 September 2023
31 August 2023	Health	F 0583	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	D	No	Deficient, Provider has date of correction	1 September 2023
31 August 2023	Health	F 0688	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.	D	No	Deficient, Provider has date of correction	1 September 2023
31 August 2023	Health	F 0690	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.	D	No	Deficient, Provider has date of correction	1 September 2023
31 August 2023	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	1 September 2023
31 August 2023	Health	F 0808	Nutrition and Dietary Deficiencies	Ensure 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.	E	No	Deficient, Provider has date of correction	1 September 2023
31 August 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	1 September 2023
31 August 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	1 September 2023
31 August 2023	Health	F 0925	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	E	No	Deficient, Provider has date of correction	1 September 2023

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare
Ownership Type	Non profit - Corporation
Legal Business Name	REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME
Date First Approved to Provide Medicare and Medicaid Services	2015-05-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Will
Telephone Number	7085905050
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	50
Average Number of Residents per Day	52.2
Overall Rating	5
Health Inspection Rating	4
QM Rating	3
Long-Stay QM Rating	3
Short-Stay QM Rating	3
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

Get an email when this record changes

One email a day naming what moved on VICTORIAN VILLAGE HLTH & WELL: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On 1 August 2026: KENNETH ALAN HOVING no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for VICTORIAN VILLAGE HLTH & WELL

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Illinois at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 146178.