Generations at Applewood
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 58 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (18 vs median 11.0)
- High RN turnover (53%)
Below average in IL · Meets national RN staffing standard · Above average staffing · Below chain average · $521,986 in fines
What this means for your family
While the rehabilitation department receives some positive feedback, the overwhelming number of reports regarding neglect, hygiene issues, and understaffing makes this facility a high-risk choice. If you are considering this facility, we strongly advise conducting unannounced visits during weekends and evenings to observe the actual level of care provided, as these are the times families report the most significant lapses.
Google Reviews
Google Reviews
58 reviews on Google“Generations at Applewood receives highly polarized feedback, with many families reporting severe neglect, chronic understaffing, and poor hygiene, including persistent odors of urine. While some reviewers praise specific staff members or the rehab department, the recurring reports of residents being left in soiled clothing, missing personal items, and experiencing delayed medical attention raise significant concerns for prospective families.”
Quality Themes
Tap a score for detailsStrengths
- Professional and dedicated rehab therapy team
- Some individual nurses and CNAs provide compassionate care
- Modern and clean appearance in specific updated wings
Concerns
- Chronic understaffing leading to neglect (mentioned by 14 reviewers)
- Poor hygiene and persistent urine odors (mentioned by 8 reviewers)
- Lack of responsiveness to call lights and resident needs (mentioned by 7 reviewers)
- Unprofessional management and poor communication (mentioned by 6 reviewers)
- Residents left in soiled clothing for extended periods (mentioned by 5 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 86 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given that the facility has 154 residents, what specific systems are in place to ensure that call lights are answered promptly and that staff are consistently available to assist with hygiene needs?
- 2I noticed that some areas of the facility have been recently updated; could you walk us through the daily cleaning protocols used to maintain those spaces and address concerns regarding odors in resident rooms?
- 3How does your management team handle communication with families, and what is your process for ensuring that concerns regarding a loved one's care are addressed in a timely manner?
- 4The rehab therapy team is highly regarded here; how do they coordinate with the nursing staff to ensure that a resident's progress is maintained throughout the rest of the day?
- 5What does a typical daily activity schedule look like for residents, and how do you encourage participation for those who may be hesitant to join in?
- 6Could you explain your current staffing levels during evening and weekend shifts, and what steps are being taken to ensure consistent, high-quality care during those times?
Personalized based on this facility's data
Key Review Excerpts
“The front side is beautiful, staff seem to care, it's clean and modern. Thats where all the website pictures are taken. That OTHER SIDE...is a mess. The complete opposite. Dim, smells like urine, patients are not attended to.”
“The rehab techs are like family ,Super professional and they push you.I suffered a stroke ,Iam now walking with confidence from the great work the technicians had me do!”
“My Aunt has been at this facility since 3/2022. Many times she has been left sitting in soiled depends for hours, rarely changed into night closes or depend changed before bed, some staff are unprofessional, lack a caring and concerned attitude.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
4
measures
5
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents with pressure sores (bedsores)
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have repeatedly filed complaints about this facility, triggering many of the 84 total deficiencies across 18 surveys. The most persistent problems involve accident prevention and safety hazards, pressure ulcer care, and medication management, with these issues recurring multiple times even after supposed corrections. While most deficiencies show correction dates, the pattern of repeated violations in the same care areas suggests ongoing systemic problems that merit careful consideration before choosing this facility.
Feb 13, 2026Complaint3
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Jan 23, 2026Complaint2
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nov 18, 2025Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Jul 8, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
May 29, 2025Complaint1
Nursing and Physician Services Deficiencies
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
May 9, 2025Routine16
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Construction Deficiencies
Install a two-hour-resistant firewall separation.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper power supply for life support equipment.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
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.
Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal Penalties
Fine
May 9, 2025
$204,450
Payment Denial
May 9, 2025
56-day denial
Fine
Jan 15, 2025
$33,040
Fine
Dec 18, 2024
$14,050
Fine
Apr 8, 2024
$161,680
Payment Denial
Apr 8, 2024
55-day denial
Fine
Dec 19, 2023
$108,766
Ownership & Operations
Who Operates This Facility
Generations at Applewood
for profit
Chain Affiliation
Generations Healthcare Network
7 facilities nationwide
Chain avg rating: 3.8/5 · Rank 30 of 33
Ownership & Management
Owners
Barrish Group Limited Partnership
Owner · Organization
Bryan Barrish Trust Dtd 9/1/04
Owner · Organization
Ralph Gesualdo Childrens Trust
Owner · Organization
Barrish, Bryan
Owner
Gesualdo, Ralph
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
58 reviews from families & visitors
Official Website
Visit generationsapplewood.com
Medicare data downloads
Original nursing home datasets
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