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Nursing HomeMedicaid

Neighbors Health Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

811 West 2nd, Byron, IL 61010131 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
3.5/5

based on 36 Google reviews

5
4
3
2
1
Neighbors Health Center Nursing Home in Byron, IL — Street View
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What this means for your family

This facility is highly regarded for its effective rehabilitation and therapy programs, which have helped many residents regain independence. However, families should be vigilant regarding administrative communication and should proactively monitor their loved one's health, as some reviewers reported difficulties in getting timely medical transfers or updates.

Google Reviews

Google Reviews

36 reviews on Google
Neighbors Health Center, also known as Generations at Neighbors, receives highly polarized feedback from families. While many reviewers praise the facility for its effective rehabilitation therapy and compassionate nursing staff, others report serious concerns regarding chronic understaffing, poor administrative communication, and inadequate medical oversight. Families should be aware that experiences appear to vary significantly based on the specific department and staff members involved.

Quality Themes

Tap a score for details
Food6.0Staff6.0Clean8.0Activities7.0MedsN/AMemory7.0Comms3.0ValueN/A

Strengths

  • Highly effective rehabilitation and therapy department
  • Compassionate and attentive nursing staff
  • Clean and well-maintained facility environment
  • Welcoming atmosphere for families

Concerns

  • Chronic understaffing leading to minimal care (mentioned by 4 reviewers)
  • Poor administrative communication and responsiveness (mentioned by 3 reviewers)
  • Inadequate medical oversight and failure to address acute health issues (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(2)'19(1)'21(1)'23(6)'25(2)'26(4)

Distribution · 37 analyzed

5
20
4
2
3
2
2
1
1
12

How They Respond to Reviews

3%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given the current staffing levels, how does the nursing team ensure that residents receive timely assistance with daily needs like hygiene and mealtime support?
  • 2Could you walk me through the protocol for when a resident experiences an acute health change, and how families are kept informed during those critical moments?
  • 3I noticed the rehabilitation department is highly regarded; how do you integrate those therapy services into the daily schedule to ensure residents stay active and engaged?
  • 4What specific steps is the administration taking to improve communication with families and ensure that questions or concerns are addressed promptly?
  • 5With the recent focus on facility maintenance, what kind of social activities or community events are currently being prioritized to keep residents connected and happy?
  • 6How does the facility manage the balance between the high volume of residents and the need for personalized, attentive care for each individual?

Personalized based on this facility's data


Key Review Excerpts

My father could barely stand upon coming to Generations, within 2.5 weeks he was taking almost 500 steps!! He could dress himself, feed himself, go to the bathroom on his own.

Long-term resident's family · 2023★★★★★

Therapy Department was top notch, the best therapies my mom ever received. Her Speech therapist had her engaging in conversations with family again, and her PT and OT were both outstanding as she regained a full recovery.

Long-term resident's family · 2025★★☆☆☆

My grandpa went in for physical therapy, and became very ill. My grandma and I called and asked him to be transferred to the hospital in Madison and they said it was going to be too much of a "task."

Long-term resident's family · 2020☆☆☆☆
Source: 36 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.69hrs
92%
Registered nurses for medical care
Total Nursing
3.23hrs
79%
All nurses + aides combined
Staff Turnover
44%
Lower is better (< 30% = good)
RN Turnover
40%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

10

measures

Worse Than Avg

4

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility9.0%
Better than Avg
Here
9.0%
US
12.1%
IL
52.5%
Ogle
43.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility8.8%
Better than Avg
Here
8.8%
US
14.4%
IL
14.2%
Ogle
25.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
IL
90.0%
Ogle
90.3%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
IL
91.8%
Ogle
90.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility12.5%
Better than Avg
Here
12.5%
US
15.3%
IL
15.9%
Ogle
20.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility23.1%
Mixed vs Avgs
Here
23.1%
US
15.4%
IL
21.8%
Ogle
24.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.2%
Better than Avg
Here
97.2%
US
81.8%
IL
69.0%
Ogle
66.6%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility89.1%
Better than Avg
Here
89.1%
US
79.7%
IL
63.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.9%
Worse than Avg
Here
2.9%
US
1.6%
IL
2.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

15deficiencies
Above state avg (12.0)
16 complaint-triggered

Neighbors Health Center has a concerning pattern of complaints from families, with 15 of 45 deficiencies triggered by resident or family reports, including recent issues with abuse protection and resident care. The facility struggles most with fire safety compliance, resident care quality, and infection control, with these problems recurring across multiple surveys. While all deficiencies show correction dates, the persistent nature of issues across the same care areas and ongoing complaints raise quality concerns.

Mar 24, 2026Complaint
1
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor 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.

Jun 30, 2025Complaint
1
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

May 27, 2025Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

May 20, 2025Complaint
7
0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0908Potential for harm · PatternCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Sep 5, 2024Routine
15
0293Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0133Potential for harm · PatternCorrected

Construction Deficiencies

Install a two-hour-resistant firewall separation.

0291Potential for harm · PatternCorrected

Egress Deficiencies

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

0321Potential for harm · PatternCorrected

Smoke Deficiencies

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

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0692Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0761Potential for harm · PatternCorrected

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0690Potential for harm · IsolatedCorrected

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.

Oct 18, 2023Routine
7
0700Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

0222Potential for harm · PatternCorrected

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.

0364Potential for harm · PatternCorrected

Smoke Deficiencies

Install properly constructed windows in hallway walls or doors.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Neighbors Health Center

Organization Type

for profit

Chain Affiliation

Chain Name

Generations Healthcare Network

Chain Size

7 facilities nationwide

Chain avg rating: 3.8/5 · Rank 25 of 33

Ownership & Management

Owners

Barrish Group Limited Partnership

Owner · Organization

13%

Ralph Gesualdo Childrens Trust

Owner · Organization

13%

Barrish, Bryan

Owner

13%

Gesualdo, Ralph

Owner

13%

Giannini, Michael

Owner

11%

Key personnel

Hoppe, JenniferW-2 Managing EmployeeGesualdo, RalphOfficer / DirectorGiannini, MichaelOfficer / DirectorWinter, ThomasOfficer / DirectorBergthold, LouiseOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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