VICTORIAN VILLAGE HLTH & WELL
12525 W RENAISSANCE CIRCLE
HOMER GLEN, IL, 60491
7085905050
CCN: 146178
5
Overall4
Health5
Staffing3
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| YONKER, KYLE | CORPORATE DIRECTOR | NOT APPLICABLE |
| PETROELJE, ROB | CORPORATE DIRECTOR | NOT APPLICABLE |
| VAN ESSEN, DARREN | CORPORATE DIRECTOR | NOT APPLICABLE |
| VOSS, DAVID | CORPORATE DIRECTOR | NOT APPLICABLE |
| WOO, ERIC | CORPORATE DIRECTOR | NOT APPLICABLE |
| BREEMS, TIM | CORPORATE DIRECTOR | NOT APPLICABLE |
| BUIKEMA, PAUL | CORPORATE DIRECTOR | NOT APPLICABLE |
| DAMSTRA, EDWARD | CORPORATE DIRECTOR | NOT APPLICABLE |
| DEGRAFF, DAVE | CORPORATE DIRECTOR | NOT APPLICABLE |
| FEENSTRA, THEODORE | CORPORATE DIRECTOR | NOT APPLICABLE |
| HOVING, KENNETH | CORPORATE DIRECTOR | NOT APPLICABLE |
| HUIZENGA, KAREN | CORPORATE DIRECTOR | NOT APPLICABLE |
| JABAAY, PATRICIA | CORPORATE DIRECTOR | NOT APPLICABLE |
| KOLDENHOVEN, ARNOLD | CORPORATE DIRECTOR | NOT APPLICABLE |
| LEO, GARY | CORPORATE DIRECTOR | NOT APPLICABLE |
| MULKI, M GHAITH | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| VANDERGENUGTEN, BARRY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ZANDSTRA, JOHANNA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KRIEPS, JAMIE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Health Deficiencies (21)
2025-07-03 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F808 · 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.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-06-05 · Health
D
F628 · Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
2024-09-13 · Health
F
F887 · 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.
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
D
F690 · 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
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
2023-08-31 · Health
E
F925 · Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F808 · 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.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F690 · 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
F688 · 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
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
5.19
RN Hrs/Resident/Day0.54
1.92
LPN Hrs/Resident/Day0.81
0.17
CNA Hrs/Resident/Day2.33
3.10
PT Hrs/Resident/Day0.12
0.12
Data as of 2026-03-01