A list of the most recent deficiencies for Aperion Care Oak Lawn. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-02-05 | 2024-02-06 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-05 | 2024-02-06 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-02-05 | 2024-02-06 | Y |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-10-18 | 2023-10-19 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-10-18 | 2023-10-19 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-10-18 | 2023-10-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-18 | 2023-10-19 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-10-18 | 2023-10-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-18 | 2023-10-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-18 | 2023-10-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-18 | 2023-10-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-18 | 2023-10-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-10-18 | 2023-10-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-18 | 2023-10-19 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-10-18 | 2023-10-19 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-10-18 | 2023-10-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-18 | 2023-10-19 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-10-18 | 2023-10-19 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2023-10-18 | 2023-10-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-12 | 2023-10-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-12 | 2023-10-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-12 | 2023-10-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-12 | 2023-10-13 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-10-12 | 2023-10-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-12 | 2023-10-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-12 | 2023-10-13 | N |
| 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. | Health | 2023-10-12 | 2023-10-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-12 | 2023-10-13 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-10-12 | 2023-10-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-27 | 2023-09-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-26 | 2023-06-01 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-26 | 2023-06-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-03 | 2023-03-20 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-01-27 | 2023-02-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-21 | 2022-12-06 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-06 | 2022-11-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-06 | 2022-11-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-10-06 | 2022-10-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-06 | 2022-10-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-06 | 2022-10-28 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-10-06 | 2022-10-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-06 | 2022-10-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-10-06 | 2022-10-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-06 | 2022-10-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-06 | 2022-10-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-06 | 2022-10-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-10-06 | 2022-10-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-10-06 | 2022-10-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-06 | 2022-10-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-06 | 2022-10-28 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-10-06 | 2022-10-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-06 | 2022-10-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-06 | 2022-10-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-08 | 2022-10-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-30 | 2022-10-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-30 | 2022-10-21 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2022-09-30 | 2022-10-21 | N |
| Honor 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. | Health | 2022-09-30 | 2022-10-21 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-09-30 | 2022-10-21 | N |
| Provide appropriate foot care. | Health | 2022-09-30 | 2022-10-21 | N |
| 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. | Health | 2022-09-30 | 2022-10-21 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-09-30 | 2022-10-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-30 | 2022-10-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-30 | 2022-10-21 | N |
| 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. | Health | 2022-09-30 | 2022-10-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-30 | 2022-10-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-30 | 2022-10-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-30 | 2022-10-21 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-09-01 | 2022-09-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-15 | 2022-08-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-15 | 2022-08-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-31 | 2022-06-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-31 | 2022-06-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-04 | 2022-03-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-04 | 2022-03-24 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-04 | 2022-03-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-23 | 2022-02-19 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-08-23 | 2021-10-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-23 | 2021-10-14 | N |
| 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. | Fire Safety | 2021-08-23 | 2021-10-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-08-23 | 2021-09-22 | N |
| Have an externally vented heating system. | Fire Safety | 2021-08-23 | 2021-09-22 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Develop a communication plan. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Establish methods for sharing information. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-23 | 2021-09-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-07 | 2021-09-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-07 | 2021-09-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-10 | 2021-09-17 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-08-10 | 2021-09-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-10 | 2021-09-03 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-08-10 | 2021-09-03 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-08-10 | 2021-09-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-13 | 2021-09-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-08-13 | 2021-09-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-13 | 2021-09-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-13 | 2021-09-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-13 | 2021-09-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-08-13 | 2021-09-03 | N |
| 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. | Health | 2021-08-13 | 2021-09-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-13 | 2021-09-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-13 | 2021-09-03 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-06-28 | 2021-07-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-21 | 2021-04-30 | Y |
