A list of the most recent deficiencies for Oak Lawn Respiratory and Rehab. 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? |
|---|---|---|---|---|
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-12-18 | 2023-12-27 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-12-08 | 2023-12-18 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-12-08 | 2023-12-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-25 | 2023-12-13 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-04 | 2023-10-25 | 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 | 2023-10-04 | 2023-10-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-04 | 2023-10-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-04 | 2023-10-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-10-04 | 2023-10-25 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-10-04 | 2023-10-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-29 | 2023-10-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-29 | 2023-10-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-29 | 2023-10-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-22 | 2023-10-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-22 | 2023-10-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-22 | 2023-10-15 | 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 | 2023-09-22 | 2023-10-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-22 | 2023-10-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-22 | 2023-10-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-22 | 2023-10-15 | 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 | 2023-09-22 | 2023-10-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-09-22 | 2023-10-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-22 | 2023-10-15 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-10-04 | 2023-10-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-04 | 2023-10-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-04 | 2023-10-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-04 | 2023-10-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-04 | 2023-10-15 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-08-27 | 2023-09-07 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-28 | 2023-08-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-10 | 2023-07-21 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-10 | 2023-07-21 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-08 | 2023-06-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-08 | 2023-06-19 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-19 | 2023-05-05 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2023-04-19 | 2023-05-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-04-19 | 2023-05-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-14 | 2023-02-24 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-02-14 | 2023-02-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-15 | 2023-01-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-15 | 2023-01-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-15 | 2023-01-27 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-01-15 | 2023-01-27 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-01-15 | 2023-01-27 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-17 | 2022-11-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-17 | 2022-11-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-17 | 2022-11-30 | Y |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-09-28 | 2022-11-28 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-09-28 | 2022-11-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-28 | 2022-11-07 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-09-28 | 2022-11-07 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-09-28 | 2022-11-07 | 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 | 2022-09-28 | 2022-11-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-28 | 2022-11-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-28 | 2022-11-07 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-09-28 | 2022-11-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-09-28 | 2022-11-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-28 | 2022-11-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-28 | 2022-11-07 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2022-09-28 | 2022-11-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-01 | 2022-10-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-01 | 2022-09-27 | Y |
| 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. | Health | 2022-09-01 | 2022-09-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-01 | 2022-09-27 | N |
| 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 | 2022-09-01 | 2022-09-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-09-01 | 2022-09-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-01 | 2022-09-27 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-09-01 | 2022-09-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-01 | 2022-09-27 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-09-01 | 2022-09-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-09-01 | 2022-09-27 | 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 | 2022-09-01 | 2022-09-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-01 | 2022-09-27 | 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 | 2022-09-01 | 2022-09-27 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-09-01 | 2022-09-27 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-06-22 | 2022-07-06 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-22 | 2022-07-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-22 | 2022-07-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-22 | 2022-07-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-22 | 2022-07-06 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-06-22 | 2022-07-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-22 | 2022-07-06 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-06-22 | 2022-07-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-03 | 2021-12-23 | Y |
| 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 | 2021-04-07 | 2021-04-08 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2020-10-13 | 2020-11-03 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-10-13 | 2020-11-03 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2020-10-13 | 2020-11-03 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2020-10-13 | 2020-11-03 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-10-13 | 2020-11-03 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-10-13 | 2020-11-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-10-13 | 2020-11-03 | 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 | 2020-10-13 | 2020-11-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-10-13 | 2020-11-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-13 | 2020-11-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-10-13 | 2020-11-03 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2020-10-08 | 2020-10-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-08 | 2020-10-13 | 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 | 2020-10-08 | 2020-10-13 | 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 | 2020-10-08 | 2020-10-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-10-08 | 2020-10-13 | 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 | 2020-10-08 | 2020-10-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-08 | 2020-10-13 | N |
