A list of the most recent deficiencies for Oak Park Care Center. 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 building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-01-27 | 2023-03-17 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-01-27 | 2023-03-17 | 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 | 2023-01-27 | 2023-03-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-27 | 2023-03-16 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-01-27 | 2023-03-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-27 | 2023-03-08 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-01-27 | 2023-03-08 | N |
| 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 | 2023-01-27 | 2023-03-08 | 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 | 2023-01-27 | 2023-03-08 | 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 | 2023-01-27 | 2023-03-08 | N |
| 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 | 2023-01-27 | 2023-03-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-27 | 2023-03-08 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-01-27 | 2023-03-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-27 | 2023-03-08 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2023-01-27 | 2023-03-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-27 | 2023-03-08 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-01-27 | 2023-03-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-27 | 2023-03-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-27 | 2023-03-08 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-01-27 | 2023-03-08 | Y |
| 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 | 2023-01-27 | 2023-03-08 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-01-27 | 2023-03-08 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-01-27 | 2023-03-08 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-01-27 | 2023-03-08 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-01-27 | 2023-03-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-01-27 | 2023-03-08 | N |
| Use approved construction type or materials. | Fire Safety | 2023-01-27 | 2023-03-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-27 | 2023-03-08 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-01-27 | 2023-03-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-01-27 | 2023-03-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-01-27 | 2023-03-08 | 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 | 2023-01-27 | 2023-03-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-27 | 2023-03-08 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-01-27 | 2023-03-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-27 | 2023-03-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-27 | 2023-03-08 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-01-27 | 2023-03-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-01-27 | 2023-03-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-27 | 2023-03-08 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2023-01-27 | 2023-03-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-01-27 | 2023-03-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-27 | 2023-03-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-01-27 | 2023-03-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-27 | 2023-03-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-27 | 2023-03-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-01-27 | 2023-03-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-27 | 2023-03-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-27 | 2022-12-27 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-10-11 | 2022-11-09 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-05-13 | 2022-06-03 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2021-03-03 | 2021-03-18 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-07-22 | 2020-01-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-22 | 2019-08-28 | 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 | 2019-07-22 | 2019-08-28 | N |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2019-07-22 | 2019-08-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-22 | 2019-08-28 | 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 | 2019-07-22 | 2019-08-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-22 | 2019-08-28 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-07-22 | 2019-08-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-22 | 2019-08-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-07-22 | 2019-08-28 | N |
| Post nurse staffing information every day. | Health | 2019-07-22 | 2019-08-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-22 | 2019-08-28 | N |
| 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 | 2019-07-22 | 2019-08-28 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-07-22 | 2019-08-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-22 | 2019-08-28 | 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 | 2019-07-22 | 2019-08-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-22 | 2019-08-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-07-22 | 2019-08-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-22 | 2019-08-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-22 | 2019-08-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-22 | 2019-08-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-24 | 2018-09-28 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-08-24 | 2018-09-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-08-24 | 2018-09-28 | 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 | 2018-08-24 | 2018-09-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-08-24 | 2018-09-28 | N |
| 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 | 2018-08-24 | 2018-09-28 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-08-24 | 2018-09-28 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-08-24 | 2018-09-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-08-24 | 2018-09-28 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-08-24 | 2018-09-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-08-24 | 2018-09-28 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2018-08-24 | 2018-09-28 | N |
| Have an externally vented heating system. | Fire Safety | 2018-08-24 | 2018-09-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-08-24 | 2018-09-28 | N |
