A list of the most recent deficiencies for Oak Park Nursing and Rehab Ctr. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-23 | 2024-02-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-23 | 2024-02-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-31 | 2023-09-28 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-14 | 2023-06-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-14 | 2023-06-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-23 | 2023-06-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-17 | 2023-06-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-04-14 | 2023-05-23 | 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 | 2023-04-17 | 2023-05-12 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-04-17 | 2023-05-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-17 | 2023-05-12 | N |
| Provide activities to meet all resident's needs. | Health | 2023-04-17 | 2023-05-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-04-14 | 2023-05-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-04-14 | 2023-05-12 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-04-14 | 2023-05-05 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2023-04-14 | 2023-05-05 | 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 | 2023-04-14 | 2023-05-05 | 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 | 2023-04-14 | 2023-05-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-14 | 2023-05-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-14 | 2023-05-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-14 | 2023-05-05 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-04-14 | 2023-05-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-14 | 2023-05-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-14 | 2023-05-05 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-04-14 | 2023-05-05 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-02-01 | 2022-05-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-02-01 | 2022-03-10 | 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 | 2022-02-01 | 2022-03-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-02 | 2022-03-01 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-02-02 | 2022-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-02 | 2022-03-01 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-02-01 | 2022-02-24 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-02-01 | 2022-02-24 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-02-01 | 2022-02-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-01 | 2022-02-23 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-02-01 | 2022-02-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-01 | 2022-02-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-30 | 2021-09-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-03-03 | 2021-04-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-03 | 2021-04-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-03-03 | 2021-04-12 | 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 | 2021-03-03 | 2021-04-12 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-03-03 | 2021-04-12 | 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 | 2021-03-03 | 2021-04-12 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-03-03 | 2021-04-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-11-14 | 2019-12-13 | 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 | 2019-11-14 | 2019-12-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-14 | 2019-12-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-14 | 2019-12-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-14 | 2019-12-13 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2019-11-14 | 2019-12-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-14 | 2019-12-13 | N |
