West Suburban Nursing & Rehab: Dental Neglect Harm - IL
When the dentist, identified in inspection records only as V13, returned to examine the same resident on August 27, 2025, he found what that delay had cost. The resident had a lost filling in a different tooth, tooth number 19, that had progressed to swelling and active infection. The pain was significant enough that V13 couldn't extract the tooth that day. The infection had to be treated with antibiotics first.
V13 told inspectors on September 9, 2025, that he visits the facility weekly and sees any resident upon request, including those not enrolled in the dental program. He said the last time he had examined this resident before August 27, 2025, was April 26, 2024. That visit produced a recommendation for urgent extractions of teeth number 8 and 9. The facility has no documentation showing the resident was ever brought back for those extractions, and no documentation showing the resident refused.
The infection in tooth number 19 was preventable. V13 said so directly: if the resident had received prompt dental care when he raised concerns about the lost filling, the tooth pain and the infectious process the resident experienced could have been prevented.
What followed the August 27 visit was weeks of repeated returns. V13 came back on August 30 to extract tooth number 19 once the antibiotics had reduced the swelling enough to make it possible. He returned August 31 for a post-operative check and found the resident had developed dry socket, a painful condition that occurs when the blood clot at the extraction site fails to form properly or is dislodged. He came back again on September 2, then September 7, then September 8, each time because the resident was still in pain.
The dental consult form from August 27, 2025, recorded red, puffy tissue, a lost filling, and continuing pain. The form from August 30 noted the extraction of tooth number 19 and added two more extractions to the list of recommended work, teeth number 9 and 10, now a different combination than the original April 2024 recommendation.
Federal inspectors cited the facility for actual harm under the dental services tag, one of the more serious harm classifications available under the inspection framework. The violation affected a small number of residents.
The facility's own dental policy, undated, states that nurses are to physically inspect each resident's mouth and that negative findings, including mouth or facial pain, darkness on a tooth, or broken teeth, "will be immediately addressed." The attending physician, the Director of Nursing, the MDS Coordinator, and the Social Services Director are all to be notified. The policy further states that the Social Services Director will work with the resident, family, physician, and dental provider to coordinate timely care.
There is no indication in the inspection record that any of those steps were taken in the sixteen months between the April 2024 dental visit and the August 2025 visit that uncovered the infection.
The resident's name does not appear in the inspection report. What does appear is a timeline of pain: a dentist who flagged an urgent need and returned week after week to treat the consequences of a gap nobody at the facility chose to close, a lost filling that became an infection, an extraction that became dry socket, and a series of follow-up visits stretching into September while the resident continued to hurt.
V13 visits the facility every week. He was available. The facility knew how to reach him. The documentation showing anyone tried does not exist.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for West Suburban Nursing & Rehab Center from 2025-09-11 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 29, 2026 · Our methodology
WEST SUBURBAN NURSING & REHAB CENTER in BLOOMINGDALE, IL was cited for neglect violations during a health inspection on September 11, 2025.
When the dentist, identified in inspection records only as V13, returned to examine the same resident on August 27, 2025, he found what that delay had cost.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.