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Complaint Investigation

Alta Rehab At Oak Brook

Inspection Date: August 22, 2025
Total Violations 2
Facility ID 145458
Location OAK BROOK, IL
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Inspection Findings

F-Tag F0585

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0585 Level of Harm - Minimal harm or potential for actual harm

facility's Grievance Policy (dated November 20, 2012) stated: The purpose of this policy is to ensure prompt resolution of all grievances related to care and treatment provided or not provided, staff and resident behavior, and other concerns during the resident's stay.

Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

08/22/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Alta Rehab at Oak Brook

2013 Midwest Road Oak Brook, IL 60521

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0684

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

facility.In a phone interview on August 20, 2025, at 1:00 P.M., V7 stated: They butchered my husband. what

they called a β€˜skin tear' was a huge wound, bleeding, and extending from the wrist almost to the elbow. No one told me how bad it was until I saw it at the other facility. He was immediately sent to the hospital and is now in hospice.On August 20,2025 at 1:05 P.M., V9 and V10 (Admissions and Executive Director at the receiving facility), Resident R1 arrived on August 6, 2025, around noontime, was assessed by nurse (V11), and transferred to the hospital via 911 due to deep wounds and significant pain.On August 21,2025 at 6:30 P.M., V11 said that when she immediately assessed Resident R1 upon arrival to their facility. V11 said that V7 was present during the assessment. V11 described that Resident R1 was a poor historian, now aware of what happened to his impaired skin integrity. V11 said she noted that Resident R1's large bandage wrapped around Resident R1's forearm that had extended from the wrist to the elbow. V11 said that the outer bandage was a mixed of saturated dried and fresh red blood drainage. V11 said she used approximately 200 cc of normal saline to ensure that when primary dressing be removed, there would be easy to remove without compromising what was under

the dressing. V11 said that she noted multiple ABD pads, and a mesh like dressing that was embedded to

the skin tissue to a deep wound on the right forearm. V11 describe the wound an approximated size from wrist to the elbow. V11 added that aside from the multiple dressing to shoulders, Resident R1's extremities were with scattered bruises and note especially the left middle finger that extend to the elbow. V11 said that Resident R1 was retracting his arm when the dressing was removed, whimpering of pain. V11 said she was not able to open other dressing and Resident R1 was send via 911 for further evaluation of the large weeping wounds and pain.The documentation dated August 8,2025 entered by V11 validated V11's statement. The Hospital ED (Emergency Department) report dated August 6,2025 showed that Resident R1 was noted with diffuse bruising and swelling in upper and lower extremities; multiple skin tears to right forearm and with significant bruising ; upper and lower patchy bruising diffused around trunk. On August 20,2025, V6 (Facility's Nurses Practitioner) stated that she was not notified that it was a large wound and not a skin tear. V6 added that a skin tear was non-significant since it was superficial, but a weeping, draining large wound need further evaluation and treatment. V11 added that should she been notified, Resident R1 would have been sent out for further evaluation and treatment of wounds to prevent complication such as infection.

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πŸ“‹ Inspection Summary

ALTA REHAB AT OAK BROOK in OAK BROOK, IL inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in OAK BROOK, IL, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ALTA REHAB AT OAK BROOK or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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