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Complaint Investigation

Aliya Of Oak Lawn

August 26, 2025 · Oak Lawn, IL · 6300 West 95th Street
Citations 3
CMS Rating 1/5
Beds 191
Provider ID 145087
Healthcare Facility
Aliya Of Oak Lawn
Oak Lawn, IL  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

ALIYA OF OAK LAWN in OAK LAWN, IL — inspection on August 26, 2025.

Found 3 citations. Severity: Standard violations.

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

Inspection Findings

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies

(nurse) said, she was the reporting nurse for R1. V5 said, she was aware that R1 has a history of

dated 7/17/25 documents: RN (V5) noticed resident (R2) kept going into another resident room.

The

8/26/25 at 2:45pm, V12 (R2's power of attorney/POA) said, R2 has dementia and a history of same sex relationships. V12 said, she received a call about R2's incident with R1. V12 said, she has received calls from the facility prior to R1's incident about R2 inappropriate touching other residents.

V12 said, the facility has been so patient with R2.

Now the facility is acting like they do not have any patience with R2, like they can tolerate R2 anymore. R2 will do the same thing at any facility.

The current facility found a new facility for R2 but they refused to accept him after R2's recent inappropriate touching incident with R1.R2's Behavior note created on 8/18/25 documents: Behavior Description: Inappropriately touching another resident.

Behaviors: resident (R2) observed inappropriately touching a resident (R1).

Nursing note dated 8/18/25 documents: Writer heard a resident (R1) yell out for help, writer got up to go to the yelling.

Writer observed above resident (R2) in his wheelchair bending and reaching over to a resident (R1) in bed.

Resident (R2) being petitioned to the hospital for inappropriate sexual behavior towards his peer. On 8/20/25 at 1:45pm, V2 (social service) said, she was made aware, R2 inappropriately touched R1 during the morning meeting. V2 said, she was informed, R2 opened R1's adult brief and had his hand in R1's brief. R1 reported he felt uncomfortable because he was not a homosexual. On 8/20/25 at 2:31pm, V3 (nurse practitioner) said, she was informed on Monday 8/18/25 that another resident touched R1. V3 said, she saw R1 on Tuesday. V3 said, R1 reported R2 lifted his gown and grabbed his penis. R1 reported he can't get erect because he is paralyzed. R1 said, he was not gay. R1 was crying. V3 said, she suggested R1 go to the hospital. On 8/20/25 at 11:49am, V10 (restorative aide) said, she was instructed to move R1 to a different room. V10 said, R1 requested that she stay with him because R1 reported being scared. V10 said, she was informed R1 was inappropriately touched by R2. On 8/20/25 at 11:59am, V11 (cna) said, she saw R1 crying. V11 said, she asked R1 was he okay. V11 said, R1 replied, please don't leave him.

V11 said, R1 was scared to be left alone. V11 said, R1 is contracted and dependent on staff for assistance. V11 said, she was informed R2 took off R1's adult brief. On 8/20/25 at 12:12pm, V7 (nurse) said, she heard a resident yelling help, help, help. V7 said, staff started running towards the yelling. R1 was in bed on his back. R2 was standing by R1's bed, reaching under R1's gown. R1's adult brief was loose. V7 said, R1 reported he didn't know what R2 was doing. On 8/20/25 at 12:39pm, V8 (cna) said, she heard R3 telling R2 to get out of R1's room. R1 is contracted with his hands stuck behind his head. R1's legs are contracted opened. V8 said, R1 is dependent on staff for assistance. R2 is a wander. R2 should not have been in R1's room.

Hospital Paperwork dated 8/19/25 documents: Patient (R1) present to emergency department for evaluation after an assault. R1 does not feel safe.

Emergency Department diagnoses: Sexual assault of adult.

Per emergency service: R1 was manually grouped by another resident, allegedly witness by another resident. (8/21/25) Case manager spoke with patient (R1) at bedside who was alert and orient times four, declined to discharge to long term care facility, states he just left a facility where he was molested.

Police report dated 8/19/25 documents: office responded to nursing home in regard to a criminal sexual abuse report. R1 was lying in bed alone.

While laying down, R2 entered R1's room in a wheelchair. R1 rolled his wheelchair next to R1's bed and came to a stop. R2 then stood up and opened R1's diaper. R1 related that R2 placed his right hand in R1's adult brief and began to groan. R1 does not have any sense of feeling below the waist and did not know exactly what R2 was doing to his genitals. R1 began to call for a nurse while R2 was moving his hand around R1's genitals. R3 entered the room and began to shout at R2 to stop.

Abuse policy dated 10/2022 documents: The facility affirms the right of our residents to be free from abuse, neglect or exploitation.

Sexual abuse includes but is not limited to sexual harassment, sexual coercion or sexual assault including non-consensual or non-competent to consent sexual activity.

145087 08/26/2025

Aliya of Oak Lawn 6300 West 95th Street Oak Lawn, IL 60453

department for evaluation after an assault.

Emergency Department diagnoses: Sexual assault of

wheelchair. R1 rolled his wheelchair next to R1's bed and came to a stop. R2 then stood up and

does not have any sense of feeling below the waist and did not know exactly what R2 was doing to his genitals. R1 began to call for a nurse while R2 was moving his hand around R1's genitals. R3 entered the room and began to shout at R2 to stop.

Abuse policy dated 10/2022 documents: Internal reporting requirement and identification of allegations.

Employee are required to report any incident, allegation or suspicion of potential abuse, neglect, exploitation, mistreatment or misappropriation of resident property they observed, hear about, or suspect to the administrator or the compliance officer.

In the absence of the administrator, reporting can be made to an individual who has been designated to act in the administrator's absence.

Any allegation of abuse or any incident that results in serious bodily injury will be reported to Illinois Department of Public Health immediately, but not more than two hours after the allegation of abuse.

Any incident that does not involve abuse and does not result in serious bodily injury shall be reported with in twenty-four hours.

145087 08/26/2025

Aliya of Oak Lawn 6300 West 95th Street Oak Lawn, IL 60453

suggested R1 go to the hospital. On 8/20/25 at 12:39pm, V8 (cna) said, she heard R3 telling R2 to get

R1's room.

Hospital Paperwork dated 8/19/25 documents: Patient (R1) present to emergency

Sexual assault of adult.

Per emergency service: R1 was manually grouped by another resident, allegedly witness by another resident. (8/21/25) Case manager spoke with patient (R1) at bedside who was alert and orient time four declined to discharge to long term care facility, states he just left a facility where he was molested.

Police report dated 8/19/25 documents: office responded to nursing home in regard to a criminal sexual abuse report. R1 was lying in bed alone.

While laying down, R2 entered R1's room in a wheelchair. R1 rolled his wheelchair next to R1's bed and came to a stop. R2 then stood up and opened R1's diaper. R1 related that R2 placed his right hand in R1's adult brief and began to groan. R1 does not have any sense of feeling below the waist and did not know exactly what R2 was doing to his genitals. R1 began to call for a nurse while R2 was moving his hand around R1's genitals. R3 entered the room and began to shout at R2 to stop.

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 LAWN, 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 ALIYA OF OAK LAWN or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.