Landmark Of Oak Lawn Rehabilitation And Nursing Ce
Inspection Findings
F-Tag F0677
F 0677
depends on the bladder's daily result and/or routine minimal every two-hour check, as well as care planning.
Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
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
01/30/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Oak Lawn Respiratory & Rehab
9525 South Mayfield Oak Lawn, IL 60453
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)
F-Tag F0686
F 0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview, and record review, the facility failed to follow the physician's order to provide wound treatment and care. This applies to 1 of 3 residents (Resident R3) reviewed for wound treatment and care in a sample of 11.The findings include:Resident R3 is a [AGE] year-old female admitted with mild cognitive impairment as per MDS dated [DATE REDACTED]. Resident R3 was admitted with an admitting diagnosis including paraplegia, pancreatic cancer, multiple stage-4 sacral pressure ulcers, and diabetes.A review of the wound assessment dated [DATE REDACTED] by V23 (wound care physician) documented multiple chronic wounds, including a stage 4 left hip, stage 4 sacral, stage 4 left ischium, stage 4 right buttocks, and a stage 3 right heel.On 1/28/25 at 10:50 AM, observed V20 and V21 (CNAs) providing incontinent care to Resident R3. During incontinence care, Resident R3 was observed with a stage 4 sacral and stage 4 left ischium wound with soiled and dirty dressings peeling off and dated 1/26/26.On 1/28/26 at 11:25 AM, observed V22 (Licensed Practical Nurse / LPN) providing wound care to Resident R3's multiple sacral wounds. During wound care, V22 stated that the old dressing is soiled, dirty, and peeling off with date 1/26/26 indicates that nobody provides wound care yesterday.On 1/28/26 at 11:30 AM, observed V22 cleanse the wound with saline, pat dry, medi honey, and calcium alginate applied to stage 4 sacral and stage 4 left ischium wounds.A review of the Physician Order Sheet (POS) and Treatment Administration Record (TAR) document sacral and left ischium wound care document to apply (product) after cleansing site and then covering with Silicone super absorbent dressing daily and as needed.On 1/28/26 at 11:30 AM, V22 stated that she is aware of the (product), and she couldn't find it in
the treatment cart to apply to Resident R3's sacral and left ischium dressing change.On 1/29/26 at 9:20 AM, V23 (Wound Care Physician) stated, Resident R3 was admitted with those chronic wounds. I ordered (the product), which will debride the dead tissue from the wound bed. The facility should have used the (the product as ordered) to change the wound dressing.The facility presented an undated Wound Cleansing and Dressing Policy document: It is the policy of the facility to perform wound dressing changes as ordered by the physician using a clean technique on all chronic or contaminated wounds.
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Landmark of Oak Lawn Rehabilitation and Nursing Ce in OAK LAWN, IL inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 Landmark of Oak Lawn Rehabilitation and Nursing Ce or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.