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Complaint Investigation

Oakwood Rehab And Nursing Center

September 12, 2025 · Westmont, IL · 512 East Ogden Avenue
Citations 1
CMS Rating 1/5
Beds 149
Provider ID 145338
Healthcare Facility
Oakwood Rehab And Nursing Center
Westmont, IL  ·  View full profile →
Inspection Summary

Oakwood Rehab and Nursing Center in WESTMONT, IL — inspection on September 12, 2025.

Found 1 citation. 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.

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Inspection Findings

FF0804
Nutrition and Dietary Deficiencies
Potential for More Than Minimal Harm

food should be served between 40-45 degrees Fahrenheit but should not be over 45 degrees Fahrenheit. 6.

Small batch cooking will be utilized, when possible, to minimize hot holding or to retain food quality. 10.

Cold foods will be prepared, dipped into individual serving dishes and chilled prior to service.2. On 9/10/25 during lunch service in the kitchen, staff were plating servings of macaroni and cheese with beef and broccoli/cauliflower on resident lunch plates.

The macaroni and cheese with beef was pale white with light brown ground beef mixed with the macaroni.

The mixture tasted bland, had no flavor or seasoning, and lacked any cheese sauce.

The noodles appeared oily and there were small amounts of chewy cheese throughout the mixture.

The broccoli/cauliflower appeared to have white cauliflower mixed with pale green/gray broccoli.

There was an approximately four inches by four inches by four inches block of margarine sitting on top of the broccoli/cauliflower mixture in the steamtable pan located in the steamtable.

The vegetables tasted mushy in texture and could be swallowed after mashing the product with a tongue.

On 9/10/25 during lunch service, the following residents commented on the facility food: R19 stated It doesn't taste like there was cheese in it! R11 stated, The mac and beef sucked! R12 stated, It's bad. I can't touch it. I can't eat it! R12 had all of his portion of macaroni and cheese with beef left on his plate except a few bites. R13 stated the macaroni and cheese with beef was bland and the broccoli was overcooked. R14 stated, I ate a few bites, and I am done. It doesn't taste good. R13 and R14 stated the facility food was not served hot at times. R14 stated the food was a problem at the facility. R20 stated Lunch was horrible.

The mac and beef had no flavor, no seasoning. It was horrible.

The food quality is horrible. R16 stated, The food is bland - no seasoning and no flavor. R18 stated The food is not good, not seasoned. R18 stated the hot foods were not served hot at the facility. R15 stated the hot food was served cold at times. R7 stated her breakfast was served cold that morning and the eggs were ice cold. R9 stated the food quality had gotten worse at the facility. R6 (Resident Council President) stated breakfast was cold that morning and lately the food had been served cold.

Facility Macaroni and Cheese with Beef recipe, undated, shows the recipe ingredients included macaroni, ground beef, salt, margarine, flour, milk, cheddar cheese, and breadcrumbs.

Facility recipe Broccoli and Cauliflower, undated, shows, Do not overcook. 3. On 9/11/25 at 12:15 PM, R1 had her lunch in front of her which had spaghetti noodles and very little red sauce on the noodles. At 12:25 while in R1's room , R2 stated her spaghetti at lunch was very weak and dry and had no spaghetti sauce when served.

Facility ID:

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 WESTMONT, 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 Oakwood Rehab and Nursing Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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