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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 →
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

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.

Inspection Findings

FF0804
Nutrition and Dietary Deficiencies

broccoli/cauliflower on resident lunch plates.

The macaroni and cheese with beef was pale white

chewy cheese throughout the mixture.

The broccoli/cauliflower appeared to have white cauliflower

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.

  • 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.

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.


More Reports

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.