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Complaint Investigation

Oakwood Rehab And Nursing Center

Inspection Date: September 30, 2025
Total Violations 2
Facility ID 145338
Location WESTMONT, IL
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Inspection Findings

F-Tag F0803

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0803 Level of Harm - Minimal harm or potential for actual harm

facility will ensure that menus are developed and prepared according to national guidelines. 3. The facility's dietitian or other qualified nutrition professional will review the resident's nutrition status to ensure the nutrition provided meets the needs of residents.

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

09/30/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Oakwood Rehab and Nursing Center

512 East Ogden Avenue Westmont, IL 60559

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 F0804

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Level of Harm - Minimal harm or potential for actual harm

Based on observation, interview and record review, the facility failed to provide cold foods to meet acceptable palatable temperatures requirements for the residents. This applies to 5 of 5 residents (Resident R1, Resident R2, Resident R3, Resident R6, Resident R8) reviewed for poor prep and quality of foods. The findings include: On September 29, 2025, at 9:37 AM, Resident R6 had received a breakfast room tray that was set on a bedside table while he was still in dialysis. The breakfast meal included an 8-ounce carton of whole milk and 4-ounce disposable cup of orange juice. Resident R6 returned to room at around 11:30 AM to eat his breakfast. On September 29, 2025, at 9:44 AM, 10:18 AM and Resident R3 and Resident R1 respectively stated that the food that is supposed to be cold is hot. Resident R3 and Resident R1 added that the orange juice is served warm. On September 29, 2025, at 9:56 AM, Resident R2 stated that cold foods are served warm and that the quality is poor.On September 29, 2025, at 11:33 AM, during tray line service, deli sandwiches wrapped in clear wrap with condiments were seen placed directly on the tray line counter next to the steam table. V10 (Dietary Aide) stated that the ham sandwiches were made fresh, and

the turkey sandwiches were made the day before. The turkey sandwich contained wilted lettuce and cheese that appeared to be melting. On testing the temperature of the ham sandwich, it showed 70 degrees Fahrenheit. Resident R2 had ordered turkey sandwich and Resident R8 had ordered the ham sandwich. Both these residents received room trays around 12:00 PM with ordered deli sandwiches. On September 29, 2025, at 12:06 PM,

the food temperature in degrees Fahrenheit of drinks from a test tray was taken by V1(Administrator) and showed that orange juice was 49.8 and milk was 46.7. On September 30, 2025, at 9:07 AM, V11 (Interim Dietary Manager) on request tested a cup of orange juice after it was dispensed from the dispenser and it showed 50.7 degrees Fahrenheit. V11 stated that the juice dispenser does not keep juices cold. On September 30, 2025, at 2:22 PM, V14 (Dietitian) stated that the orange juice should come out cold from the dispenser. V14 stated that cold items should be 40 degrees Fahrenheit at the serving station and should at least be 45 degrees Fahrenheit at point of service, Facility policy titled Serving/Tray Line-Safety and Palatability included: Policy: The temperatures of all food on the serving line will be measured and recorded at every meal. Procedure: 2. Cold foods are maintained at 41-degree Fahrenheit. 3. Temperatures are taken prior to service to ensure hot foods and cold foods are maintained at the appropriate temperatures. 4. If items are not at the correct temperatures, action will be taken so that the temperatures are restored to correct the temperature. Protocol:10. Cold foods will be prepared, dipped into individual serving dishes and chilled prior to service. Cold beverages will be added at the end of tray line to maintain the temperature. 11.Cold foods will be at 40-45 degrees at the time of service for palatability.

Residents Affected - Some

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

Event ID:

Facility ID:

If continuation sheet

📋 Inspection Summary

Oakwood Rehab and Nursing Center in WESTMONT, 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 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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