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Complaint Investigation

Oakwood Rehab And Nursing Center

April 27, 2026 · 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 April 27, 2026.

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

FF0689
Quality of Life and Care Deficiencies

and she needed to be checked out.

Monitoring is a big thing for her fall prevention measures.

From

constantly monitoring her and reminding her to sit back. I do rounds 4-5x/shift.

Sometimes she sits in

(CNA's) stated, We try to keep (R2) in activities but she likes to be in her room in her wheelchair. We put movies on in the dining room to try to keep her in there.

She can be in her room by herself if she wants to be.

She requests to be in here on her own and watch movies and plays on her phone. We try to encourage her not to so that we can keep an eye on her but at the end of the day it's her choice if she wants to be in her room.On 4/27/26 at 11:18AM, V8 (CNA) stated, The day (R2) fell I was the aide taking care of her. It was sometime after lunch and I put her on the toilet and when she was done she asked me if she could stay in her room to watch tv. I left the room and she was up in her wheelchair.

I'm not sure what time it was.

After she had her fall they told me she needed to be out in the hallway so we could watch her but that it's her right to be in her room if she wants to be. I don't really know about the care specifics with the residents. I only work there PRN (as needed) so I think I can look in the computer if I need to know something but I'm not sure if it's updated or not. I would think whatever I needed to know would be given to me in our shift report from the previous shift.R2's nursing progress notes and care plan showed no documentation related to R2's preference to stay in her room nor was there documentation of R2's power of attorney or family having discussions with the facility regarding alternative fall prevention measures.The facility's policy titled, Safety and Supervision of Residents revised 3/2025 showed, Our facility strives to make the environment as free from accident hazards as possible.

Resident safety and supervision and assistance to prevent accidents are facility-wide priorities .3.

The interdisciplinary care team shall analyze information obtained from assessments and observations to identify any specific accident hazards or risks for that resident. 4.

Implementing interventions to reduce accident risks and hazards, while maintaining resident rights, may include the following: a. communicating specific interventions to all relevant staff. b. assigning responsibility for carrying out interventions. c. providing training, as necessary. d. ensuring that interventions are implemented; and e. documenting interventions. 5.

Monitoring the effectiveness of interventions shall include the following: a. ensuring that interventions are implemented correctly and consistently. b. evaluating the effectiveness of interventions. c. modifying or replacing interventions as needed; and d. evaluating the effectiveness of new or revised interventions .2.

Resident supervision is a core component of the system's approach to safety.

The type and frequency of resident supervision is determined by the individual resident's assessed needs and identified hazards in the environment .

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.