Oakbrook Health And Rehabilitation
OAKBROOK HEALTH AND REHABILITATION in THORP, WI — inspection on November 10, 2025.
Found 2 citations. 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
using a raised voice. CNA P stated that telling a resident to shut up would be considered abuse.During an interview on 11/10/2025 at 9:40 AM, CNA F stated that if a resident told another resident to shut up, it was considered abusive. CNA F stated she had heard Resident #1 tell their roommate to shut up.During an interview on 11/10/2025 at 10:15 AM, the Director of Nursing (DON) stated verbal and emotional abuse included name calling, making derogatory remarks, and yelling at someone to get out of the way.
The DON stated if a resident was being told to shut up, it could be considered harassment.
During an interview on 11/10/2025 at 11:10 AM, the Administrator stated both residents were highly confused, and she did not know if they were really hearing what was being said.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/10/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Oakbrook Health and Rehabilitation
206 W Prospect St Thorp, WI 54771
SUMMARY STATEMENT OF DEFICIENCIES
During an interview on 10/22/2025 at 12:51 PM, Licensed Practical Nurse (LPN) L stated Resident #1 had behaviors, was disruptive, and yelled out.
During an interview on 10/22/2025 at 1:19 PM, the Minimum Data Set (MDS) Coordinator stated that Resident #1 was not compliant with care and refused care.
The MDS Coordinator acknowledged Resident #1's care plan should have been updated with interventions related to continuous behaviors of yelling.
The Medical Director (MD) was interviewed on 10/23/2025 at 9:12 AM.
The MD stated that at minimum interventions should have been care planned for all re-occurring behaviors and reassessed for effectiveness.
During an interview on 10/23/2025 at 10:11 AM, the Director of Nursing acknowledged that Resident #1's care plan should have been updated with interventions related to the resident's behaviors.
The Administrator was interviewed on 10/23/2025 at 10:37 AM.
The Administrator acknowledged Resident #1's care plan should have been updated with interventions related to their behaviors.
During an interview on 11/10/2025 at 1:49 PM, the Social Services Director stated they had determined there was a problem in their system with updating the CAAs that were checked on the MDS.
Facility ID:
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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.