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Oak Lawn Respiratory & Rehab

Details

Type of Ownership For profit - Partnership
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 143
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 02/09/2012

Date of last standard health inspection: 02/09/2012
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in IL: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in IL: 0 - 11

Inspection, 02/03/2011

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly care for residents needing special services 02/03/2011 00/09/2012 colostomy including: injections

Inspection, 01/01/2008

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 01/01/2008 03/00/2008 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Reasonably accommodate the needs and preferences of each resident. 01/01/2008 03/00/2008 2 Few

Inspection, 02/08/2007

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates 02/08/2007 02/05/2008 Some controls and keeps infection from spreading.
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/08/2007 02/05/2008 3 Few

Inspection, 02/09/2006

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 02/09/2006 02/09/2007 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 02/09/2006 02/09/2007 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 00/09/2002

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. 00/09/2002 02/09/2002 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/09/2002 02/09/2002 2 Few
Have a program that investigates, controls and keeps infection from spreading. 00/09/2002 02/09/2002 2 Some
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. 00/09/2002 02/09/2002 2 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 00/09/2002 02/09/2002 2 Some
Ensure that residents are safe from serious medication errors. 00/09/2002 02/09/2002 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/09/2002 02/09/2002 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/09/2002 02/09/2002 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/09/2002 02/09/2002 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 00/09/2002 02/09/2002 2 Some
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 00/09/2002 02/09/2002 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 00/09/2002 02/09/2002 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. 00/09/2002 02/09/2002 2 Few

Inspection, 00/01/2002

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Operate and provide services according to Federal, State, and local laws and professional standards. 00/01/2002 00/02/2002 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. 00/01/2002 00/00/0000 1 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 00/01/2002 00/02/2002 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 00/01/2002 00/02/2002 2 Many
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 00/01/2002 00/02/2002 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 00/01/2002 00/02/2002 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/01/2002 00/02/2002 2 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 00/01/2002 00/02/2002 2 Some
Use a registered nurse at least 8 hours a day, 7 days a week. 00/01/2002 00/02/2002 2 Some
Give or get specialized rehabilitative services per the patient's assessment or plan of care. 00/01/2002 00/02/2002 2 Some
Provide medically-related social services to help each resident achieve the highest possible quality of life. 00/01/2002 00/02/2002 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/01/2002 00/02/2002 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Let residents choose whether to manage their own money or deposit it with the nursing home. 00/01/2002 00/02/2002 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/01/2002 00/02/2002 2 Some

Inspection, 02/06/2001

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. 02/06/2001 02/02/2002 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/06/2001 02/02/2002 2 Some
Have a program that investigates, controls and keeps infection from spreading. 02/06/2001 02/02/2002 2 Some
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. 02/06/2001 02/02/2002 1 Some
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 02/06/2001 02/02/2002 2 Many
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 02/06/2001 02/02/2002 2 Many
Make sure that special or therapeutic diets are ordered by the attending doctor. 02/06/2001 02/02/2002 2 Few
Store, cook, and serve food in a safe and clean way. 02/06/2001 02/02/2002 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 02/06/2001 02/02/2002 2 Few
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 02/06/2001 02/02/2002 2 Some
Ensure that residents are safe from serious medication errors. 02/06/2001 02/02/2002 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 02/06/2001 02/02/2002 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 02/06/2001 02/02/2002 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/06/2001 02/02/2002 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/06/2001 02/02/2002 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/06/2001 02/02/2002 2 Few
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 02/06/2001 02/05/2002 2 Few
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. 02/06/2001 02/02/2002 2 Few
Ensure residents maintain acceptable nutritional status. 02/06/2001 02/02/2002 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents to easily view the results of the nursing home's most recent inspection. 02/06/2001 02/02/2002 1 Many

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in IL Golden Living Center, Asheville
RN Staff Only1 N/A N/A 4 out of 5 stars
Total Number of Residents 86 93 71
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 51 hours 18 minutes 1 hour 35 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 50 hours 44 minutes 58 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 50 hours 52 minutes 37 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 52 hours 11 minutes 2 hours

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 03/15/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 03/15/2012
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in IL: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in IL: 0 - 0

Inspection, 00/01/2004

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 00/01/2004 03/00/2004 2 Many
Automatic sprinkler systems that have been maintained in working order. 00/01/2004 00/02/2004 2 Many
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 00/01/2004 01/05/2005 2 Many
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 00/01/2004 00/00/0000 2 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/01/2004 01/07/2007 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 00/01/2004 01/05/2005 2 Many
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 00/01/2004 02/02/2004 1 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 00/01/2004 02/02/2004 2 Many
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A fire alarm system that can be heard throughout the facility. 00/01/2004 02/02/2004 2 Many
Properly maintained smoke detectors. 00/01/2004 02/02/2004 2 Many
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 00/01/2004 01/07/2007 2 Many
Proper fire barriers, ventilation and signs for the transfilling of oxygen. 00/01/2004 01/07/2007 2 Many
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protected exits that allow the resident to escape the building. 00/01/2004 03/00/2004 2 Many

Inspection, 01/05/2003

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 01/05/2003 01/05/2005 2 Many
Properly working alarms on sprinkler valves. 01/05/2003 01/05/2005 2 Many
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 01/05/2003 01/05/2005 2 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. 01/05/2003 01/05/2005 2 Many
Corridor and hallway doors that block smoke. 01/05/2003 01/05/2005 2 Many
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A written emergency evacuation plan. 01/05/2003 01/05/2005 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 01/05/2003 01/05/2005 2 Many
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An automatic smoke detection system in all hallways. 01/05/2003 01/05/2005 2 Many
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper construction of ducts through walls designed to prevent smoke passage. 01/05/2003 01/05/2005 2 Many
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 01/05/2003 01/05/2005 2 Many
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper stairway enclosures and vertical shafts. 01/05/2003 01/05/2005 2 Many

Inspection, 01/01/2001

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/01/2001 01/09/2001 2 Few
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 01/01/2001 00/01/2003 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 01/01/2001 00/07/2002 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 01/01/2001 01/06/2002 2 Many
Properly installed electrical wiring and equipment. 01/01/2001 01/04/2002 2 Few
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 01/01/2001 01/09/2001 1 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 01/01/2001 01/09/2001 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 01/01/2001 01/09/2001 2 Some
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 01/01/2001 01/09/2001 2 Some
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protected exits that allow the resident to escape the building. 01/01/2001 01/09/2001 2 Some
 

9525 South Mayfield
Oak Lawn, IL 60453

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