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Oak Lawn Respiratory Rehab

Oak Lawn Respiratory Rehab, 9525 South Mayfield, Oak Lawn, Illinois 60453

Oak Lawn Respiratory Rehab is located in Oak Lawn, Illinois which is a southwest suburb to the city of Chicago. Oak Lawn Respiratory Rehab has 143 certified beds and participates in both Medicare and Medicaid. The ownership of Oak Lawn Respiratory Rehab is a for-profit corporation. The facility is not in a continuing care retirement community. Oak Lawn Respiratory Rehab has a resident council only.

Resident and family councils are important to encourage communications with the nursing home staff. The law requires nursing homes to allow councils to be organized by residents and their families. In a case of a nursing home not having a resident and family council, it would be appropriate for the resident and/or family members to inquire with the nursing home administrator why that is the case. In addition, it may be important to ask to speak with a council president to understand how the nursing home has acted on issues that have arisen in the past.

The Illinois Department of Health and Human Services regularly inspects Illinois nursing homes on average every 18 months. The last full report regarding their health inspection was done on January 22, 2016. However, the Illinois Department of Health and Human Services also files reports following a complaint. There were three full reports of complaint inspections registered for Oak Lawn Respiratory Rehab between October 1, 2015 and September 30, 2016. One such full report of a complaint inspection was made on May 6, 2016.

With respect to the health deficiencies that were found at this standard health inspection, there were six reported. Three of these health deficiencies was in quality care, one was in resident rights, one was in nutrition and dietary and one was in environmental.

As to the complaint inspection of May 6, 2016, Oak Lawn Respiratory Rehab, based on observation, interview and record review, the facility failed to implement professional standards of infection control practices during a resident’s pressure ulcer dressing change. A licensed practical nurse was observed changing the resident’s pressure ulcer dressings to the sacrum and left heel. The resident was noted on April 29, 2016 with a bloody dressing which did not cover the resident’s open sacral pressure ulcer. The resident was in isolation for infection in the blood and for the sacral wound. The licensed practical nurse was observed during dressing change for the resident’s sacral/buttocks pressure ulcer and left heel pressure ulcer with a dirty garbage bag with bloody, soiled dressing from the resident’s sacral pressure ulcer touching the LPN’s clean gauze supplies for the dressing change. The LPN removed the scissors from her pocket without cleaning the scissors prior to cutting the resident’s dressing for her left heel. The Director of Nursing stated that the LPN should not have been as lax in possibly contaminating the open wounds of this resident. The facility’s policy on non-sterile dressing reads: Prepare a clean, dry work area at bedside. The facility policy does not read to place the clean and dirty dressings next to each other on the resident’s bed as was done here.

The overall rating for Oak Lawn Respiratory Rehab is average. The rating for staffing is below average. The registered nurse staffing rating is average. The total number of licensed nurse staff hours per resident per day at Oak Lawn Respiratory Rehab is 2 hours and 5 minutes which is substantially higher than the Illinois average of 1 hour and 33 minutes and the national average which 1 hour and 42 minutes. The registered nurse hours per resident per day at Oak Lawn Respiratory Rehab is 52 minutes compared to 56 minutes for the Illinois average and 52 minutes for the national average. The LPN/LVN hours per resident per day at Oak Lawn Respiratory Rehab are 1 hour and 13 minutes. This is considerably higher than both the Illinois and national averages which were just 37 minutes and 51 minutes, respectively. The physical therapy staff hours per resident per day at Oak Lawn Respiratory Rehab is just 4 minutes. Both the Illinois and national averages for physical therapy staff hours per resident per day is 6 minutes.

63% of Oak Lawn Respiratory Rehab’s short-stay residents made improvements in function. 17.4% of Oak Lawn Respiratory Rehab’s short-stay residents were re-hospitalized after a nursing home admission. This percentage was lower than the Illinois average of 24.3% and national average of 22.6% in this category. 28% of Oak Lawn Respiratory Rehab’s short-stay residents had an outpatient emergency department visit. This percentage was much higher than the Illinois average of 12.3% with the U.S. average being 12.1%. Only 4.5% of Oak Lawn Respiratory Rehab’s short-stay residents were accessed and given the appropriate pneumococcal vaccine. This percentage is so much lower than the Illinois and national averages that it leads to a question about whether or not most of its residents are even considered candidates for this vaccine. The same would be said for short-stay residents at Oak Lawn Respiratory Rehab with respect to the assessment and giving the appropriate seasonal influenza vaccine which was just 4.5% of its residents. The Illinois average is 74.6% and the national average is 80%.

3% of Oak Lawn Respiratory Rehab’s long-stay residents experienced one or more falls with major injury. This percentage was in line with both the Illinois and national averages which were just slightly higher. 15.9% of Oak Lawn Respiratory Rehab’s long-stay high-risk residents developed pressure ulcers. This was more than double the Illinois and national averages in this category. 28.6% of Oak Lawn Respiratory Rehab’s long-stay residents had reported worsened ability to move independently. This percentage again was higher than the Illinois and national averages in this category. 22.5% of Oak Lawn Respiratory Rehab’s long-stay residents had an increased need for help with daily activities. The Illinois average was 15.4% whereas the national average was 15.3%. 57% of Oak Lawn Respiratory Rehab’s long-stay residents were assessed and given the appropriate pneumococcal vaccine. Again, this percentage was substantially lower than the Illinois average of 91.8% and the U.S. average of 93.4%.

Oak Lawn Respiratory Rehab was fined on December 18, 2015 in the amount of $7,000. It is possible that Illinois may have imposed a penalty under state law, but none are listed. To search for the Illinois state penalties, there is a separate website that would allow for an independent viewing of any such fines.

1 Vital Statistics
Number of Beds: 143 certified bedsinformation

Beds in the nursing home that have been approved by the federal government to participate in Medicare or Medicaid.

Accepts: Medicare and Medicaidinformation

Shows if the nursing home participates in the Medicare, Medicaid, or both.

2 Key Ratings
Star Rating Summary
Overall Rating information

Medicare assigns the overall star rating based on a nursing homes's performance on 3 separate measures: Health inspections, staffing, and quality measures. Each of these domains have their own star ratings, with more stars meaning better quality of care

Two Stars Below Average
Health Inspection information

Medicare assigns the star rating based on a nursing home’s weighted score from recent health inspections. More stars means fewer health risks

One Star Much Below Average
Staffing information

Medicare assigns the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs), and Nurse aides. More stars means a better level of staffing per nursing home resident

One Star Much Below Average
RN Staffing One Star Much Below Average
Quality Measures information

Medicare assigns the star rating based on data from a select set of clinical data measures. More stars means better quality of care

Five Stars Much Above Average
3 Key Short Stay Statistics
Description Oak Lawn Respiratory & Rehab Illinois
Average
Percent of short-stay residents who self-report moderate to severe pain
Lower percentages are better.
7.9% 10.2%
Percentage of SNF residents with pressure ulcers that are new or worsened
Lower percentages are better.
1.9% Not Available
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
28.6% 72.8%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
7.1% 74.7%
Percentage of short-stay residents who got antipsychotic medication for the first time
Lower percentages are better.
0.9% 2.1%
4 Key Long Stay Statistics
Description Oak Lawn Respiratory & Rehab Illinois
Average
Percent of long-stay residents experiencing one or more falls with major injury
Lower percentages are better.
1.3% 3.3%
Percent of long-stay residents with a urinary tract infection
Lower percentages are better.
0.6% 3.1%
Percent of long-stay residents who self-report moderate to severe pain
Lower percentages are better.
3.6% 4.9%
Percent of long-stay high-risk residents with pressure ulcers
Lower percentages are better.
17.8% 7.6%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Lower percentages are better.
76.9% 46.1%
Percent of long-stay residents who have or had a catheter inserted and left in their bladder
Lower percentages are better.
9.5% 2.4%
Percent of long-stay residents who were physically restrained
Lower percentages are better.
0.0% 0.3%
Percentage of long-stay residents whose ability to move independently worsened
Lower percentages are better.
9.5% 16.5%
Percent of long-stay residents whose need for help with daily activities has increased
Lower percentages are better.
5.2% 13.8%
Percent of long-stay residents who lose too much weight
Lower percentages are better.
3.3% 6.3%
Percent of long-stay residents who have depressive symptoms
Lower percentages are better.
5.3% 19.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
Lower percentages are better.
14.2% 20.2%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
87.5% 92.9%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
65.4% 89.7%
Percent of long-stay residents who received an antipsychotic medication
Lower percentages are better.
10.2% 18.8%
5 Inspection Summary

Date of standard health inspection: 02/21/2019
Total number of health deficiencies: 13
Average number of health deficiencies in Illinois: 10.6

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