Oakbrook Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Oakbrook Health and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Jan 29, 2026

  Based on observation, interview, and record review, the facility did not provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections which has the potential to affect all 39 residents.-R44 has open wounds with no Enhanced Barrier Precautions (EBP) in place.-RN I returned to work too soon after illness.-Inappropriate hand washing/gloving during cares (R2).Example 1 The facility protocol titled, Infection Prevention and Control Program, last revised 01/26, reads in part: During an infectious disease outbreak, facility staff along the with medical director will follow prevailing infectious disease protocol at the time-as directed by local or state health agencies or the Centers for Disease Control and… […]

• No harm, potential for more than minimal, isolatedF609May 27, 2026

  Based on interview and record review the facility did not implement policies and procedures for ensuring the reporting of physical abuse in accordance with section 1150B of the Act when an allegation of physical abuse was not reported immediately, but no later than 2 hours to the local law enforcement in accordance with state law through established procedures for 1 of 3 residents (R) reviewed (R1).On 05/02/26, the facility was made aware of R1's allegation of abuse. The facility did not report this allegation to local law enforcement within 2 hours. This is evidenced by:Facility policy titled, Resident safety Abuse Policy, with reviewed date of 03/24, states in part: 8. Reporting Suspected Violations: .e. […]

• No harm, potential for more than minimal, isolatedF609Mar 10, 2026

  Based on record review and interview, the facility did not implement policies and procedures for ensuring the reporting of physical abuse in accordance with section 1150B of the Act when an allegation of physical abuse was not reported immediately, but no later than 2 hours to the State Agency and local law enforcement in accordance with state law through established procedures for 1 of 3 residents (R) reviewed (R1).On 02/03/26, the facility was made aware of R1's allegation of abuse. The facility did not report this allegation to State Agency (SA) or to local law enforcement within 2 hours. This is evidenced by:Facility policy titled, Resident safety Abuse Policy, with reviewed date of 03/24, states in part: 8. Reporting Suspected Violations: .e. […]

• No harm, potential for more than minimal, isolatedF641Jan 29, 2026

  Based on interview and record review, the facility did not ensure the accuracy of assessment related to Minimum Data Set (MDS) for 1 of 1 resident reviewed (R1).R1 had a Preadmission Screening and Resident Review (PASARR) 1 and 2 completed, which the MDS assessment did not reflect.R1 was admitted to the facility on [DATE].Surveyor reviewed R1's health record. PASARR 1 was completed upon admission dated 03/01/24. PASARR 2 was completed on 03/13/24.Surveyor reviewed R1's MDS assessments. The annual MDS on 03/01/24 indicated R1 did not have a PASARR 1 completed. […]

• No harm, potential for more than minimal, isolatedF881Jan 29, 2026

  Based on record review and interview, the facility did not ensure to follow their antibiotic stewardship program that includes antibiotic use protocols and a system to monitor antibiotic use for 1 of 1 resident (R36) reviewed. This is evidenced by:Facility's policy titled Infection Prevention and Control Program revised date of 08/25 documented in part. 9. Antibiotic Stewardship. A. The facility follows the current CDC guidelines for Preventing Antimicrobial Resistance among Long-Term Care Facility Residents and has adopted facility-specific protocols (i.e. see Urinary Tract Infection Protocol) for certain high antibiotic-use infections. B. Additional antibiotic use protocols and systems to monitor antibiotic use: i. […]