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Oak Lawn Respiratory Rehab Ratings & Violations

Oak Lawn Respiratory & Rehab is a 75 bed nursing home located in Cook County, Illinois at:

Oak Lawn Respiratory & Rehab
9525 South Mayfield
Oak Lawn, IL 60453
Telephone: 708-636-7000
Website: Not available

According to the state nursing data on the rehabilitation center, patients are admitted to the nursing home facilities due to the following health complications:

  • Blood Disorders
  • Endocrine/Metabolic
  • Developmental Disability
  • Circulatory System
  • Respiratory System
  • Mental Illness
  • Nervous System
  • Other Medical Conditions

Concerning Findings Regarding Patient Care at Oak Lawn Respiratory & Rehab

A survey conducted by the Illinois State Department of Health and other private agencies discovered numerous cases of poor patient supervision, inadequate care equipment, failure to assess pain and abuse which can be construed as nursing home negligence. On reviewing the surveys of ProPublica, the nursing home attorneys at Rosenfeld Injury Lawyers LLC discovered the following episodes which can be construed as negligence:

  • Failure to effectively assess and manage pain: “On 7/27/09 at 10:00 AM, surveyor requested to do a wound check on R5 with E (4) treatment nurse and E5 (staff nurse). Upon entering R5’s room, surveyor observed R5 in bed on an air flow mattress, curled up lying on his left side. There were no heel protectors or heel lifts in place. There was only a flat thin pillow propped up against the left side rail and barely touch the bony prominence of R5’s knees. In preparation for the wound treatments, R5 was turned to the right side (towards the door). E5 removed the dressing and started cleansing the left hip pressure ulcer, R5 grimaced in pain and pulled away with his arms. Surveyor asked E4 and E5 if R5 had been medicated for pain, and both responded “he gets his medications at 6:00 AM.” On 7/27/09, at 12:55 PM, surveyor asked E5 (staff nurse) if R5 had received a pain medication. E5 stated I’m giving it now. Review of the prn medication form revealed the Tylenol #2 was given at 1:15 PM, almost 3 hours after R5 had his wound treatments completed.”
  • Failure to provide proper care to residents with pressure sores: “On 7/27/09 at 10:50 AM, prior to wound treatments with E4 (treatment nurse) and E9 (CNA), surveyor observed R2 lying on her back and was not wearing heel protectors. R2 is alert and able to mouth her needs and concerns. E9 was asked if he done AM care on R2, E9 stated he did her care at 8:00 AM. R2 was turned on her right side by E9 and E4 and surveyor observed R2’s underpad and buttocks soiled with
    feces. The [MEDICATION NAME] was dated 7/24/09. R2 has an order to cleanse sacral wound with normal saline then apply [MEDICATION NAME] every 3 days. When E4 removed the [MEDICATION NAME] from R2’s sacral area, a very foul odor was noted. Large amount of yellow slough was noted to the sacral wound. Surveyor observed an open area to the left buttock and asked E4 if it was new. E4 stated it looked like a skin tear. At 12:45 PM, surveyor returned to interview R2. R2 was observed lying on her back. Surveyor asked R2 if she was turned every 2 hours or gotten up out of bed to sit in her chair. R2 responded no, not too often. R2 was asked if she would like to get up and R2 responded yes. R2 was then asked R2 if the CNA (E9) had given her AM care and shook her head no. R2 was observed at 2:45 PM, 3:50 PM still on her back. R2’s physician was notified on 7/27/09 by treatment nurse (E4) and R2 was sent to hospital to rule out sacral [MEDICAL CONDITION]. Review of hospital records obtained on 7/30/09 denotes R2 was admitted for [MEDICAL CONDITION], pneumonia, [MEDICAL CONDITION]. Wound culture results dated 7/31/09 reveal R2 was positive for 4 different organisms to the sacral wound that included: proteus mirabilis-heavy, citrobacter amalonaticus-few, escherichia coli-few, and [MEDICATION NAME] raffinosus-moderate.”
  • Failure to provide necessary care to residents: “Based on record review and interviews the facility failed to provide necessary care and services for 2 residents (R4, R5) who received surgical debridement at their bedside and experienced avoidable, profuse bleeding from the sites 24 to 48 hours after the procedure by not:  -obtaining/assessing lab results prior to the surgical debridement -obtaining informed consent from the resident’s responsible party prior to the procedure. -consulting with the attending physicians prior to the procedure. -administering pain medication prior to the surgical debridement. Both R4 and R5’s hematocrit and hemoglobin were below normal levels at the time of the surgical debridement. This failure resulted in hospitalization and blood [MEDICAL CONDITION] for both residents. On 1/5/10 at 3:10pm Z2 stated, “I didn’t write that the resident needs a debridement. The family wants comfort care. It was my surprise it was done. No CBC (complete blood count) was done prior (to the procedure). The staff called me and I told them to call the physician who performed the procedure. The staff said they did call and didn’t get a response.” Z2 further stated, “The resident’s hemoglobin kept dropping after arriving to the hospital. I called E1 (administrator) and told him no procedures are to be done on my patients without my prior knowledge. I wasn’t made aware. I told E1 the resident is a DNR (do not resuscitate). I didn’t tell anyone to do the debridement. I wouldn’t do any procedures on residents who are DNRs and are to receive comfort care measures.”
  • Failure to position residents correctly for gastronomy tube feedings: “During the Medication Pass on 1/05/11 at 5:20 PM, R28 was observed lying flat in bed. But, surveyor observed that R28’s gastrointestinal feeding was infusing Fibersource at 75 cc per hour. E17 (nurse) was present in the room with the surveyor and was administering medications to R28’s roommate. Surveyor prompted E17 to reposition R28 so she was receiving gastrointestinal feeding in an appropriate position, which did not put her at risk for aspiration.”
  • Failure to keep residents safe from significant medication errors: “R2 is an [AGE] year old resident with multiple [DIAGNOSES REDACTED]. This document goes on to state that R2’s only option for treatment would be [MEDICAL CONDITION] which is contraindicated giving his overall health status. The documentation states “I recommend continuation of antiandrogen therapy and a recheck of his PSA in 6 weeks”. R2’s clinical record contains no evidence that the [MEDICATION NAME] injection was given. E18, Nurse, told surveyor during an interview on 1/5/11 at approximately 11am that R2 has not yet received the [MEDICATION NAME] Injection as it is not covered by R2’s insurance, and would require physician’s certification. E18 went on to say that she, E18, has made two attempts to contact R2’s physician to obtain verification for the insurance company but has been unable to do so. E18’s last attempt was 12/18/10. R2’s nursing notes shows several contacts with a physician for unrelated issues, with most recent contact dated 1/4/11. E18 told surveyor that R2’s order for [MEDICATION NAME] injection is lieu of surgical intervention for his enlarged prostate gland.”

Oak Lawn, IL Nursing Home Attorneys

The Illinois Nursing Home Attorneys at Rosenfeld Injury Lawyers LLC represent families and individuals who have suffered an episode of abuse or neglect during an admission to a facility. Many of our nursing home lawsuits involve the following situations:

  • Bed Sores / Pressure Pores
  • Repeated Falls
  • Dropped Patients
  • Fractures
  • Medication Errors
  • Physical Abuse
  • Patient Wandering
  • Wrongful Death

Concerned about a loved one? Take the first step today.

Has a family member been admitted to Oak Lawn Respiratory & Rehab or any nursing home in Illinois? And was he or she a victim of poor patient care or abuse while been admitted? If Yes, why not talk tour nursing home attorneys today by calling (888) 424-5757.

At Rosenfeld Injury Lawyers LLC, we believe in bringing justice to families who have been wrongly victimized while been admitted in nursing facilities. Our nursing home lawyers do not charge a dime till you get the justice you deserve and are duly compensated. Call our attorneys today.

Disclaimer: The above inspection findings are take from public sources including the State Department of Health and from Medicare inspection conducted at the facility at least every fifteen months. Rosenfeld Injury Lawyers LLC cannot confirm that the content on this site is the most recent information related to the facilities mentions.

The inspection findings published are not complete. You may find the most up to date information here: or

The deficiencies/citations listed on this page may have been corrected or substantially corrected after the date of the inspection and date of publishing this material. This page is a legal advertisement and a resource of information for visitors. This material is not endorsed by the facility noted or by any governmental agency. Rosenfeld Injury Lawyers LLC does not have any affiliation with the facility.

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