Health inspection·May 23, 2025

F 0806 Level of Harm - Minimal harm or potential for actual harm Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Based on interview and record review, the facility failed to accommodate a resident's food allergies and preferences. This applies to 1 of 3 residents (R1) reviewed for food allergies in a sample of 4. Residents Affected - Few The findings include: On 5/20/25 at 12:05 pm, R1 said that she is allergic to shellfish, squash, all melons in the melon family, bananas, and cucumbers. R1 said that she made the facility aware of her allergies, but she continues to be served food she is allergic to. R1 said that on 5/18/25, she was served a salad with a cucumber on it, and she told the staff, and on 5/17/25 she was served melons on her lunch tray, and she told the CNA (Certified Nurse's Assistant). R1 then showed a picture on her phone of a meal tray with a bowl of melons on the tray. On 5/22/25 at 10:45 AM, R1 said that she is still being served food that she is allergic to. R1 said that on the previous Monday (5/19/25) she was served a salad with a cucumber in it again. R1 reiterated that she is allergic to cucumbers, and she has told the facility. On 5/20/25 at 12:59 PM, V4 (CNA) said that R1 has gotten food on her tray that she is allergic to. V4 said 1-2 weeks ago, she had served R1 her meal tray during the day and the tray had melons on it. V4 verified that R1 told her that she was allergic to melons. On 5/20/25 at 2:01 PM, V6 (Dietary Manager) said that he had no knowledge of R1's allergies and he was aware R1 had gotten cucumbers. V6 pulled R1's 5/20/25 lunch meal ticket out of his pocket which showed R1's food allergies included melons and cucumbers, but the word cucumber was lined out in ink and in handwriting above the word cucumber, was the word cantaloupe, and above the list of food allergies was handwritten in ink, Dislikes: cucumber:. On 5/20/25 at 1:46 PM, V5 RD (Registered Dietitian) said that she did not ask R1 if she was allergic to cucumbers and her daughter told her that R1 dislikes cucumbers. V5 said that R1 should not be served any food that she is allergic to. V5 said that if someone has a food that they are allergic to, an array of things could happen including having a GI reaction, respiratory reaction, skin hives, swelling, edema, and even as far as an anaphylactic reaction. On 5/22/25 at 2:30 pm, V1 (Administrator) said that he was made aware of over a month ago that R1 was served a cucumber in her salad. V1 said that in the middle of April the facility held a care conference for R1 and R1's food allergies and food preferences including cucumbers were addressed in the conference. V1 said that the facility is aware that R1 is allergic to melons but thought that R1 (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 145338 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 145338 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/23/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oakwood Rehab and Nursing Center 512 East Ogden Avenue Westmont, IL 60559 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)