Health inspection·September 30, 2025

F 0803 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Based on observation, interview and record review, the facility failed to serve protein portion sizes as shown for the lunch meal.This applies to 8 of 10 residents (R1, R2, R3, R4, R5, R6, R7, R9) reviewed for insufficient foods in the sample of insufficient foods in the sample of 10.The findings include:Facility menu spreadsheet for Monday (Week 4) included 6 ounces of Vitamin C juice for breakfast and 3 ounces of Baked Ham as the main entree for lunch.Facility also provided deli sandwiches as a substitute item for baked ham. Nutrition facts on Turkey Deli meat packaging label showed that 4 slices of turkey meat=10 grams of protein.On September 29, 2025, at 9:37 AM, R6 had received a breakfast room tray, and it included a half (disposable) cup of orange juice. R5 was still at dialysis. On September 29, 2025, at 9:44 AM and 10:18 AM, R3 and R1 respectively stated that the drinks served are only half or less than half filled in the cup and watered down. On September 29, 2025, at 9:56 AM, R2 stated that the portion sizes are much smaller and that the resident families have to bring extra food as the residents are still hungry. R2 added that the juices are watered down. On September 29, 2025, at 11:33 AM, during tray line service R2 ordered a turkey deli sandwich. On checking the contents of the sandwich, it contained 2 slices of deli turkey with one slice cheese and a piece of lettuce. V10 (Dietary Aide) stated that the turkey sandwiches were made the day before. On September 29, 2025, at 11:33 AM, V11(Interim Dietary Manager) was platting the food at the tray line service, and the ham slices were noted sliced into varying thickness. V11 served R3, R4, R5, R6 and R7 one slice of ham along with the other side items consisting of scalloped potatoes and carrots. V12 (Cook) who was in the vicinity was requested to weigh one slice of the ham on a weighing scale. V12 took one of the thicker sliced pieces from the steam table and when weighed the same and it showed 2.3 ounces. On September 29,2025, at 12:19 PM, R4 stated There is more vegetables than meat on the plate. On September 29, 2025, at 3:18 PM, R9 stated There is not enough food at all. We have big people here. My whole life I have never gone to bed hungry, but now I am going hungry. On September 30, 2025, at 9:07 AM and 9:29 AM, V11 stated that the juices are supposed to be served in a 7 oz plastic cup for breakfast. V11 stated that the juice from the dispenser is put in a container and that the facility adds ice to the container prior to taking it to the unit. V11 added that the ham was already pre-sliced when he had come in to assist to serve at tray line. On September 30, 2025, at 2:33 PM, V14 (Dietitian) stated that the residents should have received 3 ounces of ham and 6 ounces of orange juice as shown on the menu spreadsheet to meet the dietary requirements. V14 stated that the facility should not add ice as it waters down the juice. V14 stated that the substitute menu item should be comparable to the main menu entree. V14 stated that 1 oz of meat=7 grams of protein. V14 added that by serving 2 slices of deli turkey meat with one slice of cheese, the facility is not giving adequate amount of nutrition (protein) as main menu entree. Facility policy and procedure titled Food Preferences included: Policy: The facility will attempt to accommodate the residents' requests as available. Procedure: 1 The (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 3 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 09/30/2025 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)