Inspection·April 28, 2025

F 0729 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to ensure a Certified Nursing Assistant was certified by verifying continuous employment on the Health Care Worker Registry. This has the potential to affect all 80 residents currently residing at the facility. Findings Include: The facility undated Resident Matrix provided to this surveyor on [DATE] documents 80 residents reside at the facility. The untitled and undated staff roster given to this surveyor on [DATE] documents V11 (Certified Nursing Assistant/CNA) was hired by the facility on [DATE]. V11's Health Care Worker Registry Check, dated [DATE], documents under Work Eligibility: Eligible. The registry documents the following statement. In addition to Work Eligitibility, Employers are responsible for checking Training and Work History and Certifications to determine if person is eligible to work in a position that requires certification, such as CNA. This same Health Care Worker Registry Check documents V11's employement was verified on [DATE] and again on [DATE]. There is no documentation on this Health Care Worker Registry Check verifying V11 was employed as a Certified Nursing Assistant after [DATE]. On [DATE] at 1:22 PM, V11 (Certified Nursing Assistant) stated she had worked at the facility since February 2024. When asked when she became certified as a nursing assistant, V11 stated, It has been a long time. V11 stated she had a break in her career as a CNA to be a stay at home mom for a few years, and then went back to work as a CNA. V11 stated she was employed during that time by individuals in a home setting as a private sitter. V11 stated she wasn't aware of any lapse in her certification. On [DATE] at 1:26 PM, V1 (Administrator) stated she wasn't aware of any certified staff working without the proper certification. V1 stated when they get an applicant they are interested in, the background checks and registry checks are all completed prior to the first interview. On [DATE] at 1:41 PM, V2 (Director of Nurses) stated she wasn't aware of any certified staff working without the proper certifications. When asked about V11 (CNA), V2 (DON) stated V11 had shown her a paper last week that said something about her employer needing to show work history. V2 stated she had V11 take it to the front office and she returned and told V2 everything was ok. (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: 145376 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 145376 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/28/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oakview Nursing & Rehab 1320 West 9th Street Mount Carmel, IL 62863 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)