Inspection·September 26, 2025

F 0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Level of Harm - Actual harm Residents Affected - Few **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based interview and record review facility failed to follow its abuse prevention policy and did not prevent an incident of resident-to-resident abuse. This deficient practice affected two of three residents (R1 and R2) reviewed for abuse. This failure resulted in R2 directing a racially derogatory term at R1 and spitting on R1. R1 was unavailable for interview during the survey; however, based on the Reasonable Person Concept, a reasonable person in R1's situation would likely experience humiliation, emotional distress, fear, and a sense of being unsafe because of the incident.R1 is not available for observation or interview. R1 MDS dated [DATE] denotes BIMS score of 10 (cognitive impairment). R1 care plan dated 7/28/28 with revision date of 8/12/25 denotes in-part R1 comprehensive assessment reveals history of suspected abuse or neglect or factors that may increase her susceptibility to abuse/neglect. R1 will be treated with respect, dignity and reside in the facility free of mistreatment, ongoing. R1 progress note dated 8/4/25 denotes R1 accused another resident of spitting on her and calling her the N word when she walked by him in the hallway. R2 face sheet shows diagnosis of delusional disorder, schizophrenia, unspecified psychosis.Facility final incident report dated 8/8/2025 denotes in-part on 8/4/25 the resident allegedly called a co-peer a name and spit in her face. R2 put on 1:1 monitoring until sent to hospital for psych evaluation. Investigation initiated. On 8/4/25 at approximately 3:30am, R2 and R1 were waking past each other on two main hallways. The resident calls R1 a black nxxxxx bxxxxx and spits in her face. R1 goes to the nurse's station to report incident to the nurse. R1 states she said nothing to provoke the incident. When asked why he called the resident a name and spat on her, R2 replies by speaking gibberish and off topic. R2 is put on 1:1 monitoring, sent to the hospital for psych evaluation. Witness statements dated 8/6/25 denotes in-part, on Sunday after handing R1 some linen from the cart for her bedding, while she was walking back to her room I heard R1 say don't spit on me and I looked up and told R2 to go back to his room. R2 progress notes dated 9/1/25 denotes in-part resident spit on one of the female residents without apparent reason. Writer tried to assess the resident why he spit on the resident, got no good reason except bad words coming from his mouth. Writer tried to talk to the resident to avoid getting near him because of his behavior issues.R2 plan of care dated 10/18/2024 with revision date of 9/2/25 denotes in-part for moderate to intense anger, related to poor listening skills, often becoming angry, defensive calling staff names, calling residents and staff Nxxxxx. R2 has history of spitting on other residents. Interventions are to encourage resident to talk about his feelings during support groups, work with the resident on improving listening skills, encourage resident to talk about anything that might be on his mind, anything that bothers him. There are no updated interventions noted for 9/1/2025, spitting incident. There are no intervention updates noted for the 8/4/25 spitting incident. R2 care plan has no updated intervention for the identified behaviors noted on the comprehensive quarterly assessment dated [DATE].R2 MDS dated [DATE] denotes BIMS score of 14, section E for (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: 145714 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 145714 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oak Park Oasis 625 North Harlem Oak Park, IL 60302 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)