OAK TRACE
CMS
Actual Harm
Infection Control
Medication Error
Resident Neglect
Wound Care
Penalty
$13,780
Outcome
OAK TRACE in DOWNERS GROVE, IL was fined $13,780 by CMS following 17 deficiency citations identified during federal surveys.
Details
OAK TRACE (DOWNERS GROVE, IL) — $13,780 in CMS Fines
Outcome: OAK TRACE in DOWNERS GROVE, IL was fined $13,780 by CMS following 17 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Provide enough food/fluids to maintain a resident's health.
- Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- Ensure medication error rates are not 5 percent or greater.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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