Landmark of Oak Lawn Rehabilitation and Nursing Ce
9525 South Mayfield · Oak Lawn, IL · 60453 · 7086367000
143 certified beds For profit - Limited Liability company Chain: Infinity Healthcare Consulting
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $68,044 in fines in the last 24 months.
- 7 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
4 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$68,044 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
2.95 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
70% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 2.95 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.60 | 0.55–0.75 |
| Weekend hours / resident-day | 2.70 | ≈ weekday level |
| Nursing turnover / year | 70% | median 45% |
| Fines (3-yr window) | 5 · $308,189 |
Inspection citations (59 in the current record)
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Potential for harm · D January 30, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 20, 2026 · Quality of Life and Care
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Potential for harm · D January 30, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 20, 2026 · Quality of Life and Care
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Potential for harm · D July 18, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 31, 2025 · Quality of Life and Care
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Potential for harm · D June 18, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 25, 2025 · Resident Rights
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Potential for harm · D June 18, 2025 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected June 25, 2025 · Resident Rights
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Potential for harm · D June 18, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected June 25, 2025 · Resident Rights
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Potential for harm · D June 18, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · E June 18, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 25, 2025 · Quality of Life and Care
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Potential for harm · D June 18, 2025 · found via complaint
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.
Corrected June 25, 2025 · Quality of Life and Care
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Potential for harm · D June 18, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 25, 2025 · Quality of Life and Care
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Potential for harm · D June 18, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 25, 2025 · Pharmacy Service
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Potential for harm · D June 18, 2025 · found via complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected June 25, 2025 · Pharmacy Service
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Potential for harm · D February 26, 2025 · found via complaint
Provide activities to meet all resident's needs.
Corrected March 6, 2025 · Quality of Life and Care
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Potential for harm · D January 31, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 12, 2025 · Quality of Life and Care
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Actual harm · G January 9, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 19, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected December 27, 2024 · Pharmacy Service
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Potential for harm · F December 19, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 27, 2024 · Nutrition and Dietary
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Actual harm · G November 27, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 9, 2024 · Quality of Life and Care
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Potential for harm · D November 4, 2024 · found via complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected November 20, 2024 · Pharmacy Service
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Immediate jeopardy · L June 27, 2024 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected July 18, 2024 · Environmental
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Actual harm · G June 27, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 27, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 18, 2024 · Resident Rights
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Immediate jeopardy · J March 18, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 18, 2023 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected December 27, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F December 8, 2023 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected December 18, 2023 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 19, 2024 | Fine | $53,784 |
| November 27, 2024 | Fine | $14,260 |
| June 27, 2024 | Fine | $39,459 |
| March 18, 2024 | Fine | $78,085 |
| September 22, 2023 | Fine | $122,601 |
| September 22, 2023 | Payment Denial | 73 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145942 · certified since July 16, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.