Oak Lawn Respiratory & Rehab
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 50 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (14 vs median 11.0)
- High staff turnover (76%)
- High RN turnover (94%)
Bottom 25% in IL · Below recommended RN staffing · Very high staff turnover · Worst in INFINITY HEALTHCARE CONSULTING chain · $307,053 in fines
What this means for your family
Given the consistent and severe reports of medical neglect, hygiene failures, and communication breakdowns, we strongly advise families to look elsewhere. If you must consider this facility, perform an unannounced visit during a weekend or holiday to observe actual staffing levels and cleanliness, as these are the times reviewers report the most significant lapses in care.
Google Reviews
Google Reviews
50 reviews on Google“OAK LAWN RESPIRATORY & REHAB faces severe and recurring criticism regarding patient neglect, unsanitary conditions, and poor communication. While a small subset of reviewers reports positive experiences with specific staff members or short-term rehab, the overwhelming majority of feedback highlights dangerous lapses in medical care, including unaddressed wounds, hygiene failures, and unresponsive nursing staff.”
Quality Themes
Tap a score for detailsStrengths
- Convenient location for South Chicago residents
- Specialized respiratory care services
- Some individual staff members described as compassionate
- Occasional positive experiences with short-term rehab
Concerns
- Neglect and poor hygiene (bedsores, lack of bathing, soiled conditions) (mentioned by 12 reviewers)
- Understaffing and slow response times to call lights (mentioned by 8 reviewers)
- Poor communication and lack of administrative accountability (mentioned by 7 reviewers)
- Rude or unprofessional staff behavior (mentioned by 6 reviewers)
- Theft of personal belongings (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 53 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1Given the facility's focus on respiratory care, what specific protocols are in place to ensure consistent monitoring and hygiene for residents with complex breathing needs?
- 2With the current staffing levels, what is your average response time for call lights, and how do you ensure residents receive timely assistance with personal care and hygiene?
- 3What steps is the administration taking to improve communication with families regarding changes in a resident's health status or daily care plan?
- 4How does the facility safeguard personal belongings, and what is your process for tracking items to prevent loss or theft?
- 5Can you walk me through your current approach to maintaining room cleanliness and ensuring that residents are bathed and changed on a consistent, daily schedule?
- 6What kind of daily activities or social engagement programs are currently available to help residents feel connected and active within the community?
Personalized based on this facility's data
Key Review Excerpts
“My mom died here due to negligence. She fell out of bed 3 times. The aides were ignorant,lazy and supervisor was not taking action. Place was filthy,smelling of urine and stool.”
“My brother was on a tube feed and they starved him by not giving him his tube feeds. Every day I went and had to beg somebody to turn on his tube feed.”
“The continual care and prompt urgency they showed my family with my mom was so generous. They made sure mom was always with someone to make sure she was safe and attended to.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
6
measures
9
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents whose walking got worse
Residents on antipsychotic medication
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows concerning patterns of repeated abuse and neglect violations, with families filing multiple complaints that triggered investigations. The most recurring problems involve protection from abuse and neglect, medication management, and safety hazards. While the facility corrects cited issues, the pattern of abuse/neglect deficiencies persisting across multiple years (2023-2025) and recent medication errors suggests ongoing systemic problems that families should carefully evaluate before choosing this facility.
Jan 30, 2026Complaint2
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Jul 18, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 18, 2025Complaint9
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service Deficiencies
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.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Feb 26, 2025Complaint1
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Jan 31, 2025Complaint1
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Jan 9, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Federal Penalties
Fine
Dec 19, 2024
$53,784
Fine
Nov 27, 2024
$14,260
Fine
Jun 27, 2024
$39,459
Fine
Mar 18, 2024
$78,085
Fine
Sep 22, 2023
$122,601
Payment Denial
Sep 22, 2023
73-day denial
Ownership & Operations
Who Operates This Facility
Oak Lawn Respiratory & Rehab
for profit
Chain Affiliation
Infinity Healthcare Consulting
70 facilities nationwide
Chain avg rating: 2.2/5 · Rank 59 of 69 (Worst)
Ownership & Management
Owners
Gubin Enterprises Limited Partnership
Owner · Organization
Blisko, Michael
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
50 reviews from families & visitors
Official Website
Visit oaklawnrehab.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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