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A middle-range Medicare rating. Review each component and visit in person before deciding.
based on 34 Google reviews
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Oak Park Place of Nakoma has a middle-range Medicare overall rating. Strengths include high-quality physical therapy and rehabilitation services. Some reviewers note concerns about chronic understaffing leading to delayed response times and neglect (mentioned by 5 reviewers). Review the health-inspection, staffing, and quality-measure components separately, then visit in person.
Oak Park Place of Nakoma presents a polarized experience for families, with high praise for its physical facility, therapy services, and some individual staff members. However, multiple families have reported serious concerns regarding consistent understaffing, neglect in hygiene care, and administrative turnover that impacts the quality of daily resident life.
Quality Themes
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Concerns
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Distribution · 36 analyzed
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Key Review Excerpts
“The staff are the stars of our healing journey. PT/OT Jessica/Ashley worked tirelessly to bring about strength and mobility.”
“They have a high level of turn over with staff, which led to us explaining mom's condition every day to new staff.”
“He would be sitting in urine soaked clothing on several occasions on a daily basis. Not only through his clothing but through furniture cushions and bedding.”
This facility meets both EveryPlace staffing reference benchmarks. Higher staffing is generally associated with stronger day-to-day care.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 13 measures
3
measures
7
measures
3
measures
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents who lost too much weight
Residents whose bladder or bowel control got worse
Residents with pressure sores (bedsores)
Residents who fell and were seriously hurt
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
Detailed Medicare record · up to 3-year lookback
This facility shows recurring problems across multiple areas, with families filing 10 complaint-triggered reports over recent years. The most persistent issues involve fire safety systems, medication management, and resident rights violations. While the facility corrects deficiencies when cited, problems resurface across surveys, including recent complaints about medication errors and response to alleged violations, suggesting ongoing operational challenges that warrant careful consideration during visits.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies
Create arrangements with other facilities to receive patients.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
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.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Construction Deficiencies
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Oak Park Place of Nakoma
for profit
Owners
Helle Revocable Trust
Owner · Organization
Lakleland Nakoma LLC
Owner · Organization
Chase, Byron
Owner
Key personnel
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