Alden Courts of Shorewood

In the surveyor’s words

From the most serious findings on record at Alden Courts of Shorewood, in the surveyor’s own words.

• Actual harm, isolatedF689Sep 12, 2024

  Based on interview and record review the facility failed to provide adequate supervision and assistance to a resident during ambulation who required moderate assistance from the staff. This failure resulted in R8 sustaining a fall, being hospitalized , and diagnosed with a fracture to her pubic rami and fourth proximal phalanx of the toe. This applies to 1 of 2 residents (R8) reviewed for falls in the sample of 12. The findings include: R8 is a [AGE] year old female with diagnoses that include Moderate Dementia, Sacroilitis, Spondylosis of the cervical and lumbar regions, and Osteoporosis. R8's Admission Minimum Data Sheet (MDS) dated [DATE] showed that R8 to have severe cognitive impairment. […]

• Actual harm, isolatedF689Apr 5, 2023

  Based on observation, interview, and record review, the facility failed to safely transport residents using a wheelchair. The facility also failed to ensure a resident with a history of falling had footrests in place when self-propelling. This failure resulted in R1 sustaining a head laceration, requiring medical attention at the local emergency room and 15 sutures. This applies to 3 of 4 residents (R1, R2, R4) reviewed for accidents and supervision in the sample of 4. The findings include: 1. On April 4, 2023, at 10:55 AM, R1 was sitting in his wheelchair. R1 was not able to be interviewed due to his cognitive status. R1 had a laceration on his forehead that measured about 5 inches in length and was V-shaped. R1 had 1.5 to 2 inches of the laceration scabbed over. […]

• No harm, potential for more than minimal, widespreadF812Sep 12, 2024

  Based on observation, interview and record review, the facility failed to ensure that the dishes were sanitized during high temperature dishwashing procedure. This applies to 42 residents that receive foods prepared and served from the facility kitchen. The findings include: The facility provided information that on September 09, 2024 the facility census was 43 residents with 1 resident on NPO (nothing by mouth) status. On September 09, 2024 at 01:49 PM, the high temperature dish machine was monitored in the presence of V6 (Executive Chef). V7 (Dietary Aide) and V8 (Dietary Aide) were at the dish machine washing dishes, one employee each on the dirty and clean side respectively. […]

• No harm, potential for more than minimal, widespreadF812Sep 1, 2023

  Based on observation, interview, and record review, the facility failed to properly label, date, seal, and store food items in the kitchen. This applies to all 44 residents that receive oral nutrition and foods prepared in the facility kitchen. Findings include: The Facility Resident Census and Condition of Residents (Form CMS-Centers for Medicare and Medicaid Services-672) dated 8/29/23 documents the total census was 44 residents. On 8/30/23 at 1:40 PM, V1 (Administrator) said there are no NPO (Nothing by Mouth) residents. V1 said all 44 residents eat from the facility kitchen. […]

• No harm, potential for more than minimal, widespreadF881Sep 1, 2023

  Based on interview and record review, the facility failed to utilize an appropriate standardized tool/system to justify or warrant the necessity of an antibiotic. This applies to 8 of 8 residents (R1, R4, R11, R12, R13, R17, R26, R27) reviewed for antibiotic stewardship in a sample of 17 and has the potential to affect all residents. The findings include: 1. R1's face sheet documents an admitted [DATE]. R1's POS (Physician Order Sheet) for May 2023 documents orders of the following antibiotics: Cefuroxime Axetil Oral Tablet 500 MG (Milligrams): Give 1 tablet by mouth two times a day for UTI (Urinary Tract Infection) for 7 days. […]