Alden Des Plaines Rehab & HC

In the surveyor’s words

From the most serious findings on record at Alden Des Plaines Rehab & HC, in the surveyor’s own words.

• Actual harm, isolatedF689Dec 6, 2025

  Based on interview and record review, the facility failed to implement fall preventive measures for a resident who is a 2 person transfer assist due to limited mobility due to surgical site. This deficiency affects one (R1) of three residents reviewed for Falls prevention program. This failure resulted in R1 to have dislocation of the right hip prosthesis requiring hospitalization. Findings include:R1 is an [AGE] year-old with the following diagnosis: periprosthetic fracture around internal prosthetic right hip joint, history of falling, essential hypertension, hyperlipidemia, myelodysplastic syndrome, anemia, orthostatic hypotension, personal history of transient ischemic attack and cerebral infarction without residual deficits, age-related osteoporosis without current pathological… […]

• Actual harm, isolatedF689Oct 23, 2024

  Based on interview and record review, the facility failed to ensure that fall interventions were in place for a resident with a history of falls. This failure affected one (R4) of four residents reviewed for falls and resulted in R4 experiencing an unwitnessed fall which resulted in a nasal fracture. Findings include: R4 was admitted to the facility on [DATE] with diagnoses that included: Left humerus fracture (status post fall), dementia, weakness, and lack of coordination. On admission, Minimum Data Set assessment dated [DATE] documents that R4 has severe cognitive impairment and according to notes, was non-verbal, and hard of hearing. Fall incident reports were reviewed relating to R4 experiencing three unwitnessed falls in the facility on 8/26/24, 9/9/24, and 10/10/24. […]

• Actual harm, isolatedF689Nov 28, 2023

  Based on observations, interviews, and record reviews, the facility failed to develop and implement effective interventions to prevent or reduce the risk of falling for residents with history of fall and assessed to require extensive assistance for toileting. This affected two of three residents (R6, R5) reviewed for fall prevention interventions. This failure resulted in R6 falling at night while attempting to self-transfer to commode and sustaining a left comminuted and displaced hip fracture requiring surgical intervention. Findings include: 1. On 11/17/23 at 11:25 AM, this surveyor observed R6 lying in bed with eyes closed. R6 had a floor mat on the right side of bed between the bed and wall. The floor mat for the left side of the bed was folded in half and leaning against the wall. […]

• Actual harm, isolatedF689Jun 10, 2021

  Based on observation, interview and record review, the facility failed to provide direct supervision during a meal and failed to ensure that the incident was immediately reported to the nurse for one resident (R34) of 24 residents reviewed for accidents/incidents in a sample of 37. These failures resulted in R34 sustaining a second degree burn to the left forearm/left elbow and a burn of unspecified degree to the left breast area. Findings include: R34 is a [AGE] year old female that suffered a Cerebral Infarction in February 2021 which resulted in left sided weakness and paralysis. […]

• Actual harm, isolatedF600Jun 3, 2021

  Based on record review and interview, the facility failed to protect a resident from abuse by a staff member (V10) for 1 of 5 residents (R5) reviewed for abuse. As a result, R5 suffered mental abuse and was left to believe she could not get nursing assistance when she needs it. Findings include: According to R5's quarterly Minimun Date Set (MDS) assessmet dated 3/05/2021, R5 is a [AGE] year old resident who has no cognitive impairments, incontient of bladder and requires one to two person nursing assistance with transfering, dressing and personal hygiene. On 6/2/21 at 12:09pm, V9, Certified Nurse Assistant (CNA) indicated that she was aware that R5 had issues with V10 (CNA). V9 stated, There is one resident (R5) that told me a few weeks ago that V10 yelled at her and is not nice to her. […]