Alden Estates of Orland Park

In the surveyor’s words

From the most serious findings on record at Alden Estates of Orland Park, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Mar 19, 2026

  Based on interview and record review, the facility failed to provide a cognitively impaired resident with known exit seeking behaviors, adequate supervision to prevent resident from eloping. This failure affected one (R75) of 14 residents wearing an electronic alert band in the total sample of 71 residents. This failure resulted in R75 walking out the front door of the facility unsupervised and the facility unaware R75 was missing until R75 was returned to the facility by local police who saw R75 walking alone on the street. The facility also failed to follow policy procedures and failed to implement fall prevention interventions for three (R27, R61, R132) of 71 residents in the sample reviewed for falls. […]

• Immediate jeopardy, isolatedF689Sep 21, 2024

  Based on observation, interview, and record review, the facility failed to implement safety measures for residents at risk for wandering, to prevent a cognitively impaired resident from eloping from a locked unit and exiting the facility without supervision on two separate occasions. This failure resulted in R1 eloping from the facility without staff knowledge or supervision, walking past a pond and across a thoroughfare to a movie theater parking lot where R1 remained for an hour. R1 eloped from the facility a second time in the afternoon six days later when she walked past the receptionist and into the parking lot. This failure resulted in Immediate Jeopardy. The Immediate Jeopardy began on 09/04/2024 at 8:03 PM when R1 eloped from the facility unwitnessed by staff. […]

• Actual harm, isolatedF689Apr 4, 2026

  Based on interviews and record reviews, the facility failed to provide adequate supervision and fall prevention measures for one resident (R11) with advanced dementia, resulting in a preventable accident. This affected one of three residents (R11) reviewed for supervision, monitoring and avoidable accidents. This failure resulted in R11 propelling to an emergency door exit door opening the door and falling down a flight of stairs sustaining a right femur fracture and left humerus fracture.Findings include: On 4/3/26 at 10:48 AM, V11 (nurse) stated that V12 CNA (certified nurse aide) got R11 up at 5:00 AM on 3/23/26. V11 stated that V12 brought R11 to the nurses' station. V11 stated that he was rounding on residents at that time. […]

• Actual harm, isolatedF689Feb 20, 2026

  Based on interview and record review, the facility failed to provide adequate supervision and monitoring, including maintaining visual oversight, for residents assessed to be at risk for falls in accordance with their care plans and assessed needs. This affected two of four residents (R#3 and R4) reviewed for accidents and fall prevention in a sample of 44 residents. This failure resulted in R3 accessing the staff nurses' closet without supervision and sustained a fall resulting in a head laceration requiring two staples. R3 also sustained a subsequent fall in the dining room while in the presence of staff, resulting in a femur fracture. […]

• Actual harm, isolatedF689Sep 11, 2025

  Based on interview and record review, the facility failed to ensure effective supervision and monitoring of residents in the dining room to prevent accidents. Specifically, staff failed to maintain visual supervision of a resident assessed to be at risk for falls. This affected one of three residents (R1) reviewed for falls. This failure resulted in R1 sustaining an unwitnessed fall in the dining room and being sent to the local hospital where R1 was treated for a hip fracture. This past non-compliance occurred from 8-15-2025 to 8-29-2025. Findings include:R1's face sheet shows diagnoses including chronic hepatic failure hepatic encephalopathy anemia Alzheimer's type 2 diabetes COPD depression anxiety hypertension and dementia. […]