Alden Estates of Shorewood

In the surveyor’s words

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

• Actual harm, isolatedF689Aug 4, 2026

  Based on interview and record review, the facility failed to keep a resident free from accidents and injuries. This applies to 1 of 3 residents (R1) reviewed for accidents/injuries. The findings include:On 08/04/26 at 9:35 AM, R1 was sitting in a wheelchair with a mechanical lift sling under her. V7 (CNA/Certified Nursing Assistant), V8 (CNA), and V9 (Wound Care Nurse) were in the room assisting R1. R1 had a right-hand contracture. R1 was unable to communicate verbally. V7 and V8 applied a brace over R1's head to protect her chest and back. V7 stated the brace was to stabilize R1's fracture. A mechanical lift was noted in the room and V7 stated they had gotten R1 up in the wheelchair via the mechanical lift. […]

• No harm, potential for more than minimal, widespreadF812Sep 23, 2021

  Based on observations, interview and record review the facility failed to sanitize dishes in the dish machine in the facility kitchen and failed to follow unit refrigeration guidance for storage of food. This applies to all 58 residents that reside at the facility. The findings include: The Resident Census and Condition of Residents (CMS Form-672) dated 9/20/21 showed that the facility census was 58 residents. Facility Diet Order category dated 9/20/21 showed that all 58 residents received oral diets. The same diet order sheet for 58 residents included residents that resided on the 3rd floor. 1. On 09/20/21 at 11:35 AM, V6 (dietary aide) and V7 (dietary aide) were seen washing dishes via the dish machine in the facility kitchen. […]

• No harm, potential for more than minimal, patternF880Jan 22, 2026

  Based on observation, interview, and record review, the facility failed to follow standard infection control practices, related to gloving and hand hygiene during provisions of medication administration, incontinence care, and handling of soiled linen. The facility also failed to ensure to wear complete personal protective equipment (PPE) when administering intravenous (IV) medication to a resident who is on enhance barrier precaution (EBP). This applied to 5 of 5 residents (R36, R42, R54, R85, R93) reviewed for infection control in the sample of 20. The findings include: 1. According to the face sheet, R36 had multiple diagnoses, including chronic kidney disease, pain in the right knee, hypertension, and muscle weakness. […]

• No harm, potential for more than minimal, patternF761Nov 22, 2024

  Based on observation, interview, and record review, the facility failed to obtain orders for resident medications and failed to have orders for medications at the bedside. The facility failed to make sure residents took all their medication in the presence of the nurse. The facility also failed to make sure that residents had their own personal medications instead of someone else's in their room. This applies to 5 of 5 residents (R10, R19, R57, R65, R127) reviewed for medications in a sample of 23. The findings include: 1. On 11/19/24 at 10:30 AM, during initial tour, R10 was sitting in her wheelchair in her room. On her bedside table, there was an Atrovent inhaler. R10 stated, This is my inhaler from home. It's usually kept in my purse. I don't know why it's here. […]

• No harm, potential for more than minimal, patternF881Nov 22, 2024

  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 at the time the antibiotic was ordered. This applies to 4 of 4 residents (R4, R43, R65, R66) reviewed for antibiotic stewardship in a sample of 23. The findings include: 1. R43's face sheet shows she was admitted to the facility on [DATE]. R43's POS (Physician Order Sheet) showed an order dated October 28, 2024, for Nitrofurantoin Monohyd Macro Oral capsule 100 MG (Milligram) Give 1 capsule by mouth two times a day for UTI (Urinary Tract Infection) for 5 days. R43's October 2024 MAR (Medication Administration Record) showed she received the antibiotic from October 28, 2024, through November 2, 2024. […]