Alden Estates of Skokie

In the surveyor’s words

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

• Actual harm, isolatedF689May 6, 2024

  Based on interview and record review, the facility failed to develop and evaluate an individualize plan to include supervision and monitoring to reduce the risk for falls for a resident with a dementia and poor safety awareness. This affected one of three (R1) residents reviewed for safety and fall prevention. This failure resulted in R1 having an unwitnessed fall being sent to the local hospital and treated for left femur fracture. Findings include: R1 face sheet shows diagnosis of vascular dementia, fracture of femur neck, muscle weakness, difficulty walking, abnormalities of gait and mobility, Parkinson disease, and history of falling. […]

• Actual harm, isolatedF689May 4, 2023

  Based on interview and record review, the facility failed to implement effective fall interventions and provide adequate supervision to one resident (R1) out of four residents (R1, R2, R3, and R4) who were reviewed for falls. This failure resulted in R1 experiencing three falls in less than one month, and one of these falls resulting in a fractured right clavicle. R1 is a [AGE] year old male who was originally admitted to the facility on [DATE] and continues to reside in the facility. […]

• Actual harm, isolatedF689Dec 30, 2021

  Based on interview and record review, the facility failed to follow their practice to monitor and visually check the skin during heat therapy treatment, and failed to apply appropriate layers of toweling/padding to prevent an avoidable burn incident for 1 of 3 residents (R1) reviewed for safety and monitoring during heat therapy. This failure resulted in R1 developing blisters, swelling and redness to the right upper arm. R1 was assessed prescribed Silverdine 1% to applied to treat 2nd degree burn to the right upper arm. Findings include: R1's face sheet shows R1 is a [AGE] year old female with diagnosis of diabetes mellitus, muscle weakness, muscle wasting and atrophy. […]

• No harm, potential for more than minimal, widespreadF887Oct 24, 2024

  Based on interview and record review, the facility failed to maintain documentation of education and offering Covid-19 vaccination to staff, and failed to follow facility Covid Vaccination Policy regarding education of Covid vaccine. This has the potential to affect all residents in the facility. Findings include: On 10/22/24 at 1:20 PM, V2 (Director of Nursing (DON)/ (IP) Infection Preventionist) stated, We do offer Covid vaccinations for staff and residents yearly. Most of the time staff goes to local pharmacies to get theirs. Most of them do not take vaccination when we offer it. I have a flu/covid clinic scheduled for next week for staff and residents. On 10/22/24 at 1:54 PM, V8, Licensed Practical Nurse (LPN), stated, 'I refused the Covid vaccination last year. […]

• No harm, potential for more than minimal, isolatedF755Feb 9, 2024

  Based on observation, interview, and record review, the facility failed to account for the receipt of the controlled medication for one of eight residents (R10) reviewed for controlled medications in a sample of 12. Findings include: On 02/08/2024 at 11:33AM during observation with V7 (Licensed Practical Nurse/LPN) of the south medication cart, R127's Controlled Drug Receipt/Record/Disposition Form did not indicate the signature of nurse receiving medication, quantity received, or date of receipt. On 02/08/2024 at 11:35AM, V7 said R127's Controlled Drug Receipt/Record/Disposition Form should indicate the signature of nurse receiving medication, quantity received, and date of receipt. […]