Alden North Shore Rehab & HCC

In the surveyor’s words

From the most serious findings on record at Alden North Shore Rehab & HCC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Mar 27, 2025

  Based on interview and record review, the facility failed to prevent and protect a resident (R1) from staff-to-resident sexual abuse. This failure affected one (R1) resident out of three residents reviewed for abuse. As a result of this failure, R1 felt hurt, scared, and afraid. This failure resulted in an Immediate Jeopardy. The Immediate Jeopardy began on 3/11/2025 when R1 was sexually abused by V5 (Certified Nursing Aide). V1 (Administrator) and V2 (Director of Nursing) were notified of the Immediate Jeopardy on 3/24/2025 at 1:00 PM. […]

• Immediate jeopardy, isolatedF607Mar 27, 2025

  Based on interview and record review, the facility failed to follow its abuse policy related to training, prevention, reporting and investigating for one (R1) of three residents reviewed for abuse. As a result of this failure, R1 felt hurt, scared, and afraid. These failures resulted in an Immediate Jeopardy. The Immediate Jeopardy began on 3/11/2025 when the facility failed to implement their abuse policy after an alleged abuse was reported by R1 to V2 (Director of Nursing). V1 (Administrator) and V2 (Director of Nursing) were notified of the Immediate Jeopardy on 3/24/2025 at 1:00 PM. […]

• Actual harm, isolatedF684May 23, 2024

  Based on observation, interview, and record review, the facility failed to accurately identify a change in condition and immediately notify the physician regarding a resident (R29) who demonstrated signs of respiratory distress from [DATE] until [DATE]. This failure affected one (R29) of one resident who was emergently transferred to a local hospital due to a change of condition on [DATE] at 12:36PM, and resulted in R29 expiring at the hospital at 3:50PM. Findings include: R29 is [AGE] years old and admitted to the facility on [DATE]. R29 had diagnoses that included lateral sclerosis, intracranial injury with loss of consciousness, anarthria (loss of speech), and pressure ulcers. […]

• Actual harm, isolatedF697May 23, 2024

  Based on observation, interview, and record review, the facility failed to assess pain and administer pain medications as ordered for one (R43) of one resident reviewed for pain in the sample of 34. This failure resulted in R43 experiencing severe pain to both shoulders and knees, becoming so anxious R43 was unable to perform daily activities. Findings include: R43 is an [AGE] year old, female, admitted in the facility on 03/10/23, with diagnoses of Bilateral Primary Osteoarthritis of Knee and Restless Legs Syndrome. R43's MDS (Minimum Data Set), dated 04/18/24, documented R43 has BIMS (Brief Interview for Mental Status) score of 10 which means moderate impairment in cognition. […]

• Actual harm, isolatedF689Jan 22, 2024

  Based on observation, interview, and record review, the facility failed to have resident-specific and effective interventions in place for a resident with multiple falls while in the facility; failed to ensure care plan interventions are being carried out per the resident's plan of care; and failed to have a fall care plan in place for a resident who was assessed to be at risk of falls. These failures applied to two (R2 and R3) of three residents reviewed for falls, and resulted in R2 sustaining multiple rib fractures after a fall, and R3 sustaining a pelvic fracture as a result of a fall. Findings include: 1. R2 is a [AGE] year-old resident, originally admitted to the facility on [DATE]. […]