Alden Poplar Creek Rehab & HCC

In the surveyor’s words

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

• Immediate jeopardy, widespreadF880Mar 10, 2021

  Based on observation, interview, and record review the facility failed to follow recommended guidelines from Centers for Disease Control (CDC) by not wearing N95 masks for new admissions on transmission based precautions (contact/droplet precautions). The facility also failed to perform hand hygiene upon exiting rooms that are on transmission based precautions and after providing incontinence care to prevent the spread of cross contamination. These failures have the potential to infect high risk residents with COVID-19 and spread the disease of COVID-19 to negative residents. This applies to all 147 residents residing in the facility. This failure resulted in an Immediate Jeopardy. […]

• Immediate jeopardy, isolatedF689Jul 10, 2025

  Based on observation, interview, and record review, the facility failed to ensure a resident with severe cognitive impairment and a history of wandering was supervised to prevent elopement. This failure resulted in R1 eloping from a secured memory care unit, exiting the building without staff identifying and preventing R1 from eloping. R1 exited the building and ambulated without her walker crossing a six-lane busy intersection and was found approximately 0.8 miles away from the facility wandering outside of the local grocery store. This applies to 1 of 6 residents (R1) reviewed for safety in the sample of 6. The Immediate Jeopardy began on 7/1/25, when R1 got on the elevators with another resident's family on the secured memory unit. […]

• Actual harm, isolatedF686Dec 17, 2021

  Based on observation, interview, and record review, the facility failed to identify a pressure ulcer prior to a Stage 3 for 2 residents (R82,R55), failed to identify a pressure ulcer prior to a Stage 2 for 2 residents (R136,R126), failed to implement pressure reducing interventions for 1 resident (R55), failed to provide repositioning for 1 resident (R136). These failures resulted in R82 developing an avoidable Stage 3 pressure ulcer. These failures apply to 4 of 8 residents (R82,R55,R136,R126) reviewed for pressure ulcers in the sample of 32. The findings include: 1) R82's electronic face sheet, printed on 12/17/21, showed R82 has diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF812Dec 4, 2025

  Based on observation, interview, and record review, the facility failed properly store food in a manner to prevent cross-contamination and failed to label prepared foods stored in the refrigerator. This applies to all residents residing in the facility.The findings include:The CMS 671 form, dated 12/2/25, showed there were 164 residents residing in the facility.On 12/2/25 at 9:40 AM, there was a cardboard box of cornflakes on the floor of the dry storage room. The surveyor showed V10 (Hostess/Assistant Supervisor) the box and asked if food should be stored on the floor. V10 replied, No that shouldn't be on the floor because the floor may be dirty and there is a risk of cross contamination. […]

• No harm, potential for more than minimal, widespreadF812Dec 17, 2021

  Based on observation, interview, and record review, the facility failed to ensure kitchen utensils were stored in a manner to prevent contamination. This applies to all 146 residents in the facility. The findings include: On 12/14/21 at 10:22 AM, there were large bins sitting on a wire rack between the cooking area and food preparation area. The large bins contained different types of cooking utensils, and the lids were open. The first bin had scoops inside of it that were facing in all different directions. The third bin was labeled spoodles and spatulas and the utensils were laying in the container in all different directions. On 12/14/21 at 10:34 AM, V11 (Dietary Aide) reached into the first bin with bare hands containing scoopers facing all different directions. […]