Alden Town Manor Rehab & HCC

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Feb 14, 2024

  Based on interview and record review facility failed to protect a resident from sexual abuse from another resident with a known history of sexually inappropriate behavior. This failure applied to two (R136, R585) of six residents reviewed for abuse and resulted in R136 being sexually abused by R585. The Immediate Jeopardy began on 10/22/2023 when R136 was sexually abused by R585. V1 (Administrator) and V2 (Director of Nursing) were notified of the Immediate Jeopardy on 02/08/2024 at 02:38 PM. The surveyor confirmed by interview and record review that the Immediate Jeopardy was removed, and the deficient practice corrected, on 10/27/23, prior to the start of the survey and was therefore Past Noncompliance. […]

• Actual harm, isolatedF689Nov 26, 2025

  Based on observation, interviews, and record review, the facility failed to prevent the fall and injury of a resident (R5) by ignoring fall risk care plan interventions in place and failing to provide adequate supervision. This resulted in R5 suffering a right parietal acute sub [NAME] hematoma and a nondisplaced right parietal skull fracture. Findings include:R5 is a [AGE] year-old resident of the facility with medical diagnosis including but not limited to hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side, traumatic subdural hemorrhage with loss of consciousness status unknown, subsequent encounter, fracture of base of skull, right side, subsequent encounter for fracture with routine healing, malignant neoplasm of prostate, secondary malignant… […]

• Actual harm, isolatedF692Mar 21, 2025

  Based on interviews, observation, and records reviewed the facility failed to identify and evaluate interventions for one (R70) of 13 residents reviewed for nutrition in sample of 54. This failure resulted in R70 having an unplanned significant weight loss of 28% over 7 months. The findings include: R70's diagnosis include but are not limited to Hypertension, Gastro Esophageal Reflux Disease, Incontinence, Muscle Weakness, Chronic Pain, Anxiety, Dysphagia, Facial Weakness following Cerebral Infarction, Hemiplegia and Hemiparesis, Major Depressive Disorder, Muscle Wasting and Atrophy, Non Pressure Chronic Ulcer of Foot (Bunions), Chronic Pain, Recurrent Depressive Disorder, Pneumonia, and Osteoarthritis. […]

• Actual harm, isolatedF580Oct 18, 2024

  Based on interview and record review, the facility failed to notify the physician of one resident's change in condition which included new onset of pain, changes in mobility, skin changes to lower left extremities and refusal of doppler study for over 6 days. This affected one of one (R1) residents reviewed for notification of change. This failure resulted in R1 being found to have an acute displaced fracture of distal tibia from an unknown origin, osteomyelitis and skin necrosis that requiring a left through the knee amputation of the lower extremity. […]

• Actual harm, isolatedF600Oct 18, 2024

  Based on interview and record review, the facility neglected to assess R1 who was observed with a change in condition, new onset of worsening pain, redness, swollen, dark purple bruised discoloration to the left lower extremity for over four weeks . This affected one of three residents (R1) reviewed for nursing assessments and change of conditon. This failure resulted in R1 be found to have an acute displaced fracture of distal tibia from an unknown origin, osteomyelitis and skin necrosis that requiring a left through the knee amputation of the lower extremity. […]