Alden Des Plaines Rehab & Hc

Inspectors wroteBased on interviews and record reviews, the facility failed to follow physician's order during administration of pain medication (Hydrocodone Acetaminophen) for one (R1) of four residents in the sample four reviewed for medication.

Inspectors wroteBased on interview and record review, the facility failed to implement fall preventive measures for a resident who is a 2 person transfer assist due to limited mobility due to surgical site. This deficiency affects one (R1) of three residents reviewed for Falls prevention program. This failure resulted in R1 to have dislocation of the right hip prosthesis requiring hospitalization.

Inspectors wroteBased on observation, interview, and record review the facility failed to provide needed care and services in accordance with resident's plan of care, facility's protocol, and professional standard of practice. This deficiency affects one (R1) of three residents reviewed for Quality of care.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure residents who were dependent on staff for clothing change and incontinence care received those services for 1 of 3 residents (R1) reviewed for Activity of Daily Living (ADL) assistance.

Inspectors wroteBased on observation, interview, and record review, the facility failed to follow the Storage/ Labeling/ Packaging of Medications Policy by failing to remove 1 bottle of expired medication dated 6/2025. This failure has the capacity to affect 15 residents who receive medications from the 3rd floor cart #1.

Inspectors wroteBased on interview and record review, the facility failed to obtain and maintain a copy of the hospice coordinated care plan for one of two residents (R12) reviewed for hospice care in a sample of 22.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure low air loss mattress devices were on the correct weight setting for residents who are assessed to be at risk for developing pressure injuries. This deficient practice affects three (R12, R38 and R43) out of four residents reviewed for pressure injury prevention and treatment in a final sample of 22 residents. Findings Include: R12 is a [AGE] year-old female who was admitted in the facility on 01/01/2025 under hospice care with diagnoses of not limited to thalassemia minor, generalized muscle weakness and dependence on oxygen. On 07/22/2025 at 9:55AM during unit rounds, R12 had flat sheet and disposable pad underneath her while wearing disposable briefs. R12 was lying on low air loss mattress with setting noted at level 7. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to follow its mechanical lift transfer policy by not having two people assist to a resident transfer. This applies to 1 of 1 resident (R31) reviewed for accidents and supervision in a sample of 22.

Inspectors wroteBased on observation, interview, and record review, the facility failed to follow its intravenous (IV) care guidelines by not changing the IV dressing as needed. This applies to 1 of 1 resident reviewed (R225) for IV catheter care in a sample of 22.

Inspectors wroteBased on interview and record review, the facility failed to follow their ongoing infection surveillance for one of five residents (R4) reviewed for infection control in a sample of 22.

Inspectors wroteBased on observation, interview, and record review the facility failed to provide incontinence care to dependent residents in a timely manner. This deficiency affects two (R1 and R4) of three residents reviewed for Activity of daily Living (ADL)-Incontinence care.

Inspectors wroteBased on observation, interview, and record review the facility failed to implement its preventive measures and appropriate treatment modalities for skin impairment. The facility also failed to avoid multiple layers of linens when using low air loss mattress as manufacturer's recommendation. This deficiency affects all three (R1, R4 and R5) reviewed for Wound Care Prevention Management.

Inspectors wroteBased on observation, interview, and record review the facility failed to implement physician's order in using red rubber catheter for suctioning resident. The facility failed to implement its policy on suctioning procedure. The facility also failed to have a spare tracheostomy tube, one of the same size and one of a smaller size at bedside that is readily available in case of emergency to ensure resident's airway is secured. This deficiency affects one (R4) of three residents reviewed for Respiratory Care of Resident on Tracheostomy tube.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that staff provide oral care for residents who are dependent on staff for Activities of Daily Living (ADL). This failure affected three (R1, R2, and R3) of three residents reviewed for ADL care.

Inspectors wroteBased on observation, interview, and record review, the facility failed to follow facility-enhanced barrier precautions during tracheostomy care and suctioning, failed to change gloves during suctioning and used soiled gloves to start a sterile procedure, and failed to use a sterile technique when using the sterile catheter. This failure affected one (R1) of three residents reviewed for infection control.

Inspectors wroteBased on interview and record review, the facility failed to ensure that fall interventions were in place for a resident with a history of falls. This failure affected one (R4) of four residents reviewed for falls and resulted in R4 experiencing an unwitnessed fall which resulted in a nasal fracture.

Inspectors wroteBased on interview and record review, the facility failed to follow physician orders for one resident (R1) in the sample of three. This failure resulted in (R1's) medications not being placed on hold and delay in scheduled surgery.

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to develop and implement effective interventions to prevent or reduce the risk of falling for residents with history of fall and assessed to require extensive assistance for toileting. This affected two of three residents (R6, R5) reviewed for fall prevention interventions. This failure resulted in R6 falling at night while attempting to self-transfer to commode and sustaining a left comminuted and displaced hip fracture requiring surgical intervention.