Alden Valley Ridge Rehab & HCC

Inspectors wroteBased on observation, interview, and record review, facility failed to follow up with a Wound Consult ordered on 5/27/25 which resulted in the resident not being seen until 6/5/25. This failure resulted in a delay in Wound consult, assessment and implementation of new interventions for a pressure wound that deteriorated to an unstageable pressure injury.

Inspectors wroteBased on observation, interview, and record review, the facility failed to practice safe food preparation, and properly label/date/seal/store food items in the facility kitchen. This applies to all residents that receive oral nutrition and foods prepared in the facility kitchen.

Inspectors wrote2. On 6/3/25 at 10:33 AM, R87 was in bed. Her hair was not combed and greasy. R87 stated, It's been a while since they shampooed my hair. I would like my hair washed and combed. R87's MDS dated [DATE] shows she is moderately impaired in cognition. R87's care plan dated (5/12/25) shows she has an ADL functional performance deficit due to diagnosis of major depressive disorder, hypokalemia, iron deficiency anemia, hyperlipidemia, CHF (Congestive Heart Failure), GERD (Gastro-esophageal reflux disorder), and Osteoarthritis of hip. Intervention: Assist with ADL tasks as needed. 3. On 6/3/25 at 11:14 AM, R2 was in bed. She had hair on her chin and upper lip. R2 stated, I wanna be shaved. It doesn't look good. R2's MDS dated [DATE] shows she is cognitively intact. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to safely secure an oxygen cylinder. to prevent from tipping over and potentially causing a fire or explosion. This applies to 1 out of 3 residents (R143) reviewed for oxygen tanks in a sample size of 32.

Inspectors wroteBased on observation, interview, and record review, the facility failed to treat a resident with respect and dignity during a meal. This applies to 2 of 3 residents (R46 and R73) who were reviewed for feeding assistance in a sample of 32.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure infection control practices. This applies to 2 of 2 residents (R11 and R21) observed for infection control in a sample of 32.

Inspectors wroteBased on record review and interviews the facility failed to submit an initial resident abuse allegation to the Illinois Department of Public Health (IDPH) for an allegation of sexual abuse. This applies to 1 of 2 residents (R2) reviewed for abuse reporting.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents were transferred and/or repositioned in a safe manner for 4 of 33 residents (R69, R66, R114, and R130) reviewed for safety and supervision in the sample of 33.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a COVID-19 positive resident remained in isolation, failed to ensure a resident identified as a close contact with COVID-19 symptoms was wearing a mask, failed to ensure staff donned personal protective equipment (PPE) when providing care for a resident on enhanced barrier precautions (EBP), failed to ensure residents with feeding tubes were placed on EBP, and failed to perform hand hygiene and change gloves during pericare to prevent cross contamination. These failures apply to 8 of 33 residents (R44, R91, R9, R60, R57, R33, R17, R19) reviewed for infection control in the sample of 33.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a resident with privacy during activities of daily living (ADL) care for 1 of 33 residents (R17) reviewed for privacy in the sample of 33.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure staff-dependent residents were provided incontinence care for 2 of 33 residents (R34, R51) reviewed for activities of daily living (ADL's) in the sample of 33.

Inspectors wroteBased on observation, interview, and record review, the facility failed to have a physician ordered treatment in place for a resident with open areas to his buttocks for 1 of 33 residents (R17) reviewed for quality of care in the sample of 33.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure pressure injury treatments and pressure relieving interventions were in place for 1 of 7 residents (R9) reviewed for pressure injuries in the sample of 33.

Inspectors wroteBased on observation, interview, and record review, the facility failed to perform peri care in a manner to prevent urinary tract infection and failed to maintain the catheter bag below the level of the bladder to prevent infection for three of three residents (R33, R19, R9) reviewed for incontinence care and catheter care in the sample of 33.

Inspectors wroteBased on observation and interview, the facility failed to ensure a resident's tube feeding bag was labeled with the time it was initiated for 1 of 4 residents (R60) reviewed for tube feeding in the sample of 33.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure medications were dispensed according to standards of practice. The facility failed to ensure residents were assessed to self-administer medications. These failures apply to 3 of 33 residents (R9, R65, R158) reviewed for medication administration in the sample of 33.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure Activities of Daily Living (ADL) cares including showers and shaving were being completed for 4 of 31 residents (R123, R125, R52 and R35) reviewed for ADL's in the sample of 31.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure pureed rice was prepared and served in a smooth, palatable consistency for 4 of 14 (R105, R154, R68, and R64) residents reviewed for food palatability in the sample of 31.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure symptomatic residents were immediately isolated and tested for COVID-19 to prevent to spread of infection and failed to ensure appropriate personal protective equipment was used when entering a contact/droplet isolation room for 5 of 31 residents (R10, R83, R100, R115 and R121) reviewed for infection control in the sample of 31.

Inspectors wroteBased on observation, interview, and record review the facility failed to treat residents in a dignified manner. This applies to 1 of 31 (R10) residents reviewed for dignity in the sample of 31.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure treatment orders were implemented for a resident with a fungal infection and failed to ensure a resident's eye was assessed and treatments ordered in a timely manner for 2 of 31 residents (R83 and R100) reviewed for quality of care in the sample of 31.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure a resident was safely transferred using a gait belt for 1 of 31 residents (R100) reviewed for safety in the sample of 31.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure the resident dining area was safe and free from electrical hazards. This applies to 1 of 31 residents (R58) reviewed for safety hazards in the sample of 31.