Alden Park Strathmoor

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

36.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 85 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 38.1% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 21 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.13 therapist hours per resident per day in 2026Q1 — more than 9% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 189 beds and averages 155.2 residents a day — about 82% occupied, or roughly 34 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.34 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.52 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.12 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.04 hrs/resident/day on weekends vs 3.46 on weekdays — 12% thinner on weekends. RN hours go from 0.56 to 0.42 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 43% is about the same as the national median of 45%. 3 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

31 citations, most serious first. The 15 most serious are shown; the remaining 16 are one tap away and print in full.

• Immediate jeopardy · Lcited before2025-02-13 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — widespread
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure a resident's safety and prevent a resident from being burned by the heater (radiator) in her room. This failure resulted in R2 sustaining a deep partial-thickness burn to her right foot when she fell against the radiator mounted on the wall in her room. The facility failed to monitor temperatures of hot beverages prior to serving to residents. This failure resulted in R3 sustaining full thickness burns to her right thigh, left thigh, and buttock after spilling tea on her lap. These failures have the potential to affect all 160 residents in the facility. These failures resulted in an Immediate Jeopardy. The Immediate Jeopardy began on 1/17/25 when R2 burnt her foot on the radiator in her room; sustaining a deep partial thickness burn to her right foot. The Immediate Jeopardy was identified on 2/13/25. V1 Administrator was notified of the Immediate Jeopardy on 2/13/25. This surveyor confirmed by observation, interview and record review that the Immediate Jeopardy was removed on 2/13/25 and the deficient…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2026-01-21 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to notify a resident's physician and Registered Dietician regarding a significant weight loss. This failure resulted in R2 experiencing a 28.6lb weight loss within a 2 week period with no nutritional interventions for 5 days. This applies to 1 of 3 residents reviewed for nutrition in the sample of 6.The findings include:R2's electronic face sheet, printed on 1/21/26, showed R2 was admitted to the facility on [DATE], and has diagnoses including but not limited to encephalopathy, acute respiratory failure with hypoxia, emphysema, and epilepsy.R2's facility assessment, dated 12/25/25, showed R2 has severe cognitive impairment and requires enteral tube feeding.R2's mini nutritional assessment performed by V9 (Registered Dietician), dated 12/19/25, showed R2 is malnourished.R2's weight log showed the following weights, 12/24/25 121.4lbs, 1/2/26, 96.9lbs, 1/7/26 94lbs, 1/15/26 92.8lbs., reflecting a significant weight loss of 20% within a 2 week period.R2's…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-04-26 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure a complete assessment was completed with R2's initial change in condition and immediately notify the physician of the change in condition. The facility failed to obtain physician orders for an increase in oxygen per nasal cannula. This failure resulted in R2 being transported to the local emergency department on 3/25/24, 4.5 hours after her intial change in condition. R2 was in respiratory distress and failure upon arrival to the emergency department. This applies to 1 of 4 residents (R2) reviewed for quality of care in the sample of 12. The findings include: The Face Sheet, dated 4/29/24, for R2 showed medical diagnoses including acute respiratory failure, pneumonia, neuromuscular dysfunction of bladder, muscle weakness, unspecified abnormalities of gait, cognitive communication deficit, chronic obstructive pulmonary disease, low back pain, cardiomegaly, gastroesophageal reflux disease, obstructive sleep apnea, transient ischemic attack, dependence on supplemental oxygen, edema, hypertension, nicotine dependence,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-04-04 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide assistance at meals or implement interventions for a resident with significant weight loss for 1 of 5 residents (R48) reviewed for nutrition in the sample of 31. This failure resulted in R48 having a 10.22% weight loss in one month. The findings include: R48's face sheet showed a [AGE] year old female with diagnosis of Alzheimer's Disease, cerebrovascular disease, dementia, osteoarthritis, and chronic kidney disease. A diagnosis of failure to thrive was added 3/14/24. R48's weights showed a 2/1/24 weight of 107.6 pounds, and a 3/4/24 weight of 96.6 pounds. R48's 3/16/24 nutrition note showed R48's weight of 96.6 pounds was a 5% weight change in one month. This note showed a failure to thrive diagnosis was added, and the weight loss was contributed to a recent illness. No new interventions were added or recommended. R48's care plan showed she was at risk for dehydration and weight loss due to variable intake, history of dementia,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-06-22 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to identify a significant weight loss and failed to ensure interventions were in place for a resident with significant weight loss. This failure resulted in R86 sustaining a 21.6 pound (16.41%) weight loss in one month. This applies to 2 of 2 residents (R86, and R117) reviewed for weight loss in the sample of 28. The findings include: 1. R86's admission Record (Face Sheet) shows her diagnoses to include, metabolic encephalopathy, type 1 diabetes mellitus with ketoacidosis, chronic kidney disease, congestive heart failure, non-pressure chronic ulcers of bilateral ankles/feet, and peripheral vascular disease. R86's 3/15/23 POS (Physician Order Sheets) shows fortified cereal was ordered for every morning. There were no more intervention until 6/22/23. R86's Progress notes shows on 3/18/2023 at 7:00 PM, V19,RD (Registered Dietitian) wrote R86 triggered for significant weight loss of 5% in 30 days. R86's weight was 132 pounds at that time. V19's suggested an intervention of fortified cereal, and to continue to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-04 · tag F0635 — isolated
  Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to clarify resident admission orders for 1 of 5 residents (R5) reviewed for medications in the sample of 8.The findings include:R5's Hospital Discharge Packet, dated 12/13/25, shows a discharge order Ceftriaxone 2 grams, intravenously every 24 hours ending 1/2/26.R5's Medication Administration Record (MAR) for December 2025 shows an order for Ceftriaxone 2 gram, intravenously every 24 hours was not started on 12/13/25. On 3/4/26 at 1:30 PM, V2 (Director of Nursing) said R5 came back from the hospital on [DATE] on hospice. V2 said R5 did not have intravenous access that he was aware of. V2 said R5 was not receiving intravenous antibiotics. V2 reviewed R5's hospital Discharge Packet and said in one area the antibiotics were discontinued but did see where the intravenous antibiotics were listed under discharge orders. V2 said the admitting nurse should have called and clarified the orders.The facility's Physician Orders for Medications or Treatments Policy,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-20 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure the correct type of insulin was administered to a resident. This applies to 1 of 3 residents (R1) reviewed for insulin administration in the sample of 3. This past non-compliance occurred from 12/5/2025 -12/9/2025. The findings include: The Facility Medication Correction Form, dated 12/5/25, states, Wrong insulin given, Novolog given instead of Lantus. Insulin in wrong bag. Novolog in Lantus bag (looked at?) label on bag but didn't see pen wrong place.On 1/20/26 at 11:00AM, V6 (LPN-Licensed Practical Nurse) stated, I was doing her insulin, her 8:00PM Lantus (Long-acting Insulin) dose supposed to be 40 units. The bag said Lantus and after I gave the insulin, I noticed the pen was the wrong color- I gave Novolog (Fast acting insulin) instead. The Lantus pen is gray. I got (V2- Director of Nursing) right away- he was working the floor on another wing, and we sent (R1) to the hospital. (V2) took over my cart and did a training with me. We notified the Nurse Practitioner. I checked the bag and it said Lantus, but it was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Past Non-Compliance
• Potential for harm · Dcited before2025-11-22 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure narcotic medication was safely stored and failed to ensure medications were administered for 2 of 4 (R1, R3) residents reviewed for medication storage and administration in the sample of 4.The findings include:1. The facility's undated and unsigned incident summary documents on 11/7/25, nursing staff on the behavioral care unit reported narcotic medications assigned to 2 residents were missing. A facility-wide search was immediately initiated. During the interview process, it was determined the medication cart had been left unlocked while the assigned nurse was within visible distance. This lapse in medication security allowed R1 to open the cart, remove several narcotic medications, and take them into his room with the intention of hiding them. On 11/22/25 at 1:00 PM, V8, Registered Nurse (RN), said he was working on the behavioral unit on 11/7/25, when he discovered missing narcotic medications in his medication cart. V8 said…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-01 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to treat a resident in a dignified manner by not ensuring an incontinent resident was changed for 1 of 1 resident (R1) reviewed for dignity in the sample of 3. The findings include: R1's face sheet, printed on 8/1/25, showed diagnoses including but not limited to paraplegia, pressure ulcer of the sacral region stage 4 (lower area of the spine), third degree burns to the left and right lower legs, clostridium difficile (bacterial infection of the colon), neuropathic bladder, and chronic embolism/thrombosis of deep veins of right lower extremity. R1's facility assessment, dated 7/23/25, showed total staff dependence for toileting hygiene, dressing lower body, rolling, and transfers. The same assessment showed R1 is always incontinent of bowel. On 8/1/25 at 9:10 AM, R1 was seated in bed in her room. R1 was alert, oriented, and talkative. R1 stated she is a paraplegic and needs help from staff with brief changes. R1 said she had terrible diarrhea a few nights ago and needed her brief changed multiple times in one evening. R1 said…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-01 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure burn wound treatment orders were performed as ordered for 1 of 1 resident (R1) reviewed for non-pressure wounds in the sample of 3. The findings include: R1's face sheet, printed on 8/1/25, showed diagnoses including but not limited to paraplegia, pressure ulcer of the sacral region stage 4 (lower area of the spine), third degree burns to the left and right lower legs, clostridium difficile (bacterial infection of the colon), neuropathic bladder, and chronic embolism/thrombosis of deep veins of right lower extremity. R1's facility assessment, dated 7/23/25, showed total staff dependence for toileting hygiene, dressing lower body, rolling, and transfers. The same assessment showed R1 is always incontinent of bowel. R1's weekly wound assessment, dated 8/1/25, showed a stage 4 sacral pressure ulcer measuring 4.7 x 4 x 0.5 centimeters (length x width x depth). The assessment showed a right, lower extremity burn measuring 6.9 x 1.9 x 1.1 (length x width x depth). The assessment showed the left, lower…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-01 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure pressure ulcer treatments were performed as ordered for 1 of 1 resident (R1) reviewed for pressure ulcers in the sample of 3. The findings include: R1's face sheet, printed on 8/1/25, showed diagnoses including but not limited to paraplegia, pressure ulcer of the sacral region stage 4 (lower area of the spine), third degree burns to the left and right lower legs, clostridium difficile (bacterial infection of the colon), neuropathic bladder, and chronic embolism/thrombosis of deep veins of right lower extremity. R1's facility assessment, dated 7/23/25, showed total staff dependence for toileting hygiene, dressing lower body, rolling, and transfers. The same assessment showed R1 is always incontinent of bowel. R1's weekly wound assessment, dated 8/1/25, showed a stage 4 sacral pressure ulcer measuring 4.7 x 4 x 0.5 centimeters (length x width x depth). The assessment showed a right, lower extremity burn measuring 6.9 x 1.9 x 1.1 (length x width x depth). The assessment showed the left, lower extremity…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-05-14 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure dietary aides handled dishware in a manner to prevent cross-contamination. This failure has the potential to affect all 156 residents in the facility, The findings include: The facility's Long-Term Care Facility Application for Medicare and Medicaid form, dated 5/12/25, showed a resident census of 156. On 5/12/25 at 9:05 AM, V16, Dietary Aide, placed a rack of dirty cups into the facility's dishwasher. After placing the cups into the dishwasher, V16 immediately walked over to a rack of clean pots, and began placing the pots on a kitchen shelf. V16 did not wash her hands after loading the dirty cups into the dishwasher. V16 wore no gloves. On 5/12/25 at 9:15 AM, V15, Dietary Aide, placed dirty breakfast dishes on a shelf by a kitchen sink. At 9:16 AM, V15 walked over to a rack of clean food trays, and placed the trays on a kitchen cart. V15 did not wash his hands after handling the dirty breakfast dishes. V15 wore no gloves. On 5/13/25 at 12:07 PM, V17, Certified Dietary Manager (CDM), stated, Staff…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-05-14 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to screen residents for and offer the influenza vaccine to residents during influenza season; failed to screen residents for and offer the pneumococcal vaccine to residents upon admission; and failed to administer the pneumococcal vaccine to a resident who consented to receive the vaccine. These failures apply to 5 of 5 residents (R84, R137, R144, R145, R360) reviewed for influenza and pneumococcal vaccines in the sample of 31. The findings include: 1. R84's admission record showed R84 was admitted to the facility on [DATE]. R84's consent for the pneumococcal vaccine, dated 9/3/24, showed R84 consented to receive a pneumococcal vaccine. On 5/13/25 at 11:47 AM, V8, Infection Preventionist, stated R84 had never received a pneumococcal vaccine in the facility. 2. R137's admission record showed R137 was admitted to the facility on [DATE]. R137's immunization record, dated 5/13/25, showed no documentation R137 was ever screened for or educated on the influenza…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-14 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure a resident who was contact isolation was allowed to leave her own room. This applies to 1 of 31 residents (R143) reviewed for resident rights in the sample of 31. The findings include: R143's face sheet shows she is a [AGE] year old female, with diagnoses including type 2 diabetes, fibromyalgia, generalized anxiety, chronic pain, restless leg syndrome, major depression, and urinary tract infection (UTI). R143's Urinalysis Culture Report, dated 4/29/25, shows Klebsiella pneumonia (MDRO). R143's Physician Order Sheets shows orders on 5/1/25 for Isolation: Contact Precautions: E Coli Urine. On 5/12/25 at 9:42 AM, R143 said last week she was placed on isolation for seven days for a urinary tract infection. At first, the staff said she could leave the room as long as she washed her hands. Then they changed their mind and said she had to stay in her room with the door closed, the last four to five days of her isolation. When she asked…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-14 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to set a resident's tube feeding pump to the Dietitian's recommended infusion setting for 1 of 4 residents (R30) reviewed for tube feedings in the sample of 31. The findings include: R30's Face Sheet, printed on 5/12/25, indicated R1 had a gastrostomy (tube feeding). On 5/12/25 at 11:00 AM, R30 was in bed connected to her tube feeding. The tube feeding pump showed an infusion rate of 55 milliliters (ml) per hour. The pump indicated the total volume to be infused was 1100 ml. On 5/13/25 at 8:28 AM, R30 was in bed, connected to her tube feeding. The tube feeding pump showed an infusion rate of 55 ml per hour. The pump indicated the total volume to be infused was 1100 ml. R30's Order Summary Report, dated 5/12/25, showed two orders for R30's tube feeding. One order was for a rate of 55 ml per hour, with a total volume of 1100 ml. The second order was for a rate of 60 ml per hour, with a total volume of 1200 ml. Both orders had a start date of 5/6/25. R30's Medication Administration Record for May 2025 showed, on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$115,265 in federal fines across 2 penalties.

• $91,946 — penalty dated 2025-02-13
• $23,319 — penalty dated 2024-04-04

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to THE ALDEN NETWORK — 27 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 12 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.

4 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 71% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $3.4M paid to related parties — landlords or management companies under common ownership — equal to about 22% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IL