Alden Estates Of Shorewood

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.

53.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 626 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 55.2% 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 29 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 0.74 therapist hours per resident per day in 2026Q1 — more than 93% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 32% 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 100 beds and averages 79.9 residents a day — about 80% occupied, or roughly 20 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 4.89 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.65 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.80 is at or above 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 4.24 hrs/resident/day on weekends vs 5.16 on weekdays — 18% thinner on weekends. RN hours go from 1.76 to 1.37 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 38% is about the same as the national median of 45%.

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 more than at the previous inspection — worsening. 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.

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

• Potential for harm · Ecited before2026-01-22 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  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 follow standard infection control practices, related to gloving and hand hygiene during provisions of medication administration, incontinence care, and handling of soiled linen. The facility also failed to ensure to wear complete personal protective equipment (PPE) when administering intravenous (IV) medication to a resident who is on enhance barrier precaution (EBP). This applied to 5 of 5 residents (R36, R42, R54, R85, R93) reviewed for infection control in the sample of 20. The findings include: 1. According to the face sheet, R36 had multiple diagnoses, including chronic kidney disease, pain in the right knee, hypertension, and muscle weakness. R36's MDS (Minimum Data Set) dated December 28, 2025, showed that R36 was cognitively intact, required supervision or touch-assistance for personal hygiene, and was dependent on staff for toileting hygiene. On December 21, 2026, at 9:40 AM, R36 was lying in bed on an incontinence bed pad, completely soiled and stained with urine and blood. Bed linens were also 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-22 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  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 ensure that a resident's advance directive documents, order and care plan were consistent, to reflect the resident's treatment wishes in an event of a medical emergency, based on the facility's advance directives policy and procedure.This applies to 1 of 1 resident (R8) reviewed for advance directive in the sample of 20.The findings include:R8 was admitted to the facility on [DATE] with multiple diagnoses including acute kidney failure, acute on chronic diastolic (congestive) heart failure, and ventricular premature depolarization, based on the face sheet. The same face sheet documented that R8's advance directive was No CPR (Cardiopulmonary resuscitation). Do Not Attempt Resuscitation (DNAR).R8's EMR (electronic medical record) dashboard indicated that the residents advance directive was, No CPR. Do Not Attempt Resuscitation (DNAR).R8's active order summary report as of [DATE] showed an order dated [DATE] for, No CPR. Do Not Attempt Resuscitation…

  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 · D2026-01-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to follow its policy on gait belt use during the transfer of a resident with an unsteady gait and risk of falls. This applies to 1 of 1 resident (R97) reviewed for transfer supervision in a sample of 20.The findings include:According to the face sheet, R97 was admitted to the facility on [DATE], and had multiple diagnoses, including a history of falling, polyosteoarthritis, other chronic pain, and hypertension.R97's Facility's Fall Risk assessment dated [DATE], showed R97 was at risk for falls, had an unsteady gait, and had had one to two falls in the past three months. R97's fall care plan, initiated on January 21, 2026, showed R97 was at risk for falls due to weakness from recent hospitalization and a history of falling. R97's (ADL/Activity of Daily Living) care plan, initiated on January 21, 2026, showed R97 had a functional performance deficit due to weakness from recent hospitalization. The same care plan interventions included 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-22 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  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 provide oxygen therapy to a resident as ordered by the physician.This applies to 1 of 2 residents (R87) reviewed for oxygen use in the sample of 20.The findings include: R87's face sheet included multiple diagnoses including COPD (chronic obstructive pulmonary disease), chronic respiratory failure with hypoxia, pneumonia, unspecified organism, need for assistance with personal care, other lack of coordination, other abnormalities of gait and mobility, polyneuropathy, urinary tract infection, site not specified. R87's 5-day MDS (minimum data set) dated January 9, 2026, showed that R87 is cognitively intact and requires substantial maximal assistance in chair/bed-to-chair transfer (the ability to transfer to and from a bed to a chair/or wheelchair). R87's Physician Order Sheet for respiratory showed oxygen per nasal cannula at 2 liters per minute continuous every shift. R87's care plan revised January 15, 2026, included that R87 requires oxygen therapy and is on oxygen at 2 liters by nasal canula continuously…

  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 · D2026-01-18 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to remove a fentanyl patch as ordered for 1 of 3 residents (R1) reviewed for pain medications in the sample of five.The findings include:The Physician Orders for R1 dated November 2025 showed Fentanyl Patch 72 hour 12 MCG/HR, apply 1 patch transdermally every 72 hours for pain management and remove per schedule.The Medication Administration Record (MAR) dated November 2025 showed Fentanyl patch 72 hours, 12MCG/HR, apply 1 patch transdermally every 72 hours for pain management and remove per schedule. The MAR showed on 11/26 25 at 5:25 PM a 12 MCG patch was applied. The MAR showed on 11/29/25 at 4:19 PM the fentanyl patch was to be removed. A 9 was documented on 11/29/25 at 3:22 PM; the 9 means to see progress notes. On 11/30 25 at 6:00 AM a 12 MCG Fentanyl patch was applied to her right arm.R1' Progress Notes did not show any note on 11/29/25 for the removal of his 12 MCG Fentanyl patch. There was no Progress Note entered related to the 9 documented 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-11-14 · 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 update and follow all physician orders after resident's outpatient appointment.This applies to 1 resident (R1) reviewed for quality of care.The findings include:R1's Facesheet shows the following diagnoses: Iron Deficiency Anemia, Malignant Neoplasm of Female Breast, Secondary Malignant Neoplasm of Bone, and Secondary Malignant Neoplasm of Bone Marrow.On 9/30/25 at 11:32 AM, V4 (Oncology NP/Nurse Practitioner) said he is very familiar with R1, and saw her in the office with V9 (Oncology Doctor) on 8/21/25. V4 said on 8/21/25, V9 gave the written order to the facility to stop R1's Ribociclib chemotherapy medication until 8/28/25. V4 said Ribociclib is taken every day for 3 weeks and then the patient has 1 week off and R1 was to be off the Ribociclib from 8/21/25 through 8/28/25. V4 said Ribociclib causes bone marrow suppression, so the one week off the medication is important to give the bone marrow time to recover. V4 said he thinks R1's anemia is more related to her cancer as opposed to the Ribociclib chemotherapy. V4…

  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 · E2024-11-22 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  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 obtain orders for resident medications and failed to have orders for medications at the bedside. The facility failed to make sure residents took all their medication in the presence of the nurse. The facility also failed to make sure that residents had their own personal medications instead of someone else's in their room. This applies to 5 of 5 residents (R10, R19, R57, R65, R127) reviewed for medications in a sample of 23. The findings include: 1. On 11/19/24 at 10:30 AM, during initial tour, R10 was sitting in her wheelchair in her room. On her bedside table, there was an Atrovent inhaler. R10 stated, This is my inhaler from home. It's usually kept in my purse. I don't know why it's here. The nurse gives me another one. On 11/20/24 at 2:35 PM, on R10's bedside table, the Atrovent inhaler continued to be there. R10 stated, Yeah, it's still here. It should be in my purse. I can't find my purse. R10's face sheet shows diagnoses of chronic…

  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 · E2024-11-22 · tag F0881 — failed to use antibiotics responsibly — pattern
  Implement a program that monitors antibiotic use.
  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 utilize an appropriate standardized tool/system to justify or warrant the necessity of an antibiotic at the time the antibiotic was ordered. This applies to 4 of 4 residents (R4, R43, R65, R66) reviewed for antibiotic stewardship in a sample of 23. The findings include: 1. R43's face sheet shows she was admitted to the facility on [DATE]. R43's POS (Physician Order Sheet) showed an order dated October 28, 2024, for Nitrofurantoin Monohyd Macro Oral capsule 100 MG (Milligram) Give 1 capsule by mouth two times a day for UTI (Urinary Tract Infection) for 5 days. R43's October 2024 MAR (Medication Administration Record) showed she received the antibiotic from October 28, 2024, through November 2, 2024. R43's Criteria for Infection Report Form-Urinary Tract Infections (UTIs) dated November 1, 2024, showed R43 did not meet criteria to be prescribed antibiotic. R43's labs dated October 28, 2024, showed urine culture results which came back showing 70,000 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-05-30 · tag F0694 — isolated
  Provide for the safe, appropriate administration of IV fluids for a resident when needed.
  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 change a resident's PICC (Peripherally inserted central) line transparent sterile dressing as ordered by the physician. This applies to 1 of 3 residents (R1) reviewed for PICC line care in the sample of 4. The findings include: R1 was admitted to the facility from the acute care hospital on April 25, 2024. R1 had multiple diagnoses including, mechanical complication of internal right knee prosthesis, infection, and inflammatory reaction due to internal right knee prosthesis, presence of right artificial knee joint and right knee arthritis due to other bacteria, based on the face sheet. R1's initial nursing assessment dated [DATE] showed that the resident was admitted to the facility with a PICC line. R1's IV (intravenous) administration site showed that the resident's PICC line was located on her right arm. R1's order recap report showed an order dated April 25, 2024 to change the PICC line transparent sterile dressing within 24 hours of admission every…

  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 · E2023-12-07 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  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 timely hygiene and grooming care for residents who requires assistance for activities of daily living (ADL) care. This applies to 4 of 4 residents (R5, R11, R41, R230) reviewed for ADL care in the sample of 19. The findings include: 1. R11 is 88 years-old who has multiple medical diagnoses which include dementia, polyarthritis, and chronic pain. R11's Quarterly Minimum Data Set (MDS) dated [DATE], shows that R11 is alert and oriented and requires assistance with ADL care. On December 4, 2023, at 11:45 AM, R11 was sitting in her wheelchair, and neatly dressed. However, R11 displayed overgrown facial hair all over the chin. R11 stated that she wants to be shaven. On December 6, 2023, at 12:10 PM, R11 was eating in the dining room, she remained with overgrown facial hair. R11 still wanted to have her facial hair shaven. V16 (Wound Care Technician/Certified Nursing Assistant) stated that shaving is part of ADL care. 2. R5 is 73…

  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

No federal fines in the current CMS record.

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 21 rows in the source record cover these 17 parties — each is shown once here with every role it holds. Nothing is omitted.

3 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.

This home reported $4.8M paid to related parties — landlords or management companies under common ownership — equal to about 34% 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