Alden Des Plaines Rehab: Basic Care Failures - IL
The resident, identified in inspection records only as R1, carries a medical history that describes near-total dependence on others for survival. Respiratory failure. A stroke that left one side of the body paralyzed. A tracheostomy tube in the throat. A gastrostomy tube for feeding. A constant need for supplemental oxygen. Dysphagia, meaning swallowing is impaired or impossible. For every basic function of daily life, this person relies entirely on staff.
The care plan written for R1 was explicit. Staff were required to provide perineal care after each incontinent episode and monitor the surrounding skin for excoriation. Change clothing as needed. The language left no room for interpretation: every episode, every time.
The facility's own written policy on perineal care, dated September 2020, stated its purpose plainly: to cleanse the perineum, prevent infection and odor, and maintain skin integrity. The policy existed. The care plan existed. The resident's needs existed.
What inspectors found, during a complaint inspection on September 4, 2025, was that the care wasn't being delivered as required.
The violation was tagged under F0677, which covers the provision of basic personal hygiene and grooming services. CMS classified the level of harm as minimal harm or potential for actual harm, and noted that few residents were affected. That classification reflects the regulatory framework's language, not a judgment that what happened to R1 was minor.
For a person in R1's condition, perineal skin left uncleaned after incontinence doesn't stay a minor problem for long. Skin breakdown in that area, for a resident who is bedridden, paralyzed, and cannot reposition themselves, can progress to open wounds. Wounds in that region, for someone already managing a tracheostomy and supplemental oxygen, carry serious infection risk. The care plan's instruction to monitor for excoriation wasn't bureaucratic language. It was recognition that this resident's skin could deteriorate, and that staff intervention was the only thing standing between a manageable condition and a wound that wouldn't be.
R1 had no ability to summon help independently, to clean themselves, to roll away from moisture, or to tell anyone that something had been missed. The entire architecture of the care plan existed because of that reality.
The inspection was triggered by a complaint, meaning someone, whether a family member, a visitor, or another source, contacted regulators before inspectors arrived. The facility's response to the findings is not detailed in the inspection record.
Alden Des Plaines Rehabilitation and Health Care Center is a skilled nursing and rehabilitation facility. The September inspection covered a single complaint, and the public record reflects only what inspectors documented during that visit.
What the record shows is a resident with no capacity for self-care, a care plan written to address that fact in precise terms, a facility policy that articulated exactly why perineal hygiene matters, and a gap between all of that and what R1 was actually receiving.
The resident information document in the file was dated September 2, 2025, two days before inspectors walked in.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Alden Des Plaines Rehab & Hc from 2025-09-04 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 25, 2026 · Our methodology
ALDEN DES PLAINES REHAB & HC in DES PLAINES, IL was cited for violations during a health inspection on September 4, 2025.
The resident, identified in inspection records only as R1, carries a medical history that describes near-total dependence on others for survival.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.