Alden Lakeland Rehab & Hcc
ALDEN LAKELAND REHAB & HCC in CHICAGO, IL — inspection on January 30, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Summary and Analysis of number of residents/staff with infections. 3.
The Infection Preventionist or designee will be alerted to identify any necessary interventions in order to identify trends or clusters for action. 4.
The Infection Preventionist will keep an updated map of infections to identify any clusters or trends .
Record review of R12's Minimum Data Set (dated 12/23/2024) documents in part that R12 is unable to speak, is rarely/never understood, is cognitively impaired, is depended on staff for activities of daily living, and utilizes a ventilator and catheter.
On 1/27/2025 at 11:44 AM, R12 was observed lying in bed with nebulizer tubing attached to R12's tracheostomy site.
Additionally, R12's foley catheter tubing was lying on the floor. V10 (Resident Care Coordinator, Licensed Practical Nurse) entered room and observed the foley catheter tubing and stated, that should be in a basin, it should not be touching the floor. V10 affirmed that foley catheter tubing touching the floor can cause infection.
Record review of R12's progress notes for 1/29/2025 document that R12 was diagnosed with a urinary tract infection, pneumonia, and sepsis.
Record review of R14's Minimum Data Set, dated dated dated [DATE] documents that R14 is in a persistent vegetative state with no discernable consciousness, is dependent on staff for activities of daily living and utilizes an indwelling catheter.
On 1/27/2025 at 12:19 AM, R14 was observed lying in bed with R14's catheter tubing on the floor. V10 observed the tubing and stated that the tubing should not be lying on the floor.
145450
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 145450 B.
Wing 01/30/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Alden Lakeland Rehab & Hcc 820 West Lawrence Chicago, IL 60640
F-F880 Indwelling Catheter QA audit tool, and V1 documented Yes for the audited indwelling catheters having blood or sediment with no corrective actions documented on the QA audit tool.
When asked for the List date (indwelling catheter) last changed, where did V1 find this information, and V1 stated, It's on the TAR. It's the treatments done for the patient.
This surveyor asked V1 to show this surveyor on the QA audit tool where V1 listed this date last (indwelling catheter) changed, and V1 stated, They just are not on there, obviously.
When asked what's the importance as an auditor of listing the indwelling catheter last changed date, V1 stated, If it's been 2 months or 1 year. Or that it was change out 2 days ago.
When asked when is the auditor to document that the QA audit tool is being performed, V1 stated, The date of the audit is the date that I visually went around the facility.
The date on the audit is the date that it was completed.
145450
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 145450 B.
Wing 01/30/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Alden Lakeland Rehab & Hcc 820 West Lawrence Chicago, IL 60640