Alden Lakeland Rehab & Hcc
ALDEN LAKELAND REHAB & HCC in CHICAGO, IL — inspection on January 30, 2026.
Found 3 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
from 9:00 AM to 11:50 AM. V7 did not return back to R4's room. R4 turned back on his call light at 11:45 AM, V37 [Certified Nurse Assistant] answered the call light. V37 exited R4's room at 11:50AM, and V37 returned with supplies and initiated ADL incontinence care to R4 three hours later [9:00AM to 12:00PM R4 was soiled with feces]. On 1/27/26 at 12:24PM, V7 [Certified Nurse Assistant] stated, I answered R4's light he reported he needed to be cleaned up after having a bowel movement, I did tell him I would be back, but I forgot. I was so busy with my own assigned residents.
There are only two of us on this floor with approximately forty or more residents that need assistance. I am not sure why they sent V8 out on a medical appointment.
Staffing has been an issue working short for over two months. On 1/27/26 at 10:20AM, during surveillance of R4's room, a couple rooms down from R4's room, surveyor heard someone yelling out for help. R5 was in bed, stated, I am wet and need help. I been wet a long time.Surveyor turned on R5's call light. 10:22AM. V9 [Licensed Practical Nuse] turned off the call light and came out the room and went back to the nursing station. At 11:10AM, surveyor asked R5 was she still wet.
R5 stated, Yes, I am still wet.
The lady said she will be back. On 1/27/26 at 11:30 AM, surveyor asked V9 what did R5 requested, when she answered the call light. V9 stated, R5 needs to be cleaned up. I told one of the aides, I don't remember which one. I have an admission coming and need to get report.
Staffing has been an issue for a while; we work together to do the best we can.
Someone will help R5 soon as possible.
On 1/27/29 at 11:58 AM, V8 [Certified Nurse Assistant] retuned back to unit from escorting a resident to medical appointment. At 12:15PM, surveyor asked V8 if she could provide ADL incontinence care to R5. V8 stated, I was sent out to go with a resident to their medical appointment.
There are other aides that could have gone instead of me.
There are restorative certified nurse assistants, and a wound care certified nurse assistant.
They are not assigned to residents.V8 went to R5's room and provided care. R5 was wet from 10:22AM to 12:15PM [two hours]. On 1/27/26 R17, said the staffing is not sufficient and they have to wait a long time for assistance.
They all said the facility needs more certified nurse assistants. On 1/27/26 at 3:05 PM V3 [Acting Director of Nursing/Nurse Consultant] stated, I became the acting director of nursing on 1/13/26. I was not made aware V8 [Certified Nurse Assistant] was sent out on a medical appointment. I rather had sent another certified nurse assistant such as restorative, or wound care aide. My expectation related to ADL incontinence care is that care is provided as soon as possible.
For a resident to wait three hours for assistance is not acceptable. If a resident is left wet or soiled for two to three hours, it could potentially cause infection, skin breakdown, pain or feelings of sadness and/or dignity issues.
Policy in part:Certified Nurse Assistant Job Description:Provide residents with daily nursing care in accordance with current federal, state and local standards, guidelines, and regulations.Provide ADL assistants to a specific number of residents and or directed by nursing staff. 483.24(a)(2) ADL Care Provided for Dependent ResidentsS483.24(a)(2) A resident who is unable to carry out activities of daily living receives the necessary services to maintain goodnutrition, grooming, and personal and oral hygiene.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
01/30/2026
STREET ADDRESS, CITY, STATE, ZIP CODE
Alden Lakeland Rehab & Hcc
820 West Lawrence Chicago, IL 60640
SUMMARY STATEMENT OF DEFICIENCIES
since I have been here.On 01/28/26 at 12:12 PM V2 (Acting Director of Nursing/Nurse Consultant) stated there should be an order for the oxygen, the care plan that addresses it, typically the oxygen is documented how often the titration is checked, make sure they have the appropriate setting, equipment and humidity.
The staff should make sure they have a physician order for the oxygen unless it is an emergency. If someone is in respiratory distress the doctor will be notified but oxygen can be administered as lifesaving interventions.
The nasal cannula when not in use and nebulizer mask should be stored in a clean bag at the resident beside for infection control purposes.
The nasal cannula should have the date it was changed.
The nurse should do a daily assessment and if the nasal cannula does not have a date or is stored in a bag it should be discarded and replaced.
The wall oxygen flow rate adjusters are called oxygen flow meter with the connector. If a resident does not have an order for oxygen it should not be in their room. If the oxygen is not on the correct setting the resident may not get enough oxygen or if the oxygen rate is to high the resident can end up with hypercapnia. If the nebulizer mask is not in a bag there is an issue of infection control. It the oxygen flow meter is off it is possible that R9 was not getting enough oxygen.Policy:Titled Oxygen Concentrator dated 09/20 document in part: Residents will be administered Oxygen via oxygen concentrator upon Physician's orders by an RN (Registered Nurse), LPN (Licensed Practical Nurse or RT (Respiratory Therapist). e. set the flow dial to LPM (Liter per Minute) prescribed by physician. 2. a. No smoking or use of any other open flame in resident's room while equipment is in operation.
Equipment: 5.
Oxygen In-Use sign placed in the lobby.Titled Oxygen Therapy Devices - Nasal Cannula dated 09/20 document in part.
Procedure: 1.
Verify physician's order.
Equipment: 1.
Oxygen source. 4.
Oxygen In-Use sign placed in the lobby area.Titled Equipment Change Schedule dated 10/25 document in part: Equipment will be changed following established schedules to prevent cross contamination. 6.
Nebulizers: a.
Nebulizer tubing shall be stored appropriately in a bag when not in use. c.
Nebulizer set-ups for bronchodilator therapy changed weekly and prn (as needed).
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
01/30/2026
STREET ADDRESS, CITY, STATE, ZIP CODE
Alden Lakeland Rehab & Hcc
820 West Lawrence Chicago, IL 60640
SUMMARY STATEMENT OF DEFICIENCIES
483.35(a) Sufficient Staff.
483.35(a)(1) The facility must provide services by sufficient numbers of each of the following types of personnel on a 24-hour basis to provide nursing care to all
residents in accordance with resident care plans: (i) Except when waived under paragraph (e) of this section, licensed nurses; and (ii) Other nursing personnel, including but not limited to nurse aides.483.35 Nursing Services Findings include: Daily Schedule for Tuesday, 1/27/2026, documents in part one nurse, V14, for 7:00 AM to 7:00 PM shift on the vent unit.
Second nurse slot was blank.
There were two CNAs (Certified Nurse Aides), V15 and V16 for the unit.
The third CNA slot was blank.
On 01/27/2026 at 10:49 AM, V16 (CNA) stated the vent unit should have two nurses and three CNAs but there's only one nurse and two CNAs for today. V16 stated when the unit is short staffed, the workload increases. V16 stated most of the residents on the unit are bed bound and total assist, so it makes it difficult to take care of everyone properly. V16 stated residents will complain and there's only so much the staff can do when they're short staffed. V16 stated residents would complain about the staff not coming right away to change them or would complain that the call lights were on for a while. V16 stated the residents will also complain about the food being cold if there's not enough staff to pass the food trays right away.
On 01/27/2026 at 11:33 AM, R15 stated there are not enough CNAs.
When the facility is short staffed, the CNAs are slow to change people because they're spread short taking care of a lot of dependent and heavy residents.
On 01/27/2026 at 11:58 AM, R16 stated there's not enough nurses and CNAs for the third floor. R16 stated most of the time, the floor has three nurses when it's supposed to have four. R16 stated last month there was a day when there were only two nurses in the unit because staff called off and facility did not find replacements. R16 also stated the floor does not have enough CNAs. R16 stated needing staff assistance with bowel movements. R16 stated staff are supposed to change R16 right away but would wait for hours to get it done when short staffed. R16 stated short staffing occurs most during the weekends and holidays.
On 01/27/2026 at 12:14 PM, V15 (CNA) stated we need more help. V15 stated there should be two nurses and three CNAs on the vent unit but it's short one nurse and one CNA today. V15 stated the facility had to redo the assignments and split the 3 [NAME] staff to help cover the workload on the vent unit.
Facility ID: