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Complaint Investigation

Alden Lincoln Rehab & H C Ctr

September 12, 2025 · Chicago, IL · 504 West Wellington Avenue
Citations 1
CMS Rating 3/5
Beds 96
Provider ID 145126
Healthcare Facility
Alden Lincoln Rehab & H C Ctr
Chicago, IL  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

ALDEN LINCOLN REHAB & H C CTR in CHICAGO, IL — inspection on September 12, 2025.

Found 1 citation. 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

FF0609
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

Based on interview and record review, the facility failed to report the allegation of sexual abuse for one resident (R1) within the stipulated two hours time frame.

Findings Include: On 9/11/25 at 10:05 AM, V1 (Administrator) stated that at approximately 1:00 PM on 9/9/25, the facility was notified via email by V15 (Ombudsman) that she received a call from V3 (Wound Nurse/Licensed Practical Nurse/LPN) about a possible sexual abuse towards R1. V1 stated that he is the abuse coordinator, it is his expectation that all allegations of abuse will be reported to him immediately for investigation, and the initial reportable should be sent to Illinois Department of Public health/IDPH within two hours of notification. V1 stated that V3 should have reported the allegation to him, and he should have sent the initial reportable to IDPH around 3pm and not at 5:44 PM, because he must still follow two hours of reporting allegation of abuse. On 9/11/25 at 12:38 PM, via telephone, V3 (Wound Nurse/LPN) stated that she has been in the facility since March 28, 2025, and she attended in-service on types of abuse, who and when to report an abuse.On 9/11/25 at 1:16 PM, V2 (Director of Nursing/DON) stated that she has been in the facility since April 2024.

She knows that the initial investigation should have been reported to IDPH within the first two hours of notification, but V1 oversees the reporting process.

Documents reviewed for this investigation are not limited to the following: Initial Incident Report Form dated 9/9/25 faxed to IDPH at 5:44 PM above the two hours time frame.Abuse in-service attendance record dated 5/14/25 with V3's signature.Copy of email dated 9/9/25, sent to V1 at 12:59 PM related to the allegation of abuse.Facility's Abuse Policy documents in part: Filing accurate and timely investigation reports.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

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Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CHICAGO, IL, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ALDEN LINCOLN REHAB & H C CTR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.