Alden Lincoln Rehab & H C Ctr
ALDEN LINCOLN REHAB & H C CTR in CHICAGO, IL — inspection on February 26, 2026.
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
be happier on the unit.
Prior to incident R1 was completing active range of motion and no deficits
expectation of the staff that resident's safety is always maintained to decrease risk of falls and
resident prior to entering the shower room.
Residents are encouraged to be independent but staff should not leave residents alone in the shower room who require supervision. V2 stated the shower room is designed with a separate area where staff can provide the resident with privacy but still be in the room close enough to assist the resident if help is needed. V2 stated the certified nursing assistant (CNA) should have asked someone else to answer the other light and proceed to assist R1 to decrease risk of fall and injury and the nurse should be informed by the CNA so they are aware of the residents who are going into the shower room and to be alert if the shower light rings so the nurse can come and complete a body assessment.On 02/25/26 at 11:19 AM, V10 ( Physical therapist) stated R1 has multiple fractures and is currently toe touch weight bearing for the next six weeks, it is hard for R1 to adjust to this modified way of movement because he was used to moving with rollator independently but R1 tries his best. V10 stated prior to fall with fractures R1 was modified independent for transfers, mobility and using a rollator but now R1 is minimum contact guard assistance for transfers from bed to chair with use of mechanical lift do to R1's restrictions, healing takes times but R1 is progressing well.-Facility document presented by V2 titled falls has R1 listed as having a fall on 01/07/2026.-Facility policy dated 08/2020, titled Management of falls documents in part; The facility will assess hazards and risks, develop a plan of care to address hazards and risks, implement appropriate resident interventions, and revise the residents plan of care to minimize the risks for fall incidents and/or injuries to the resident.
145126 02/26/2026
Alden Lincoln Rehab & H C Ctr 504 West Wellington Avenue Chicago, IL 60657
would have to wait to be medicated because the night nurse had not arrived to facility yet. R6 stated
pain medication and informed him that the night nurse was running late and would be in soon. R6
medication. R6 stated he informed the administrator and director of nursing of his concerns.On 02/25/2026 at 11:59 AM, V8 (Registered Nurse) stated she has worked on the first floor since December 2025. V8 stated she could not remember the date but last week on night shift around 11:40 PM, R6 came down to the first floor and informed me that there was no nurse on his unit and he needed pain medication. V8 stated she went upstairs and gave R6 his medication. R8 stated that the nurse for the third floor unit was running late and arrived close to 12:00 AM. V8 stated this was the first time that I experienced such a thing related to having to administer medication on another unit because a nurse was running late, and no residents have told me that they had concerns related to late medication administration or a nurse not being available during my shifts.V8 stated R6 is not her assigned resident but she was just helping out since the nurse was not in the facility.On 02/25/2026 at 12:58 PM, V1 (Administrator) stated that he was made aware of the concern on 10/27/2025, the issue was addressed about attendance and calling in late with nursing staff and informing nursing staff who to notify when they are running late. V1 stated I have noticed that there was a trend of the nurses running late and it was addressed immediately, and it has been improving lately. V1 stated the nurses run late less than an hour some 15-20 minutes to my knowledge.
Nursing directors address the nurses and in-services were done. If nurses are running late or calling off, they would notify myself and nursing director. V1 stated the 9/29/2025 resident council concern were reviewed by checking the staffing schedule and for call ins and nothing reflected that there were no nurses on the shifts. I spoke with the residents who had the concerns and they said they eventually saw the nurse.On 02/25/2026 at 1:17PM, V2 (Director of Nursing) stated it was brought to my attention by the residents that staff were coming in late and not notifying the nursing directors. My expectation is that if a nurse is coming in late, they need to also call the facility to inform the staff.
Also, the assistant administrator would call the facility to notify the building so if a resident needs something on another floor the staff are aware that they need to go to the unit and assist the resident with the need and or pass the medication until the nurse arrives.
This doesn't happen much but is a concern that the facility is addressing on a constant basis by in servicing and educating the staff on attendance policies and disciplinary actions that can result in continued behavior. V2 stated V8 does not work on the unit R6 resides on but it is the expectation if a nurse is not available on the unit another nurse is to go and assist the resident with their medication needs.
Reviewed facility resident council minutes dated September 29, 2025, documents in part; residents state there were no nurses on a couple of night shifts.
Residents listed as attending the meeting were as follows R6, R7, R8 who had concerns with nurses not being available on night shift.Reviewed facility in service dated October 2025, topic documents in part : Attendance, call ins, lateness attached with a facility guideline titled absenteeism and tardiness standards.Reviewed facility concern form dated 10/27/2025 documents in part with R6 name on it , nature of concern: nurse is not coming on time causing R6 to receive his medications late.10/28/2025 V2( Director of Nursing) documented that she spoke with R6 regarding his medication administration concerns and that the nurses were educated.Reviewed R6's medication administration record which reflected that V8 completed pain assessment on 2/18/2026 and administered him medication .On 02/26/2026 at 2:01 PM, V1 stated the facility does not have a policy for staffing.
The facility ensures that they meet the minimum staffing ratios.