Alden Des Plaines Rehab & Hc
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
was updated but she did not. No new intervention for resident safe transfer to avoid foot injury. Resident R1 sustained abrasion and bruise from wheelchair to bed transfer by CNA but no new intervention documented in care plan. No ongoing skin weekly assessment documentation of right foot abrasion since it was identified on 8/11/25. Resident R1‘s right foot abrasion worsens to cellulitis wound. Wound treatment provided and completed antibiotics 10 days treatment. Still no ongoing weekly skin assessment of right foot cellulitis wound since it was identified on 9/3/25. Resident R1 was observed for wound care on right foot. No dressing was observed. The wound treatment needs to be evaluated due to current wound condition. On 9/16/25 at 12:45PM, V7 MDS/Care Plan Coordinator said that any changes in resident condition or treatment such as incident of bruise/abrasion sustained from transfer with CNA assistance and worsening of abrasion to cellulitis should be care planned. New intervention should be developed for resident safety to prevent re-occurrence of incident. New intervention for treatment of abrasion to promote healing and prevention of wound infection or deterioration. V7 said that she cannot remember if she updated care plan after the incident. V7 said any nurse- floor nurse or managers who are aware of the incident can update Resident R1's care plan as indicated in physician orders. On 9/16/25 at 1:42PM, Reviewed V9 Former CNA's employee record with V1 Administrator. V9 was hired on 7/10/25. Employee separation notice was on 8/12/25. V1 said that V9 self-terminated himself after interviewing for Resident R1's incident on 8/11/25 bruise/abrasion resulted from transferring from wheelchair to bed. Reviewed July and August 2025 facility's transfer in-service for employees. V9 was not listed in training. V6 Interim DON presented Resident R9's competency transfer training with employee's signature but inconsistent with his signature file in employee's record. Facility's policy on Transfer Techniques 02/2022 indicated: Purpose: To safely transfer the resident from bed to chair or from one location to another. Facility's policy on Incident/Accident Reports 09/2020 indicated: The incident/accident report is completed for all unexplained bruises or abrasions, all accidents, or incidents where there is injury or the potential to result in injury, allegation of theft and abuse registered by residents, visitors, or other and resident to resident altercations. Procedure: An accident refers to any unexpected or unintentional incident, which may result in injury to illness to a resident. 9. An incident/accident report is to be completed and shall include: b. Description and possible cause of incident, physical assessment, injuries noted, vital signs, treatment rendered and notification of appropriate parties. Facility's policy on Comprehensive care plan 11/2017 indicated: An individualized, person-centered comprehensive care plan including measurable objectives with timetables to meet resident's physical, psychosocial and functional needs, is developed and implemented for each resident. Procedure: 8) Assessment of Resident is ongoing and care plans are revised based on the resident condition, preferences, treatments, and goals change.
Facility's policy on Prevention and treatment of Pressure injury and other skin alterations 03/2021 indicates: Policy: 3. Implement preventive measures and appropriate treatment modalities for pressure injuries and or other skin alterations through individualized resident care plan. Procedure: 4. Non-pressure skin alterations i.e.: skin tears, abrasions, surgical wounds, MASD, lesions and rashes will be documented weekly on a skin progress. 5. Develop a care plan for either actual or potential alteration in skin integrity and change as needed8. At least daily, staff should remain alert for potential changes in the skin condition during resident care10. Revised care plan approaches as needed based on resident's response and outcomes.
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ALDEN DES PLAINES REHAB & HC in DES PLAINES, IL inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 DES PLAINES, 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 DES PLAINES REHAB & HC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.