Alden Estates Of Orland Park
ALDEN ESTATES OF ORLAND PARK in ORLAND PARK, IL — inspection on May 22, 2026.
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
R2 moved around, the mechanical lift started tilting and lifting the bed frame off the floor and R2
because she screamed a lot.On 5/21/26 at 1:30PM, V1 (Administrator) stated R2 was in her chair and
were positioned under the bed, and the R2 was directly on top of the bed. V17 (CNA) was in control of the mechanical lift and V14 (CNA) had walked around on the other side of the bed to spot R2.
Just as V14 started walking to go on the other side. R2 started thrusting around and throwing her arms and legs, flailing her arms and legs, yelling I want water. V17 stated the mechanical lift begin to tip and V17 tried to grab the mechanical lift to keep it upright but R2's weight carried R2 towards the foot of the bed.
Back leg of the mechanical lift machine lifted the head of the bed. R2 landed on the foot of the bed, landed on the bed mattress first.
The mattress broke R2's fall.
The pressure of R2's falling on the bed and the mechanical lift leg lifting the head of the bed, R2 seesawed the bed upright and R2 rolled over from the foot of the bed to the floor.R2's has a care plan for At Risk for Falls due to cognitive deficits and functional deficits (date Initiated 10/25/22) with interventions of Assess resident for anxiety and agitation prior to transfer (Date Initiated: 4/24/26).Hospital record dated 4/23/26, reads in part: R2 to Emergency Department from facility after falling out of mechanical lift.
R2 states fell on the right side and hit her head.
Complaint of right sided head and back pain.
Denied loss of consciousness.
Per EMS, R2 received Ativan prior to being put in to Mechanical Lift.Management of Falls policy dated 8/2020 reads 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 resident's plan of care in order to minimize the risk for fall incidents and/or injuries to resident.Develop plan of care to include goals and interventions which address resident risk factors.
Risk factors may include but are not limited to the following: Contributing diagnoses/disorders/disease processes/active infections/other comorbidities, history of fall incidents, Incontinence, Medications (Narcotics, Antihypertensive, etc.) assistance required with ADL's gait/transfer/balance issues, behaviors and/or cognitive status.Provide assistive devices for mobility, hearing and vision as appropriate for the residents.Fall Management Program dated 8/2020 reads in part: The facility is committed to minimizing resident falls and/or injury so as to maximize each resident's physical, mental and psychosocial well-being.
While preventing all residents fall is not possible, it is the facilities policy to act in a proactive manner to identify and assess those residents at risk for fall, plan for preventive strategies and facilitate a safe environment.
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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.