Inspection·April 18, 2025

F 0774 Help the resident with transportation to and from laboratory services outside of the facility. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review the facility failed to provide a resident with transportation arrangements to and from a CT (computed tomography) scan, resulting in the resident missing multiple appointments and experiencing a delay in treatment for one (R3) resident out of three residents reviewed for resident rights in a total sample of five. This failure places residents at risk to be provided with inappropriate care and services to meet the resident's physical, mental and/or psychosocial needs. Residents Affected - Few Findings include: On 4/16/2025, at 11:51 AM, V10 (Medical records/Transportation coordinator) states I come on a Monday. I run the report and see what appointments I have that week, or sometimes I review it on Friday to see for the next week. V10 states when we were using the ride-hailing service, it was easier. But now since I am back calling the insurance, I must check them beforehand since I must let them know at least 3 days in advance. V10 states facility ride-hailing service card ran out/declined on April 3rd, 2025. V10 states that V1 (administrator) told her that the card resets on the 14th of April. I had to go and see what I had, for Friday and the following week, if patients had appointments. I had to set up the transportation through their insurances. V10 states I know there has been some appointment problems for R3. We were setting up the appointments on the days that she has dialysis. I know recently I sent her out for this CT (computed tomography) appointment that you are talking about. She went out on April 11th, 2025, to the hospital at 9:00 AM. The ambulance stretcher came for her at 8:00 AM. V10 states that R3 needs assistance with transportation because she uses a wheelchair. V10 states that she received a call from the daughter. She was not upset. She was asking if we can get her to go sooner to get the CT scan because the neurosurgeon wants to see her sooner. V10 states that R3's neurosurgeon follow-up appointment is scheduled for May 6th, 2025. V10 reports that R3 was supposed to go out for the CT scan on March 27th, 2025, but my escort pulled out last minute because she had to go pick up her son. I told V14 (Licensed Practical Nurse) if we can reschedule the appointment. V10 states she (V14) told her that she will try to call and get the appointment rescheduled. I wasn't aware of any appointments that she had scheduled for April 1st, 2025. V10 states that R3 did not go to the appointment on March 27th, 2025, to get the MRI of head due to not having an escort. She didn't go to the March 28th, 2025, appointment due to the dialysis schedule. V10 states I didn't set up transportation for March 31st, 2025. I learned the importance after. V10 states that she left early from work on March 28th, 2025, from work. On 4/16/2025, 11:20 AM, V7 (Registered Nurse) states that for R3, I (V7) know that there have been a few missed appointments. I don't know exactly what happened. The lady on the phone from the CT (computed tomography) place, was kind of upset. We made it happen for her to go the next day. V7 states that she does not know why she missed appointments. V7 reports that she contacted V10 (Medical records/Transportation coordinator) that she (R3) needs to go to her appointment. V7 states that R3 had (continued on next page) 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 TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 3 Event ID: 145450 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 145450 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/18/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Alden Lakeland Rehab & Hcc 820 West Lawrence Chicago, IL 60640 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)