F 0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
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 showers as scheduled. This applies to 2 of 2
residents (R1 and R3) reviewed for improper nursing in the sample of 5. The findings include: 1.R1's EMR
(electronic data sheet) showed that R1 was admitted to facility on April 18, 2024, with multiple diagnoses
including chronic diastolic (congestive) heart failure, paraplegia, schizoaffective disorder, depressive type,
morbid (severe) obesity due to excess calories, hypertensive heart disease with heart failure.R1's quarterly
MDS (minimum data set) dated October 8, 2025, showed that R1 was cognitively intact and was dependent
on staff for showers/bathing.On November 14, 2025, at 11:45 AM, R1 was lying in bed in a hospital gown
and stated that she needed assistance of one CNA (Certified Nursing Assistant) for bed baths, R1 stated
From what I hear from the CNA's that they don't schedule enough staff. I get bed baths. I am supposed to
get showers on Wednesdays and Sundays. The CNAs are darling but there is not enough of them.R1's
shower intervention task report showed that R1's showers were scheduled on Wednesday and Sunday
evenings. The same reports from October 01-November 14, 2025, were reviewed along with additional
shower sheets that were provided by the facility. Based on this information, R1 missed showers on the
following scheduled shower dates in October and November 2025: October 8 (Wednesday), October 22
(Wednesday), October 26 (Sunday), November 9 (Sunday). This information showed that R1 did not have a
shower for 9 days consecutively from October 20-October 28, 2025. 2. R3's EMR showed that he was
readmitted to the facility on [DATE], with multiple diagnoses including hemiplegia and hemiparesis following
cerebral infarction affecting left non-dominant side, infection and inflammatory reaction due to indwelling
urethral catheter, subsequent encounter, acute and chronic respiratory failure with hypoxia, chronic
obstructive pulmonary disease, altered mental status.R3's quarterly MDS dated [DATE], showed that R3
was moderately impaired in cognition and was dependent on staff for toileting and shower/bathing. On
November 14, 2025, at 12:07AM, R3 was sleeping in his bed and did not respond to queries. R6 (R3's
spouse) who shared his room stated that R3 sleeps a lot and may not be alert enough to respond
adequately. R6 stated that she is in the room [ROOM NUMBER]/7 with him and knows what care he
receives. R6 stated that R3 gets a bed bath and that he should get one weekly at least but it does not
happen. R3's shower intervention task report showed that R3's showers were scheduled on Monday (days)
and Friday (evenings). The same reports from October 1-November 14, 2025, were reviewed along with
additional shower sheets that were provided by the facility. Based on this information, R3 missed showers
on the following scheduled shower dates in October and November 2025:October 13, 2025 (Monday),
October 20, 2025 (Monday), October 24, 2025 (Friday), October 31(Friday), November 3 (Monday),
November 7 (Friday). This information shows that R3 did not receive showers for 9 days consecutively
between October 17 to October 26, 2025, and for an additional 9 days consecutively between November 1
to November 9, 2025.On November 14, 2025, at 3:33 PM, V2 (Director of Nursing) stated that the
regulation denotes that the residents are required to have showers
Residents Affected - Few
(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 2
Event ID:
146008
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
146008
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
11/16/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Alden of Waterford
2021 Randi Drive
Aurora, IL 60505
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)
F 0677
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
once a week. V2 stated that the facility offers showers twice a week. V2 added that the facility goal is that if
the shower is scheduled, the resident should receive their showers. Facility Policy and Procedure titled
Bath, Tub or Shower (09/20) included:Policy:1. To provide cleanliness and comfort to the resident. 2.To
assist the resident in bathing. 3. To prevent body odors. To stimulate circulation and provide a mild form of
exercise. 5. To observe the resident's skin condition. Procedure: 6. Assist the resident into the tub or
shower.7. Encourage the resident to do as much of his/her own care as possible; supervise and assist as
necessary.
Event ID:
Facility ID:
146008
If continuation sheet
Page 2 of 2
