Inspection·January 26, 2026

F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and record review, the facility failed to provide necessary care and treatment for residents with vascular ulcers. This applies to 2 of 3 residents (R1, R2) reviewed for quality of care in the sample of 3. The findings include: 1. On 1/26/26 at 9:48 AM, V3 (Wound Nurse) provided wound care to R2's vascular wound. R2 was lying in his bed with bilateral protective boots in place. R2's right lower extremity did not have a dressing in place, his right leg was discolored, reddened, with two open areas to the lower leg. V3 cleansed the skin with wound cleanser, applied xeroform, gauze wrap and elastic bandage. R3's left lower leg was reddened and discolored, V3 applied the elastic bandage to his left lower leg. On 1/26/26 at 10:00 AM, R2 said his right leg had a dressing on until recently when he had his shower they removed the dressing. R2 said he had his shower yesterday. On 1/26/26 at 10:30 AM, V3 said she did not know R2's dressing was removed. If a dressing, gets removed it should be re-applied. V3 said maybe the staff removed it when he had his shower yesterday. V3 confirmed R2 received his shower yesterday.R2's Wound Physician Progress note dated 1/23/26 shows right calf venous ulcer measuring 1.5 cm (centimeters) x 0.6 cm x 0.1. Granulation and color: 90% red, 10% pink with light serous drainage. The treatment orders include cleanse with normal saline, apply xeroform, 4x4 gauze, absorbent pad and gauze kerlix dressing and secure with elastic bandage. R2's Physician Order Sheets dated January 2026 shows orders including ace wraps to bilateral lower extremities may remove for ADL care, every shift on in the morning and remove at night. 2. On 1/26/26 at 9:45 AM, R1 was sitting in his wheelchair with his feet resting on the ground. R1's bilateral leg dressings were visible at the end of his pant legs. R1 was wearing shoes without shoelaces and moderate edema to his lower legs, ankles and feet. R1 said he was going out to his outpatient appointment for his legs. R1 said he has burning sensations and pain in his lower legs. At 1:50 PM, R1 was in the activity room, he was sitting in his wheelchair wearing shorts. Gauze wraps and elastic bandages were in place to his lower legs with visible swelling to his lower legs.R1 said he removes the shoelaces so his feet can fit in the shoes. R1 said he does not have a chair to recline in to elevate his legs. R1 said when he is in the wheelchair he rests his feet on the bed in the lowest position. R1 said he would like a reclining wheelchair so he can elevate his legs. On 1/26/26 at 10:21 AM, V4 (RN) said R1 is alert and oriented, he has more swelling and pain in his lower legs. We lower his bed to the lowest position and have his legs on the bed for his swelling. On 1/26/26 at 12:01 PM, V3 (Wound Nurse) said R1 has a chronic history of pain and swelling to his lower legs and has multiple co-morbidities that can affect his edema, including CHF, and kidney disease. His legs get better for a while then get worse. He is at his worst. R1's left leg is more swollen with increased discoloration; he scratches sometimes causing lacerations to his legs. We have educated him on lowering his bed to lowest position and place his feet up. On 1/26/26 at 2:03 PM, V2 (DON) said R1 has vascular wound with increased swelling to his legs. We want him to elevate his legs. R1 said it's difficult for him to elevate his leg when he is in bed. When his feet are resting on the bed in the 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 3 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 01/26/2026 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)