Above average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Alden Courts Of Shorewood during CMS and state inspections, most recent first.
Failure to provide ordered nutritional supplements to four residents. During meal service, an Activity Aide used tray cards that listed each resident’s ordered supplements, but the residents did not receive the ordered Magic Cup and/or Mighty Shake at lunch as prescribed. One resident received regular pudding instead of the ordered supplement, and another remained in bed and missed the meal. The RD documented weight loss, decreased appetite, and that the supplements were intended to add calories and protein.
Failure to maintain a PICC/midline dressing for a resident with sepsis, UTI, ESBL resistance, and vascular access management. The resident’s dressing remained dated with an older change date while staff confirmed the dressing should be changed weekly; an LPN said she did not change it, and the DON stated PICC and midline dressings needed weekly changes with documentation in the MAR or TAR.
Expired and discontinued meds were found on a med cart, including an Ipratropium Albuterol solution past expiration and no longer ordered for a resident with severe cognitive impairment. A tuberculin vial that required refrigeration was also found on the cart. In a separate finding, a resident had Systane eye ointment at the bedside even though staff, including the DON and LPN, stated residents were not allowed to keep meds at bedside and there was no order for bedside storage.
The facility failed to follow infection control practices for two residents on contact isolation and EBP. An LPN was observed repositioning a resident with ESBL in the urine while wearing only gloves instead of gown and gloves, and staff confirmed PPE was required for contact isolation. For another resident with a history of ESBL urine culture, a CNA provided high-contact care without PPE when no EBP signage or PPE setup was present, and the resident’s EBP order had been discontinued despite prior ESBL findings.
A resident with moderate dementia and a history of falls was inadequately supervised during ambulation, resulting in a fall and fractures. Despite using a gait belt, staff failed to maintain hands-on assistance as required, leading to the resident's hospitalization. The facility's policy for using gait belts for residents needing partial/moderate assistance was not followed, contributing to the incident.
The facility failed to sanitize dishes properly due to inadequate temperatures during the dishwashing process, affecting 42 residents. Observations showed that the 'Final Rinse' temperature was below the required 180 degrees Fahrenheit, and test strips did not confirm proper sanitization. The issue was linked to low incoming water temperature, which was later adjusted by the maintenance director.
Two residents received oxygen therapy not in accordance with physician orders. One resident was given oxygen during the day instead of only at night, and another received a higher flow rate than prescribed. Both residents showed no respiratory distress, but the facility's policy requires adherence to physician orders for oxygen administration.
Failure to Provide Ordered Nutritional Supplements
Penalty
Summary
The facility failed to provide nutritional supplements to four residents according to physician orders. During lunch observations on 7/29/25, 7/30/25, and 7/31/25, R42, R33, R26, and R6 were observed in the dining room or, in one case, still asleep in bed, and the ordered supplements were not provided as directed. V15, the Activity Aide serving lunch, stated she used laminated tray cards to determine what each resident should receive, and the tray cards listed the ordered supplements for each of the four residents. R42 had an order for Magic Cup twice daily with lunch and dinner, but was observed receiving regular pudding instead of the ordered Magic Cup at lunch on 7/31 and did not receive Magic Cup at lunch on 7/29 or 7/30. R33 had orders for Magic Cup twice daily and Mighty Shake twice daily, both to be given with lunch and dinner/lunch, but did not receive either supplement at lunch on 7/29, 7/30, or 7/31. R26 had orders for Magic Cup twice daily and Mighty Shake three times daily with meals, but did not receive either supplement at lunch on 7/29 or 7/30, and was not in the dining room on 7/31 because he remained asleep in bed after staff attempted to get him up. R6 had an order for Mighty Shake with breakfast, lunch, and dinner, but did not receive the lunch supplement on 7/29 or 7/31. The Registered Dietician documented that these supplements were intended to support nutritional status, appetite, wound healing, and protein/calorie intake, and noted weight loss and decreased appetite for some of the residents. The facility policy stated that a physician order is required for a dietary supplement and that nursing maintains the physician order in the MAR for commercially prepared liquid supplements.
Failure to Maintain PICC/Midline Dressing
Penalty
Summary
The facility failed to maintain an IV dressing for a resident with a PICC/midline. R41 was admitted with sepsis, UTI, ESBL resistance, and for adjustment and management of a vascular access device. On July 29, 2025, R41 had a PICC in the right upper arm with a dressing dated July 21, 2025, and on July 30, 2025, the same IV/midline dressing was still dated July 21, 2025. The resident’s MAR showed an order for a transparent sterile dressing change weekly and PRN every Monday, and it was signed off for July 28, 2025. During interview, V8, an LPN, said the PICC line dressing needs to be changed weekly and stated she did not change it. V8 said she checked the EMR and saw an order for the PICC line to be checked on July 24, 2025 and the midline checked on July 25, 2025 by the PICC team, but she did not see documentation showing the dressing was changed. V3, an LPN/Patient Care Coordinator, said the dressing should be changed if soiled, malfunctioning, and/or every seven days to maintain integrity. V2, the DON, said PICC line and midline dressings needed to be changed every seven days even if intact and that staff should sign off the dressing change in the MAR or TAR. The record also included a nursing note stating the midline dressing was intact and a professional nursing service note documenting the midline as intact and usable.
Expired and Improperly Stored Medications Found on Cart and at Bedside
Penalty
Summary
The facility failed to remove expired medications and failed to store medications under proper conditions. During observation of the medication cart on the [NAME] unit, R20 had a box of Ipratropium Albuterol Solution with an expiration date of 06/2025, even though the medication had been discontinued on 02/03/25 and there were no active orders for it in the current order summary. The cart also contained a box with one vial of Tuberculin Purified Protein Deprivative Diluted Aplisol that had been opened on 07/27/25, and the box indicated the vial was to be kept refrigerated. An RN stated the tuberculin solution should always be refrigerated, could lose potency if not refrigerated, and that expired and discontinued medications should be removed from the medication cart and sent back to the pharmacy. R20 was admitted with diagnoses including dementia, acute respiratory failure with hypoxia, CHF, COPD, and anxiety, and the MDS showed severe cognitive impairment. The facility also failed to keep a resident’s medication secured according to its own practice. R1 had a tube of Systane lubricant eye ointment on the bedside table, and R1 stated she used the ointment in her eye as needed because her left eye did not close due to a stroke. Staff members including an LPN, CNA, PCC/LPN, and the DON stated residents were not allowed to keep medications at the bedside and that medications were kept in the nurse’s cart unless there was an order. R1’s face sheet showed diagnoses including hemiplegia and hemiparesis, facial weakness following cerebral infarction, muscle weakness, unsteadiness on feet, lack of coordination, need for assistance with personal care, and dementia. Her POS did not show an order for the medication or an order for it to be kept at bedside, and her care plan noted dementia and difficulty making preferences known.
Infection Control Practices Not Followed for Contact Isolation and EBP
Penalty
Summary
The facility failed to follow infection control practices for residents under transmission-based precautions and enhanced barrier precautions. For a resident with ESBL in the urine and contact isolation orders, the room had contact isolation signage and an isolation bin with PPE available, but an LPN was observed repositioning the resident while wearing only gloves. The LPN removed the gloves, used hand sanitizer, and exited the room without wearing a gown. Staff interviewed afterward stated that a gown and gloves were required before entering a contact isolation room and for repositioning residents in bed. The resident’s face sheet showed admission diagnoses including sepsis, UTI, ESBL resistance, and management of a vascular access device, and the care plan documented isolation precautions for ESBL UTI. The facility also failed to maintain enhanced barrier precautions for another resident with a history of ESBL urine culture. At one observation, there was no EBP signage or PPE setup outside the resident’s room, and a CNA assisted the resident with dressing and handling bed linen without PPE. The resident’s physician order sheet did not have an active EBP order at that time, although later review showed an order had been created and then discontinued. Staff later stated the resident should have been on EBP since November 2024, but the order had been accidentally discontinued. The resident’s record showed a positive urine culture for Proteus mirabilis ESBL, incontinence of bowel and bladder, and dependence on staff assistance due to physical and cognitive limitations, while the updated care plan did not include EBP-related interventions or risk factors.
Inadequate Supervision Leads to Resident Fall and Injury
Penalty
Summary
The facility failed to provide adequate supervision and assistance to a resident, identified as R8, who required moderate assistance during ambulation. R8, a female with moderate dementia, sacroilitis, spondylosis, and osteoporosis, was at risk for falls as indicated by her fall risk assessments. On July 7, 2024, R8 was ambulating with the assistance of a CNA and a nurse when she stopped to converse with the nurse and another resident. During this interaction, R8 turned her head, lost her balance, and fell, resulting in a fracture to her pubic rami and fourth proximal phalanx of the toe. The incident report and staff interviews revealed that R8 was not adequately supervised at the time of the fall. Although a gait belt was used, the staff did not maintain hands-on assistance as required for residents needing partial/moderate assistance. The CNA had left R8 with the nurse to attend to a call light, and the nurse was unable to prevent the fall as R8 turned to speak with another resident. The facility's policy mandates the use of a gait belt for residents requiring hands-on assistance, but this was not adhered to during the incident. The facility's staff, including the Assistant Director of Nursing, CNA, LPN, Director of Nursing, and Rehab Director, acknowledged the need for hands-on assistance with a gait belt for residents like R8. Despite this, the staff failed to provide the necessary supervision and assistance, leading to R8's fall and subsequent hospitalization. The incident highlights a lapse in following established protocols for resident safety during ambulation.
Dish Sanitization Failure Due to Inadequate Temperature
Penalty
Summary
The facility failed to ensure proper sanitization of dishes during the high-temperature dishwashing procedure, affecting 42 residents who receive meals from the facility kitchen. On September 9, 2024, the dishwashing process was observed, and it was noted that the 'Final Rinse' temperature fluctuated between 144-163 degrees Fahrenheit, which is below the required 180 degrees Fahrenheit for effective sanitization. Test strips used to verify the sanitization process did not change color as expected, indicating that the dishes were not sanitized properly. Despite a log showing a temperature of 186 degrees Fahrenheit for breakfast, subsequent tests showed inconsistent and insufficient temperatures. The Executive Chef, Dietary Aides, and other staff were present during the observation, and it was confirmed that the dish machine was not maintaining the necessary temperature for sanitization. The facility's policy requires that the dish machine test strips turn black to confirm proper sanitization, which did not occur during the observed tests. The issue was attributed to the incoming water temperature being too low, which was later confirmed by the dish machine servicing company. The maintenance director had to adjust the water temperature to meet the required standards for dish sanitization.
Oxygen Administration Not in Compliance with Physician Orders
Penalty
Summary
The facility failed to administer oxygen to residents as ordered by their physicians, affecting two residents. The first resident, R2, who has multiple diagnoses including dementia and senile degeneration of the brain, was observed receiving oxygen during the day, contrary to the physician's order which specified oxygen administration only at night. The resident's oxygen concentrator was set below the prescribed 2 liters per minute, and the nasal cannula was improperly placed on the mouth instead of the nostrils. Despite these discrepancies, the resident showed no signs of respiratory distress, and their oxygen saturation was within normal limits. The second resident, R95, with diagnoses including acute respiratory failure and dementia, was receiving oxygen at 3 liters per minute, which exceeded the physician's order of 2 liters per minute as needed for respiratory symptoms. The resident was alert but confused and did not exhibit respiratory distress. The facility's policy requires oxygen to be administered as per the physician's orders, which was not adhered to in these cases. The Director of Nursing confirmed that oxygen therapy should be delivered as prescribed, emphasizing its classification as a medication.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 523 citations issued within 25 miles in the last 12 months — including the 9 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Shorewood
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Alden Estates Of Shorewood | 0 mi | ★★★★★ | 6 | 0 |
| Avantara Joliet | 3.6 mi | ★★★★★ | 8 | 0 |
| Parc Joliet | 3.9 mi | ★★★★★ | 29 | 0 |
| Joliet Living & Rehab Center | 4 mi | ★★★★★ | 5 | 0 |
| Renwick Nursing And Rehab | 4 mi | ★★★★★ | 15 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Alden Courts Of Shorewood.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.