Cycle 1
Health 2024-11-22 · Fire 2024-11-22
5 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Shorewood, IL
Alden Estates Of Shorewood
5-star overall rating with 5-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
710 W Black Road, Shorewood, IL
(815) 230-8700
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
100
Certified beds
Average residents
79
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Alden Network
Operator or chain grouping
Approved since
2012-05-02
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
27 facilities
Chain averages 2 overall / 3 health / 1 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.43
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.51
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
2.85
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
4.80
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.95
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
4.18
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
1.25
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.15
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
1.14
CMS adjusted RN staffing hours
Adjusted total hours
3.81
CMS adjusted total nurse staffing hours
Case-mix index
1.72
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
12,926
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
9.58
Composite VBP score used to determine payment impact.
Payment multiplier
0.9808
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.79
Baseline 28.66% · Performance 27.16% · Measure score 0.79 · Achievement 0 · Improvement 0.79
Healthcare-associated infections
0
Baseline 8.02% · Performance 8.97% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
2.08
Baseline 3.27 hours · Performance 3.67 hours · Measure score 2.08 · Achievement 2.08 · Improvement 1.1
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.97% |
10.72%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 547 · Observed rate 12.43% · Lower 95% interval 9.7% |
| Discharge to community | 53% |
50.57%
2.4 pts better
|
No Different than the National Rate · Eligible stays 626 · Observed rate 49.04% · Lower 95% interval 48.49% |
| Medicare spending per beneficiary | 1.08 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 94.41% |
95.27%
0.9 pts worse
|
Numerator 304 · Denominator 322 |
| Falls with major injury | 0.93% |
0.77%
0.2 pts worse
|
Numerator 3 · Denominator 322 |
| Discharge self-care score | 29.03% |
53.69%
24.7 pts worse
|
Numerator 9 · Denominator 31 |
| Discharge mobility score | 32.26% |
50.94%
18.7 pts worse
|
Numerator 10 · Denominator 31 |
| Pressure ulcers or injuries, new or worsened | 0.93% |
2.29%
1.4 pts better
|
Numerator 3 · Denominator 322 · Adjusted rate 0.91% |
| Healthcare-associated infections requiring hospitalization | 8.97% |
7.12%
1.9 pts worse
|
No Different than the National Rate · Eligible stays 354 · Observed rate 9.04% · Lower 95% interval 6.8% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 180 |
| Staff flu vaccination coverage | 8.7% |
42%
33.3 pts worse
|
Numerator 18 · Denominator 207 |
| Discharge function score | 32.26% |
56.45%
24.2 pts worse
|
Numerator 10 · Denominator 31 |
| Transfer of health information to provider | 95.36% |
95.95%
0.6 pts worse
|
Numerator 144 · Denominator 151 |
| Transfer of health information to patient | 95.8% |
96.28%
0.5 pts worse
|
Numerator 137 · Denominator 143 |
| Resident COVID-19 vaccinations up to date | 11.73% |
25.2%
13.5 pts worse
|
Numerator 19 · Denominator 162 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
2.0
0.4 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 4.7 · Expected 3.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.2 |
2.3
0.1 pts better
|
1.8
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 3.2 · Expected 2.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.8% |
89.6%
6.2 pts better
|
93.4%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 85.7% · Q2 100.0% · Q3 97.4% · Q4 100.0% · 4Q avg 95.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
91.6%
8.4 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.8% |
3.3%
1.5 pts better
|
3.3%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.5% · Q3 2.6% · Q4 2.3% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 62.7% |
50.3%
12.4 pts worse
|
11.4%
51.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 61.1% · Q2 65.7% · Q3 67.6% · Q4 56.8% · 4Q avg 62.7% |
| Percentage of long-stay residents who lose too much weight | 11.3% |
6.5%
4.8 pts worse
|
5.4%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 8.6% · Q3 8.8% · Q4 17.1% · 4Q avg 11.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.1% |
18.5%
3.6 pts worse
|
19.6%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.7% · Q2 21.6% · Q3 17.6% · Q4 25.0% · 4Q avg 22.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.3% |
22.8%
12.5 pts better
|
16.7%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 13.3% · Q3 12.5% · Q4 11.5% · 4Q avg 10.3% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 7.4% |
17.2%
9.8 pts better
|
16.3%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.4% |
15.0%
5.6 pts better
|
14.9%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 5.9% · Q3 11.8% · Q4 5.7% · 4Q avg 9.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
1.1%
0.8 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.5% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.7% |
1.7%
2 pts worse
|
1.7%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 2.6% · Q3 2.6% · Q4 4.7% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.4% |
21.3%
7.1 pts worse
|
19.8%
8.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.2% · Q2 27.1% · Q3 31.3% · Q4 28.0% · 4Q avg 28.4% |
| Percentage of long-stay residents with pressure ulcers | 7.7% |
5.2%
2.5 pts worse
|
5.1%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 9.2% · Q3 5.0% · Q4 5.8% · 4Q avg 7.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.8% |
68.8%
28 pts better
|
81.7%
15.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 93.5% · Q2 95.8% · Q3 98.3% · Q4 99.3% · 4Q avg 96.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.7% |
14.0%
2.7 pts worse
|
12.0%
4.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.7% · Observed 15.2% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
2.3%
0.9 pts better
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 2.6% · Q3 1.0% · Q4 0.5% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.8% |
63.0%
28.8 pts better
|
79.7%
12.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 35.3% |
26.2%
9.1 pts worse
|
23.9%
11.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 35.3% · Observed 33.0% · Expected 22.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-12-07 · Fire 2023-12-07
6 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2023-01-26 · Fire 2023-01-26
4 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-11-22
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-12-04
E · Potential for more than minimal harm
2024-11-22
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-12-03
E · Potential for more than minimal harm
2023-12-07
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-12-29
E · Potential for more than minimal harm
2023-12-07
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-12-29
F · Potential for more than minimal harm
2023-01-26
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-02-13
F · Potential for more than minimal harm
2023-01-26
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-03-24
E · Potential for more than minimal harm
2023-01-26
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-02-14
Inspection history
Recent health citations
D · Potential for more than minimal harm
2026-01-18
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2026-01-28
D · Potential for more than minimal harm
2025-11-14
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-11-24
E · Potential for more than minimal harm
2024-11-22
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-12-03
E · Potential for more than minimal harm
2024-11-22
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2024-12-03
C · Minimal harm
2024-11-22
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-12-04
D · Potential for more than minimal harm
2024-05-30
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-06-05
E · Potential for more than minimal harm
2023-12-07
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-12-19
D · Potential for more than minimal harm
2023-12-07
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-12-19
D · Potential for more than minimal harm
2023-12-07
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2023-12-19
D · Potential for more than minimal harm
2023-12-07
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-12-19
D · Potential for more than minimal harm
2023-12-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-19
D · Potential for more than minimal harm
2023-01-26
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-02-03
D · Potential for more than minimal harm
2023-01-26
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-02-03
D · Potential for more than minimal harm
2023-01-26
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-02-03
D · Potential for more than minimal harm
2023-01-26
F808 · Nutrition and Dietary Deficiencies
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2023-02-03
Penalties and ownership
What sits behind the stars
Ownership
The Floyd A. Schlossberg Living Trust
5% Or Greater Direct Ownership Interest · Organization
Alden Management Services, Inc.
Operational/Managerial Control · Organization
Carl, Joan
Corporate Director · Individual
Carl, Joan
Corporate Officer · Individual
Davis, Esther
Operational/Managerial Control · Individual
Elisco, Arin
5% Or Greater Indirect Ownership Interest · Individual
Elisco, Audra
5% Or Greater Indirect Ownership Interest · Individual
Elisco, Charles
5% Or Greater Indirect Ownership Interest · Individual
Magnusson, Garrett
5% Or Greater Indirect Ownership Interest · Individual
Magnusson, Lauren
5% Or Greater Indirect Ownership Interest · Individual
Magnusson, Paige
5% Or Greater Indirect Ownership Interest · Individual
Molitor, Robert
Operational/Managerial Control · Individual
Popp, Stephanie
W-2 Managing Employee · Individual
Schlossberg, Floyd
5% Or Greater Indirect Ownership Interest · Individual
Schlossberg, Floyd
Corporate Director · Individual
Schlossberg, Floyd
Corporate Officer · Individual
Schullo, Joseph
5% Or Greater Indirect Ownership Interest · Individual
Schullo, Nicole
5% Or Greater Indirect Ownership Interest · Individual
Schullo, Randi
5% Or Greater Indirect Ownership Interest · Individual
Schullo, Randi
Corporate Officer · Individual
The Alden Group, Ltd.
5% Or Greater Indirect Ownership Interest · Organization
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