Aurora, IL

Alden Of Waterford

2-star overall rating with 3-star inspections with $106,499 in total fines with 15 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

2021 Randi Drive, Aurora, IL

(630) 851-7266

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Alden Network

Operator or chain grouping

Approved since

2001-09-06

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

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

1.18

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.26

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

1.90

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

3.35

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.44

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

2.89

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.91

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.17

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

1.00

CMS adjusted RN staffing hours

Adjusted total hours

2.82

CMS adjusted total nurse staffing hours

Case-mix index

1.62

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

13,433

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

5.29

Composite VBP score used to determine payment impact.

Payment multiplier

0.9805

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 16.79% · Performance 22.95% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

1.59

Baseline 9.42% · Performance 8.49% · Measure score 1.59 · Achievement 0 · Improvement 1.59

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

Baseline 2.85 hours · Performance 2.93 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	8.58%	10.72% 2.1 pts better	No Different than the National Rate · Eligible stays 358 · Observed rate 7.82% · Lower 95% interval 6.77%
Discharge to community	59.24%	50.57% 8.7 pts better	Better than the National Rate · Eligible stays 396 · Observed rate 51.26% · Lower 95% interval 53.17%
Medicare spending per beneficiary	1.19	1.02 0.2 pts worse
Drug regimen review with follow-up	52.82%	95.27% 42.4 pts worse	Numerator 131 · Denominator 248
Falls with major injury	1.21%	0.77% 0.4 pts worse	Numerator 3 · Denominator 248
Discharge self-care score	64.29%	53.69% 10.6 pts better	Numerator 99 · Denominator 154
Discharge mobility score	48.7%	50.94% 2.2 pts worse	Numerator 75 · Denominator 154
Pressure ulcers or injuries, new or worsened	4.86%	2.29% 2.6 pts worse	Numerator 12 · Denominator 247 · Adjusted rate 3.46%
Healthcare-associated infections requiring hospitalization	8.49%	7.12% 1.4 pts worse	No Different than the National Rate · Eligible stays 260 · Observed rate 9.23% · Lower 95% interval 6.13%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 123
Staff flu vaccination coverage	42.86%	42% 0.9 pts better	Numerator 63 · Denominator 147
Discharge function score	62.34%	56.45% 5.9 pts better	Numerator 96 · Denominator 154
Transfer of health information to provider	94.63%	95.95% 1.3 pts worse	Numerator 141 · Denominator 149
Transfer of health information to patient	97.5%	96.28% 1.2 pts better	Numerator 78 · Denominator 80
Resident COVID-19 vaccinations up to date	12.7%	25.2% 12.5 pts worse	Numerator 16 · Denominator 126

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.0	2.0 About the same	1.9 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 4.8 · Expected 4.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.3	2.3 About the same	1.8 0.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 4.0 · Expected 2.9 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	72.0%	89.6% 17.6 pts worse	93.4% 21.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 68.1% · Q2 71.7% · Q3 73.8% · Q4 74.5% · 4Q avg 72.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	70.6%	91.6% 21 pts worse	95.5% 24.9 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 70.6%
Percentage of long-stay residents experiencing one or more falls with major injury	4.4%	3.3% 1.1 pts worse	3.3% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.3% · Q3 4.8% · Q4 4.3% · 4Q avg 4.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	6.8%	50.3% 43.5 pts better	11.4% 4.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 9.3% · Q3 2.7% · Q4 4.8% · 4Q avg 6.8%
Percentage of long-stay residents who lose too much weight	6.0%	6.5% 0.5 pts better	5.4% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.8% · Q3 12.8% · Q4 6.7% · 4Q avg 6.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	12.5%	18.5% 6 pts better	19.6% 7.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.6% · Q2 19.0% · Q3 10.0% · Q4 6.7% · 4Q avg 12.5%
Percentage of long-stay residents who received an antipsychotic medication	14.1%	22.8% 8.7 pts better	16.7% 2.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 14.7% · Q3 17.1% · Q4 17.9% · 4Q avg 14.1% · 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	18.0%	17.2% 0.8 pts worse	16.3% 1.7 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 18.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	8.3%	15.0% 6.7 pts better	14.9% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 12.5% · Q3 10.5% · Q4 7.3% · 4Q avg 8.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.1% 1.1 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.7%	1.7% About the same	1.7% About the same	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.2% · Q3 0.0% · Q4 2.1% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.1%	21.3% 3.8 pts worse	19.8% 5.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.8% · Q2 19.4% · Q3 32.5% · Q4 28.9% · 4Q avg 25.1%
Percentage of long-stay residents with pressure ulcers	12.1%	5.2% 6.9 pts worse	5.1% 7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.6% · Q2 17.3% · Q3 10.7% · Q4 7.5% · 4Q avg 12.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	44.1%	68.8% 24.7 pts worse	81.7% 37.6 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 42.3% · Q2 42.6% · Q3 42.5% · Q4 49.0% · 4Q avg 44.1%
Percentage of short-stay residents who had an outpatient emergency department visit	12.5%	14.0% 1.5 pts better	12.0% 0.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 12.5% · Observed 13.1% · Expected 11.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.5%	2.3% 1.8 pts better	1.6% 1.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	31.3%	63.0% 31.7 pts worse	79.7% 48.4 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 31.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.1%	26.2% 0.9 pts worse	23.9% 3.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.1% · Observed 30.2% · Expected 26.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-27 · Fire 2025-03-27

16 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-04-04 · Fire 2024-04-04

10 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2023-02-03 · Fire 2023-02-03

6 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-27

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-04-15

F · Potential for more than minimal harm 2025-03-27

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-04-15

E · Potential for more than minimal harm 2025-03-27

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2025-04-15

E · Potential for more than minimal harm 2025-03-27

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-04-15

E · Potential for more than minimal harm 2025-03-27

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-04-15

F · Potential for more than minimal harm 2024-04-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-22

E · Potential for more than minimal harm 2024-04-04

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2024-04-24

E · Potential for more than minimal harm 2024-04-04

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 2024-04-18

E · Potential for more than minimal harm 2024-04-04

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-04-24

E · Potential for more than minimal harm 2024-04-04

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-04-18

E · Potential for more than minimal harm 2023-02-03

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 2023-03-03

E · Potential for more than minimal harm 2023-02-03

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-03-03

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-26

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-02-02

D · Potential for more than minimal harm 2026-01-26

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2026-02-02

D · Potential for more than minimal harm 2026-01-12

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 2026-01-22

D · Potential for more than minimal harm 2025-11-16

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 2025-11-25

D · Potential for more than minimal harm 2025-09-04

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-05-30

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-06-06

D · Potential for more than minimal harm 2025-05-30

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-06-06

F · Potential for more than minimal harm 2025-03-27

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2025-04-04

E · Potential for more than minimal harm 2025-03-27

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-04-04

E · Potential for more than minimal harm 2025-03-27

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2025-04-04

E · Potential for more than minimal harm 2025-03-27

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2025-04-04

D · Potential for more than minimal harm 2025-03-27

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-04-04

D · Potential for more than minimal harm 2025-03-27

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 2025-04-04

D · Potential for more than minimal harm 2025-03-27

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-04-04

D · Potential for more than minimal harm 2025-03-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-04

D · Potential for more than minimal harm 2025-03-25

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-04-04

D · Potential for more than minimal harm 2024-12-11

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-12-15

D · Potential for more than minimal harm 2024-12-05

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-12-15

J · Immediate jeopardy 2024-04-04