Alden Terrace of McHenry Rehab
803 Royal Drive · McHenry, IL · 60050 · 8153442600
316 certified beds For profit - Corporation Chain: The Alden Network
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- 3 citations involved actual harm to residents.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Total nurse staffing below 3.0 hours per resident-day
2.89 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.89 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.64 | 0.55–0.75 |
| Weekend hours / resident-day | 2.61 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $11,170 |
Inspection citations (48 in the current record)
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Potential for harm · D April 4, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 17, 2026 · Resident Rights
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Potential for harm · D March 17, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 30, 2026 · Resident Rights
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Potential for harm · D January 26, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 2, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 18, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 2, 2026 · Quality of Life and Care
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Potential for harm · D September 26, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected October 1, 2025 · Resident Rights
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Potential for harm · D August 19, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 25, 2025 · Quality of Life and Care
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Actual harm · G March 26, 2025
Ensure that residents are free from significant medication errors.
Corrected April 13, 2025 · Pharmacy Service
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Potential for harm · E March 26, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected April 13, 2025 · Resident Rights
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Potential for harm · D March 26, 2025
Keep residents' personal and medical records private and confidential.
Corrected April 13, 2025 · Resident Rights
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Potential for harm · D March 26, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 26, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 26, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 26, 2025
Respond appropriately to all alleged violations.
Corrected April 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 26, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 13, 2025 · Quality of Life and Care
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Potential for harm · D March 26, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 13, 2025 · Quality of Life and Care
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Potential for harm · D March 26, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 13, 2025 · Quality of Life and Care
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Potential for harm · D March 26, 2025
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 April 13, 2025 · Quality of Life and Care
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Potential for harm · D March 26, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 13, 2025 · Quality of Life and Care
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Potential for harm · D March 26, 2025
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 April 13, 2025 · Quality of Life and Care
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Potential for harm · E March 26, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected April 13, 2025 · Quality of Life and Care
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Potential for harm · D March 26, 2025
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 April 13, 2025 · Quality of Life and Care
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Potential for harm · D March 26, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 13, 2025 · Pharmacy Service
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Potential for harm · D March 26, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected April 13, 2025 · Pharmacy Service
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Potential for harm · D March 26, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected April 13, 2025 · Nutrition and Dietary
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Potential for harm · E March 26, 2025
Provide and implement an infection prevention and control program.
Corrected April 13, 2025 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 13, 2023 | Fine | $11,170 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145453 · certified since September 1, 1982. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.