More deaths identified at North Side nursing facility for disabled kids

In the wake of a Tribune investigation last year, a federally backed watchdog has identified at least five more deaths at the Alden Village North nursing facility in Rogers Park. (Alex Garcia/Tribune)

A federally backed watchdog group says it has identified at least five more deaths involving poor care at a troubled Chicago nursing facility for disabled children and young adults, as well as a pattern of the home destroying evidence of medication errors.

The group, Equip for Equality, found that illnesses at Alden Village North were improperly treated, doctors failed to return pages, lab results were ignored and internal investigations into deaths were superficial, incomplete or inaccurate.

The state already has moved to close Alden following revelations in the Tribune about deadly neglect at the North Side facility.

Chicago-based Equip for Equality was able to begin its own inquiry because it is part of a nationwide network of advocacy groups granted broad powers by Congress to help protect people with disabilities.

The group spent weeks inside Alden, reviewing patient medical records and other documents unavailable to the Tribune. It filed its report with the state this month, and the Tribune obtained a copy last week through an open-records request.

In an interview, Deborah Kennedy, abuse investigation director for the group, said: "What we're seeing here is a culture within a nursing home that tolerated lackadaisical, substandard care for years."

The group's report said Alden routinely destroyed some evidence of medication errors, an action that "bears scrutiny for criminal negligence."

Alden Village North has been under fire since October, when a Tribune investigation revealed a pattern of death and neglect at the home. Since 2008, eight residents have died in cases resulting in state citations.

The articles sparked several actions, including Equip for Equality's probe and an announcement by state authorities this month that they would shut the home. Alden, a for-profit facility at 7464 N. Sheridan Road, appealed and remains open.

Equip for Equality said it determined about 20 Alden residents died since 2008, when the current operator, Floyd Schlossberg, took over. Kennedy said the watchdog group's investigators, which included staff with legal and health care backgrounds, examined 15 cases, finding all of them "troublesome."

Five deaths, she said, involved "particularly egregious" care and were not previously reported by the newspaper. She said that although it was difficult to say whether neglect caused the deaths, poor care likely contributed to the patients' decline in their final days or hours.

An Alden spokesman disputed the findings, saying the five residents "died because of medical conditions, not the care that was provided."

"We believe we provided appropriate, life-sustaining care to these residents and the Equip for Equality report does not tell the entire story," the spokesman wrote in an email. "Our residents are like family members to our staff, and we grieve whenever one of them passes."

Alden also challenged the group's statement that the facility, by destroying reports detailing medication errors, might have committed crimes.

"The information contained in medication error reports also is contained in the patient charts," the spokesman wrote. "Patient charts are always available, and it is now our policy to preserve the medication error reports as well."

Regarding the care provided to patients who died, the spokesman said Alden's corporate medical director was reviewing all deaths that occurred within the last three years. He also said Alden has hired consultants to improve death investigations and created a committee of outside medical experts who will examine care at the home and suggest improvements.

The spokesman also noted that although Equip for Equality's report called for a variety of changes at Alden, including a ban on new admissions, the report did not urge authorities to shut the home.

Equip for Equality officials said they submitted their report to regulators the same day the state announced it was taking steps to close the home. Zena Naiditch, president and CEO of Equip for Equality, said the report outlined only initial recommendations and that the group backs the state's effort to close the home.

"At some point, you have to put the welfare of the residents above the welfare of the owner and the staff," she said.