Inspection Reports for
Auberge at Naperville

The complaint investigation was substantiated as the medication error involving resident R1 was confirmed. The resident received 50,000 units daily of Vitamin D3 instead of the prescribed 5,000 units, leading to toxicity and hospitalization.

The facility failed to prevent an incorrect dosage of medication being administered to a resident, resulting in Vitamin D toxicity and hospitalization. The error was linked to a pharmacy change and inadequate verification by nursing staff. Corrective actions included in-service training and updated medication verification procedures.

The facility failed to implement adequate interventions to monitor and supervise a resident (R2) exhibiting aggressive behaviors, resulting in another resident (R1) being physically harmed. The service plan for R2 lacked specific interventions for monitoring wandering and aggressive behavior, posing safety risks to residents.

Multiple complaint investigations were partially substantiated or substantiated regarding medication errors, fall risks, elopement risks, and resident rights violations. Specific complaints included failure to report medication errors, inadequate fall and elopement interventions, and privacy breaches.

The facility failed to report a medication error requiring emergency attention, did not update or implement adequate fall and elopement interventions in residents' service plans, failed to ensure residents received specified services such as dental hygiene, and violated resident privacy by sharing care information inappropriately. These failures resulted in resident harm including hospitalizations, falls, elopement incidents, and death.