Inspection Reports for Auberge at Naperville

The inspection was conducted due to a facility reported incident involving a medication administration error where a resident was given an incorrect dosage of Vitamin D3.

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 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.

Annual Licensure Survey conducted to assess compliance with Alzheimer's and Dementia Programs regulations at the assisted living facility.

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.

The Illinois Department of Public Health conducted an annual licensure survey of the Assisted Living facility to assess compliance with the Assisted Living and Shared Housing Establishment Code.

The facility did not meet all compliance requirements and was cited with 1 Type 2 Violation. Based on the violation's gravity and compliance history, no fine was imposed. A plan of correction was submitted to address the findings.

The inspection was conducted based on multiple complaint investigations and facility reported incidents regarding resident care, medication errors, fall risks, elopement risks, and resident rights violations at the assisted living facility.

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.

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.