Alden Estates of Naperville

In the surveyor’s words

From the most serious findings on record at Alden Estates of Naperville, in the surveyor’s own words.

• Actual harm, isolatedF760Apr 24, 2024

  Based on interview and record review, the facility failed to administer Insulin as ordered by the physician. The failure resulted in R1 having elevated blood sugars and elevated lab values. This applies to 2 of 4 residents (R1, R2) reviewed for improper nursing care in the area of missing medication doses in the sample of 4. The findings include: 1). On April 22, 2024 at 2:20 PM, R1 said, I missed my morning dose of insulin (Humulin R U-500) on April 19, 2024. The evening of April 18, they ran out of the insulin and did not have enough to give me a full dose. On April 19, I was supposed to get a second dose at 2:00 PM and they still did not have the insulin in stock. It finally came at 3:00 PM that day. This happens every month. […]

• Actual harm, isolatedF760Dec 27, 2023

  Based on interview and record review, the facility failed to reorder R3's Vimpat (seizure medication), which led to R3 missing three doses, causing R3 to have a grand mal seizure and hospitalized . This applies to 1 of 4 residents (R3) reviewed for significant medication error. The findings include: On [DATE] at 11:18 AM, V19 (LPN/Licensed Practical Nurse) said R3 was hospitalized due to a seizure from missing her medication. V19 said she believed someone forgot to reorder her Vimpat. On [DATE] at 02:26 PM, V20 (Family Member) said R3 almost died and was in the hospital after having a grand mal seizure at the facility. V20 said R3 was intubated and was in the neuro ICU (Intensive Care Unit) after the seizure. […]

• Actual harm, isolatedF689Sep 14, 2021

  Based on observation, interview and record review, the facility failed to ensure the safety of a resident during care. This failure resulted in R1 sustaining a traumatic brain bleed and traumatic spiral fracture on R1's left femur requiring surgical intervention to 1 of 3 residents (R1) reviewed for safety in the sample of 3. The findings include: R1's electronic medical record accessed on 9/9/21 shows R1 has diagnoses of stroke, hypertension and diabetes at the time of admission on 05/31/2017. R1's facility assessment dated [DATE] shows R1 is severely cognitively impaired and R1 is extensive assist to total dependence for care on bed mobility, transfers and toileting. […]

• No harm, potential for more than minimal, widespreadF868Jun 13, 2024

  Based on interview and record review, the facility failed to ensure that the QAPI (Quality Assurance and Performance Improvement) committee met quarterly and the required QAPI committee members attended the meetings. This applies to all 151 residents residing in the facility. The findings include: The census roster dated June 10, 2024 showed 151 residents residing in the facility. The facility presented committee meeting attendance records since the last annual survey date of August 30, 2023. […]

• No harm, potential for more than minimal, widespreadF880Sep 16, 2022

  Based on observation, interview, and record review the facility failed to follow their policy by not ensuring staff wore proper PPE (Personal Protective Equipment) in resident areas. This has the potential to effect all residents in the facility. The findings include: The CMS 672 dated 9/13/22 shows 133 residents reside in the facility. On 9/13/22 at 11:17 AM, V15 (Certified Nurse Aide) was walking in the hall on the [NAME] unit while wearing an N95 mask. Both straps were wrapped around her head and below her ears. V16 (Activity Aide) was in the dining/lounge room on the [NAME] unit and was wearing an N95 mask with both straps below her ears. V16 was also wearing her eye goggles on top of her head. […]