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Complaint Investigation

Alden Estates Of Naperville

August 31, 2025 · Naperville, IL · 1525 South Oxford Lane
Citations 1
CMS Rating 3/5
Beds 203
Provider ID 145582
Healthcare Facility
Alden Estates Of Naperville
Naperville, IL  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

ALDEN ESTATES OF NAPERVILLE in NAPERVILLE, IL — inspection on August 31, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0686
Quality of Life and Care Deficiencies

ordered for a resident with pressure injuries.This applies to 1 of 3 residents (R1) reviewed for

mattress. V5 (Wound Care Nurse) and V6 (Wound Care Technician) said R1 had multiple wounds identified as present on admission on [DATE], including stage 2 pressure injuries to his right and left buttock areas. V5 said R1's wound care was being managed by the wound physician and R1 required daily dressing changes. V5 continued to say she was concerned because R1's wound showed signs of deterioration today, as evidenced by an increase in size measurement. V5 then assessed R1's pressure injuries, which were open with minor bleeding and had peri-wound irritation. V5 said R1's left buttock wound measured 3 centimeters (cm) x 2 cm x 0.1 cm and the right buttock wound measured 0.6 cm x 0.6 cm x 0.1 cm. V5 said she believed R1 was provided with an air loss mattress upon admission. V5 said R1 had a room change on 8/24/2025 and was unsure why R1 was not currently provided with his ordered specialized mattress. V5 said wound care management interventions should be followed as ordered to prevent skin and wound deterioration.On 8/30/2025 at 2 PM, V2 (Director of Nursing/DON) said wound care interventions should be implemented as ordered, including an air loss mattress.R1's initial wound physician consultation dated 8/18/2025, said R1's left buttock stage 2 pressure wound measured 0.7 cm x 0.7 cm x 0.1 cm, and right buttock stage 2 pressure wound measured 0.7 cm x 0.5 cm x 0.1 cm.

The consultation report included an order for low air loss mattress as part of R1's wound management plan.R1's wound physician consultation dated 8/25/2025, said R1's left buttock stage 2 pressure wound measured 0.5 cm x 0.5 cm x 0.1 cm, and right buttock stage 2 pressure wound measured 0.4 cm x 0.5 cm x 0.1 cm.R1's Order Summary Report dated 8/30/2025 showed an active order for Low air Loss Mattress initiated 8/16/2025.R1's care plan said R1 was at risk for further skin breakdown due to his multiple wounds.

The care plan had an intervention initiated on 8/25/2025 for pressure redistribution support (low air or alternation air) in bed.The facility's policy titled Prevention and Treatment of Pressure Injury and Other Skin Alterations dated 3/02/2021, said Implement preventative measures and appropriate treatment modalities for pressure injuries and/or other skin alterations through individualized resident care plan.The facility's policy titled Management of Low Air Loss Mattress dated 03/2024, said Residents who have been assessed as in need of a low air loss mattress will have a mattress set up for their use.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in NAPERVILLE, IL, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ALDEN ESTATES OF NAPERVILLE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.