In the Aurora area, it’s common for residents to cycle between long-term care and outside medical providers—sometimes multiple times in a short period. Those transitions are when medication errors become more likely, including:
- Hospital discharge adjustments that aren’t implemented correctly or quickly
- Duplicate orders or incomplete “med reconciliation” after a transfer
- PRN (as-needed) medications used too frequently without proper monitoring
- Missed dose-change dates when prescriptions are updated but administration records lag
A key point for families: overmedication isn’t always a single “wrong dose” moment. Often it’s a chain of breakdowns—communication, documentation, and monitoring—until the resident’s condition deteriorates.


