Cycle 1
Health 2025-07-31 · Fire 2024-06-27
18 health deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Bolingbrook, IL
Meadowbrook Manor
2-star overall rating with 2-star inspections with abuse icon flag with $128,258 in total fines with 18 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
431 West Remington Boulevard, Bolingbrook, IL
(630) 759-1112
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
298
Certified beds
Average residents
232
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1991-12-05
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.86
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.61
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
2.14
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
3.60
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.47
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
3.13
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.59
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.70
CMS adjusted RN staffing hours
Adjusted total hours
2.96
CMS adjusted total nurse staffing hours
Case-mix index
1.67
Higher values indicate more complex resident acuity
RN turnover
48%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,678
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
11.09
Composite VBP score used to determine payment impact.
Payment multiplier
0.9810
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 20.32% · Performance 23.61% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.86% · Performance 7.95% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.15
Baseline 43.57% · Performance 46.73% · Measure score 4.15 · Achievement 4.15 · Improvement 0
Adjusted total nurse staffing
0.29
Baseline 2.47 hours · Performance 2.73 hours · Measure score 0.29 · Achievement 0 · Improvement 0.29
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.77% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 337 · Observed rate 10.98% · Lower 95% interval 8.82% |
| Discharge to community | 49.21% |
50.57%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 318 · Observed rate 42.45% · Lower 95% interval 43.29% |
| Medicare spending per beneficiary | 1.29 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 97.99% |
95.27%
2.7 pts better
|
Numerator 195 · Denominator 199 |
| Falls with major injury | 2.51% |
0.77%
1.7 pts worse
|
Numerator 5 · Denominator 199 |
| Discharge self-care score | 28.03% |
53.69%
25.7 pts worse
|
Numerator 37 · Denominator 132 |
| Discharge mobility score | 32.58% |
50.94%
18.4 pts worse
|
Numerator 43 · Denominator 132 |
| Pressure ulcers or injuries, new or worsened | 1.51% |
2.29%
0.8 pts better
|
Numerator 3 · Denominator 199 · Adjusted rate 1.05% |
| Healthcare-associated infections requiring hospitalization | 7.95% |
7.12%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 211 · Observed rate 8.06% · Lower 95% interval 6.04% |
| Staff COVID-19 vaccination coverage | 7.31% |
8.2%
0.9 pts worse
|
Numerator 22 · Denominator 301 |
| Staff flu vaccination coverage | 19.34% |
42%
22.7 pts worse
|
Numerator 59 · Denominator 305 |
| Discharge function score | 31.06% |
56.45%
25.4 pts worse
|
Numerator 41 · Denominator 132 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 122 · Denominator 122 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 20 · Denominator 20 |
| Resident COVID-19 vaccinations up to date | 13.46% |
25.2%
11.7 pts worse
|
Numerator 14 · Denominator 104 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
2.0
0.2 pts better
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.0 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
2.3
1.2 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.1 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.1% |
89.6%
6.5 pts better
|
93.4%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.1% · Q2 95.8% · Q3 96.5% · Q4 94.0% · 4Q avg 96.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 85.3% |
91.6%
6.3 pts worse
|
95.5%
10.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 85.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.2% |
3.3%
1.1 pts better
|
3.3%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 2.3% · Q3 1.5% · Q4 1.5% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 47.9% |
50.3%
2.4 pts better
|
11.4%
36.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 48.7% · Q2 43.7% · Q3 50.5% · Q4 48.6% · 4Q avg 47.9% |
| Percentage of long-stay residents who lose too much weight | 13.7% |
6.5%
7.2 pts worse
|
5.4%
8.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.4% · Q2 16.0% · Q3 16.8% · Q4 8.6% · 4Q avg 13.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.3% |
18.5%
7.2 pts better
|
19.6%
8.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.2% · Q2 12.3% · Q3 11.3% · Q4 10.3% · 4Q avg 11.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.8% |
22.8%
1 pts worse
|
16.7%
7.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 26.3% · Q3 21.2% · Q4 25.4% · 4Q avg 23.8% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 15.4% |
17.2%
1.8 pts better
|
16.3%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.9% · Q2 23.4% · Q3 12.9% · Q4 10.3% · 4Q avg 15.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.5% |
15.0%
4.5 pts better
|
14.9%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 11.8% · Q3 10.0% · Q4 10.5% · 4Q avg 10.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.5% |
1.1%
0.4 pts worse
|
1.0%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.8% · Q3 1.8% · Q4 1.9% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.6% |
1.7%
1.1 pts better
|
1.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 0.0% · Q4 0.5% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.6% |
21.3%
8.7 pts better
|
19.8%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.6% · Q2 15.4% · Q3 12.9% · Q4 9.4% · 4Q avg 12.6% |
| Percentage of long-stay residents with pressure ulcers | 5.4% |
5.2%
0.2 pts worse
|
5.1%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 5.5% · Q3 5.8% · Q4 5.1% · 4Q avg 5.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.0% |
68.8%
16.2 pts better
|
81.7%
3.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 80.3% · Q2 83.7% · Q3 90.7% · Q4 85.8% · 4Q avg 85.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.2% |
14.0%
3.8 pts better
|
12.0%
1.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.2% · Observed 10.9% · Expected 11.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.1% |
2.3%
0.8 pts worse
|
1.6%
1.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 3.8% · Q3 2.4% · Q4 3.4% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 64.7% |
63.0%
1.7 pts better
|
79.7%
15 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 64.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.6% |
26.2%
0.4 pts worse
|
23.9%
2.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.6% · Observed 28.3% · Expected 25.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-06-27 · Fire 2023-09-14
23 health deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Cycle 3
Health 2023-09-14 · Fire 2022-12-08
12 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-06-27
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-07-22
F · Potential for more than minimal harm
2024-06-27
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-19
F · Potential for more than minimal harm
2024-06-27
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-07-18
E · Potential for more than minimal harm
2024-06-27
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2024-07-18
E · Potential for more than minimal harm
2024-06-27
K342 · Smoke Deficiencies
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2024-07-18
E · Potential for more than minimal harm
2024-06-27
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-07-16
E · Potential for more than minimal harm
2024-06-27
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-07-18
E · Potential for more than minimal harm
2024-06-27
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-07-18
F · Potential for more than minimal harm
2023-09-14
E26 · Emergency Preparedness Deficiencies
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2023-10-05
F · Potential for more than minimal harm
2023-09-14
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-11-01
F · Potential for more than minimal harm
2023-09-14
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-11-01
E · Potential for more than minimal harm
2023-09-14
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-10-05
E · Potential for more than minimal harm
2023-09-14
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-10-05
E · Potential for more than minimal harm
2023-09-14
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-10-05
E · Potential for more than minimal harm
2023-09-14
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-10-05
F · Potential for more than minimal harm
2022-12-08
E25 · Emergency Preparedness Deficiencies
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2023-01-20
F · Potential for more than minimal harm
2022-12-08
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-01-05
F · Potential for more than minimal harm
2022-12-08
E7 · Emergency Preparedness Deficiencies
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2023-01-20
F · Potential for more than minimal harm
2022-12-08
K133 · Construction Deficiencies
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2023-01-05
F · Potential for more than minimal harm
2022-12-08
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-01-05
F · Potential for more than minimal harm
2022-12-08
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-01-05
F · Potential for more than minimal harm
2022-12-08
K346 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2022-12-10
F · Potential for more than minimal harm
2022-12-08
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-01-25
F · Potential for more than minimal harm
2022-12-08
K754 · Miscellaneous Deficiencies
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2023-01-05
F · Potential for more than minimal harm
2022-12-08
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-01-20
F · Potential for more than minimal harm
2022-12-08
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-01-05
F · Potential for more than minimal harm
2022-12-08
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-01-05
F · Potential for more than minimal harm
2022-12-08
K930 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper storage of liquid oxygen.
Corrected 2022-12-08
E · Potential for more than minimal harm
2022-12-08
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2022-12-08
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-07-31
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-01
E · Potential for more than minimal harm
2025-07-31
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-08-01
E · Potential for more than minimal harm
2025-07-31
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2025-08-01
E · Potential for more than minimal harm
2025-07-31
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2025-08-01
E · Potential for more than minimal harm
2025-07-31
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-01
E · Potential for more than minimal harm
2025-07-31
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-08-01
D · Potential for more than minimal harm
2025-07-31
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-08-01
D · Potential for more than minimal harm
2025-07-31
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-08-01
D · Potential for more than minimal harm
2025-07-31
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-01
D · Potential for more than minimal harm
2025-07-31
F700 · Quality of Life and Care Deficiencies
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2025-08-01
D · Potential for more than minimal harm
2025-07-31
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-08-01
D · Potential for more than minimal harm
2025-07-31
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2025-08-01
D · Potential for more than minimal harm
2025-07-31
F887 · Infection Control Deficiencies
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2025-08-01
G · Actual harm
2025-07-11
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-12
G · Actual harm
2025-06-11
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-06-16
G · Actual harm
2025-06-11
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-06-16
D · Potential for more than minimal harm
2025-06-11
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-06-16
E · Potential for more than minimal harm
2025-04-15
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-04-18
J · Immediate jeopardy
2025-02-21
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-06
F · Potential for more than minimal harm
2025-02-21
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-03-06
E · Potential for more than minimal harm
2025-01-08
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-01-22
E · Potential for more than minimal harm
2025-01-08
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-01-22
D · Potential for more than minimal harm
2024-12-18
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-30
D · Potential for more than minimal harm
2024-11-19
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-11-29
D · Potential for more than minimal harm
2024-10-10
F585 · Resident Rights Deficiencies
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-10-25
D · Potential for more than minimal harm
2024-10-10
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-10-25
D · Potential for more than minimal harm
2024-10-10
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-10-25
D · Potential for more than minimal harm
2024-10-10
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-10-25
D · Potential for more than minimal harm
2024-10-10
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-25
F · Potential for more than minimal harm
2024-06-27
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-16
F · Potential for more than minimal harm
2024-06-27
F868 · Administration Deficiencies
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2024-07-16
F · Potential for more than minimal harm
2024-06-27
F887 · Infection Control Deficiencies
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2024-07-16
E · Potential for more than minimal harm
2024-06-27
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-07-16
E · Potential for more than minimal harm
2024-06-27
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-07-16
E · Potential for more than minimal harm
2024-06-27
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-07-16
E · Potential for more than minimal harm
2024-06-27
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-16
D · Potential for more than minimal harm
2024-06-27
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-07-16
D · Potential for more than minimal harm
2024-06-27
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-07-16
D · Potential for more than minimal harm
2024-06-27
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-07-17
D · Potential for more than minimal harm
2024-05-08
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-05-22
D · Potential for more than minimal harm
2024-03-18
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-05
E · Potential for more than minimal harm
2024-02-23
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-14
D · Potential for more than minimal harm
2024-02-23
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-03-14
D · Potential for more than minimal harm
2023-11-06
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2023-11-28
F · Potential for more than minimal harm
2023-09-14
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-10-04
E · Potential for more than minimal harm
2023-09-14
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-10-04
E · Potential for more than minimal harm
2023-09-14
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-10-04
E · Potential for more than minimal harm
2023-09-14
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-04
D · Potential for more than minimal harm
2023-09-14
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2023-10-04
D · Potential for more than minimal harm
2023-09-14
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-10-04
D · Potential for more than minimal harm
2023-09-14
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-10-04
D · Potential for more than minimal harm
2023-09-14
F808 · Nutrition and Dietary Deficiencies
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2023-10-04
C · Minimal harm
2023-09-14
F574 · Resident Rights Deficiencies
Health
The resident has the right to receive notices in a format and a language he or she understands.
Corrected 2023-10-04
Penalties and ownership
What sits behind the stars
$128,258
2025-02-21
Fine
Fine · fine $128,258
Fine
Ownership
Jafari, Robert
5% Or Greater Direct Ownership Interest · Individual
Jafari, Kianoosh
5% Or Greater Direct Ownership Interest · Individual
Jafari, Soussan
5% Or Greater Direct Ownership Interest · Individual
Vangel, Dorothy
5% Or Greater Direct Ownership Interest · Individual
Vangel, Nicholas
5% Or Greater Direct Ownership Interest · Individual
Dorothy Vangel Qss Trust
5% Or Greater Direct Ownership Interest · Organization
Descendants S Corp Fbo Ashley Maria Dimas
5% Or Greater Direct Ownership Interest · Organization
Descendants S Corp Trust Fbo Sasha Eva Dimas
5% Or Greater Direct Ownership Interest · Organization
Descendants S Corp Trust Fbo Sean William Dimas
5% Or Greater Direct Ownership Interest · Organization
Jafari, Kianoosh
Corporate Director · Individual
Jafari, Kianoosh
W-2 Managing Employee · Individual
Koshy, Elizabeth
Corporate Officer · Individual
Koshy, Elizabeth
W-2 Managing Employee · Individual
Vangel, Christopher
Corporate Director · Individual
Vangel, Christopher
Corporate Officer · Individual
Vangel, Dorothy
Corporate Director · Individual
Vangel, Nicholas
Corporate Director · Individual
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Alden Estates Of Naperville
Naperville, IL
2-star overall rating with 3-star inspections with $9,256 in total fines with 11 recent health deficiencies
#2
Franciscan Village
Lemont, IL
3-star overall rating with 3-star inspections with $22,260 in total fines with 10 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#3
Lemont Nursing & Rehab Center
Lemont, IL
2-star overall rating with 3-star inspections with 16 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
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