Naperville, IL

Meadowbrook Manor - Naperville

2-star overall rating with 2-star inspections with $205,215 in total fines with 18 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

720 Raymond Drive, Naperville, IL

(630) 355-0220

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

249

Certified beds

Average residents

215

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1996-05-20

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

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

0.85

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.42

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

1.56

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

2.83

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.27

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

2.37

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.64

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

0.72

CMS adjusted RN staffing hours

Adjusted total hours

2.38

CMS adjusted total nurse staffing hours

Case-mix index

1.63

Higher values indicate more complex resident acuity

RN turnover

41%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

46%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,712

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

0.90

Composite VBP score used to determine payment impact.

Payment multiplier

0.9804

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 20.69% · Performance 24.73% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 7.72% · Performance 7.98% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Adjusted total nurse staffing

0.27

Baseline 2.14 hours · Performance 2.42 hours · Measure score 0.27 · Achievement 0 · Improvement 0.27

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.68%	10.72% 2 pts worse	No Different than the National Rate · Eligible stays 175 · Observed rate 19.43% · Lower 95% interval 9.91%
Discharge to community	38.04%	50.57% 12.5 pts worse	Worse than the National Rate · Eligible stays 117 · Observed rate 24.79% · Lower 95% interval 29.04%
Medicare spending per beneficiary	0.99	1.02 About the same
Drug regimen review with follow-up	97.9%	95.27% 2.6 pts better	Numerator 140 · Denominator 143
Falls with major injury	0.7%	0.77% 0.1 pts better	Numerator 1 · Denominator 143
Discharge self-care score	26.51%	53.69% 27.2 pts worse	Numerator 22 · Denominator 83
Discharge mobility score	36.14%	50.94% 14.8 pts worse	Numerator 30 · Denominator 83
Pressure ulcers or injuries, new or worsened	4.2%	2.29% 1.9 pts worse	Numerator 6 · Denominator 143 · Adjusted rate 2.69%
Healthcare-associated infections requiring hospitalization	7.98%	7.12% 0.9 pts worse	No Different than the National Rate · Eligible stays 117 · Observed rate 11.11% · Lower 95% interval 5.62%
Staff COVID-19 vaccination coverage	3.24%	8.2% 5 pts worse	Numerator 7 · Denominator 216
Staff flu vaccination coverage	21.9%	42% 20.1 pts worse	Numerator 69 · Denominator 315
Discharge function score	37.35%	56.45% 19.1 pts worse	Numerator 31 · Denominator 83
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 78 · Denominator 78
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	33.73%	25.2% 8.5 pts better	Numerator 28 · Denominator 83

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.0	2.0 About the same	1.9 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.3 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.0	2.3 0.3 pts better	1.8 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.9 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.0%	89.6% 7.4 pts better	93.4% 3.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.4% · Q2 97.9% · Q3 97.9% · Q4 94.8% · 4Q avg 97.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	99.0%	91.6% 7.4 pts better	95.5% 3.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 99.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.9%	3.3% 0.4 pts better	3.3% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 2.1% · Q3 4.8% · Q4 3.1% · 4Q avg 2.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	91.7%	50.3% 41.4 pts worse	11.4% 80.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 96.4% · Q2 88.4% · Q3 89.1% · Q4 93.0% · 4Q avg 91.7%
Percentage of long-stay residents who lose too much weight	5.9%	6.5% 0.6 pts better	5.4% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 9.3% · Q3 5.0% · Q4 4.9% · 4Q avg 5.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	14.0%	18.5% 4.5 pts better	19.6% 5.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 15.2% · Q3 12.3% · Q4 15.9% · 4Q avg 14.0%
Percentage of long-stay residents who received an antipsychotic medication	26.5%	22.8% 3.7 pts worse	16.7% 9.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 25.7% · Q3 26.1% · Q4 26.8% · 4Q avg 26.5% · 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	11.6%	17.2% 5.6 pts better	16.3% 4.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 14.0% · Q3 13.3% · Q4 7.4% · 4Q avg 11.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	13.4%	15.0% 1.6 pts better	14.9% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.6% · Q2 11.6% · Q3 13.6% · Q4 13.9% · 4Q avg 13.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.3%	1.1% 0.8 pts better	1.0% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.9% · Q4 0.4% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.4%	1.7% 1.3 pts better	1.7% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 0.5% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	22.7%	21.3% 1.4 pts worse	19.8% 2.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 23.7% · Q3 22.1% · Q4 28.0% · 4Q avg 22.7%
Percentage of long-stay residents with pressure ulcers	5.3%	5.2% 0.1 pts worse	5.1% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 4.4% · Q3 6.7% · Q4 4.2% · 4Q avg 5.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	83.0%	68.8% 14.2 pts better	81.7% 1.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 86.3% · Q2 84.5% · Q3 84.1% · Q4 76.8% · 4Q avg 83.0%
Percentage of short-stay residents who had an outpatient emergency department visit	15.1%	14.0% 1.1 pts worse	12.0% 3.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 15.1% · Observed 17.3% · Expected 12.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.2%	2.3% 0.1 pts better	1.6% 0.6 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.4% · Q3 3.6% · Q4 2.3% · 4Q avg 2.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	88.7%	63.0% 25.7 pts better	79.7% 9 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 88.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	33.8%	26.2% 7.6 pts worse	23.9% 9.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 33.8% · Observed 41.0% · Expected 28.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-10 · Fire 2024-10-10

18 health deficiencies

Top issue: Quality of Life and Care (11 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2023-11-03 · Fire 2023-11-03

16 health deficiencies

Top issue: Quality of Life and Care (9 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-02-01 · Fire 2023-02-01

18 health deficiencies

Top issue: Quality of Life and Care (8 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-10-10

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-10-18

F · Potential for more than minimal harm 2023-02-01

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2023-03-31

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-09-03

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 2025-09-10

D · Potential for more than minimal harm 2025-09-03

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-09-10

G · Actual harm 2025-07-02

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2025-07-03

G · Actual harm 2025-07-02

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 2025-07-03

D · Potential for more than minimal harm 2025-07-02

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-07-03

D · Potential for more than minimal harm 2025-07-02

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-07-03

D · Potential for more than minimal harm 2025-07-02

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2025-07-03

D · Potential for more than minimal harm 2025-07-02

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-07-03

D · Potential for more than minimal harm 2025-06-16

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 2025-06-27

G · Actual harm 2025-01-29

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-02-11

E · Potential for more than minimal harm 2025-01-29

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 2025-02-11

D · Potential for more than minimal harm 2025-01-29

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-02-11

F · Potential for more than minimal harm 2024-10-10

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 2024-10-23

E · 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 2024-10-23

E · Potential for more than minimal harm 2024-10-10

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 2024-10-23

D · Potential for more than minimal harm 2024-10-10

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-10-23

D · Potential for more than minimal harm 2024-10-10

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 2024-10-23

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 2024-10-23

D · Potential for more than minimal harm 2024-10-10

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-10-23

D · Potential for more than minimal harm 2024-10-10

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-10-23

D · Potential for more than minimal harm 2024-10-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-23

D · Potential for more than minimal harm 2024-09-23

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-09-30

D · Potential for more than minimal harm 2024-08-13

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-08-17

D · Potential for more than minimal harm 2024-04-07

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-04-16

J · Immediate jeopardy 2024-01-23

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 2024-01-24

D · Potential for more than minimal harm 2023-12-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-05

E · Potential for more than minimal harm 2023-11-03

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2023-11-17

E · Potential for more than minimal harm 2023-11-03

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2023-11-17

E · Potential for more than minimal harm 2023-11-03

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-11-17

E · Potential for more than minimal harm 2023-11-03

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 2023-11-17

E · Potential for more than minimal harm 2023-11-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-11-17

D · Potential for more than minimal harm 2023-11-03

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-11-17

D · Potential for more than minimal harm 2023-11-03

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-11-17

D · Potential for more than minimal harm 2023-11-03

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 2023-11-17

D · Potential for more than minimal harm 2023-11-03

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 2023-11-17

D · Potential for more than minimal harm 2023-11-03

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-11-17

G · Actual harm 2023-07-03

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 2023-07-17

E · Potential for more than minimal harm 2023-07-03

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-07-17

E · Potential for more than minimal harm 2023-07-03

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-07-17

E · Potential for more than minimal harm 2023-06-15

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-03-09

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-03-17

D · Potential for more than minimal harm 2023-03-09

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-03-17

E · Potential for more than minimal harm 2023-02-01

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 2023-02-17