Cycle 1
Health 2025-01-16 · Fire 2025-01-16
6 health deficiencies
Top issue: Administration (3 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Naperville, IL
St Patrick's Residence
4-star overall rating with 4-star inspections with 6 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
1400 Brookdale Road, Naperville, IL
(630) 416-6565
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
209
Certified beds
Average residents
166
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Carmelite Sisters For The Aged & Infirm
Operator or chain grouping
Approved since
1996-06-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 3 overall / 2 health / 3 staffing / 4 quality stars
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
0.91
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.56
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
2.49
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
3.97
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.48
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
3.67
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.73
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.89
CMS adjusted RN staffing hours
Adjusted total hours
3.88
CMS adjusted total nurse staffing hours
Case-mix index
1.40
Higher values indicate more complex resident acuity
RN turnover
27%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
33%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,737
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
28.91
Composite VBP score used to determine payment impact.
Payment multiplier
0.9852
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 20.30% · Performance 24.81% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
2.46
Baseline 5.92% · Performance 7.10% · Measure score 2.46 · Achievement 2.46 · Improvement 0
Total nurse turnover
6.37
Baseline 53.85% · Performance 37.63% · Measure score 6.37 · Achievement 6.37 · Improvement 5.09
Adjusted total nurse staffing
2.73
Baseline 3.55 hours · Performance 3.85 hours · Measure score 2.73 · Achievement 2.73 · Improvement 0.86
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.58% |
10.72%
2.1 pts better
|
No Different than the National Rate · Eligible stays 239 · Observed rate 6.69% · Lower 95% interval 6.59% |
| Discharge to community | 45.89% |
50.57%
4.7 pts worse
|
No Different than the National Rate · Eligible stays 228 · Observed rate 40.35% · Lower 95% interval 39.08% |
| Medicare spending per beneficiary | 1.04 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 191 · Denominator 191 |
| Falls with major injury | 1.05% |
0.77%
0.3 pts worse
|
Numerator 2 · Denominator 191 |
| Discharge self-care score | 26.02% |
53.69%
27.7 pts worse
|
Numerator 32 · Denominator 123 |
| Discharge mobility score | 23.58% |
50.94%
27.4 pts worse
|
Numerator 29 · Denominator 123 |
| Pressure ulcers or injuries, new or worsened | 1.05% |
2.29%
1.2 pts better
|
Numerator 2 · Denominator 191 · Adjusted rate 0.96% |
| Healthcare-associated infections requiring hospitalization | 7.1% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 172 · Observed rate 6.4% · Lower 95% interval 4.13% |
| Staff COVID-19 vaccination coverage | 3.69% |
8.2%
4.5 pts worse
|
Numerator 10 · Denominator 271 |
| Staff flu vaccination coverage | 35.44% |
42%
6.6 pts worse
|
Numerator 146 · Denominator 412 |
| Discharge function score | 26.02% |
56.45%
30.4 pts worse
|
Numerator 32 · Denominator 123 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 113 · Denominator 113 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 23.76% |
25.2%
1.4 pts worse
|
Numerator 24 · Denominator 101 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.2 |
2.0
0.2 pts worse
|
1.9
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.1 · Expected 1.8 · 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 1.0 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.2% |
89.6%
8.6 pts better
|
93.4%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.7% · Q2 98.1% · Q3 96.7% · Q4 99.3% · 4Q avg 98.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
91.6%
8.4 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.8% |
3.3%
0.5 pts better
|
3.3%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 2.5% · Q3 3.3% · Q4 3.4% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.9% |
50.3%
45.4 pts better
|
11.4%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 5.9% · Q3 2.2% · Q4 3.7% · 4Q avg 4.9% |
| Percentage of long-stay residents who lose too much weight | 4.4% |
6.5%
2.1 pts better
|
5.4%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 3.4% · Q3 8.1% · Q4 4.1% · 4Q avg 4.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.5% |
18.5%
3 pts better
|
19.6%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.8% · Q2 14.8% · Q3 15.2% · Q4 15.3% · 4Q avg 15.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.4% |
22.8%
6.4 pts better
|
16.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 16.7% · Q3 17.9% · Q4 16.3% · 4Q avg 16.4% · 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 | 19.0% |
17.2%
1.8 pts worse
|
16.3%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.3% · Q2 21.6% · Q3 13.3% · Q4 9.6% · 4Q avg 19.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.8% |
15.0%
2.2 pts better
|
14.9%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.5% · Q2 16.4% · Q3 8.5% · Q4 6.0% · 4Q avg 12.8% · 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 0.6% · Q2 0.0% · Q3 0.5% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.8% |
1.7%
0.1 pts worse
|
1.7%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.6% · Q3 1.3% · Q4 1.4% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.8% |
21.3%
0.5 pts better
|
19.8%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.0% · Q2 23.6% · Q3 23.4% · Q4 17.8% · 4Q avg 20.8% |
| Percentage of long-stay residents with pressure ulcers | 1.3% |
5.2%
3.9 pts better
|
5.1%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 2.0% · Q3 0.4% · Q4 1.7% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.4% |
68.8%
23.6 pts better
|
81.7%
10.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.1% · Q2 93.0% · Q3 94.6% · Q4 88.4% · 4Q avg 92.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 20.0% |
14.0%
6 pts worse
|
12.0%
8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 20.0% · Observed 17.4% · Expected 9.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
2.3%
2 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.8% |
63.0%
30.8 pts better
|
79.7%
14.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.8% |
26.2%
0.6 pts worse
|
23.9%
2.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.8% · Observed 24.4% · Expected 21.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-02-23 · Fire 2024-02-23
8 health deficiencies
Top issue: Resident Rights (4 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2023-04-05 · Fire 2023-04-05
8 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-01-16
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-03-31
E · Potential for more than minimal harm
2025-01-16
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 2025-03-21
E · Potential for more than minimal harm
2025-01-16
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-01-31
E · Potential for more than minimal harm
2025-01-16
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-01-31
E · Potential for more than minimal harm
2025-01-16
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-01-31
E · Potential for more than minimal harm
2025-01-16
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-01-31
E · Potential for more than minimal harm
2025-01-16
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-01-31
F · Potential for more than minimal harm
2024-02-23
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2024-03-21
F · Potential for more than minimal harm
2024-02-23
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Not marked corrected
F · Potential for more than minimal harm
2024-02-23
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-03-21
E · Potential for more than minimal harm
2024-02-23
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-03-21
E · Potential for more than minimal harm
2024-02-23
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-03-21
E · Potential for more than minimal harm
2024-02-23
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-21
E · Potential for more than minimal harm
2024-02-23
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-03-21
F · Potential for more than minimal harm
2023-04-05
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Not marked corrected
F · Potential for more than minimal harm
2023-04-05
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-04-12
E · Potential for more than minimal harm
2023-04-05
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 2023-05-16
E · Potential for more than minimal harm
2023-04-05
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-04-12
E · Potential for more than minimal harm
2023-04-05
K361 · Smoke Deficiencies
Fire Safety
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2023-05-08
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-01-16
F847 · Administration Deficiencies
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2025-01-31
F · Potential for more than minimal harm
2025-01-16
F848 · Administration Deficiencies
Health
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected 2025-01-31
F · Potential for more than minimal harm
2025-01-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-31
D · Potential for more than minimal harm
2025-01-16
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-31
D · Potential for more than minimal harm
2025-01-16
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-01-31
D · Potential for more than minimal harm
2025-01-16
F770 · Administration Deficiencies
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2025-01-31
F · Potential for more than minimal harm
2024-02-23
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 2024-03-14
E · 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
E · Potential for more than minimal harm
2024-02-23
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-14
D · Potential for more than minimal harm
2024-02-23
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-03-14
D · Potential for more than minimal harm
2024-02-23
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-03-14
D · Potential for more than minimal harm
2024-02-23
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-03-14
D · Potential for more than minimal harm
2024-02-23
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2024-03-14
D · 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
F · Potential for more than minimal harm
2023-04-05
F882 · Infection Control Deficiencies
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2023-04-18
E · Potential for more than minimal harm
2023-04-05
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-04-25
E · Potential for more than minimal harm
2023-04-05
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 2023-04-25
D · Potential for more than minimal harm
2023-04-05
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-04-25
D · Potential for more than minimal harm
2023-04-05
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 2023-04-25
D · Potential for more than minimal harm
2023-04-05
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 2023-04-25
D · Potential for more than minimal harm
2023-04-05
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 2023-04-25
D · Potential for more than minimal harm
2023-04-05
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 2023-04-25
Penalties and ownership
What sits behind the stars
Ownership
Baniewicz, Mary
Corporate Director · Individual
Brown, Ann
Corporate Director · Individual
Colaresi, Robert
Corporate Director · Individual
Dimaria, Lillian
Corporate Officer · Individual
Dominick, Kathleen
Corporate Director · Individual
Durso, John
Corporate Director · Individual
Durso, John
Corporate Officer · Individual
Flynn, Kathleen
Corporate Director · Individual
Haley, Margaret
Corporate Director · Individual
Haley, Margaret
Corporate Officer · Individual
Hayes, William
Corporate Director · Individual
Hayes, William
Corporate Officer · Individual
Jones, Raymond
Corporate Director · Individual
Kastelic, Jeffrey
Corporate Director · Individual
Khan, Kaleem
Operational/Managerial Control · Individual
Marrero, Katherine
Operational/Managerial Control · Individual
Marrero, Katherine
Corporate Officer · Individual
Mcgowan, Kathleen
Corporate Director · Individual
Millington, Charles
Corporate Director · Individual
Short, Daniel
Corporate Director · Individual
The Carmelite Sisters For The Aged And Infirm
Operational/Managerial Control · Organization
Veilleux, Doris
Operational/Managerial Control · Individual
Webster, Alice
Corporate Director · Individual
Nearby options
Other facilities in reach
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Meadowbrook Manor - Naperville
Naperville, IL
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
#2
Tabor Hills Health Care Fac
Naperville, IL
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Arista Healthcare
Naperville, IL
4-star overall rating with 4-star inspections with 8 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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