Skip to main content
ReadyRule homepageReadyRule

Inspection visit

Health inspection

MEADOWBROOK MANOR - NAPERVILLECMS #1458741 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

145874 04/07/2024 Meadowbrook Manor - Naperville 720 Raymond Drive Naperville, IL 60563
F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility staff (V3, Registered Nurse) and (V16, CNA/Certified Nursing Assistant) failed to report an allegation of mistreatment and or potential sexual abuse to the administrator. This applies to one of nine residents (R1) reviewed for abuse in the sample of 12. The findings include: The EMR (Electronic Medical Record) showed that R1, an [AGE] year-old female, was admitted to the facility on [DATE]. R1's diagnoses included osteomyelitis of vertebra, lumbar region, spinal stenosis, COPD (chronic obstructive pulmonary disease), polyneuropathy, ASHD (atherosclerotic heart disease), depression, history of UTI (urinary tract infection), history of malignant neoplasm of uterus, and contact dermatitis. The MDS (Minimum Data Set) assessment dated [DATE] showed that R1 was cognitively intact with BIMS (Brief Interview Mental Status) score of 15/15. The MDS showed R1's functional status that she required moderate to extensive assistance with ADLs (Activities of Daily Living) and that R1 was always incontinence of bowel and bladder function. On 4/2/2024 at 10:20 A.M., R1 was observed lying in her bed. R1 was alert, coherent, and oriented. R1 stated that she reported to a nurse and Nurse Aide that another aide was rough when providing care. V3 (Nurse) responded during interview of April 2, 2024, that on 3/29/2024 around 10:30 A.M., when she was giving incontinence care, R1 had informed her that on 3/28/2024, V4 (Certified Nurse Aide) was rough during the incontinence care. According to V3, R1 claimed that V4 had inserted her finger into her vagina, and it hurt. V3 also stated that she did not report this allegation to the facility administrator. The progress notes dated 3/29/2024 at 10:49 A.M. showed that V3 had documented a CNA from yesterday (3/28/2024) wiped her so hard that she's unable to urinate today. On 4/3/2024 at 10:15 A.M. V16 (CNA) said that sometime around the morning of 4/1/2024, she had provided incontinence care to R1. During the care, R1 mentioned to her be gentle because the other day (V4) was very rough with me when she was cleaning me down there and it had hurt my vagina. V16 said she did not report to anyone including V1 regarding R1's allegation of mistreatment by V4. Page 1 of 2 145874 145874 04/07/2024 Meadowbrook Manor - Naperville 720 Raymond Drive Naperville, IL 60563
F 0609 Level of Harm - Minimal harm or potential for actual harm Review of the facility's undated abuse policy showed V. Internal Reporting and Identification of allegations: Employees are required to report any incident, allegation or suspicion of potential abuse, neglect, exploitation, mistreatment . that they observed, hear, about or suspect to the administrator immediately or to an immediate supervisor who must then immediately report it to the administrator. Residents Affected - Few 145874 Page 2 of 2

Reading this as a family member? Your long-term care ombudsman is a free advocate for residents and families.

Back to top

Citations

1 citation recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0609GeneralS&S Dpotential for harm

    F609 - The facility must develop and implement written policies and procedures that:

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

FAQ · About this visit

Common questions about this visit

What happened during the April 7, 2024 survey of MEADOWBROOK MANOR - NAPERVILLE?

This was a inspection survey of MEADOWBROOK MANOR - NAPERVILLE on April 7, 2024. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at MEADOWBROOK MANOR - NAPERVILLE on April 7, 2024?

Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

SourceView on CMS Care Compare

Share this reportEmail

Next steps

Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.