Meadowbrook Manor - Naperville

720 Raymond Drive · Naperville, IL · 60563 · 6303550220

249 certified beds For profit - Limited Liability company

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • 4 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

2 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

2 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

Total nurse staffing below 3.0 hours per resident-day

2.83 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 33
Serious harm & abuse 20% 50
Staffing 20% 59
Federal penalties 15% 57
Trend 10% 76
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day2.833.48 min · 4.1 strong
RN hours / resident-day0.870.55–0.75
Weekend hours / resident-day2.35≈ weekday level
Nursing turnover / year48%median 45%
Fines (3-yr window)1 · $133,390

Inspection citations (46 in the current record)

  • Potential for harm · E January 15, 2026

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected January 23, 2026 · Resident Rights

  • Potential for harm · D January 15, 2026

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected January 23, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 15, 2026

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected January 23, 2026 · Quality of Life and Care

  • Potential for harm · E January 15, 2026

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

    Corrected January 23, 2026 · Pharmacy Service

  • Potential for harm · F January 15, 2026

    Provide and implement an infection prevention and control program.

    Corrected January 23, 2026 · Infection Control

  • Potential for harm · E January 15, 2026

    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 January 23, 2026 · Infection Control

  • Potential for harm · D September 3, 2025 · found via complaint

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

    Corrected September 10, 2025 · Quality of Life and Care

  • Potential for harm · E September 3, 2025 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected September 10, 2025 · Nursing and Physician Services

  • Actual harm · G July 2, 2025 · found via complaint

    Provide appropriate foot care.

    Corrected July 3, 2025 · Quality of Life and Care

  • Actual harm · G July 2, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected July 3, 2025 · Quality of Life and Care

  • Potential for harm · D July 2, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected July 3, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 2, 2025 · found via complaint

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

    Corrected July 3, 2025 · Quality of Life and Care

  • Potential for harm · D July 2, 2025 · found via complaint

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

    Corrected July 3, 2025 · Quality of Life and Care

  • Potential for harm · D July 2, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected July 3, 2025 · Pharmacy Service

  • Potential for harm · D June 16, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected June 27, 2025 · Quality of Life and Care

  • Actual harm · G January 29, 2025 · found via complaint

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

    Corrected February 11, 2025 · Quality of Life and Care

  • Potential for harm · D January 29, 2025 · found via complaint

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

    Corrected February 11, 2025 · Resident Rights

  • Potential for harm · E January 29, 2025 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected February 11, 2025 · Quality of Life and Care

  • Potential for harm · E October 10, 2024

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected October 23, 2024 · Quality of Life and Care

  • Potential for harm · D October 10, 2024

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

    Corrected October 23, 2024 · Quality of Life and Care

  • Potential for harm · D October 10, 2024

    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 October 23, 2024 · Quality of Life and Care

  • Potential for harm · D October 10, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 23, 2024 · Quality of Life and Care

  • Potential for harm · D October 10, 2024

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

    Corrected October 23, 2024 · Quality of Life and Care

  • Potential for harm · D October 10, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected October 23, 2024 · Pharmacy Service

  • Potential for harm · E October 10, 2024

    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 October 23, 2024 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
January 23, 2024Fine$133,390

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145874 · certified since May 20, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.