Meadowbrook Manor - Naperville
Inspection Findings
F-Tag F0686
F 0686 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
dried feces. Dried caked feces were between the gluteal fold. Resident R1's labia and gluteal fold was reddened. Resident R1 had a small open area on her coccyx.On 9/2/25 at 12:32 PM, V6 CNA stated her shift started a 6AM, but
she had not provided incontinence care or turned Resident R1 prior to 11:55 AM. V6 stated the wound nurse provided incontinence care and repositioned the resident during the dressing change.On 9/2/25 at 12:42 PM, Resident R1 stated V6 had not provided any incontinence care during her shift and repositioned her at 11:55 with the physical therapist.On 9/2/25 at 3:10 PM, V8 Family Member stated Resident R1 had called him a couple of times with request for him to call nursing station for assistance. V8 stated on one of the calls Resident R1 had complained of being left in soiled brief for over two hours.On 9/2/25 at 3:18 PM, V9 RN (Registered Nurse) stated Resident R1 was on antibiotics for a UTI and had a pressure wound on her coccyx. V9 did not see any documentation of a pressure wound or UTI prior to or on admission.On 9/2/25 at 4:50 PM, V3 Wound Nurse stated there was no documentation of a coccyx pressure wound on 8/27/25 when Resident R1 was admitted to the facility. V3 stated there was no documentation of a coccyx pressure wound was in Resident R1's hospital discharge records. V3 stated she discovered and documented Resident R1's wounds on 8/29/25 during the skin assessment. V3 stated the coccyx wound measured 2.0 cm (centimeters)x 0.2 cm x 0.2cm. V3 stated Resident R1 is obese and unable to reposition without the assistance of two staff members. Resident R1 is incontinent of bowel and bladder moisture is a contributing factor to skin break down. V3 stated nursing staff is responsible for repositioning and providing incontinence care for Resident R1.On 9/2/25 at 6:17 PM, V1 Administrator stated should not need to call their family members to obtain staff assistance.The facility policy Wound Care Prevention dated April 2025 states, all residents will receive appropriate care to decrease the risk of skin break down.
The nursing department will review all new admissions / readmissions to put a plan in place for the prevention based on the resident's activity level, comorbidities, mental status, risk assessment and other pertinent information. Clean skin at time of soiling and at routine intervals.The facility policy Incontinence Care dated April 2025 states, incontinence care is provided to keep residents as dry comfortable and odor free as possible. It also helps in preventing skin breakdown.
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Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/03/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Meadowbrook Manor - Naperville
720 Raymond Drive Naperville, IL 60563
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0725
F 0725 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
has been told by staff they are working short of staff. Resident R6 stated it can take ten minutes to three hours for the call light to be answered. Resident R6 stated if staff are feeding other residents she must wait for incontinence care. Resident R6 stated she put her call light on at about 8:30 AM to get dressed and out of bed but was not gotten up until 11AM.On 9/2/25 at 12:07 PM, V7 CNA (Certified Nursing Assistant) stated she sometimes has 17 to 20 residents to care for. V7 stated sometimes she is unable to complete like resident showers. Residents must sometimes wait a long time to have their call light answered. What we don't get done we inform the scheduler, and the task is passed on to the next shift or the next day. Some residents aren't happy when they're not showered when it's scheduled.On 9/2/25 at 3:50 PM, V11 CNA stated when there is a staffing shortage the residents may miss getting showered. If there is staffing shortage and no one picks up it's expected the CNAs working will make up the shortage.On 9/2/25 at 4:26 PM, V4 Scheduler stated if there is a staffing shortage the managers and restorative aids should fill in and assist but aren't taking a full team.
V4 stated she was a CNA able to fill in on the floor if needed.On 9/3/25 at 3:50 PM, V4 Scheduler stated staff are to initial on the schedule when they work. A check mark by nursing staff names mean they did not initial but they were working and accounted for. If there is no initial or check mark by the staff name that means they called off. Names that are lined out means that staff member was reassigned to another unit.
V4 stated the staffing ratios for the 1st floor AM and PM shifts should have 3-4 nurses and 4-5 CNAs. The 1st floor night shift should have 2 nurses and 3 CNAs. The 2nd floor AM and PM shifts should have 3 nurses and 5-6 CNAs. The Night shift 2nd floor should have 2 nurses and 4 CNAs. The 3rd floor AM and PM shifts should have 2 nurses and 3 CNAs. The 3rd floor night shift should have 1 nurse and 2 CNAs. The memory care unit AM and PM should have 1 nurse and 2-3 CNAs. The memory care unit night shift should have 1 nurse and 2 CNAs.The staffing schedule for August 2025 and September to date were reviewed.
The facility had 22 shifts that worked with less than the required number of nurses or CNAs as determined by the facility for August 2025.On 9/2/25 at 6:17 PM, V1 Administrator stated there was no facility policy for staffing.
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MEADOWBROOK MANOR - NAPERVILLE in NAPERVILLE, IL inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in NAPERVILLE, IL, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from MEADOWBROOK MANOR - NAPERVILLE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.