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Meadowbrook Manor - Naperville Abuse and Neglect Attorneys
Many families place a loved one in a nursing facility with reluctance and only after performing exhaustive research on what homes in the community provide exceptional care. Unfortunately, abuse, mistreatment, and neglect are rampant in nursing centers, assisted living homes and rehabilitation facilities nationwide.
If you suspect that your loved one is the victim of mistreatment while residing in a DuPage County nursing facility, contact the Illinois Nursing Home Law Center attorneys for immediate legal intervention. Our team of dedicated Chicago nursing home negligence lawyers has successfully resolved cases just like yours. We provide every client with legal advice, representation, and counsel to ensure that they receive the highest amount of financial compensation to recover their damages. Let us begin working on your case now.
Meadowbrook Manor - Naperville
This Medicare/Medicaid-participating nursing facility is a "for profit" home providing services to residents of Naperville and Dupage County, Illinois. The 245-certified bed long-term care center is located at:
720 Raymond Drive
Naperville, Illinois, 60563
(630) 355-0220
In addition to providing 24/7 skilled nursing care, Meadowbrook Manor – Naperville also offers other services including:
- Short-term care
- Pain management
- Stroke rehab
- IV (intravenous) therapy
- Nutritional therapy
- Wound care
- Chronic renal disease care
- Pulmonary disease care
- Cardiac procedure care
- Postsurgical recovery
- Orthopedic surgery care
- Joint replacement care
Financial Penalties and Violations
Both the federal government and the state of Illinois can impose monetary fines or deny payments through Medicare of any nursing facility that has been found to have violated the established nursing home rules and regulations. Over the last three years, nursing home regulatory agencies have imposed three monetary and penalties against Meadowbrook Manor – Naperville due to substandard care. These penalties include a $24,375 fine on February 22, 2018, a $7150 fine on August 1, 2017, and a $22,225 fine on December 16, 2016 for a total of $53,750.
Also, the facility received twenty-three formally filed complaints due to substandard care and self-reported for serious issues that all resulted in citations. Additional documentation about penalties and fines can be found on the Illinois Department of Public Health Nursing Home Reporting Website concerning this nursing facility.
Naperville Illinois Nursing Home Safety Concerns

The federal government and Illinois care home regulatory agencies routinely update their statewide nursing facility database system and post the data at Medicare.gov and on the IL Department of Public Health website. The information contains historical details of opened investigations, filed complaints, dangerous hazards, health violations, safety concerns, and incident inquiries of every facility statewide.
According to Medicare, this facility maintains an overall rating of one out of five stars, including one out of five stars concerning health inspections, three out of five stars for staffing issues and two out of five stars for quality measures. The Dupage County neglect attorneys at Nursing Home Law Center have found serious deficiencies and safety concerns at Meadowbrook Manor - Naperville that include:
- Failure to Ensure Services Provided by the Nursing Facility Meet Professional Standards of Quality
- Failure to Provide and Implement an Infection Protection and Control Program
- Failure to Immediately Notify the Resident, the Resident’s Doctor or Family Members of a Change in the Resident’s Condition Including a Decline in Their Health or Injury
- Failure to Provide Every Resident an Environment Free of Accident Hazards and Provide Adequate Supervision to Prevent Avoidable Accidents
In a summary statement of deficiencies dated October 26, 2017, the state investigators documented that the facility had failed to “follow the professional standards regarding riding a physician’s orders.” This failure applies to one of the twenty-nine residents “reviewed for physician’s orders.”
The investigation included an initial tour of the facility and an interview with a Licensed Practical Nurse (LPN) providing care to a resident who “had gastronomy (feeding) tube, mitten restraints, an indwelling catheter, was legally blind and had a PICC line (Peripherally Inserted Central Catheter) for antibiotic administration.”
However, during the initial tour, the two surveyors accompanied the LPN into the patient’s “room for assessment of his PICC line. There was no sign designating [that the patient] was under isolation nor any Personal Protective Equipment (PPE).” The LPN “did not say the resident was on isolation.”
The investigative team reviewed the resident’s Physician’s Orders that showed the patient “was on contact isolation for VRE,” (Vancomycin-resistant Enterococcus), a highly contagious bacterial strain that is resistant to antibiotic vancomycin due to an infection in the left leg. The resident was also receiving antibiotic treatment for “Methicillin-resistant Staphylococcus aureus infection of the sacral wound.”
The investigators asked the facility Director of Nursing about the patient’s isolation order. The Director stated that “the isolation was discontinued.” The surveyors then interviewed the Infection Control Coordinator who said that “the staff met on Monday morning as the infection control team and then he wrote the order to discontinue [the patient’s] contact isolation.” The coordinator said that he asked the LPN to call the patient’s “position to get another order to discontinue [their] isolation.”
The LPN said that she had called the patient’s “Physician several times on Monday and did not receive a callback.” The LPN said that she had notified the Assistant Director of Nursing that “she had not received a call back from [the patient’s] physician.” The surveyor said that “the facility was unable to provide documentation that [the Infection Control Coordinator] had license credentials to write an order to discontinue contact isolation or to write any patient/resident care order.” The Director of Nursing said that a Physician or a Nurse Practitioner must write the resident care orders, not the Infection Control Coordinator.
In a summary statement of deficiencies dated October 26, 2017, a state investigator noted the nursing home's failure to “ensure proper disinfection of glucose monitoring devices was done between resident use. The facility also failed to follow physician’s orders.”
This deficient practice by the nursing staff applies to three of five residents “reviewed for infection control.” Observations were made of a nurse at the facility who “retrieved the glucose monitoring device from the medication cart. After wiping for ten seconds, [the nurse] placed the device in a 5-ounce clear plastic cup. When pushing the overbed table into the room of [the resident], the cup tipped over three times with the device landing on the table each time.”
During this procedure, the nurse “used a germicidal wipe to wipe the glucometer respectively for twelve seconds; ten seconds; and three seconds each time before placing the device back in the cup after each fall. Upon discovering the device failed to turn on, [the nurse] retrieved the second device from the cart and wiped [that device] for thirteen seconds and placed it in a 5-ounce clear plastic cup.”
“The second device tipped over two times and [the nurse] re-wiped the device for seven seconds and lastly two seconds. After discovering the second device did not work, [the nurse] stated, ‘I do not know why they are not working, they worked earlier.’”
In a summary statement of deficiencies dated June 18, 2018, the state investigator documented the facility’s failure to “notify a resident’s designated representative regarding a [significant] weight loss.” This deficient practice by the nursing staff “applies to one of three residents reviewed for notification of significant changes.”
The investigation involved a resident who was a readmitted to the facility “with gastronomy inserted while at the hospital.” The resident’s “weight was 99 pounds.” The patient had “pulled his gastronomy tube on October 16, 2016, [and] was sent back to the hospital [and] was admitted to another facility (the sister company of this facility).” At this time, the resident’s “weight was 97.3 pounds.” The resident “had gained weight to 102 pounds.”
The surveyors say that on November 9, 2017, the resident “had a significant weight loss of 5.5% in a month from 103 pounds (October 8, 2017) to 97 pounds (November 9, 2017).” The patient “also had a decline in oral intake. Interventions included with a nutritional supplement with doses adjustment.”
By December 14, 2017, the resident’s “weight was 96 pounds, a 7.7-pound weight loss over a period of three months.” The patient “still had a decline in oral intake [and had] also developed a Stage II pressure ulcer on the left buttock.”
By January 4, 2018, the patient’s “weight was 95 pounds, a 7.8-pound weight loss over a period of three months.” By February 21, 2018, the resident “weight 90 pounds, which was a 13.5% significant weight loss “over a period of six months.” The nursing staff adjusted the patient’s nutritional supplements as an intervention, and the resident was “referred to speech therapy since [the patient] was coughing and has tearing of the eyes during meals.”
By March 8, 2018, the resident weighed 89 pounds, a significant “weight loss of 14.4 percent in six months.” The resident’s “diet and nutritional supplement had remained as interventions for the weight loss.” Also, the patient’s “Stage II pressure ulcer had worsened to a Stage III.”
The surveyors noted that the “clinical record shows no documentation that [the patient’s] family was notified with significant weight changes to discuss any alternative interventions aside from the nutritional supplement [to] prevent further weight loss.” The facility Director of Nursing confirmed that the patient’s “family was not notified [of the] significant weight losses.”
The investigative team interviewed the facility Registered Nurse (RN)/Care Plan Coordinator who said that “there was no family present during the Care Plan meetings in November 2017 and January 2018.” The RN also said that “it was on the March 2018, that a phone call conference was held with [a family member] to discuss [the patient’s] weight loss, poor appetite and gastronomy insertion.” The family member has stated that they want everything done to their loved one “including a gastronomy insertion since [the patient] was a full code.”
The resident’s Physician Progress Notes indicate that the patient “did not like the food in the facility and that [the physician] would discuss the option of tube feeding for [the patient].” The investigators reviewed the facility’s policy for Change in Condition from 2012 that shows “Communication an in-depth discussion regarding acute changes of condition must occur in a timely fashion.”
In a summary statement of deficiencies dated March 29, 2018, a state investigator documented that the facility had failed to “ensure staff properly cared for a resident with severe contractures. This failure resulted in [the patient] sustaining an acute, severely anterolaterally displaced fracture of the left femur.” The deficient practice by the nursing staff involved one of three residents “reviewed for injuries of unknown origin.”
A review of the resident’s Plan of Care and MDS (Minimum Data Set) Assessment revealed that the non-ambulatory patient “requires total assistance from staff for all activities of daily living” and “mobility, use the mechanical lift for transfers, and required pillows to position [their] bilateral lower extremity due to contractures. The note shows [the resident] was referred to therapy Per family request to reassess [their] contractures.”
The investigative team interviewed a Registered Nurse (RN) providing the resident care. The RN stated that “when she arrived for her shift, the patient had a blanket over [his] legs, had a pillow between his legs, and [the patient] was sleeping.” The Registered Nurse said that “she was new to the floor and had not worked with [the resident] before [stating that] she performed rounds every two hours on her residents and did not notice [the resident] was in distress.”
The RN stated that “she had a bit of a conversation with the resident at 6:00 AM when she performed vital checks and the resident did not complain of any pain.” The RN said that “she got no report regarding [the resident] from the Certified Nursing Assistant (CNA) [and said that] she never moved [the resident] on her shift.”
When the RN touched the resident’s hip, the resident stated that it hurt. The RN called the resident’s “Nurse Practitioner right away, and an x-ray was ordered.” The patient “was sent to the emergency room before the results were received because [the patient’s] pain was not resolving.”
The x-rays received from the hospital reported that the patient “had a severely displaced fracture.” The resident’s doctor said “the new intervention the facility was providing was training for the use of a pillow between [the patient’s] legs.”
The doctor said, “if someone is all contracted and forces a pillow, then you are opening [the legs] with force.” The doctor said that “nothing other than a forced [could cause the patient’s] fracture [and] turning/repositioning would not have caused [the patient’s] fracture.” The doctor said that “it is an oblique fracture, [and that] something is pulling [or] someone is trying to separate the knees with force.”
Neglected at Meadowbrook Manor - Naperville? Let Us Help You Today
Do you suspect your loved one shows the signs or symptoms of mistreatment, abuse or neglect while a resident at Meadowbrook Manor – Naperville? If so, take quick action now by calling the Illinois nursing home abuse and neglect lawyers at Nursing Home Law Center at (800) 926-7565. Our network of attorneys fights aggressively on behalf of Dupage County victims of mistreatment living in long-term facilities including nursing homes in Naperville. Contact us now to schedule a free case review to discuss how to obtain justice and resolve a financial compensation claim.
Our dedicated lawyers can work on your behalf to file and resolve your claim for compensation against all those that caused your loved one harm, injury, or premature death. We accept every case involving nursing home abuse, wrongful death or personal injury through a contingency fee arrangement. This agreement postpones making payments to our legal firm until after we have successfully resolved your case through a jury trial award or negotiated settlement.
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