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Deficiency Records for Meadowbrook Manor - Naperville
A list of the most recent deficiencies for Meadowbrook Manor - Naperville. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Meadowbrook Manor - Naperville. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-09-23 | 2024-09-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-13 | 2024-08-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-07 | 2024-04-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-23 | 2024-01-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-27 | 2024-01-05 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-11-14 | 2023-11-27 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-11-14 | 2023-11-27 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-11-14 | 2023-11-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-14 | 2023-11-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-14 | 2023-11-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-14 | 2023-11-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-14 | 2023-11-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-14 | 2023-11-27 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-11-14 | 2023-11-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-14 | 2023-11-27 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-11-03 | 2023-11-17 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-11-03 | 2023-11-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-03 | 2023-11-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-03 | 2023-11-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-03 | 2023-11-17 | N |
| 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. | Health | 2023-11-03 | 2023-11-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-03 | 2023-11-17 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-11-03 | 2023-11-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-03 | 2023-11-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-03 | 2023-11-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-03 | 2023-07-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-03 | 2023-07-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-03 | 2023-07-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-15 | 2023-06-30 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-02-24 | 2023-04-18 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-02-24 | 2023-03-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-24 | 2023-03-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-24 | 2023-03-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-24 | 2023-03-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-24 | 2023-03-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-24 | 2023-03-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-24 | 2023-03-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-24 | 2023-03-31 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-02-24 | 2023-03-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-24 | 2023-03-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-09 | 2023-03-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-09 | 2023-03-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-01 | 2023-02-17 | N |
| 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. | Health | 2023-02-01 | 2023-02-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-01 | 2023-02-17 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-02-01 | 2023-02-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-01 | 2023-02-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-01 | 2023-02-17 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-02-01 | 2023-02-17 | N |
| 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. | Health | 2023-02-01 | 2023-02-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-01 | 2023-02-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-02-01 | 2023-02-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-29 | 2023-01-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-16 | 2022-12-23 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-11-21 | 2022-12-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-21 | 2022-12-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-21 | 2022-12-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-21 | 2022-12-02 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-19 | 2022-02-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-04 | 2022-02-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-21 | 2022-02-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-21 | 2022-02-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-21 | 2022-02-04 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-01-21 | 2022-02-04 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-01-21 | 2022-02-04 | Y |
| 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. | Health | 2022-01-21 | 2022-02-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-21 | 2022-02-04 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2022-01-19 | 2022-02-04 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-01-19 | 2022-02-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-19 | 2022-02-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-01-19 | 2022-02-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-19 | 2022-02-04 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2022-01-19 | 2022-02-04 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-01-19 | 2022-02-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-01-19 | 2022-02-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-01-19 | 2022-02-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-19 | 2022-02-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-01-19 | 2022-01-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-21 | 2022-01-07 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-12-09 | 2021-12-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-09 | 2021-12-18 | Y |
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