Starfile

Starfile / Illinois

MEADOWBROOK MANOR

431 WEST REMINGTON BOULEVARD, BOLINGBROOK, IL 60440 · CCN 145710

Abuse icon

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★☆☆☆ 2
Quality measures
★★★☆☆ 3
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Corporation
Certified beds
298
Avg residents/day
232.4
Phone
6307591112

Inspection history vs Illinois & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityIllinois avgNational avgvs state
12025-07-311812.29.5+5.8 worse
22024-06-272312.79.8+10.3 worse
32023-09-141213.19.3-1.1 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care8
Nutrition and dietary2
Pharmacy service4
Infection control3

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.6052.5%
RN staffing (reported)0.8648.1%
Total nurse staffing (adjusted)2.96

Fines & penalties

Total fines
$128,258
Number of fines
1
Number of penalties
1
Payment denials
0

Inspection citations (53)1 immediate jeopardy3 actual harm

  1. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-07-31 · Health · corrected 2025-08-01

    Potential for more than minimal harm

  2. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-31 · Health · corrected 2025-08-01

    Potential for more than minimal harm

  3. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-07-31 · Health · corrected 2025-08-01

    Potential for more than minimal harm

  4. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-31 · Health · corrected 2025-08-01

    Potential for more than minimal harm

  5. DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2025-07-31 · Health · corrected 2025-08-01

    Potential for more than minimal harm

  6. DF0759Ensure medication error rates are not 5 percent or greater.2025-07-31 · Health · corrected 2025-08-01

    Potential for more than minimal harm

  7. EF0761Ensure 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.2025-07-31 · Health · corrected 2025-08-01

    Potential for more than minimal harm

  8. DF0791Provide or obtain dental services for each resident.2025-07-31 · Health · corrected 2025-08-01

    Potential for more than minimal harm

  9. EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2025-07-31 · Health · corrected 2025-08-01

    Potential for more than minimal harm

  10. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-07-31 · Health · corrected 2025-08-01

    Potential for more than minimal harm

  11. EF0880Provide and implement an infection prevention and control program.2025-07-31 · Health · corrected 2025-08-01

    Potential for more than minimal harm

  12. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-07-31 · Health · corrected 2025-08-01

    Potential for more than minimal harm

  13. DF0887Educate 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.2025-07-31 · Health · corrected 2025-08-01

    Potential for more than minimal harm

  14. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-11 · Health · corrected 2025-07-12

    Actual harm

  15. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-06-11 · Health · corrected 2025-06-16

    Actual harm

  16. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-06-11 · Health · corrected 2025-06-16

    Potential for more than minimal harm

  17. GF0760Ensure that residents are free from significant medication errors.2025-06-11 · Health · corrected 2025-06-16

    Actual harm

  18. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-15 · Health · corrected 2025-04-18

    Potential for more than minimal harm

  19. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-02-21 · Health · corrected 2025-03-06

    Immediate jeopardy

  20. FF0610Respond appropriately to all alleged violations.2025-02-21 · Health · corrected 2025-03-06

    Potential for more than minimal harm

  21. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-01-08 · Health · corrected 2025-01-22

    Potential for more than minimal harm

  22. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-01-08 · Health · corrected 2025-01-22

    Potential for more than minimal harm

  23. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-18 · Health · corrected 2024-12-30

    Potential for more than minimal harm

  24. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-11-19 · Health · corrected 2024-11-29

    Potential for more than minimal harm

  25. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-10-10 · Health · corrected 2024-10-25

    Potential for more than minimal harm

  26. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-10-10 · Health · corrected 2024-10-25

    Potential for more than minimal harm

  27. DF0610Respond appropriately to all alleged violations.2024-10-10 · Health · corrected 2024-10-25

    Potential for more than minimal harm

  28. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-10-10 · Health · corrected 2024-10-25

    Potential for more than minimal harm

  29. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-10 · Health · corrected 2024-10-25

    Potential for more than minimal harm

  30. EF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-06-27 · Health · corrected 2024-07-16

    Potential for more than minimal harm

  31. DF0583Keep residents' personal and medical records private and confidential.2024-06-27 · Health · corrected 2024-07-16

    Potential for more than minimal harm

  32. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-06-27 · Health · corrected 2024-07-16

    Potential for more than minimal harm

  33. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-06-27 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  34. EF0761Ensure 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.2024-06-27 · Health · corrected 2024-07-16

    Potential for more than minimal harm

  35. EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2024-06-27 · Health · corrected 2024-07-16

    Potential for more than minimal harm

  36. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-27 · Health · corrected 2024-07-16

    Potential for more than minimal harm

  37. FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-06-27 · Health · corrected 2024-07-16

    Potential for more than minimal harm

  38. EF0880Provide and implement an infection prevention and control program.2024-06-27 · Health · corrected 2024-07-16

    Potential for more than minimal harm

  39. FF0887Educate 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.2024-06-27 · Health · corrected 2024-07-16

    Potential for more than minimal harm

  40. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-05-08 · Health · corrected 2024-05-22

    Potential for more than minimal harm

  41. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-18 · Health · corrected 2024-04-05

    Potential for more than minimal harm

  42. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-02-23 · Health · corrected 2024-03-14

    Potential for more than minimal harm

  43. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-23 · Health · corrected 2024-03-14

    Potential for more than minimal harm

  44. DF0610Respond appropriately to all alleged violations.2023-11-06 · Health · corrected 2023-11-28

    Potential for more than minimal harm

  45. CF0574The resident has the right to receive notices in a format and a language he or she understands.2023-09-14 · Health · corrected 2023-10-04

    Potential for minimal harm

  46. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-09-14 · Health · corrected 2023-10-04

    Potential for more than minimal harm

  47. DF0688Provide 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.2023-09-14 · Health · corrected 2023-10-04

    Potential for more than minimal harm

  48. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-09-14 · Health · corrected 2023-10-04

    Potential for more than minimal harm

  49. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2023-09-14 · Health · corrected 2023-10-04

    Potential for more than minimal harm

  50. DF0759Ensure medication error rates are not 5 percent or greater.2023-09-14 · Health · corrected 2023-10-04

    Potential for more than minimal harm

  51. DF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2023-09-14 · Health · corrected 2023-10-04

    Potential for more than minimal harm

  52. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-09-14 · Health · corrected 2023-10-04

    Potential for more than minimal harm

  53. EF0880Provide and implement an infection prevention and control program.2023-09-14 · Health · corrected 2023-10-04

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
JAFARI, ROBERTIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST25%1989-07-11
JAFARI, SOUSSANIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST13%1989-07-11
JAFARI, KIANOOSHIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST13%1989-07-11
VANGEL, DOROTHYIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST10%1989-07-11
VANGEL, NICHOLASIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST10%1989-07-11
DOROTHY VANGEL QSS TRUSTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST8%1989-07-11
DESCENDANTS S CORP FBO ASHLEY MARIA DIMASOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST7%1989-07-11
DESCENDANTS S CORP TRUST FBO SASHA EVA DIMASOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST7%1989-07-11
DESCENDANTS S CORP TRUST FBO SEAN WILLIAM DIMASOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST7%1989-07-11
JAFARI, KIANOOSHIndividualCORPORATE DIRECTOR1989-07-11
VANGEL, CHRISTOPHERIndividualCORPORATE DIRECTOR1989-07-11
VANGEL, DOROTHYIndividualCORPORATE DIRECTOR1989-07-11
VANGEL, NICHOLASIndividualCORPORATE DIRECTOR1989-07-11
KOSHY, ELIZABETHIndividualCORPORATE OFFICER2018-12-03
VANGEL, CHRISTOPHERIndividualCORPORATE OFFICER1989-07-11
JAFARI, KIANOOSHIndividualW-2 MANAGING EMPLOYEE1989-07-11
KOSHY, ELIZABETHIndividualW-2 MANAGING EMPLOYEE2018-12-03

Other facilities in BOLINGBROOK

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.