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Meadowbrook Manor in Bolingbrook has Deadliest COVID-19 Outbreak in Illinois


Meadowbrook Manor is a 298-bed nursing home in Bolingbrook, Illinois that participates in Medicare and Medicaid. According to recent IDPH numbers, they are facing a major COVID-19 outbreak with 176 confirmed cases of COVID-19 and 26 deaths, the most deaths in any long-term care facility in Illinois. gives the facility two out of five stars (below average) based on staffing and health inspections. Meadowbrook Manor’s staffing levels are lower than average, with residents receiving  59 minutes of licensed registered nursing time per day versus 1 hour and 34 minutes nationally, and 1 hour and 23 minutes of a nursing aide’s time compared to a national average of 2 hours and 18 minutes.

Illinois Department of Public Health (IDPH) Violations

 Meadowbrook Manor was cited by IDPH in the 3rd quarter of 2019 for violating the following provisions:

  • The facility shall provide the necessary care and services to achieve or maintain the highest possible mental, physical, and psychological wellbeing of the resident
  • Each direct caregiving staff shall review and be knowledgeable about his or her resident’s respective resident care plan.
  • Nursing care shall be provided on a 24/7 basis, and personnel shall evaluate each resident to make sure they receive adequate supervision and assistance to prevent accidents.
  • Facility staff shall not abuse or neglect the residents

Centers for Medicare and Medicaid Services (CMS) Deficiencies

 A Medicare health inspection in 2019 found 14 deficiencies, one in 2018 found an identical number, and the inspection in 2017 found a total of 26 deficiencies. Over the last three years, 23 complaints from residents and others resulted in citations for Meadowbrook Manor. Inspections in 2019 found Meadowbrook Manor to be deficient in the following areas:

  • Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  • Develop and implement procedures and policies to prevent neglect, abuse, and theft.
  • Ensure that patients are fully informed and understand their health status, care, and treatments.
  • Ensure that physical restraints are not used on any resident unless needed for medical treatment.
  • Respond appropriately to any and all alleged violations.
  • Provide assistance with performing the activities of daily living for any resident who is unable.
  • Provide appropriate care and a prevention protocol for pressure ulcers.
  • Ensure that the nursing home is free from accident hazards and that there is adequate supervision to prevent accidents.
  • Provide appropriate care for residents who are incontinent, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  • Provide safe and appropriate respiratory care for a resident when needed.
  • Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or in place of psychotropic medication; and PRN orders for psychotropic medications should only be used when the medication is absolutely necessary and PRN use is limited.
  • All food must be from approved and satisfactory sources and must be stored, prepared, distributed, and served using professional standards.

Find Out if You Have a COVID-19 Nursing Home Lawsuit

If your loved one has an injury or infection which you believe was caused by abuse or negligence at Meadowbrook Manor in Bolingbrook, or if they have died after contracting COVID-19 at the nursing home, contact the experienced Illinois nursing home attorneys at The Collins Law Firm today. Call us at (630) 527-1595 or fill out our contact form for a FREE evaluation of your case. We can help you get justice.


For more information on COVID-19 at area nursing homes, please read our nursing home blog.


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