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Deficiency Records for Meadowview Healthcare and Rehab
View the most recent health deficiencies and inspection results for Meadowview Healthcare and Rehab. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Meadowview Healthcare and Rehab. Stay informed about quality of care issues.
| 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 | 2025-06-12 | 2025-08-11 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-10-16 | 2024-11-15 | N |
| Try 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. | Health | 2024-10-16 | 2024-11-15 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-10-16 | 2024-11-15 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-10-16 | 2024-11-15 | N |
| Post nurse staffing information every day. | Health | 2024-10-16 | 2024-11-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-10-16 | 2024-11-15 | N |
| Ensure 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. | Health | 2024-10-16 | 2024-11-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-10-16 | 2024-11-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-16 | 2024-11-15 | N |
| Dispose of garbage and refuse properly. | Health | 2024-10-16 | 2024-11-15 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-10-16 | 2024-11-15 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2024-10-16 | 2024-11-15 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-10-16 | 2024-11-15 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2024-10-16 | 2024-11-15 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-10-16 | 2024-11-15 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-10-16 | 2024-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-16 | 2024-11-15 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-10-16 | 2024-11-15 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-10-16 | 2024-11-15 | N |
| Have policies on smoking. | Health | 2024-10-16 | 2024-11-15 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-10-16 | 2024-11-15 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2024-10-16 | 2024-11-15 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-10-16 | 2024-11-15 | N |
| Provide training in compliance and ethics. | Health | 2024-10-16 | 2024-11-15 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-10-16 | 2024-11-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-16 | 2024-11-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-16 | 2024-11-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-10-16 | 2024-11-15 | 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 | 2024-10-16 | 2024-11-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-16 | 2024-11-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-16 | 2024-11-15 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-10-16 | 2024-11-15 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-10-16 | 2024-11-15 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-10-16 | 2024-11-15 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-10-16 | 2024-11-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-10-16 | 2024-11-15 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-10-16 | 2024-11-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-10-16 | 2024-11-15 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2024-10-16 | 2024-11-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-10-16 | 2024-11-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-10-16 | 2024-11-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-16 | 2024-11-15 | N |
| Respond appropriately to all alleged violations. | Health | 2024-10-16 | 2024-11-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-13 | 2024-01-12 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-10-13 | 2023-11-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-13 | 2023-11-12 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-10-13 | 2023-11-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-13 | 2023-11-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-13 | 2023-11-12 | 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 | 2023-10-13 | 2023-11-12 | N |
| Ensure 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. | Health | 2023-10-13 | 2023-11-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-13 | 2023-11-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-13 | 2023-11-12 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-10-13 | 2023-11-12 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-10-13 | 2023-11-12 | 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 | 2023-10-13 | 2023-11-12 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-10-13 | 2023-11-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-13 | 2023-11-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-13 | 2023-11-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-13 | 2023-11-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-20 | 2023-07-20 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-06-20 | 2023-07-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-08 | 2022-10-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-08 | 2022-10-07 | 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 | 2022-07-08 | 2022-10-07 | 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 | 2022-07-08 | 2022-09-02 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-07-08 | 2022-09-02 | N |
| Report COVID19 data to residents and families. | Health | 2022-07-08 | 2022-08-07 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-07-08 | 2022-08-07 | 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 | 2022-07-08 | 2022-08-07 | 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 | 2022-07-08 | 2022-08-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-08 | 2022-08-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-08 | 2022-08-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-08 | 2022-08-07 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-07-08 | 2022-08-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-08 | 2022-08-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-08 | 2022-08-07 | N |