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Deficiency Records for The Meadows On Sunset Post Acute
View the most recent health deficiencies and inspection results for The Meadows On Sunset Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Meadows On Sunset Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2026-03-04 | 2026-03-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-02-04 | 2026-02-13 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-01-14 | 2026-01-29 | Y |
| Honor 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. | Health | 2025-12-15 | 2026-01-08 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-12-15 | 2026-01-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-15 | 2026-01-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-15 | 2026-01-08 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-12-15 | 2026-01-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-10-10 | 2025-12-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-10-10 | 2025-12-19 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-12-08 | 2025-12-17 | Y |
| Provide activities to meet all resident's needs. | Health | 2025-11-18 | 2025-12-13 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-11-18 | 2025-12-13 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-11-18 | 2025-12-13 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-10-10 | 2025-12-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-10-10 | 2025-12-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-10-10 | 2025-12-01 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-06-17 | 2025-06-18 | 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 | 2025-06-17 | 2025-06-18 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2025-05-06 | 2025-05-07 | Y |
| 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 | 2025-05-06 | 2025-05-07 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-05-06 | 2025-05-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-05-06 | 2025-05-07 | Y |
| 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 | 2025-03-06 | 2025-03-07 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-03-06 | 2025-03-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-03-06 | 2025-03-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-02-06 | 2025-02-06 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-01-03 | 2025-01-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-01-03 | 2025-01-10 | N |
| Educate 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. | Health | 2025-01-03 | 2025-01-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-03 | 2025-01-10 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2025-01-03 | 2025-01-10 | N |
| Dispose of garbage and refuse properly. | Health | 2025-01-03 | 2025-01-10 | 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 | 2025-01-03 | 2025-01-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-01-03 | 2025-01-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-01-03 | 2025-01-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-01-03 | 2025-01-10 | 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 | 2025-01-03 | 2025-01-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-01-03 | 2025-01-10 | N |
| 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 | 2025-01-03 | 2025-01-10 | 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 | 2025-01-03 | 2025-01-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-03 | 2025-01-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-01-03 | 2025-01-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-03 | 2025-01-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-01-03 | 2025-01-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-01-03 | 2025-01-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-01-03 | 2025-01-10 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-01-03 | 2025-01-10 | 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 | 2025-01-03 | 2025-01-10 | 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 | 2025-01-03 | 2025-01-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-03 | 2025-01-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-01-03 | 2025-01-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-03 | 2025-01-10 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-10-28 | 2024-10-29 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-10-28 | 2024-10-29 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-28 | 2024-10-29 | Y |
| 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 | 2024-09-06 | 2024-09-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-09 | 2024-08-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-09 | 2024-08-27 | Y |
| 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 | 2024-06-17 | 2024-06-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-26 | 2024-05-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-09 | 2024-02-27 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-12-29 | 2024-01-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-29 | 2024-01-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-29 | 2024-01-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-29 | 2024-01-26 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-12-29 | 2024-01-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-29 | 2024-01-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-29 | 2024-01-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-29 | 2024-01-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-29 | 2024-01-26 | 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 | 2023-12-29 | 2024-01-26 | N |
| Post nurse staffing information every day. | Health | 2023-12-29 | 2024-01-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-29 | 2024-01-26 | 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 | 2023-12-29 | 2024-01-26 | 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 | 2023-12-29 | 2024-01-26 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-12-29 | 2024-01-26 | 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 | 2023-12-29 | 2024-01-26 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-12-29 | 2024-01-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-29 | 2024-01-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-29 | 2024-01-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-29 | 2024-01-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-29 | 2024-01-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-29 | 2024-01-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-29 | 2024-01-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-13 | 2023-11-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-07 | 2023-09-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-07 | 2023-09-06 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-08-07 | 2023-09-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-07 | 2023-09-06 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-07 | 2023-09-06 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-07 | 2023-09-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-22 | 2023-06-21 | Y |
| Honor 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. | Health | 2023-01-12 | 2023-02-09 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-01-12 | 2023-02-09 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-01-12 | 2023-02-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-12 | 2023-02-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-12 | 2023-02-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-12 | 2023-02-09 | 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 | 2023-01-12 | 2023-02-09 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-12 | 2023-02-09 | 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 | 2023-01-12 | 2023-02-09 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-01-12 | 2023-02-09 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-01-12 | 2023-02-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-12 | 2023-02-09 | 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 | 2023-01-12 | 2023-02-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-12 | 2023-02-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-12 | 2023-02-09 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2023-01-12 | 2023-02-09 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-01-12 | 2023-02-09 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-01-12 | 2023-02-09 | 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 | 2023-01-12 | 2023-02-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-01-12 | 2023-02-09 | 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 | 2023-01-12 | 2023-02-09 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2023-01-12 | 2023-02-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-01-12 | 2023-02-09 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-01-12 | 2023-02-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-01-12 | 2023-02-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-12 | 2023-02-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-12 | 2023-02-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-01-12 | 2023-02-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-12 | 2023-02-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-12 | 2023-02-09 | N |