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Deficiency Records for Meadow Creek Post-Acute
View the most recent health deficiencies and inspection results for Meadow Creek Post-Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Meadow Creek Post-Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2026-03-23 | 2026-04-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-04 | 2026-03-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-03-04 | 2026-03-30 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2026-02-24 | 2026-03-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-02-24 | 2026-03-23 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-12-22 | 2026-01-16 | 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 | 2025-12-22 | 2026-01-16 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-11-26 | 2025-12-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-10-28 | 2025-11-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-10-28 | 2025-11-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-10-28 | 2025-11-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-10-28 | 2025-11-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-09-17 | 2025-10-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-17 | 2025-10-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-08-08 | 2025-09-07 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-05-20 | 2025-06-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-05-20 | 2025-06-14 | 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 | 2025-05-20 | 2025-06-14 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-04-25 | 2025-05-19 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-04-25 | 2025-05-19 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-04-25 | 2025-05-19 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-04-25 | 2025-05-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-04-25 | 2025-05-19 | 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 | 2025-04-25 | 2025-05-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-04-25 | 2025-05-19 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2025-04-25 | 2025-05-19 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-04-25 | 2025-05-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-04-25 | 2025-05-19 | 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 | 2025-04-25 | 2025-05-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-04-25 | 2025-05-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-25 | 2025-05-19 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-04-25 | 2025-05-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-25 | 2025-05-19 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-04-25 | 2025-05-19 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2025-04-25 | 2025-05-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-04-25 | 2025-05-19 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-04-25 | 2025-05-19 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2025-04-25 | 2025-05-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-25 | 2025-05-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-04-25 | 2025-05-19 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-04-25 | 2025-05-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-04-25 | 2025-05-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-25 | 2025-05-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-04-25 | 2025-05-19 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2025-04-25 | 2025-05-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-04-25 | 2025-05-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-02-19 | 2025-03-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-02-19 | 2025-03-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-02-19 | 2025-03-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-01-29 | 2025-02-18 | 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 | 2025-01-29 | 2025-02-18 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-11-26 | 2024-12-24 | Y |
| 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 | 2024-11-26 | 2024-12-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-11-26 | 2024-12-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-11 | 2024-11-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-07 | 2024-08-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-28 | 2024-08-28 | 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 | 2024-07-13 | 2024-08-02 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-13 | 2024-08-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-13 | 2024-08-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-13 | 2024-08-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-26 | 2024-08-02 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-31 | 2024-06-24 | 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 | 2024-05-16 | 2024-06-03 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-04-26 | 2024-05-31 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-04-26 | 2024-05-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-04-26 | 2024-05-31 | 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 | 2024-04-26 | 2024-05-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-04-26 | 2024-05-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-26 | 2024-05-31 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-04-26 | 2024-05-24 | N |
| Keep all essential equipment working safely. | Health | 2024-04-26 | 2024-05-24 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-04-26 | 2024-05-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-26 | 2024-05-24 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-26 | 2024-05-24 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-04-26 | 2024-05-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-26 | 2024-05-24 | 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 | 2024-04-26 | 2024-05-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-26 | 2024-05-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-26 | 2024-05-24 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-04-26 | 2024-05-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-26 | 2024-05-24 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-04-26 | 2024-05-24 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-04-26 | 2024-05-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-12 | 2024-05-02 | 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 | 2024-04-12 | 2024-05-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-20 | 2024-03-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-20 | 2024-03-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-20 | 2024-03-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-27 | 2024-01-18 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-12-27 | 2024-01-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-29 | 2023-10-23 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-09-14 | 2023-10-09 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-21 | 2023-10-06 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-08-31 | 2023-09-26 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-07-26 | 2023-08-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-03 | 2023-07-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-28 | 2023-07-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-28 | 2023-07-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-19 | 2021-05-27 | N |
| Keep all essential equipment working safely. | Health | 2021-04-19 | 2021-05-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-19 | 2021-05-27 | 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 | 2021-04-19 | 2021-05-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-19 | 2021-05-27 | 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 | 2021-04-19 | 2021-05-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-19 | 2021-05-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-19 | 2021-05-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-19 | 2021-05-27 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2021-04-19 | 2021-05-27 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-04-19 | 2021-05-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-19 | 2021-05-20 | N |