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Deficiency Records for Meadowbrook Behavioral Health Center
View the most recent health deficiencies and inspection results for Meadowbrook Behavioral Health Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Meadowbrook Behavioral Health Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-04-03 | 2026-04-22 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2026-04-03 | 2026-04-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-04-03 | 2026-04-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-04-03 | 2026-04-22 | 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 | 2026-04-03 | 2026-04-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-04-03 | 2026-04-21 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2026-04-03 | 2026-04-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-04-03 | 2026-04-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-04-03 | 2026-04-21 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2026-04-03 | 2026-04-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-12-10 | 2026-01-02 | 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 | 2025-12-10 | 2026-01-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-08-20 | 2025-09-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-07-22 | 2025-08-08 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-06-06 | 2025-06-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-05-30 | 2025-06-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-05-30 | 2025-06-23 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-05-30 | 2025-06-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-04-04 | 2025-04-22 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2025-02-14 | 2025-03-06 | Y |
| Establish policies and procedures including evacuation. | Fire Safety | 2025-01-24 | 2025-02-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-01-24 | 2025-02-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-24 | 2025-02-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-24 | 2025-02-20 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2025-01-24 | 2025-02-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-01-24 | 2025-02-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-24 | 2025-02-20 | 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 | 2025-01-24 | 2025-02-20 | N |
| Post nurse staffing information every day. | Health | 2025-01-24 | 2025-02-20 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2025-01-24 | 2025-02-20 | N |
| Keep all essential equipment working safely. | Health | 2025-01-24 | 2025-02-20 | 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 | 2025-01-24 | 2025-02-20 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2025-01-24 | 2025-02-20 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2025-01-24 | 2025-02-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-24 | 2025-02-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-01-24 | 2025-02-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-01-24 | 2025-02-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-24 | 2025-02-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-01-24 | 2025-02-20 | N |
| Respond appropriately to all alleged violations. | Health | 2024-12-04 | 2025-01-03 | 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 | 2024-12-04 | 2025-01-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-15 | 2024-06-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-14 | 2024-04-09 | 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 | 2024-01-12 | 2024-02-10 | 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 | 2024-01-12 | 2024-02-10 | 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 | 2024-01-12 | 2024-02-10 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-01-12 | 2024-02-10 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-01-12 | 2024-02-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-12 | 2024-02-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-12 | 2024-02-10 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2024-01-12 | 2024-02-10 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-01-12 | 2024-02-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-12 | 2024-02-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-12 | 2024-02-10 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-01-12 | 2024-02-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-01-12 | 2024-02-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-12 | 2024-02-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-01-12 | 2024-02-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-04 | 2023-10-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-04 | 2023-10-16 | Y |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2026-04-03 | Not Fixed | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2026-04-03 | Not Fixed | N |