Deficiency Records for Meadowpark Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Meadowpark Health and Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-12-07 | 2024-01-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-07 | 2024-01-07 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-12-07 | 2024-01-07 | 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 | 2023-12-07 | 2024-01-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-07 | 2024-01-07 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-12-07 | 2024-01-07 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-12-07 | 2024-01-07 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-12-05 | 2024-01-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-05 | 2024-01-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-05 | 2024-01-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-05 | 2024-01-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-05 | 2024-01-07 | 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 | 2023-09-06 | 2023-10-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-20 | 2023-04-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-20 | 2023-04-21 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-09-15 | 2021-11-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-16 | 2021-10-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-16 | 2021-10-16 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-09-16 | 2021-10-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-09-16 | 2021-10-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-15 | 2021-10-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-10 | 2020-02-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-09 | 2020-02-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-09 | 2020-02-10 | N |
