Deficiency Records for The Meadows Center For Nursing and Healing
Updated as of December 01, 2018
This is not the most recent data for The Meadows Center For Nursing and Healing. For the most recent information, click here.
A list of the most recent deficiencies for The Meadows Center For Nursing and Healing. 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? |
|---|---|---|---|---|
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-02-08 | 2018-03-28 | N |
| 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 | 2018-02-08 | 2018-03-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-02-08 | 2018-03-28 | 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 | 2018-02-08 | 2018-03-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-02-08 | 2018-03-28 | 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 ne | Health | 2018-02-08 | 2018-03-28 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-02-08 | 2018-03-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-08 | 2018-03-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-02-05 | 2018-03-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-05 | 2018-03-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-01-24 | 2017-02-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-01-24 | 2017-02-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-01-24 | 2017-02-26 | N |
| Provide housekeeping and maintenance services. | Health | 2017-01-26 | 2017-02-26 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-01-26 | 2017-02-26 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-01-26 | 2017-02-26 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-01-26 | 2017-02-26 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-01-26 | 2017-02-26 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-01-26 | 2017-02-26 | N |
| Let residents voice a complaint or grievance without being treated differently or badly. | Health | 2016-08-01 | 2016-09-01 | Y |
| Maintain comfortable and safe temperature levels. | Health | 2016-08-01 | 2016-09-01 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-06-27 | 2016-07-27 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-06-27 | 2016-07-27 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-19 | 2016-04-13 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2016-02-19 | 2016-04-12 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-02-15 | 2016-03-19 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-02-15 | 2016-03-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-02-19 | 2016-03-19 | Y |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2016-02-19 | 2016-03-19 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-02-19 | 2016-03-19 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-02-19 | 2016-03-19 | N |
| Provide housekeeping and maintenance services. | Health | 2016-02-19 | 2016-03-19 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-02-19 | 2016-03-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-02-19 | 2016-03-19 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-02-19 | 2016-03-19 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2016-02-19 | 2016-03-19 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-02-19 | 2016-03-19 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2016-02-19 | 2016-03-19 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-02-19 | 2016-03-19 | N |
