Deficiency Records for The Meadows Center For Nursing and Healing
Updated as of January 01, 2020
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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2019-09-09 | 2019-10-09 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-09-09 | 2019-10-09 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-09 | 2019-10-09 | Y |
| Dispose of garbage and refuse properly. | Health | 2019-09-09 | 2019-10-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-09-09 | 2019-10-09 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-03-11 | 2019-04-07 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-03-11 | 2019-04-07 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-03-11 | 2019-04-07 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-03-11 | 2019-04-07 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-03-11 | 2019-04-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-11 | 2019-04-07 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-03-11 | 2019-04-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-03-11 | 2019-04-07 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-03-07 | 2019-04-07 | N |
| 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 | 2019-03-07 | 2019-04-07 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-03-07 | 2019-04-07 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-03-07 | 2019-04-07 | 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 | 2019-03-07 | 2019-04-07 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install | Health | 2019-03-07 | 2019-04-07 | N |
| 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 |
