Deficiency Records for The Meadows Center For Nursing and Healing
Updated as of November 01, 2021
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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-23 | 2021-05-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-22 | 2021-04-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-02-18 | 2021-04-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-02-18 | 2021-04-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-02-18 | 2021-04-22 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-02-18 | 2021-04-22 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-10-09 | 2020-10-23 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2020-10-09 | 2020-10-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-09 | 2020-10-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-09-03 | 2020-10-20 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-10-06 | 2020-10-16 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2020-10-06 | 2020-10-16 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2020-10-06 | 2020-10-16 | N |
| Develop a communication plan. | Fire Safety | 2020-10-06 | 2020-10-16 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-10-06 | 2020-10-16 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-10-06 | 2020-10-16 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2020-10-06 | 2020-10-16 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2020-10-06 | 2020-10-16 | N |
| Establish emergency prep training and testing. | Fire Safety | 2020-10-06 | 2020-10-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-10-09 | 2020-10-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-06-26 | 2020-07-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-05-20 | 2020-06-15 | N |
| 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 |
| 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 and maintain the bed rail. | Health | 2019-03-07 | 2019-04-07 | N |
| 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 | 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 necessary and PRN use is limited. | 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 |
