Deficiency Records for The Meadows Center For Nursing and Healing
Updated as of March 01, 2024
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 a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-23 | 2023-08-07 | 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 | 2023-06-23 | 2023-08-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-23 | 2023-08-07 | 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 | 2023-06-23 | 2023-08-07 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-06-23 | 2023-08-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-06-23 | 2023-08-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-23 | 2023-08-07 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-06-23 | 2023-08-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-06-23 | 2023-08-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-06-23 | 2023-08-01 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2023-06-23 | 2023-08-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-23 | 2023-08-01 | N |
| Provide activities to meet all resident's needs. | Health | 2023-06-23 | 2023-08-01 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-06-23 | 2023-08-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-23 | 2023-08-01 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-06-23 | 2023-08-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-19 | 2023-08-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-19 | 2023-08-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-06-19 | 2023-08-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-19 | 2023-08-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-19 | 2023-08-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-19 | 2023-08-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-19 | 2023-08-01 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2023-06-19 | 2023-08-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-26 | 2023-05-25 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-04-26 | 2023-05-25 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-04-26 | 2023-05-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-25 | 2023-03-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-25 | 2023-03-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-25 | 2023-03-09 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-01-25 | 2023-03-09 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-01-25 | 2023-03-09 | 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 | 2022-04-01 | 2022-05-01 | Y |
| 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 | 2022-04-01 | 2022-05-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-01 | 2022-05-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-01 | 2022-05-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-01 | 2022-05-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-01 | 2022-05-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-01 | 2022-05-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-01 | 2022-05-01 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-04-01 | 2022-05-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-29 | 2022-05-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-03-29 | 2022-05-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-29 | 2022-05-01 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-03-29 | 2022-05-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-23 | 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 |
| 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 safe, appropriate dialysis care/services for a resident who requires such services. | 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 |
| 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 |
