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Deficiency Records for Meadowbrook Manor
View the most recent health deficiencies and inspection results for Meadowbrook Manor. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Meadowbrook Manor. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2025-07-31 | 2025-08-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-07-31 | 2025-08-01 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-07-31 | 2025-08-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-07-31 | 2025-08-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-07-31 | 2025-08-01 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-07-31 | 2025-08-01 | N |
| Provide or obtain dental services for each resident. | Health | 2025-07-31 | 2025-08-01 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2025-07-31 | 2025-08-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-07-31 | 2025-08-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-31 | 2025-08-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-07-31 | 2025-08-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-31 | 2025-08-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-07-31 | 2025-08-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-11 | 2025-07-12 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-06-11 | 2025-06-16 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-06-11 | 2025-06-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-06-11 | 2025-06-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-04-15 | 2025-04-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-02-21 | 2025-03-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-02-21 | 2025-03-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-01-08 | 2025-01-22 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-01-08 | 2025-01-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-18 | 2024-12-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-11-19 | 2024-11-29 | Y |
| 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 | 2024-10-10 | 2024-10-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-10-10 | 2024-10-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-10-10 | 2024-10-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-10-10 | 2024-10-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-10 | 2024-10-25 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-27 | 2024-07-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-27 | 2024-07-19 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-06-27 | 2024-07-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-06-27 | 2024-07-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-27 | 2024-07-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-27 | 2024-07-18 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-06-27 | 2024-07-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-27 | 2024-07-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-27 | 2024-07-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-06-27 | 2024-07-16 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-06-27 | 2024-07-16 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-06-27 | 2024-07-16 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-06-27 | 2024-07-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-27 | 2024-07-16 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-06-27 | 2024-07-16 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-06-27 | 2024-07-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-27 | 2024-07-16 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-06-27 | 2024-07-16 | 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 | 2024-05-08 | 2024-05-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-18 | 2024-04-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-23 | 2024-03-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-23 | 2024-03-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-06 | 2023-11-28 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-14 | 2023-11-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-14 | 2023-11-01 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-09-14 | 2023-10-05 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-09-14 | 2023-10-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-09-14 | 2023-10-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-14 | 2023-10-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-14 | 2023-10-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-14 | 2023-10-04 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2023-09-14 | 2023-10-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-14 | 2023-10-04 | 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 | 2023-09-14 | 2023-10-04 | 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 | 2023-09-14 | 2023-10-04 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-09-14 | 2023-10-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-09-14 | 2023-10-04 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-09-14 | 2023-10-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-14 | 2023-10-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-08 | 2023-01-25 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-12-08 | 2023-01-20 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-12-08 | 2023-01-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-08 | 2023-01-20 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-12-08 | 2023-01-05 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-12-08 | 2023-01-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-12-08 | 2023-01-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-08 | 2023-01-05 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2022-12-08 | 2023-01-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-12-08 | 2023-01-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-08 | 2023-01-05 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-12-08 | 2022-12-10 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-12-08 | 2022-12-08 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2022-12-08 | 2022-12-08 | N |