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Deficiency Records for Pleasant Meadows Senior Living

A list of the most recent deficiencies for Pleasant Meadows Senior Living. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Pleasant Meadows Senior Living. 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?
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-08-07 2024-08-08 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2024-08-07 2024-08-08 Y
Honor the resident's right to manage his or her financial affairs. Health 2024-07-23 2024-07-30 Y
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Health 2024-07-23 2024-07-30 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-05-23 2024-07-25 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-05-23 2024-05-24 Y
Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. Health 2024-05-23 2024-05-24 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-02-15 2024-02-16 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-01-30 2024-02-16 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-30 2024-01-31 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-12-19 2024-01-05 N
Conduct testing and exercise requirements. Fire Safety 2023-12-19 2024-01-03 N
Address subsistence needs for staff and patients. Fire Safety 2023-12-19 2023-12-27 N
Establish roles under a Waiver declared by secretary. Fire Safety 2023-12-19 2023-12-27 N
Establish staff and initial training requirements. Fire Safety 2023-12-19 2023-12-27 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-12-19 2023-12-27 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-12-19 2023-12-27 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-12-19 2023-12-27 N
Assure the security of all personal funds of residents deposited with the facility. Health 2023-12-15 2023-12-23 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 2023-12-15 2023-12-23 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2023-12-15 2023-12-23 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-12-15 2023-12-23 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-12-15 2023-12-23 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-12-15 2023-12-23 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 2023-12-15 2023-12-23 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-12-15 2023-12-23 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-15 2023-12-23 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-12-15 2023-12-23 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-12-15 2023-12-23 N
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 2023-12-15 2023-12-23 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 2023-12-15 2023-12-23 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 2023-12-15 2023-12-23 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2023-12-15 2023-12-23 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2023-12-15 2023-12-23 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-12-15 2023-12-23 N
Provide and implement an infection prevention and control program. Health 2023-12-15 2023-12-23 N
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2023-12-15 2023-12-23 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-11-22 2023-12-05 Y
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2023-11-22 2023-12-05 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-11-08 2023-11-16 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-10-30 2023-11-06 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-09-28 2023-10-09 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-09-28 2023-10-09 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-09-28 2023-10-09 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-08-30 2023-09-05 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 2023-08-30 2023-09-05 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-30 2023-09-05 Y
Provide and implement an infection prevention and control program. Health 2023-08-30 2023-09-05 Y
Respond appropriately to all alleged violations. Health 2023-08-11 2023-08-22 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-07-19 2023-07-20 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-06-07 2023-07-08 Y
Provide care by qualified persons according to each resident's written plan of care. Health 2023-06-07 2023-07-07 Y
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 2023-06-07 2023-07-07 Y
Provide enough food/fluids to maintain a resident's health. Health 2023-06-07 2023-07-07 Y
Ensure that residents are free from significant medication errors. Health 2023-06-07 2023-07-07 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 2023-05-24 2023-06-02 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-04-21 2023-05-01 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-04-14 2023-04-22 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-04-14 2023-04-22 Y
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2023-04-14 2023-04-22 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-01-13 2023-03-28 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-01-03 2023-03-16 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-01-03 2023-03-16 Y
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 2023-01-03 2023-03-16 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-01-03 2023-03-16 Y
Ensure residents have reasonable access to and privacy in their use of communication methods. Health 2023-01-13 2023-03-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-01-13 2023-03-16 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-01-13 2023-03-16 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-01-13 2023-03-16 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2023-01-13 2023-03-16 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2023-02-01 2023-02-17 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-02-07 2023-02-16 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-02-07 2023-02-16 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-02-01 2023-02-16 N
Provide family notifications of emergency plan. Fire Safety 2023-02-01 2023-02-16 N
Establish staff and initial training requirements. Fire Safety 2023-02-01 2023-02-16 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-02-01 2023-02-16 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2023-02-01 2023-02-16 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2023-02-01 2023-02-16 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-02-01 2023-02-16 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-01-03 2023-01-13 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-12-09 2022-12-19 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-12-09 2022-12-19 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-12-09 2022-12-19 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-11-29 2022-12-01 Y
Provide enough food/fluids to maintain a resident's health. Health 2022-11-29 2022-12-01 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-10-26 2022-10-27 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-10-26 2022-10-27 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-10-26 2022-10-27 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-10-26 2022-10-27 Y
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2022-10-26 2022-10-27 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 2022-08-25 2022-09-15 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2022-08-25 2022-09-15 Y
Respond appropriately to all alleged violations. Health 2022-07-29 2022-08-09 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-07-29 2022-08-09 Y
Ensure that residents are free from significant medication errors. Health 2022-07-29 2022-08-08 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-04-14 2022-04-29 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-02-08 2022-02-21 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-12-28 2022-01-14 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-12-28 2022-01-14 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2021-12-28 2022-01-14 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-12-28 2022-01-14 Y
Respond appropriately to all alleged violations. Health 2021-12-28 2022-01-14 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-12-28 2022-01-14 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-08-26 2021-12-14 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-11-15 2021-11-17 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-11-15 2021-11-17 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-08-23 2021-11-17 N
Provide and implement an infection prevention and control program. Health 2021-10-21 2021-11-05 N
Provide and implement an infection prevention and control program. Health 2021-08-23 2021-11-05 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2021-08-23 2021-10-13 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2021-08-26 2021-09-24 N
Address patient/client population and determine types of services needed. Fire Safety 2021-08-26 2021-09-24 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2021-08-26 2021-09-24 N
Address subsistence needs for staff and patients. Fire Safety 2021-08-26 2021-09-24 N
Establish policies and procedures for medical documentation. Fire Safety 2021-08-26 2021-09-24 N
Develop a communication plan. Fire Safety 2021-08-26 2021-09-24 N
Provide emergency officials' contact information. Fire Safety 2021-08-26 2021-09-24 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2021-08-26 2021-09-24 N
Provide family notifications of emergency plan. Fire Safety 2021-08-26 2021-09-24 N
Establish emergency prep training and testing. Fire Safety 2021-08-26 2021-09-24 N
Establish staff and initial training requirements. Fire Safety 2021-08-26 2021-09-24 N
Conduct testing and exercise requirements. Fire Safety 2021-08-26 2021-09-24 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 2021-08-26 2021-09-24 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2021-08-26 2021-09-24 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2021-08-26 2021-09-24 N
Provide a written emergency evacuation plan. Fire Safety 2021-08-26 2021-09-24 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-08-26 2021-09-24 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2021-08-23 2021-09-07 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 2021-08-23 2021-09-07 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 2021-08-23 2021-09-07 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2021-08-23 2021-09-07 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2021-08-23 2021-09-07 N
Assess the resident when there is a significant change in condition Health 2021-08-23 2021-09-07 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2021-08-23 2021-09-07 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2021-08-23 2021-09-07 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-08-23 2021-09-07 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-08-23 2021-09-07 N
Provide enough food/fluids to maintain a resident's health. Health 2021-08-23 2021-09-07 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-08-23 2021-09-07 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2021-08-23 2021-09-07 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 2021-08-23 2021-09-07 N
Provide or obtain dental services for each resident. Health 2021-08-23 2021-09-07 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2021-08-23 2021-09-07 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 2021-08-23 2021-09-07 N

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