A list of the most recent deficiencies for Meadowbrook Manor - Lagrange. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-20 | 2023-12-15 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-09-22 | 2023-10-06 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-07 | 2023-07-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-07 | 2023-07-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-07 | 2023-07-19 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-06-07 | 2023-07-19 | 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 | 2023-06-07 | 2023-06-16 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-06-07 | 2023-06-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-06-07 | 2023-06-16 | 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 | 2023-06-07 | 2023-06-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-06-07 | 2023-06-16 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2023-06-07 | 2023-06-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-07 | 2023-06-16 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-06-07 | 2023-06-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-06-07 | 2023-06-16 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-06-07 | 2023-06-16 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2023-06-07 | 2023-06-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-24 | 2023-06-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-05-24 | 2023-06-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-24 | 2023-06-11 | 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 | 2023-05-24 | 2023-06-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-24 | 2023-06-11 | 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 | 2023-05-24 | 2023-06-11 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-24 | 2023-06-11 | 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 | 2023-05-24 | 2023-06-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-19 | 2023-03-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-22 | 2023-02-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-10 | 2022-11-29 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-10-25 | 2022-11-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-25 | 2022-11-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-25 | 2022-11-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-25 | 2022-11-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-23 | 2022-10-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-09-14 | 2022-09-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-14 | 2022-09-29 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-08-11 | 2022-09-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-08-11 | 2022-09-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-08-11 | 2022-09-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-11 | 2022-09-16 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-08-11 | 2022-09-16 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-08-11 | 2022-09-16 | 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 | 2022-08-11 | 2022-09-16 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-08-11 | 2022-09-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-11 | 2022-09-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-11 | 2022-09-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-11 | 2022-09-16 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-08-11 | 2022-09-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-11 | 2022-09-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-28 | 2022-08-19 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-07-28 | 2022-08-19 | 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 | 2022-07-28 | 2022-08-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-07-28 | 2022-08-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-28 | 2022-08-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-07-28 | 2022-08-19 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-08-11 | 2022-08-16 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-08-11 | 2022-08-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-03 | 2022-05-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-18 | 2021-12-07 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-11-18 | 2021-12-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-20 | 2021-10-07 | Y |
| 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 | 2021-03-31 | 2021-05-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-31 | 2021-05-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-03-31 | 2021-04-23 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-03-31 | 2021-04-23 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-03-31 | 2021-04-23 | N |
| Develop a communication plan. | Fire Safety | 2021-03-31 | 2021-04-23 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-03-31 | 2021-04-23 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-03-31 | 2021-04-23 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-03-31 | 2021-04-23 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-03-31 | 2021-04-23 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-03-31 | 2021-04-23 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-03-31 | 2021-04-23 | 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 | 2021-03-31 | 2021-04-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-31 | 2021-04-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-31 | 2021-04-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-03-31 | 2021-04-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-03-31 | 2021-04-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-03-31 | 2021-04-23 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2021-03-31 | 2021-04-23 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2021-03-31 | 2021-04-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-31 | 2021-04-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-26 | 2021-04-13 | 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 | 2021-03-26 | 2021-04-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-03-26 | 2021-04-13 | 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 | 2021-03-26 | 2021-04-13 | N |
