A list of the most recent deficiencies for Zionsville Meadows. 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-14 | 2023-12-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-26 | 2023-12-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-26 | 2023-12-13 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-10-26 | 2023-12-13 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-26 | 2023-12-13 | 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 | 2023-10-26 | 2023-12-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-26 | 2023-12-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-14 | 2023-12-08 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-11-14 | 2023-12-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-11-14 | 2023-11-30 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-11-14 | 2023-11-30 | N |
| Develop a communication plan. | Fire Safety | 2023-11-14 | 2023-11-30 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-11-14 | 2023-11-30 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-11-14 | 2023-11-30 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-08-18 | 2022-09-09 | 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 | 2022-08-18 | 2022-09-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-18 | 2022-09-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-18 | 2022-09-09 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-08-18 | 2022-09-09 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-08-18 | 2022-09-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-27 | 2022-08-31 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-07-27 | 2022-08-31 | 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 | 2022-07-27 | 2022-08-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-07-27 | 2022-08-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-27 | 2022-08-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-27 | 2022-08-31 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-07-27 | 2022-08-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-27 | 2022-08-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-07-27 | 2022-08-31 | 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 | 2022-07-27 | 2022-08-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-07-27 | 2022-08-31 | 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 | 2022-07-27 | 2022-08-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-27 | 2022-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-27 | 2022-08-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-07-27 | 2022-08-31 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-07-27 | 2022-08-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-06 | 2022-07-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-14 | 2021-09-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-27 | 2021-06-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-05-27 | 2021-06-25 | 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 | 2021-05-27 | 2021-06-25 | 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 | 2021-05-27 | 2021-06-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-27 | 2021-06-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-27 | 2021-06-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-27 | 2021-06-25 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2021-05-27 | 2021-06-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-27 | 2021-06-25 | 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 | 2021-05-27 | 2021-06-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-27 | 2021-06-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-27 | 2021-06-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-27 | 2021-06-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-27 | 2021-06-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-27 | 2021-06-25 | N |
