Deficiency Records for Zionsville Meadows
Updated as of October 01, 2021
This is not the most recent data for Zionsville Meadows. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2021-09-14 | 2021-09-30 | N |
| 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 |
| 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 |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-22 | 2021-03-20 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2020-12-04 | 2021-01-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-13 | 2021-01-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-12-04 | 2021-01-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-12-04 | 2021-01-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-10-29 | 2021-01-03 | 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 | 2020-10-29 | 2020-12-04 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-07-30 | 2020-08-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-07-30 | 2020-08-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-03-10 | 2020-05-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-25 | 2020-03-26 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2020-02-25 | 2020-03-26 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2020-02-25 | 2020-03-26 | 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 | 2020-02-25 | 2020-03-26 | 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 | 2020-02-25 | 2020-03-26 | 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 | 2020-02-25 | 2020-03-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-25 | 2020-03-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-25 | 2020-03-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-02-25 | 2020-03-26 | 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 | 2019-10-10 | 2019-11-01 | 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 | 2019-06-27 | 2019-07-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-06-27 | 2019-07-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-04-15 | 2019-05-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-04-15 | 2019-05-03 | Y |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-03-04 | 2019-04-05 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-03-04 | 2019-04-05 | N |
| Meet other general requirements. | Fire Safety | 2019-03-04 | 2019-04-05 | N |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2019-03-04 | 2019-04-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-03-04 | 2019-04-05 | 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 | 2019-03-04 | 2019-04-05 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-03-04 | 2019-04-05 | 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 | 2019-03-04 | 2019-04-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-03-04 | 2019-04-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-04 | 2019-04-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-04 | 2019-04-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-04 | 2019-04-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-04 | 2019-04-05 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-03-04 | 2019-04-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-04 | 2019-04-05 | 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 | 2019-01-30 | 2019-03-01 | 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 | 2019-01-30 | 2019-03-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-01-30 | 2019-03-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-30 | 2019-03-01 | 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 | 2019-01-30 | 2019-03-01 | N |
