Deficiency Records for Grand Meadows

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Updated as of April 01, 2024

A list of the most recent deficiencies for Grand 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 appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-09-14 2023-10-02 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-09-14 2023-10-02 Y
Conduct testing and exercise requirements. Fire Safety 2023-02-28 2023-03-28 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 2023-02-28 2023-03-16 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-02-28 2023-03-16 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-02-28 2023-03-16 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 2023-02-28 2023-03-16 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-02-28 2023-03-16 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2023-02-28 2023-03-16 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-02-28 2023-03-16 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-02-28 2023-03-16 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2023-02-28 2023-03-16 N
Provide and implement an infection prevention and control program. Health 2023-02-28 2023-03-16 N
Ensure staff are vaccinated for COVID-19 Health 2023-02-28 2023-03-16 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-02-28 2023-03-01 N
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. Fire Safety 2023-02-28 2023-02-28 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-13 2022-10-06 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2021-09-30 2021-10-22 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 2021-09-30 2021-10-22 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-10-06 2021-10-18 N
Post nurse staffing information every day. Health 2021-09-30 2021-10-12 N
Provide and implement an infection prevention and control program. Health 2021-09-30 2021-10-12 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2021-10-06 2021-10-12 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-09-30 2021-10-11 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2021-10-06 2021-10-07 N
Establish roles under a Waiver declared by secretary. Fire Safety 2021-10-06 2021-10-07 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 2021-10-06 2021-10-06 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-10-06 2021-10-06 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2021-09-30 2021-10-01 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-12-09 2019-12-12 N