Deficiency Records for Meadowbrook Rehabilitation Hospital
Updated as of May 01, 2019
This is not the most recent data for Meadowbrook Rehabilitation Hospital. For the most recent information, click here.
A list of the most recent deficiencies for Meadowbrook Rehabilitation Hospital. 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 a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-06-27 | 2018-07-20 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-06-27 | 2018-07-20 | Y |
| 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 | 2018-06-27 | 2018-07-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-27 | 2018-07-20 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-08-17 | 2017-09-02 | 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 | 2017-08-17 | 2017-09-02 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-08-17 | 2017-09-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-08-17 | 2017-09-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-08-17 | 2017-09-02 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-08-17 | 2017-09-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-08-17 | 2017-09-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-08-17 | 2017-09-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-08-17 | 2017-09-02 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-07-13 | 2016-07-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-07-13 | 2016-07-21 | Y |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-07-13 | 2016-07-21 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-07-13 | 2016-07-21 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-07-13 | 2016-07-21 | Y |
| Put firmly secured handrails on each side of hallways. | Health | 2016-07-13 | 2016-07-21 | Y |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-01-31 | 2016-02-15 | N |
| Give notice to the resident before a room or roommate change. | Health | 2015-01-30 | 2015-02-28 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-01-30 | 2015-02-28 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-01-30 | 2015-02-28 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-01-30 | 2015-02-28 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-01-30 | 2015-02-28 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-01-30 | 2015-02-28 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-01-30 | 2015-02-28 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-01-30 | 2015-02-28 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-01-30 | 2015-02-28 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-01-30 | 2015-02-28 | N |
