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Deficiency Records for Glen Meadows Retirement Com.
View the most recent health deficiencies and inspection results for Glen Meadows Retirement Com.. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Glen Meadows Retirement Com.. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-03-31 | 2025-06-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-03-31 | 2025-06-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-31 | 2025-06-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-03-31 | 2025-06-10 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-03-31 | 2025-05-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-03-31 | 2025-05-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-03-31 | 2025-05-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-03-31 | 2025-05-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-03-31 | 2025-05-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-31 | 2025-05-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-03-31 | 2025-05-22 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2025-03-31 | 2025-05-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-03-31 | 2025-05-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-03-31 | 2025-05-12 | 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 | 2025-03-31 | 2025-05-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-31 | 2025-05-12 | N |
| Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | Health | 2025-03-31 | 2025-05-12 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-03-31 | 2025-05-12 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-03-31 | 2025-05-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-03-31 | 2025-05-12 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-03-31 | 2025-05-12 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-03-31 | 2025-05-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-03-31 | 2025-05-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-03-31 | 2025-05-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-31 | 2025-05-12 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-03-31 | 2025-05-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-03-31 | 2025-05-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-03-31 | 2025-05-12 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-03-31 | 2025-05-12 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-03-31 | 2025-05-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-05-12 | 2021-06-18 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-05-12 | 2021-06-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-12 | 2021-06-18 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-05-12 | 2021-06-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-12 | 2021-06-18 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2021-05-12 | 2021-06-18 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2021-05-12 | 2021-06-18 | 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 | 2021-05-12 | 2021-06-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-05-12 | 2021-06-18 | 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 | 2021-05-12 | 2021-06-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-12 | 2021-06-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-12 | 2021-06-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-12 | 2021-06-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-12 | 2021-06-18 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2021-05-12 | 2021-06-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-12 | 2021-06-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-05-12 | 2021-06-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-12 | 2021-06-11 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-05-12 | 2021-06-11 | N |
| Meet other general requirements. | Fire Safety | 2018-10-12 | 2018-12-07 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-10-12 | 2018-12-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-10-12 | 2018-12-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-12 | 2018-12-07 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-10-12 | 2018-12-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-12 | 2018-12-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-12 | 2018-11-23 | N |