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Deficiency Records for Meadow Green Nursing and Rehabilitation Center
View the most recent health deficiencies and inspection results for Meadow Green Nursing and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Meadow Green Nursing and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2025-02-27 | 2025-04-14 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-02-27 | 2025-04-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-02-27 | 2025-04-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-02-27 | 2025-04-14 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2025-02-27 | 2025-04-14 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-02-27 | 2025-04-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-02-27 | 2025-04-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-02-27 | 2025-04-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-27 | 2025-04-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-02-27 | 2025-04-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-02-27 | 2025-04-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-02-27 | 2025-04-08 | 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 | 2025-02-27 | 2025-04-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-02-27 | 2025-04-08 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2025-02-27 | 2025-04-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-02-27 | 2025-04-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-02-27 | 2025-04-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-27 | 2025-04-08 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-02-27 | 2025-04-08 | 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 | 2025-02-27 | 2025-04-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-02-27 | 2025-04-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-27 | 2025-04-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-15 | 2024-11-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-15 | 2024-11-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-13 | 2024-05-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-13 | 2024-05-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-13 | 2024-05-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-13 | 2024-05-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-13 | 2024-05-15 | 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 | 2024-03-13 | 2024-05-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-03-13 | 2024-05-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-13 | 2024-04-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-13 | 2024-04-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-03-13 | 2024-04-26 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-03-13 | 2024-04-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-13 | 2024-04-26 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-03-13 | 2024-04-23 | 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 | 2024-03-13 | 2024-04-23 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-03-13 | 2024-04-23 | 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 | 2024-03-13 | 2024-04-23 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-03-13 | 2024-04-23 | N |
| Provide activities to meet all resident's needs. | Health | 2024-03-13 | 2024-04-23 | 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 | 2024-03-13 | 2024-04-23 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-03-13 | 2024-04-23 | N |
| Provide or obtain dental services for each resident. | Health | 2024-03-13 | 2024-04-23 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-03-13 | 2024-04-23 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-03-13 | 2024-04-23 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-03-13 | 2024-04-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-03-13 | 2024-04-23 | N |
| Respond appropriately to all alleged violations. | Health | 2024-03-13 | 2024-04-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-13 | 2024-04-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-03-13 | 2024-04-23 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-03-13 | 2024-04-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-13 | 2024-04-23 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-03-13 | 2024-04-23 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-03-13 | 2024-04-23 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-03-13 | 2024-04-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-03-13 | 2024-04-23 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-03-13 | 2024-04-23 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-03-13 | 2024-04-23 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-03-13 | 2024-04-23 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-03-13 | 2024-04-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-11 | 2023-03-04 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-01-11 | 2023-03-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-01-11 | 2023-03-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-11 | 2023-03-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-11 | 2023-03-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-01-11 | 2023-03-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-11 | 2023-03-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-11 | 2023-02-13 | 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 | 2023-01-11 | 2023-02-13 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-01-11 | 2023-02-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-11 | 2023-02-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-11 | 2023-02-13 | 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 | 2023-01-11 | 2023-02-13 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-01-11 | 2023-02-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-11 | 2023-02-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-11 | 2023-02-13 | N |