Deficiency Records for Meadow Woods Nursing and Rehab Center
Updated as of January 01, 2022
This is not the most recent data for Meadow Woods Nursing and Rehab Center. For the most recent information, click here.
A list of the most recent deficiencies for Meadow Woods Nursing and Rehab Center. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-28 | 2021-07-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-28 | 2021-07-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-28 | 2021-07-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-06-28 | 2021-07-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-28 | 2021-07-22 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-06-28 | 2021-07-22 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-06-28 | 2021-07-22 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-04-29 | 2021-06-04 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-04-29 | 2021-06-04 | Y |
| Provide appropriate foot care. | Health | 2021-04-29 | 2021-06-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-29 | 2021-06-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-29 | 2021-06-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-04-29 | 2021-06-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-29 | 2021-06-04 | 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 | 2021-04-29 | 2021-06-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-29 | 2021-06-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-29 | 2021-06-04 | Y |
| 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 | 2021-04-26 | 2021-06-04 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-04-26 | 2021-06-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-04-26 | 2021-06-04 | 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 | 2021-04-26 | 2021-06-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-04-26 | 2021-06-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-04-26 | 2021-06-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-26 | 2021-06-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-26 | 2021-06-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-04-26 | 2021-06-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-26 | 2021-06-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-03-17 | 2021-04-06 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-03-17 | 2021-04-06 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-03-17 | 2021-04-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-03-17 | 2021-04-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-17 | 2021-04-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-11-19 | 2020-12-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-11-19 | 2020-12-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-08-11 | 2020-08-29 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-07-17 | 2019-08-13 | 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 | 2019-07-17 | 2019-08-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-07-17 | 2019-08-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-07-17 | 2019-08-13 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-07-17 | 2019-08-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-07-17 | 2019-08-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-17 | 2019-08-13 | 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 | 2019-07-17 | 2019-08-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-17 | 2019-08-13 | Y |
| 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 | 2019-07-16 | 2019-08-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-07-16 | 2019-08-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-16 | 2019-08-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-16 | 2019-08-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-16 | 2019-08-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-16 | 2019-08-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-16 | 2019-08-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-17 | 2018-07-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-17 | 2018-06-19 | 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 | 2018-05-17 | 2018-06-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-17 | 2018-06-19 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-05-17 | 2018-06-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-15 | 2018-06-19 | N |
