Deficiency Records for Meadow View Health and Rehabilitation
Updated as of March 01, 2020
This is not the most recent data for Meadow View Health and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Meadow View Health and Rehabilitation. 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 properly protected cooking facilities. | Fire Safety | 2019-10-11 | 2019-11-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-11 | 2019-11-25 | N |
| Be properly staffed | Fire Safety | 2019-10-11 | 2019-11-25 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-10-11 | 2019-11-25 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2019-10-11 | 2019-11-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-11 | 2019-11-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-10-11 | 2019-11-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-11 | 2019-11-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-10-11 | 2019-11-25 | 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 | 2019-10-11 | 2019-11-25 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-07-12 | 2019-08-26 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2019-07-12 | 2019-08-26 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-07-12 | 2019-08-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-22 | 2019-02-12 | Y |
| Meet other general requirements. | Fire Safety | 2018-12-31 | 2019-01-28 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Use approved construction type or materials. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Be properly staffed | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-03 | 2018-11-09 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-10-03 | 2018-11-09 | 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 | 2018-10-03 | 2018-11-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-03 | 2018-11-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-03 | 2018-11-09 | 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 | 2018-10-03 | 2018-11-09 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-10-03 | 2018-11-09 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-10-03 | 2018-11-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-03 | 2018-11-09 | N |
| Dispose of garbage and refuse properly. | Health | 2018-10-03 | 2018-11-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-03 | 2018-11-09 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2018-10-03 | 2018-11-09 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-10-03 | 2018-11-09 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2017-12-07 | 2017-12-15 | Y |
| Use approved construction type or materials. | Fire Safety | 2017-08-04 | 2017-09-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-08-04 | 2017-09-18 | N |
| 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 | 2017-08-04 | 2017-09-18 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-08-04 | 2017-09-18 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-08-04 | 2017-09-18 | 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 | 2017-08-04 | 2017-09-18 | N |
| Ensure that laboratories employing quantities of flammable, combustible, or hazardous materials have fire resistant walls and automatic sprinkler system. | Fire Safety | 2017-08-04 | 2017-09-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-08-04 | 2017-09-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-08-04 | 2017-09-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-08-04 | 2017-09-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-08-04 | 2017-09-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-08-04 | 2017-09-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-08-04 | 2017-09-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-08-04 | 2017-09-18 | N |
| Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. | Health | 2017-08-04 | 2017-09-18 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-08-04 | 2017-09-18 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-08-04 | 2017-09-18 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-08-04 | 2017-09-18 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-04 | 2017-09-18 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-04 | 2017-09-18 | N |
| Keep all essential equipment working safely. | Health | 2017-08-04 | 2017-09-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-08-04 | 2017-09-18 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2017-08-04 | 2017-09-18 | N |
| Provide care for each resident in a way that maintains or improves their quality of life. | Health | 2017-03-23 | 2017-04-23 | Y |
| Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. | Health | 2017-03-23 | 2017-04-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-23 | 2017-04-23 | Y |
