A list of the most recent deficiencies for Meadow Lakes. 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? |
|---|---|---|---|---|
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-01-11 | 2023-02-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-11 | 2023-02-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-11 | 2023-02-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-11 | 2023-02-06 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-01-11 | 2023-02-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-11 | 2023-02-03 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-01-11 | 2023-02-03 | 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 | 2023-01-11 | 2023-02-03 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-01-11 | 2023-02-03 | 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 | 2023-01-11 | 2023-02-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-01-11 | 2023-02-03 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-01-11 | 2023-02-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-11 | 2023-01-31 | N |
| Have enough backup water supply for essential areas of the nursing home. | Health | 2023-01-11 | 2023-01-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-11-19 | 2020-11-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-26 | 2019-05-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-04-26 | 2019-05-17 | N |
