CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Meadowbrook Care Center
View the most recent health deficiencies and inspection results for Meadowbrook Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Meadowbrook Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2025-05-15 | 2025-06-11 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2025-05-15 | 2025-06-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-05-15 | 2025-06-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-05-15 | 2025-06-11 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-05-15 | 2025-06-11 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2025-05-15 | 2025-06-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-15 | 2025-06-11 | 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 | 2025-05-15 | 2025-06-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-15 | 2025-06-11 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-05-15 | 2025-06-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-15 | 2025-06-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-05-15 | 2025-06-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-05-15 | 2025-06-11 | N |
| Keep all essential equipment working safely. | Health | 2025-05-15 | 2025-06-11 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-05-15 | 2025-06-11 | Y |
| 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 | 2025-05-15 | 2025-06-11 | Y |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-05-15 | 2025-06-11 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-05-15 | 2025-06-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-05-15 | 2025-06-11 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-05-15 | 2025-06-11 | Y |
| 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 | 2025-05-15 | 2025-06-11 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-05-15 | 2025-06-11 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2025-05-15 | 2025-06-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-05-15 | 2025-06-11 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-05-15 | 2025-06-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-05-15 | 2025-06-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-05-15 | 2025-06-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-15 | 2025-06-11 | N |
| 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 | 2025-05-15 | 2025-06-11 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-11-26 | 2024-12-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-11-26 | 2024-12-13 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-25 | 2024-08-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-25 | 2024-08-07 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-07-25 | 2024-08-07 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-07-25 | 2024-08-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-25 | 2024-08-07 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-05-07 | 2024-05-29 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2024-05-07 | 2024-05-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-07 | 2024-05-29 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-16 | 2023-12-29 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-11-16 | 2023-12-29 | 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 | 2023-11-16 | 2023-12-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-16 | 2023-12-29 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-11-16 | 2023-12-29 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-11-16 | 2023-12-29 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-11-16 | 2023-12-29 | 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 | 2023-11-16 | 2023-12-29 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-11-16 | 2023-12-29 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-11-16 | 2023-12-29 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-11-16 | 2023-12-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-16 | 2023-12-29 | 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 | 2023-11-16 | 2023-12-29 | 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 | 2023-11-16 | 2023-12-29 | 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 | 2023-11-16 | 2023-12-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-16 | 2023-12-29 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-11-16 | 2023-12-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-16 | 2023-12-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-16 | 2023-12-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-16 | 2023-12-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-16 | 2023-12-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-11-16 | 2023-12-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-16 | 2023-12-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-16 | 2023-12-29 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-11-16 | 2023-12-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-16 | 2023-12-29 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-11-16 | 2023-12-29 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-11-16 | 2023-12-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-16 | 2023-12-29 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-11-16 | 2023-12-29 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-11-16 | 2023-12-29 | 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 | 2023-11-16 | 2023-12-29 | N |
| Meet the requirements of an integrated health system. | Fire Safety | 2023-11-16 | 2023-12-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-16 | 2023-12-29 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-11-16 | 2023-12-29 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-11-16 | 2023-12-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-16 | 2023-12-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-19 | 2023-08-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-19 | 2023-08-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-30 | 2020-03-13 | 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 | 2020-01-30 | 2020-03-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-01-30 | 2020-03-13 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-01-30 | 2020-03-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-30 | 2020-03-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-30 | 2020-03-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-01-30 | 2020-03-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-30 | 2020-03-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-01-30 | 2020-03-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-30 | 2020-03-13 | N |