CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Three Meadows Post Acute
View the most recent health deficiencies and inspection results for Three Meadows Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Three Meadows Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-03-12 | 2026-03-13 | 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 | 2026-03-12 | 2026-03-13 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2026-03-12 | 2026-03-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-17 | 2026-03-06 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2026-02-17 | 2026-03-06 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-02-17 | 2026-03-06 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-02-17 | 2026-03-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-12-23 | 2025-12-24 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-12-23 | 2025-12-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-23 | 2025-12-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-12-23 | 2025-12-24 | Y |
| 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 | 2025-12-23 | 2025-12-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-12-23 | 2025-12-24 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-15 | 2025-06-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-05-15 | 2025-06-20 | 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 | 2025-05-15 | 2025-06-20 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-05-15 | 2025-06-20 | N |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2025-05-15 | 2025-06-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-05-15 | 2025-06-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-15 | 2025-06-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-05-15 | 2025-06-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-05-15 | 2025-06-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-05-15 | 2025-06-20 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2025-05-15 | 2025-06-20 | 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 | 2025-06-20 | 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 | 2025-05-15 | 2025-06-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-05-15 | 2025-06-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-05-15 | 2025-06-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-05-15 | 2025-06-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-15 | 2025-06-20 | 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 | 2024-09-04 | 2024-09-05 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-06-27 | 2024-07-03 | 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 | 2024-04-02 | 2024-04-12 | Y |
| 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 | 2024-04-02 | 2024-04-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-02 | 2024-04-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-08 | 2024-02-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-08 | 2024-02-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-05 | 2023-12-15 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-06-08 | 2023-06-09 | 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 | 2022-12-05 | 2023-01-13 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-05 | 2023-01-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-12-05 | 2023-01-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-05 | 2023-01-13 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-12-05 | 2023-01-13 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-12-05 | 2023-01-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-05 | 2023-01-13 | 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 | 2022-12-05 | 2023-01-13 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-12-05 | 2023-01-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-05 | 2023-01-13 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-12-05 | 2023-01-13 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-12-05 | 2023-01-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-12-05 | 2023-01-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-05 | 2023-01-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-12-05 | 2023-01-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-05 | 2023-01-13 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-12-05 | 2023-01-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-05 | 2023-01-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-05 | 2023-01-13 | 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 | 2022-12-05 | 2023-01-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-05 | 2023-01-13 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-12-05 | 2023-01-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-05 | 2023-01-13 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-12-05 | 2023-01-13 | 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 | 2022-12-05 | 2023-01-13 | 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 | 2022-12-05 | 2023-01-13 | 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 | 2020-01-09 | 2020-02-28 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-01-09 | 2020-02-28 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2020-01-09 | 2020-02-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-09 | 2020-02-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-09 | 2020-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-09 | 2020-02-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-01-09 | 2020-02-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-01-09 | 2020-02-28 | 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 | 2020-01-09 | 2020-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-09 | 2020-02-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-01-09 | 2020-02-28 | 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 | 2020-01-09 | 2020-02-28 | N |
| Respond appropriately to all alleged violations. | Health | 2020-01-09 | 2020-02-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-01-09 | 2020-02-28 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-01-09 | 2020-02-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-09 | 2020-02-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-09 | 2020-02-28 | 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 | 2020-01-09 | 2020-02-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-09 | 2020-02-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-01-09 | 2020-02-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-09 | 2020-02-28 | N |