Deficiency Records for Glen Meadows

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Updated as of March 01, 2024

A list of the most recent deficiencies for Glen Meadows. 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 appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2023-11-06 2023-11-09 Y
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Health 2021-11-08 2021-11-11 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-09-22 2021-10-22 N
Respond appropriately to all alleged violations. Health 2021-09-22 2021-10-22 N
Provide activities to meet all resident's needs. Health 2021-09-22 2021-10-22 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2021-09-22 2021-10-22 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2021-09-22 2021-10-22 N
Provide and implement an infection prevention and control program. Health 2021-09-22 2021-10-22 N
Establish emergency prep training and testing. Fire Safety 2021-09-13 2021-10-22 N
Establish staff and initial training requirements. Fire Safety 2021-09-13 2021-10-22 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-09-13 2021-10-22 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 2021-09-13 2021-10-22 N
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Fire Safety 2021-09-13 2021-10-22 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-09-13 2021-10-22 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-09-13 2021-10-22 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2021-09-13 2021-10-22 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-09-13 2021-10-22 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-06-13 2019-07-11 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-06-13 2019-07-11 N
Provide activities to meet all resident's needs. Health 2019-06-13 2019-07-11 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-06-13 2019-07-11 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 2019-06-13 2019-07-11 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-06-13 2019-07-11 N
Provide and implement an infection prevention and control program. Health 2019-06-13 2019-07-11 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2019-06-12 2019-07-11 N
Have an enclosure around a vertical opening shaft. Fire Safety 2019-06-12 2019-07-11 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2019-06-12 2019-07-11 N
Have an alternate power supply for its alarm system. Fire Safety 2019-06-12 2019-07-11 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-06-12 2019-07-11 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2019-06-12 2019-07-11 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-06-12 2019-07-11 N
Have proper medical gas storage and administration areas. Fire Safety 2019-06-12 2019-07-11 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2018-04-05 2018-05-15 N
Ensure each resident receives an accurate assessment. Health 2018-04-05 2018-05-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-04-05 2018-05-15 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 2018-04-05 2018-05-15 N
Provide enough food/fluids to maintain a resident's health. Health 2018-04-05 2018-05-15 N
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Health 2018-04-05 2018-05-15 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2018-04-05 2018-05-15 N
Keep all essential equipment working safely. Health 2018-04-05 2018-05-15 N
Have horizontal exits used in accordance with safety requirements. Fire Safety 2018-04-02 2018-05-15 N
Have corridors or aisles that are unobstructed and are at least 8 feet in width. Fire Safety 2018-04-02 2018-05-15 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 2018-04-02 2018-05-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-04-02 2018-05-15 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2018-04-02 2018-05-15 N
Provide a written emergency evacuation plan. Fire Safety 2018-04-02 2018-05-15 N
Ensure proper usage of power strips and extension cords. Fire Safety 2018-04-02 2018-05-15 N