Deficiency Records for Meadowbrook Nursing Center

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Updated as of March 01, 2019

This is not the most recent data for Meadowbrook Nursing Center. For the most recent information, click here.

A list of the most recent deficiencies for Meadowbrook Nursing Center. 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?
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2018-11-06 2018-12-11 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2018-11-06 2018-12-11 N
Respond appropriately to all alleged violations. Health 2018-11-06 2018-12-11 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2018-11-06 2018-12-11 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 ne Health 2018-11-06 2018-12-11 N
Ensure medication error rates are not 5 percent or greater. Health 2018-11-06 2018-12-11 N
Provide routine and 24-hour emergency dental care for each resident. Health 2018-11-06 2018-12-11 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2018-11-06 2018-12-11 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2017-09-06 2017-11-01 N
Keep each resident free from physical restraints, unless needed for medical treatment. Health 2017-09-12 2017-11-01 N
Ensure each resident receives an accurate assessment by a qualified health professional. Health 2017-09-12 2017-11-01 N
Give residents a notice of rights, rules, services and charges. Health 2017-09-12 2017-11-01 Y
Allow residents the right to participate in the planning or revision of care and treatment. Health 2017-09-12 2017-11-01 Y
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 2017-09-12 2017-11-01 Y
Post nurse staffing information/data on a daily basis. Health 2017-09-12 2017-11-01 Y
Have a program that investigates, controls and keeps infection from spreading. Health 2017-09-12 2017-11-01 Y
Make sure that a working call system is available in each resident's room or bathroom and bathing area. Health 2017-09-12 2017-11-01 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Health 2017-09-12 2017-11-01 Y
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Health 2017-05-03 2017-05-12 Y
Provide housekeeping and maintenance services. Health 2017-04-06 2017-05-12 Y
Record of quarterly fire drills for each shift under varying conditions. Fire Safety 2016-10-27 2016-11-29 N
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Health 2016-10-26 2016-11-29 N
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Health 2016-10-26 2016-11-29 N
Have a program that investigates, controls and keeps infection from spreading. Health 2016-10-26 2016-11-29 N
Have enough nurses to care for every resident in a way that maximizes the resident's well being. Health 2016-03-28 2016-04-29 Y