A list of the most recent deficiencies for Aristacare at Meadow Springs. 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-31 | 2023-08-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-13 | 2023-07-26 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-07-10 | 2023-07-26 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-07-10 | 2023-07-26 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-07-10 | 2023-07-26 | N |
| Respond appropriately to all alleged violations. | Health | 2023-07-10 | 2023-07-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-10 | 2023-07-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-10 | 2023-07-26 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-07-10 | 2023-07-26 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-07-10 | 2023-07-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-10 | 2023-07-26 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-07-10 | 2023-07-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-10 | 2023-07-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-05 | 2023-04-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-05 | 2023-04-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-05 | 2023-04-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-15 | 2023-03-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-15 | 2023-03-31 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-15 | 2023-03-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-16 | 2023-02-24 | Y |
| 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 | 2023-01-19 | 2023-02-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-19 | 2023-02-19 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-03 | 2022-11-03 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-08-19 | 2022-08-30 | 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 | 2022-08-19 | 2022-08-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-19 | 2022-08-30 | 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 | 2022-08-19 | 2022-08-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-08-19 | 2022-08-30 | 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 | 2022-08-19 | 2022-08-30 | 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 | 2022-08-19 | 2022-08-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-03 | 2022-08-02 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-03 | 2022-08-02 | Y |
| Use approved construction type or materials. | Fire Safety | 2021-10-18 | 2021-12-17 | 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 | 2021-10-18 | 2021-12-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-10-18 | 2021-12-17 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-10-18 | 2021-12-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-10-18 | 2021-12-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-18 | 2021-12-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-10-18 | 2021-12-17 | N |
| Ensure gas and vacuum piping is labeled. | Fire Safety | 2021-10-18 | 2021-12-17 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-10-18 | 2021-12-17 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-10-18 | 2021-12-17 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2021-10-18 | 2021-12-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-10-18 | 2021-12-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-31 | 2021-10-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-31 | 2021-10-22 | 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 | 2021-08-31 | 2021-10-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-31 | 2021-10-22 | N |
