Deficiency Records for Meadow View Rehabilitation and Healthcare Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Meadow View Rehabilitation and Healthcare 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-14 | 2024-02-07 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-12-14 | 2024-02-07 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-12-14 | 2024-02-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-14 | 2024-02-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-14 | 2024-02-07 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-12-14 | 2024-02-07 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-12-06 | 2024-01-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-06 | 2024-01-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-06 | 2024-01-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-06 | 2024-01-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-14 | 2023-12-28 | 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 | 2023-12-14 | 2023-12-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-12-14 | 2023-12-28 | 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 | 2023-01-10 | 2023-02-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-10 | 2023-02-28 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-01-10 | 2023-02-21 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-01-10 | 2023-02-21 | N |
| Provide appropriate foot care. | Health | 2023-01-10 | 2023-02-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-10 | 2023-02-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-01-10 | 2023-02-21 | 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 | 2023-01-10 | 2023-02-21 | N |
| Provide or obtain dental services for each resident. | Health | 2023-01-10 | 2023-02-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-01-10 | 2023-02-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-10 | 2023-02-21 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-01-10 | 2023-02-21 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2023-01-10 | 2023-02-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-10 | 2023-02-21 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-01-10 | 2023-02-21 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-01-10 | 2023-02-21 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-01-10 | 2023-02-21 | Y |
| Report COVID19 data to residents and families. | Health | 2022-11-02 | 2022-12-10 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-11-02 | 2022-12-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-02 | 2022-12-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-02 | 2022-12-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-05 | 2022-05-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-05 | 2022-05-05 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-02-15 | 2022-05-05 | 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 | 2022-02-15 | 2022-05-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-15 | 2022-05-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-02-15 | 2022-05-05 | 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 | 2022-02-15 | 2022-05-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-15 | 2022-05-05 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-02-15 | 2022-05-05 | N |
| Report COVID19 data to residents and families. | Health | 2022-02-15 | 2022-05-05 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-02-15 | 2022-05-05 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-15 | 2022-05-05 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-02-15 | 2022-05-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-10 | 2022-03-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-27 | 2021-06-22 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-27 | 2021-06-22 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-12-14 | Not Fixed | N |
