Deficiency Records for Deer Meadows Rehabilitation Center
Updated as of April 01, 2020
This is not the most recent data for Deer Meadows Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Deer Meadows Rehabilitation 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-11-13 | 2019-12-31 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-11-13 | 2019-12-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-20 | 2019-08-30 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-02-27 | 2019-05-24 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-02-26 | 2019-04-27 | N |
| Meet other general requirements. | Fire Safety | 2019-02-26 | 2019-04-27 | N |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2019-02-26 | 2019-04-27 | N |
| Use approved construction type or materials. | Fire Safety | 2019-02-26 | 2019-04-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-02-26 | 2019-04-27 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-02-26 | 2019-04-27 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2019-02-26 | 2019-04-27 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-02-26 | 2019-04-27 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-02-26 | 2019-04-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-26 | 2019-04-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-02-26 | 2019-04-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-26 | 2019-04-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-26 | 2019-04-27 | N |
| Have an externally vented heating system. | Fire Safety | 2019-02-26 | 2019-04-27 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-02-26 | 2019-04-27 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2019-02-26 | 2019-04-27 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-02-26 | 2019-04-27 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-02-26 | 2019-04-27 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-02-26 | 2019-04-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-26 | 2019-04-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-02-26 | 2019-04-27 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2019-02-26 | 2019-04-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-27 | 2019-04-02 | 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 | 2019-02-27 | 2019-04-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-02-27 | 2019-04-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-02-27 | 2019-04-02 | 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 | 2019-02-27 | 2019-04-02 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-02-27 | 2019-04-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-27 | 2019-04-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-01-29 | 2018-03-20 | 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 | 2018-01-29 | 2018-03-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-29 | 2018-03-20 | N |
| 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 | 2018-01-29 | 2018-03-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-01-29 | 2018-03-20 | 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 | 2018-01-29 | 2018-03-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-01-29 | 2018-03-20 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-01-29 | 2018-03-20 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2018-01-29 | 2018-03-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-01-29 | 2018-03-20 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-01-29 | 2018-03-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-29 | 2018-03-20 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2018-01-29 | 2018-03-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-29 | 2018-03-20 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-01-31 | 2018-03-15 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-01-31 | 2018-03-15 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-01-31 | 2018-03-15 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-01-31 | 2018-03-15 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-01-31 | 2018-03-15 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-01-31 | 2018-03-15 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-01-31 | 2018-03-15 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-01-31 | 2018-03-15 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-01-31 | 2018-03-15 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-01-31 | 2018-03-15 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-01-31 | 2018-03-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-01-31 | 2018-03-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-01-31 | 2018-03-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-01-31 | 2018-03-15 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-01-31 | 2018-03-15 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2018-01-31 | 2018-03-15 | 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 | 2018-01-31 | 2018-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-01-31 | 2018-03-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-01-31 | 2018-03-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-01-31 | 2018-03-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-01-31 | 2018-03-15 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2017-03-29 | 2017-05-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-03-29 | 2017-05-10 | 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 | 2017-03-29 | 2017-05-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-03-29 | 2017-05-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-03-29 | 2017-05-10 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2017-03-29 | 2017-05-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-03-29 | 2017-05-10 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-03-09 | 2017-04-25 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-03-09 | 2017-04-25 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-09 | 2017-04-25 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-03-09 | 2017-04-25 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-03-09 | 2017-04-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-03-09 | 2017-04-25 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-03-09 | 2017-04-25 | N |
