Deficiency Records for Pointe Meadows Health and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Pointe Meadows Health and Rehabilitation. 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? |
|---|---|---|---|---|
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-11-15 | 2024-01-15 | 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 | 2023-11-16 | 2024-01-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-16 | 2024-01-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-16 | 2024-01-04 | 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 | 2023-11-16 | 2024-01-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-16 | 2024-01-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-16 | 2024-01-04 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-04-07 | 2022-06-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-07 | 2022-06-01 | 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 | 2022-04-07 | 2022-06-01 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-04-07 | 2022-06-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-07 | 2022-06-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-04-07 | 2022-06-01 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-04-07 | 2022-06-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-07 | 2022-06-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-07 | 2022-06-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-07 | 2022-06-01 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-04-06 | 2022-06-01 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-04-06 | 2022-06-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-04-06 | 2022-06-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-04-06 | 2022-06-01 | 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 | 2022-04-06 | 2022-06-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-06 | 2022-06-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-06 | 2022-06-01 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-07-01 | 2021-08-23 | Y |
| Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | Health | 2021-07-01 | 2021-08-23 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-07-01 | 2021-08-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-01 | 2021-08-23 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-12-16 | 2020-01-31 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-12-19 | 2020-01-25 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-12-19 | 2020-01-25 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-12-19 | 2020-01-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-19 | 2020-01-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-19 | 2020-01-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-19 | 2020-01-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-19 | 2020-01-25 | N |
