Deficiency Records for Meadowbrook Acres
Updated as of February 01, 2019
This is not the most recent data for Meadowbrook Acres. For the most recent information, click here.
A list of the most recent deficiencies for Meadowbrook Acres. 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? |
|---|---|---|---|---|
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2018-05-17 | 2018-07-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-17 | 2018-07-03 | 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 | 2018-05-17 | 2018-07-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-05-17 | 2018-07-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-17 | 2018-07-03 | 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 | 2018-05-17 | 2018-07-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-17 | 2018-07-03 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-05-16 | 2018-07-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-05-16 | 2018-07-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-05-16 | 2018-07-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-16 | 2018-07-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-05-16 | 2018-07-01 | N |
| Be properly staffed | Fire Safety | 2018-05-16 | 2018-07-01 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-05-16 | 2018-07-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-05-16 | 2018-07-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-16 | 2018-07-01 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-05-16 | 2018-07-01 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-10 | 2017-10-09 | Y |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-08-10 | 2017-10-04 | Y |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-08-10 | 2017-10-04 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-10 | 2017-10-04 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-08-10 | 2017-10-04 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-10 | 2017-10-04 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-08-10 | 2017-10-04 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-08-10 | 2017-10-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-10 | 2017-10-04 | Y |
| Provide special eating equipment and utensils for each resident who needs them. | Health | 2017-08-10 | 2017-10-04 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-10 | 2017-10-04 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-08-10 | 2017-10-04 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-08-10 | 2017-08-10 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2017-03-31 | 2017-05-17 | N |
| Provide proof that residents' personal money that is deposited with the nursing home is secure. | Health | 2017-03-31 | 2017-05-17 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2017-03-31 | 2017-05-17 | N |
| Provide housekeeping and maintenance services. | Health | 2017-03-31 | 2017-05-17 | N |
| Maintain comfortable and safe temperature levels. | Health | 2017-03-31 | 2017-05-17 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-03-31 | 2017-05-17 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-03-31 | 2017-05-17 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-03-31 | 2017-05-17 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-31 | 2017-05-17 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2017-03-31 | 2017-05-17 | N |
| 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 | 2017-03-31 | 2017-05-17 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-03-31 | 2017-05-17 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-03-31 | 2017-05-17 | N |
| Provide special eating equipment and utensils for each resident who needs them. | Health | 2017-03-31 | 2017-05-17 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-31 | 2017-05-17 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-03-31 | 2017-05-17 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-31 | 2017-05-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-31 | 2017-05-17 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2017-03-31 | 2017-05-17 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-03-31 | 2017-05-17 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-03-31 | 2017-05-17 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-03-31 | 2017-05-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-03-29 | 2017-04-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-03-29 | 2017-04-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-03-29 | 2017-04-14 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2017-03-29 | 2017-04-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-03-29 | 2017-04-14 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-03-29 | 2017-04-14 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2017-03-29 | 2017-04-14 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-15 | 2017-03-24 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-02-15 | 2017-03-24 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-02-15 | 2017-03-24 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-07-01 | 2016-08-10 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-07-01 | 2016-08-10 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-01-19 | 2016-04-13 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-01-19 | 2016-04-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-01-19 | 2016-03-22 | N |
| Provide housekeeping and maintenance services. | Health | 2016-01-19 | 2016-03-22 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-01-19 | 2016-03-22 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-01-19 | 2016-03-22 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-01-19 | 2016-03-22 | N |
| 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 | 2016-01-19 | 2016-03-22 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-01-19 | 2016-03-22 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-01-19 | 2016-03-22 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-01-19 | 2016-03-22 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-01-19 | 2016-03-22 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-01-19 | 2016-03-22 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-01-19 | 2016-03-22 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-01-19 | 2016-03-04 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-01-20 | Not Fixed | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-01-20 | Not Fixed | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-01-20 | Not Fixed | N |
