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Deficiency Records for Meadowbrook at Black River Falls
View the most recent health deficiencies and inspection results for Meadowbrook at Black River Falls. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Meadowbrook at Black River Falls. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-01-14 | 2026-02-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-01-14 | 2026-02-14 | 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 | 2026-01-14 | 2026-02-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2026-01-14 | 2026-02-14 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-01-14 | 2026-02-14 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2026-01-14 | 2026-02-14 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2026-01-14 | 2026-02-11 | 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 | 2026-01-14 | 2026-02-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2026-01-14 | 2026-02-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-01-14 | 2026-02-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2026-01-14 | 2026-02-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2026-01-14 | 2026-02-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-01-14 | 2026-02-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-10-22 | 2025-12-11 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-04-01 | 2025-04-23 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-01-22 | 2025-03-24 | Y |
| 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 | 2025-01-22 | 2025-02-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-01-22 | 2025-02-16 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-10-16 | 2025-01-05 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-10-16 | 2024-12-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-16 | 2024-12-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-16 | 2024-12-27 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-10-16 | 2024-12-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-16 | 2024-12-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-10-16 | 2024-12-27 | N |
| Post nurse staffing information every day. | Health | 2024-12-18 | 2024-12-23 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-12-18 | 2024-12-23 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-18 | 2024-12-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-12-18 | 2024-12-23 | Y |
| 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 | 2024-10-16 | 2024-12-20 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-10-16 | 2024-12-20 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-10-16 | 2024-12-20 | 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 | 2024-10-16 | 2024-12-20 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-10-16 | 2024-12-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-10-16 | 2024-12-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-10-16 | 2024-12-20 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-10-16 | 2024-12-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-16 | 2024-12-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-10-16 | 2024-12-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-10-16 | 2024-11-11 | 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 | 2024-10-16 | 2024-11-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-10-16 | 2024-11-11 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-10-16 | 2024-11-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-10-16 | 2024-11-11 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-10-16 | 2024-11-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-10-16 | 2024-11-11 | 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 | 2024-10-16 | 2024-11-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-10-16 | 2024-11-11 | 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 | 2024-10-16 | 2024-11-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-16 | 2024-11-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-16 | 2024-11-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-16 | 2024-11-11 | Y |
| Assess the resident when there is a significant change in condition | Health | 2024-10-16 | 2024-11-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-16 | 2024-11-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-10 | 2024-09-11 | Y |
| 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 | 2024-07-10 | 2024-09-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-16 | 2024-08-27 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-04 | 2024-05-03 | Y |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2023-10-18 | 2024-01-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-18 | 2023-12-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-10-18 | 2023-12-22 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-10-18 | 2023-12-22 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-10-18 | 2023-12-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-18 | 2023-12-22 | 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 | 2023-10-18 | 2023-12-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-18 | 2023-12-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-10-18 | 2023-12-22 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2023-10-18 | 2023-12-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-10-18 | 2023-12-22 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-10-18 | 2023-12-22 | 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 | 2023-10-18 | 2023-11-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-18 | 2023-11-10 | N |
| Dispose of garbage and refuse properly. | Health | 2023-10-18 | 2023-11-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-18 | 2023-11-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-18 | 2023-11-10 | Y |