A list of the most recent deficiencies for Meadowbrook at Bloomer. 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? |
|---|---|---|---|---|
| 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 | 2023-01-12 | 2023-02-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-12 | 2023-02-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-12 | 2023-02-09 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-01-12 | 2023-02-09 | 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 | 2023-01-12 | 2023-02-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-12 | 2023-02-09 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-01-12 | 2023-02-09 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-01-11 | 2023-02-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-01-11 | 2023-02-03 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-01-11 | 2023-02-03 | 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 | 2023-01-11 | 2023-02-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-11 | 2023-02-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-11 | 2023-02-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-11 | 2023-02-03 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-28 | 2022-04-07 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-01-24 | 2022-02-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-24 | 2022-02-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-15 | 2022-01-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-12-20 | 2022-01-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-20 | 2022-01-19 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2021-12-20 | 2022-01-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-22 | 2021-06-23 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-26 | 2021-05-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-26 | 2021-05-19 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-01-29 | 2020-03-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-29 | 2020-03-06 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2020-01-29 | 2020-03-06 | 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 | 2020-01-29 | 2020-03-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-01-29 | 2020-03-06 | 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 | 2020-01-29 | 2020-03-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-29 | 2020-03-06 | 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 | 2020-01-29 | 2020-03-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-29 | 2020-03-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-29 | 2020-03-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-01-29 | 2020-03-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-01-29 | 2020-03-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-29 | 2020-03-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-29 | 2020-03-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-29 | 2020-03-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-29 | 2020-03-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-01-29 | 2020-03-06 | N |
