A list of the most recent deficiencies for Meadowbrook at Chetek. 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 residents are fully informed and understand their health status, care and treatments. | Health | 2023-03-29 | 2023-04-24 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-29 | 2023-04-24 | 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 | 2023-03-29 | 2023-04-24 | N |
Provide and implement an infection prevention and control program. | Health | 2023-03-29 | 2023-04-24 | N |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-03-29 | 2023-04-24 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-29 | 2023-04-24 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2023-03-27 | 2023-04-14 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-27 | 2023-04-14 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2023-03-27 | 2023-04-14 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-27 | 2023-04-14 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2023-01-10 | 2023-02-10 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-01-10 | 2023-02-10 | Y |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-02-02 | 2022-03-02 | 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 | 2022-02-02 | 2022-03-02 | N |
Provide and implement an infection prevention and control program. | Health | 2022-02-02 | 2022-03-02 | 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 | 2022-02-03 | 2022-03-02 | N |
Have exits that are accessible at all times. | Fire Safety | 2022-02-03 | 2022-03-02 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-02-03 | 2022-03-02 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-02-03 | 2022-03-02 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-03 | 2022-03-02 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-02-03 | 2022-03-02 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-02-03 | 2022-03-02 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-02-03 | 2022-03-02 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-02-03 | 2022-03-02 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-03 | 2022-03-02 | N |
Keep all essential equipment working safely. | Health | 2021-09-01 | 2021-10-15 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-09-01 | 2021-10-15 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-02-20 | 2020-03-20 | 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 | 2020-02-20 | 2020-03-20 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-20 | 2020-03-20 | N |
Provide properly protected cooking facilities. | Fire Safety | 2020-02-18 | 2020-03-13 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-18 | 2020-03-13 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2020-02-18 | 2020-03-13 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-18 | 2020-03-13 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-02-18 | 2020-03-13 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-18 | 2020-03-13 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-02-18 | 2020-03-13 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-18 | 2020-03-13 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-18 | 2020-03-13 | N |