A list of the most recent deficiencies for Meadows Ridge Care Center. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-03 | 2023-08-15 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-03-30 | 2023-04-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-21 | 2022-07-27 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-20 | 2022-07-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-01 | 2022-07-21 | N |
| Report COVID19 data to residents and families. | Health | 2022-07-01 | 2022-07-21 | 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 | 2022-04-07 | 2022-06-14 | 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 | 2022-04-07 | 2022-06-14 | N |
| 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 | 2022-04-07 | 2022-06-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-07 | 2022-06-14 | N |
| Dispose of garbage and refuse properly. | Health | 2022-04-07 | 2022-06-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-07 | 2022-06-14 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-04-07 | 2022-06-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-07 | 2022-05-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-07 | 2022-05-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-07 | 2022-05-16 | 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 | 2022-04-07 | 2022-05-16 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-04-07 | 2022-05-16 | 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 | 2022-05-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-07 | 2022-05-16 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-04-12 | 2022-05-09 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-04-12 | 2022-05-09 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-04-12 | 2022-05-09 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-04-12 | 2022-05-09 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-04-12 | 2022-05-09 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-04-12 | 2022-05-09 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-04-12 | 2022-05-09 | 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 | 2022-04-12 | 2022-05-09 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-03-30 | 2022-04-26 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-31 | 2022-04-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-02 | 2021-07-27 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-07-11 | 2019-08-07 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-07-11 | 2019-08-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-11 | 2019-08-07 | N |
| Use approved construction type or materials. | Fire Safety | 2019-07-11 | 2019-08-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-11 | 2019-08-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-11 | 2019-08-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-11 | 2019-08-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-20 | 2019-07-12 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-06-20 | 2019-07-12 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-06-20 | 2019-07-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-20 | 2019-07-12 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2019-06-20 | 2019-07-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-20 | 2019-07-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-20 | 2019-07-12 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-06-20 | 2019-07-12 | 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 | 2019-06-20 | 2019-07-12 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-06-20 | 2019-07-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-20 | 2019-07-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-20 | 2019-07-12 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-09-14 | 2018-10-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-14 | 2018-10-02 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-06-07 | 2018-07-18 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2018-06-07 | 2018-07-18 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-06-07 | 2018-07-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-06-07 | 2018-07-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-06-07 | 2018-07-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-06-07 | 2018-07-18 | N |
| Respond appropriately to all alleged violations. | Health | 2018-06-07 | 2018-07-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-07 | 2018-07-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-06-07 | 2018-07-18 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-06-07 | 2018-07-18 | N |
| Provide activities to meet all resident's needs. | Health | 2018-06-07 | 2018-07-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-07 | 2018-07-18 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-06-07 | 2018-07-18 | N |
| Post nurse staffing information every day. | Health | 2018-06-07 | 2018-07-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-07 | 2018-07-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-07 | 2018-07-18 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2018-06-07 | 2018-07-18 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-06-07 | 2018-07-18 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2018-06-07 | 2018-07-18 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-06-07 | 2018-07-18 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2018-06-07 | 2018-07-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-07 | 2018-07-18 | N |
