A list of the most recent deficiencies for Linwood Meadows 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? |
|---|---|---|---|---|
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-10-31 | 2023-11-21 | 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 | 2023-10-31 | 2023-11-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-31 | 2023-11-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-31 | 2023-11-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-31 | 2023-11-21 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-10-26 | 2023-11-16 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-10-26 | 2023-11-16 | 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 | 2023-10-26 | 2023-11-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-10-26 | 2023-11-16 | 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 | 2023-10-26 | 2023-11-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-26 | 2023-11-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-26 | 2023-11-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-26 | 2023-11-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-26 | 2023-11-16 | 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 | 2023-10-26 | 2023-11-16 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-10-26 | 2023-11-16 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-10-26 | 2023-11-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-26 | 2023-11-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-26 | 2023-11-16 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-10-26 | 2023-11-16 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2023-10-26 | 2023-11-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-30 | 2023-04-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-09 | 2023-01-31 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-04-18 | 2022-04-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-14 | 2022-03-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-03 | 2022-02-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-26 | 2022-02-17 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-11-01 | 2021-12-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-10-05 | 2021-12-03 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2021-07-23 | 2021-09-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-07-23 | 2021-09-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-23 | 2021-09-14 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-07-23 | 2021-09-14 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-07-23 | 2021-09-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-23 | 2021-09-14 | 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 | 2021-07-23 | 2021-09-14 | 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 | 2021-07-23 | 2021-09-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-07-23 | 2021-09-14 | 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 | 2021-07-23 | 2021-09-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-23 | 2021-09-14 | N |
| Dispose of garbage and refuse properly. | Health | 2021-07-23 | 2021-09-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-23 | 2021-09-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-07-23 | 2021-09-14 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-07-23 | 2021-09-14 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-07-26 | 2021-08-20 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-07-26 | 2021-08-20 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2021-07-26 | 2021-08-20 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-07-26 | 2021-08-20 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-07-26 | 2021-08-20 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-07-26 | 2021-08-20 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-07-26 | 2021-08-20 | 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 | 2021-07-26 | 2021-08-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-26 | 2021-08-20 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-07-26 | 2021-08-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-26 | 2021-08-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-26 | 2021-08-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-07-26 | 2021-08-20 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-07-26 | 2021-08-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-26 | 2021-08-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-26 | 2021-08-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-06-05 | 2019-07-09 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-06-05 | 2019-07-09 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-06-05 | 2019-07-09 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-06-05 | 2019-07-09 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-06-05 | 2019-07-09 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-06-05 | 2019-07-09 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-06-05 | 2019-07-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-05 | 2019-07-09 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-06-05 | 2019-07-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-05 | 2019-07-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-06-05 | 2019-07-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-05 | 2019-07-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-05 | 2019-07-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-05 | 2019-07-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-05-08 | 2019-06-05 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-05-08 | 2019-06-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-08 | 2019-06-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-05-08 | 2019-06-05 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-05-08 | 2019-06-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-08 | 2019-06-05 | 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 | 2019-05-08 | 2019-06-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-08 | 2019-06-05 | N |
