Deficiency Records for Meadowood A Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Meadowood A Health and Rehabilitation 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-02-13 | 2024-03-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-13 | 2024-03-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-13 | 2024-03-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-13 | 2024-03-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-09 | 2024-03-10 | 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 | 2024-02-09 | 2024-03-10 | 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 | 2024-02-09 | 2024-03-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-09 | 2024-03-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-09 | 2024-03-10 | 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 | 2024-02-09 | 2024-03-10 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-02-09 | 2024-03-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-09 | 2024-03-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-09 | 2024-03-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-09 | 2023-03-30 | 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 | 2023-03-09 | 2023-03-30 | Y |
| Assess the resident when there is a significant change in condition | Health | 2023-02-08 | 2023-03-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-08 | 2023-03-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-15 | 2023-03-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-26 | 2023-02-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-26 | 2023-02-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-23 | 2022-09-24 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2022-07-18 | 2022-08-08 | N |
| Use approved construction type or materials. | Fire Safety | 2022-07-18 | 2022-08-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-07-18 | 2022-08-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-18 | 2022-08-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-07-18 | 2022-08-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-18 | 2022-08-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-07-18 | 2022-08-08 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-07-18 | 2022-08-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-18 | 2022-08-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-18 | 2022-08-08 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-07-18 | 2022-08-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-18 | 2022-08-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-07-18 | 2022-08-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-15 | 2022-08-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-15 | 2022-08-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-15 | 2022-08-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-15 | 2022-08-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-15 | 2022-08-06 | 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 | 2022-07-15 | 2022-08-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-07-15 | 2022-08-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-15 | 2022-08-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-15 | 2022-08-06 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-15 | 2022-08-06 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-01 | 2022-03-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-01 | 2022-03-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-24 | 2021-09-09 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-24 | 2021-09-09 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-08 | 2020-01-22 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-01-08 | 2020-01-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-08 | 2020-01-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-08 | 2020-01-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-08 | 2020-01-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-08 | 2020-01-22 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2020-01-08 | 2020-01-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-17 | 2020-01-14 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-12-17 | 2020-01-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-12-17 | 2020-01-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-17 | 2020-01-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-17 | 2020-01-14 | 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 | 2019-12-17 | 2020-01-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-17 | 2020-01-14 | 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 | 2019-12-17 | 2020-01-14 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-12-17 | 2020-01-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-17 | 2020-01-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-17 | 2020-01-14 | N |
| Have policies on smoking. | Health | 2019-12-17 | 2020-01-14 | N |
