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Deficiency Records for Meadowbrook Village Christian Retirement Community
View the most recent health deficiencies and inspection results for Meadowbrook Village Christian Retirement Community. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Meadowbrook Village Christian Retirement Community. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-31 | 2024-11-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-31 | 2024-11-27 | 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 | 2024-10-31 | 2024-11-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-31 | 2024-11-18 | N |
| Dispose of garbage and refuse properly. | Health | 2024-10-31 | 2024-11-18 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-10-31 | 2024-11-15 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-10-31 | 2024-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-30 | 2024-01-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-30 | 2024-01-04 | 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 | 2023-11-30 | 2024-01-04 | 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 | 2023-11-30 | 2024-01-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-30 | 2024-01-04 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-11-30 | 2024-01-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-30 | 2023-12-15 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-11-30 | 2023-12-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-30 | 2023-12-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-11-30 | 2023-12-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-30 | 2023-12-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-30 | 2023-12-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-15 | 2022-10-17 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-09-15 | 2022-10-17 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-09-15 | 2022-10-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-15 | 2022-10-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-09-15 | 2022-10-17 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2022-09-15 | 2022-10-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-15 | 2022-10-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-09-15 | 2022-10-17 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-09-15 | 2022-10-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-15 | 2022-10-17 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-09-15 | 2022-10-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-15 | 2022-10-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-09-15 | 2022-10-17 | N |