Deficiency Records for Country Meadows Nursing and Rehabilitation Center
Updated as of May 01, 2024
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Deficiency Records for Country Meadows Nursing and Rehabilitation Center
A list of the most recent deficiencies for Country Meadows Nursing and Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Country Meadows Nursing 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? |
|---|---|---|---|---|
| Establish policies and procedures including evacuation. | Fire Safety | 2024-02-22 | 2024-03-22 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2024-02-22 | 2024-03-22 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-02-22 | 2024-03-22 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-02-22 | 2024-03-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-02-22 | 2024-03-22 | 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 | 2024-02-22 | 2024-03-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-22 | 2024-03-22 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2024-02-22 | 2024-03-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-22 | 2024-03-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-02-22 | 2024-03-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-22 | 2024-03-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-22 | 2024-03-22 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-09-22 | 2023-09-23 | Y |
| 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 | 2023-09-22 | 2023-09-23 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2023-06-26 | 2023-07-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-26 | 2023-07-28 | Y |
| 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 | 2023-06-28 | 2023-07-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-28 | 2023-07-28 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-06-28 | 2023-07-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-28 | 2023-07-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-28 | 2023-07-28 | N |
| Provide activities to meet all resident's needs. | Health | 2023-06-28 | 2023-07-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-28 | 2023-07-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-28 | 2023-07-28 | 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 | 2023-06-28 | 2023-07-28 | 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 | 2023-06-28 | 2023-07-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-28 | 2023-07-28 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-06-28 | 2023-07-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-28 | 2023-07-28 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-06-28 | 2023-07-28 | 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 | 2022-06-14 | 2022-07-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-27 | 2022-05-27 | N |
| Respond appropriately to all alleged violations. | Health | 2022-04-27 | 2022-05-27 | 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 | 2022-04-27 | 2022-05-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-27 | 2022-05-27 | 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 | 2022-04-27 | 2022-04-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-27 | 2022-04-28 | 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 | 2022-04-27 | 2022-04-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-27 | 2022-04-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-03-07 | 2019-07-17 | N |
| Use approved construction type or materials. | Fire Safety | 2019-03-07 | 2019-04-12 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-03-08 | 2019-04-02 | 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 | 2019-03-08 | 2019-04-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-08 | 2019-04-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-08 | 2019-04-02 | N |
| Keep all essential equipment working safely. | Health | 2019-03-08 | 2019-04-02 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-03-08 | 2019-04-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-03-07 | 2019-03-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-03-07 | 2019-03-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-07 | 2019-03-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-07 | 2019-03-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-07 | Not Fixed | N |
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