Deficiency Records for Meadow Creek Nursing and Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for Meadow Creek Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2023-12-27 | 2024-01-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-27 | 2024-01-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-07 | 2023-01-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-07 | 2023-01-07 | 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 | 2022-12-07 | 2023-01-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-07 | 2023-01-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-07 | 2023-01-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-26 | 2022-11-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-26 | 2022-11-26 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-10-28 | 2021-11-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-28 | 2021-11-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-10-28 | 2021-11-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-28 | 2021-11-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-08 | 2021-11-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-19 | 2021-07-09 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-10-23 | 2019-10-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-23 | 2019-10-24 | N |
