Deficiency Records for Meadow Creek Nursing and Rehabilitation

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Updated as of May 01, 2024

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Deficiency Records for Meadow Creek Nursing and Rehabilitation

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.

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
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 2024-03-01 Not Fixed Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-03-01 Not Fixed Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-03-01 Not Fixed Y
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2024-03-01 Not Fixed Y

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