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Deficiency Records for The Meadows Post Acute
A list of the most recent deficiencies for The Meadows Post Acute. 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 The Meadows Post Acute. 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 and implement an infection prevention and control program. | Health | 2024-08-13 | 2024-09-04 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-05-23 | 2024-06-12 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-11-21 | 2023-12-14 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-11-21 | 2023-12-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-11-21 | 2023-12-14 | 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 | 2023-11-21 | 2023-12-14 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-11-21 | 2023-12-14 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-11-21 | 2023-12-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-21 | 2023-12-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-16 | 2023-12-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-11-16 | 2023-12-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-16 | 2023-12-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-16 | 2023-12-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-16 | 2023-12-11 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-16 | 2023-12-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-16 | 2023-12-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-11-16 | 2023-12-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-11-16 | 2023-12-11 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-11-16 | 2023-12-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-16 | 2023-12-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-21 | 2023-10-13 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-10 | 2023-05-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-05 | 2023-04-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-09 | 2023-01-01 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-12-09 | 2023-01-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-09 | 2023-01-01 | 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 | 2022-12-09 | 2023-01-01 | 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 | 2022-12-09 | 2023-01-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-09 | 2023-01-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-12-09 | 2023-01-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-09 | 2023-01-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-09 | 2023-01-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-09 | 2023-01-01 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-12-09 | 2023-01-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-09 | 2023-01-01 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-12-09 | 2023-01-01 | 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 | 2022-12-15 | 2022-12-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-15 | 2022-12-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-12-15 | 2022-12-30 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-12-15 | 2022-12-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-15 | 2022-12-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-15 | 2022-12-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-15 | 2022-12-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-15 | 2022-12-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-15 | 2022-12-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-15 | 2022-12-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-15 | 2022-12-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-24 | 2022-08-12 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-07-22 | 2022-07-25 | Y |
| Provide appropriate foot care. | Health | 2022-06-10 | 2022-06-21 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-28 | 2022-03-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-28 | 2022-03-07 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-13 | 2022-02-21 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-02-13 | 2022-02-21 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-01-07 | 2022-01-22 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-04 | 2021-10-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-04 | 2021-10-07 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-10-04 | 2021-10-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-04 | 2021-10-07 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-03-26 | 2019-04-25 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2019-03-26 | 2019-04-25 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-03-26 | 2019-04-25 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-03-26 | 2019-04-25 | 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 | 2019-03-26 | 2019-04-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-26 | 2019-04-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-26 | 2019-04-25 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-03-26 | 2019-04-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-03-26 | 2019-04-25 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-03-26 | 2019-04-25 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-03-26 | 2019-04-25 | 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 | 2019-03-26 | 2019-04-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-26 | 2019-04-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-26 | 2019-04-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-26 | 2019-04-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-26 | 2019-04-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-22 | 2019-04-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-03-22 | 2019-04-21 | N |
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