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Deficiency Records for Meadowbrook Health and Rehab
A list of the most recent deficiencies for Meadowbrook Health and Rehab. 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 Meadowbrook Health and Rehab. 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? |
|---|---|---|---|---|
| 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 | 2024-05-08 | 2024-06-20 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-05-08 | 2024-06-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-08 | 2024-06-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-08 | 2024-06-20 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-05-08 | 2024-06-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-08 | 2024-06-20 | 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 | 2024-05-08 | 2024-06-20 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-08 | 2024-06-20 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-05-08 | 2024-06-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-08 | 2024-06-20 | Y |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2024-05-08 | 2024-06-20 | Y |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2024-05-06 | 2024-06-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-06 | 2024-06-20 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-05-06 | 2024-06-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-06 | 2024-06-20 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2024-05-06 | 2024-06-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-06 | 2024-06-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-06 | 2024-06-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-05-06 | 2024-06-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-06 | 2024-06-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-06 | 2024-06-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-17 | 2023-11-15 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-17 | 2023-11-15 | Y |
| Dispose of garbage and refuse properly. | Health | 2023-08-17 | 2023-11-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-17 | 2023-11-15 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-28 | 2023-09-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-28 | 2023-09-29 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-08-28 | 2023-09-29 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-08-28 | 2023-09-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-17 | 2023-09-23 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-17 | 2023-09-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-17 | 2023-09-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-17 | 2023-09-23 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-17 | 2023-09-23 | Y |
| 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 | 2023-08-17 | 2023-09-23 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-17 | 2023-09-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-17 | 2023-09-23 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-17 | 2023-09-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-31 | 2023-06-20 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-05-31 | 2023-06-20 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-05-31 | 2023-06-20 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-03-25 | 2023-04-28 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-03-25 | 2023-04-28 | Y |
| 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 | 2023-03-25 | 2023-04-28 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-25 | 2023-04-28 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-03-25 | 2023-04-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-19 | 2023-02-17 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-04 | 2022-04-18 | 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 | 2022-02-04 | 2022-04-18 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-02-04 | 2022-04-18 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-02-04 | 2022-04-18 | Y |
| 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 | 2022-02-04 | 2022-04-18 | 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 | 2022-02-04 | 2022-04-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-04 | 2022-04-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-04 | 2022-04-18 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-02-04 | 2022-04-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-04 | 2022-04-18 | 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 | 2022-02-04 | 2022-04-18 | Y |
| Dispose of garbage and refuse properly. | Health | 2022-02-04 | 2022-04-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-04 | 2022-04-18 | Y |
| Implement a program that monitors antibiotic use. | Health | 2022-02-04 | 2022-04-18 | Y |
| Report COVID19 data to residents and families. | Health | 2022-02-04 | 2022-04-18 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-02 | 2022-04-18 | N |
| Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion. | Fire Safety | 2022-02-02 | 2022-04-18 | N |
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