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Deficiency Records for Meridian Rehabilitation and Health Care Center
A list of the most recent deficiencies for Meridian Rehabilitation and Health Care 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 Meridian Rehabilitation and Health Care 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? |
|---|---|---|---|---|
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-09-04 | 2024-09-30 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2024-09-04 | 2024-09-30 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-09-04 | 2024-09-30 | N |
| Meet other general requirements. | Fire Safety | 2024-09-04 | 2024-09-30 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-09-04 | 2024-09-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-09-04 | 2024-09-30 | 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 | 2024-09-04 | 2024-09-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-09-04 | 2024-09-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-09-04 | 2024-09-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-04 | 2024-09-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-09-04 | 2024-09-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-04 | 2024-09-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-09-04 | 2024-09-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-09-04 | 2024-09-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-09-04 | 2024-09-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-04 | 2024-09-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-09-04 | 2024-09-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-09-04 | 2024-09-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-04 | 2024-09-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-04 | 2024-09-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-09-04 | 2024-09-30 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-08-05 | 2024-09-03 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-08-05 | 2024-09-03 | 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 | 2024-08-05 | 2024-09-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-05 | 2024-09-03 | 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 | 2024-08-05 | 2024-09-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-05 | 2024-09-03 | N |
| Provide activities to meet all resident's needs. | Health | 2024-08-05 | 2024-09-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-08-05 | 2024-09-03 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-08-05 | 2024-09-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-08-05 | 2024-09-03 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-08-05 | 2024-09-03 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2024-08-05 | 2024-09-03 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-08-05 | 2024-09-03 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-08-05 | 2024-09-03 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-08-05 | 2024-09-03 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-08-05 | 2024-09-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-05 | 2024-09-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-05 | 2024-08-05 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-08-05 | 2024-08-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-05 | 2024-07-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-07 | 2023-07-27 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-19 | 2023-07-05 | Y |
| 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 | 2023-05-31 | 2023-06-01 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-05-31 | 2023-06-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-12-13 | 2023-03-20 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-12-13 | 2023-03-20 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-12-13 | 2023-03-20 | Y |
| 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 | 2022-12-13 | 2023-03-20 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-01-04 | 2023-03-07 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-01-04 | 2023-03-07 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-01-04 | 2023-03-07 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2023-01-04 | 2023-03-07 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-01-04 | 2023-03-07 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-01-04 | 2023-03-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-01-04 | 2023-03-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-04 | 2023-03-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-01-04 | 2023-03-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-04 | 2023-03-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-01-04 | 2023-03-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-04 | 2023-03-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-04 | 2023-03-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-01-04 | 2023-03-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-04 | 2023-03-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-04 | 2023-03-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-04 | 2023-03-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-01-04 | 2023-03-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-04 | 2023-03-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-04 | 2023-03-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-04 | 2023-03-07 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-12-13 | 2023-02-22 | N |
| 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 | 2022-12-13 | 2023-02-22 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-12-13 | 2023-02-22 | 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 | 2022-12-13 | 2023-02-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-13 | 2023-02-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-13 | 2023-02-22 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-12-13 | 2023-02-22 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-12-13 | 2023-02-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-13 | 2023-02-22 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-12-13 | 2023-02-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-13 | 2023-02-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-13 | 2023-02-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-13 | 2023-02-22 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-13 | 2023-02-22 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-12-13 | 2023-02-22 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-12-13 | 2023-02-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-13 | 2023-02-22 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2022-12-13 | 2023-02-22 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-13 | 2023-02-22 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-12-13 | 2023-02-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-13 | 2023-02-22 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-13 | 2023-02-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-28 | 2022-10-12 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-06-23 | 2021-07-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-23 | 2021-07-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-23 | 2021-07-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-23 | 2021-07-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-23 | 2021-07-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-23 | 2021-07-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-06-23 | 2021-07-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-23 | 2021-07-16 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-06-23 | 2021-07-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-23 | 2021-06-23 | 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 | 2021-04-22 | 2021-05-14 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-04-22 | 2021-05-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-22 | 2021-05-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-22 | 2021-05-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-22 | 2021-05-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-22 | 2021-05-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-22 | 2021-05-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-22 | 2021-05-14 | N |
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