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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?
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
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 2019-09-17 2019-12-16 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2019-09-17 2019-12-16 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 2019-09-17 2019-12-16 N
Provide and implement an infection prevention and control program. Health 2019-09-17 2019-12-16 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2019-09-17 2019-11-06 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2019-09-17 2019-11-06 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-09-17 2019-11-06 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 2019-09-17 2019-11-06 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-09-17 2019-11-06 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 2019-09-17 2019-11-06 N
Observe each nurse aide's job performance and give regular training. Health 2019-09-17 2019-11-06 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2019-09-17 2019-11-06 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-09-17 2019-11-06 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2019-09-17 2019-11-06 N
Put firmly secured handrails on each side of hallways. Health 2019-09-17 2019-11-06 N
Provide enough food/fluids to maintain a resident's health. Health 2019-09-17 2019-10-15 N
List the names and contact information of those in the facility. Fire Safety 2019-09-17 2019-10-15 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2019-09-17 2019-10-15 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 2019-09-17 2019-10-15 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 2019-09-17 2019-10-15 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2019-09-17 2019-10-15 N
Have properly located and lighted "Exit" signs. Fire Safety 2019-09-17 2019-10-15 N
Install an approved automatic sprinkler system. Fire Safety 2019-09-17 2019-10-15 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2019-09-17 2019-10-15 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-09-17 2019-10-15 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-09-17 2019-10-15 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2019-09-17 2019-10-15 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2019-09-17 2019-10-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-09-17 2019-10-15 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2019-09-17 2019-10-15 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2019-09-17 2019-10-15 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-09-17 2019-10-15 N

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