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Deficiency Records for Meadowbrook Respiratory and Nursing Center
A list of the most recent deficiencies for Meadowbrook Respiratory and Nursing 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 Meadowbrook Respiratory and Nursing 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? |
|---|---|---|---|---|
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-07-18 | 2023-08-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-18 | 2023-08-08 | Y |
| Have proper power supply for life support equipment. | Fire Safety | 2023-05-08 | 2023-06-14 | N |
| Respond appropriately to all alleged violations. | Health | 2023-05-08 | 2023-06-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-08 | 2023-06-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-08 | 2023-06-09 | 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 | 2023-05-08 | 2023-06-09 | 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 | 2023-05-08 | 2023-06-09 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-08 | 2023-06-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-08 | 2023-06-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-08 | 2023-06-09 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-05-08 | 2023-06-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-08 | 2023-06-09 | 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 | 2023-05-08 | 2023-06-09 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-05-08 | 2023-06-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-08 | 2023-06-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-05-08 | 2023-06-09 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2023-05-08 | 2023-06-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-06 | 2023-02-27 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-06 | 2023-02-27 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-01-06 | 2023-02-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-06 | 2023-02-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-06 | 2023-02-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-19 | 2021-03-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-23 | 2019-06-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-05-23 | 2019-06-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-23 | 2019-06-14 | 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 | 2019-05-23 | 2019-06-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-23 | 2019-06-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-23 | 2019-06-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-23 | 2019-06-14 | N |
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