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Deficiency Records for Glen Meadows
A list of the most recent deficiencies for Glen Meadows. 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 Glen Meadows. 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 appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-11-06 | 2023-11-09 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2021-11-08 | 2021-11-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-22 | 2021-10-22 | N |
| Respond appropriately to all alleged violations. | Health | 2021-09-22 | 2021-10-22 | N |
| Provide activities to meet all resident's needs. | Health | 2021-09-22 | 2021-10-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-09-22 | 2021-10-22 | 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 | 2021-09-22 | 2021-10-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-22 | 2021-10-22 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-09-13 | 2021-10-22 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-09-13 | 2021-10-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-09-13 | 2021-10-22 | 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 | 2021-09-13 | 2021-10-22 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2021-09-13 | 2021-10-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-13 | 2021-10-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-13 | 2021-10-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-09-13 | 2021-10-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-13 | 2021-10-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-13 | 2019-07-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-13 | 2019-07-11 | N |
| Provide activities to meet all resident's needs. | Health | 2019-06-13 | 2019-07-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-13 | 2019-07-11 | 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 | 2019-06-13 | 2019-07-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-13 | 2019-07-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-13 | 2019-07-11 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-06-12 | 2019-07-11 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-06-12 | 2019-07-11 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-06-12 | 2019-07-11 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-06-12 | 2019-07-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-12 | 2019-07-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-06-12 | 2019-07-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-12 | 2019-07-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-12 | 2019-07-11 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-04-05 | 2018-05-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-04-05 | 2018-05-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-05 | 2018-05-15 | 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 | 2018-04-05 | 2018-05-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-04-05 | 2018-05-15 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2018-04-05 | 2018-05-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-05 | 2018-05-15 | N |
| Keep all essential equipment working safely. | Health | 2018-04-05 | 2018-05-15 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2018-04-02 | 2018-05-15 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-04-02 | 2018-05-15 | 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 | 2018-04-02 | 2018-05-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-02 | 2018-05-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-04-02 | 2018-05-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-04-02 | 2018-05-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-02 | 2018-05-15 | N |
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