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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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-26 | 2024-10-18 | N |
| Respond appropriately to all alleged violations. | Health | 2024-09-26 | 2024-10-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-26 | 2024-10-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-26 | 2024-10-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-09-26 | 2024-10-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-26 | 2024-10-18 | 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 | 2024-10-03 | 2024-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-03 | 2024-10-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-03 | 2024-10-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-10-03 | 2024-10-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-10-03 | 2024-10-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-03 | 2024-10-18 | 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 | 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 |
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