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Deficiency Records for Carecore at The Meadows
A list of the most recent deficiencies for Carecore at The 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 Carecore at The 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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-05-08 | 2024-06-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-08 | 2024-06-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-05-08 | 2024-06-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-08 | 2024-06-18 | 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 | 2024-05-08 | 2024-06-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-08 | 2024-06-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-08 | 2024-06-18 | N |
| Keep all essential equipment working safely. | Health | 2024-05-08 | 2024-06-18 | 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 | 2024-05-08 | 2024-06-18 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-05-06 | 2024-06-18 | 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 | 2024-05-06 | 2024-06-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-05-06 | 2024-06-18 | 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 | 2024-05-06 | 2024-06-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-06 | 2024-06-18 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-05-06 | 2024-06-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-06 | 2024-06-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-06 | 2024-06-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-06 | 2024-06-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-06 | 2024-06-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-06 | 2024-06-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-05-06 | 2024-06-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-06 | 2024-06-18 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-05-06 | 2024-06-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-06 | 2024-04-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-03-06 | 2024-04-05 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-03-06 | 2024-04-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-16 | 2023-09-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-16 | 2023-09-07 | Y |
| 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 | 2023-08-16 | 2023-09-07 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-08-16 | 2023-09-07 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-16 | 2023-09-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-26 | 2023-05-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-26 | 2023-05-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-22 | 2023-01-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-22 | 2023-01-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-12-22 | 2023-01-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-22 | 2023-01-12 | Y |
| 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 | 2022-12-22 | 2023-01-12 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-12-22 | 2023-01-12 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-12-22 | 2023-01-12 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-22 | 2023-01-12 | Y |
| 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 | 2022-12-22 | 2023-01-12 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-12-22 | 2023-01-12 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-22 | 2023-01-12 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-12-22 | 2023-01-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-22 | 2023-01-12 | 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 | 2022-08-15 | 2022-09-30 | 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 | 2022-08-04 | 2022-09-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-04 | 2022-09-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-04 | 2022-09-30 | 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 | 2022-08-15 | 2022-09-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-15 | 2022-09-27 | 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 | 2022-08-15 | 2022-09-27 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-08-15 | 2022-09-27 | 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 | 2022-08-15 | 2022-09-27 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-08-15 | 2022-09-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-15 | 2022-09-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-15 | 2022-09-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-15 | 2022-09-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-15 | 2022-09-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-15 | 2022-09-27 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2022-08-04 | 2022-09-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-08-04 | 2022-09-27 | 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 | 2022-08-04 | 2022-09-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-04 | 2022-09-27 | 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 | 2022-08-04 | 2022-09-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-04 | 2022-09-27 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-08-04 | 2022-09-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-04 | 2022-09-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-04 | 2022-09-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-04 | 2022-09-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-04 | 2022-09-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-04 | 2022-09-27 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-08-04 | 2022-09-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-04 | 2022-09-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-05 | 2022-05-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-05 | 2022-05-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-05-05 | 2022-05-06 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-05 | 2022-05-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-05 | 2022-05-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-05 | 2022-05-06 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-05 | 2022-05-06 | Y |
| 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 | 2022-05-05 | 2022-05-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-05 | 2022-05-06 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-05-05 | 2022-05-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-13 | 2022-05-06 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-13 | 2022-05-06 | Y |
| 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 | 2022-04-13 | 2022-05-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-18 | 2022-05-06 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-18 | 2022-05-06 | Y |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2022-01-31 | 2022-05-06 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-01-31 | 2022-05-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-31 | 2022-05-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-07 | 2022-05-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-07 | 2022-05-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-07 | 2022-05-06 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-12-07 | 2022-05-06 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-29 | 2019-09-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-07-29 | 2019-09-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-29 | 2019-09-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-01 | 2019-09-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-01 | 2019-09-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-08-01 | 2019-09-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-01 | 2019-09-25 | N |
| Provide activities to meet all resident's needs. | Health | 2019-08-01 | 2019-09-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-01 | 2019-09-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-01 | 2019-09-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-01 | 2019-09-25 | 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 | 2019-08-01 | 2019-09-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-01 | 2019-09-25 | 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 | 2019-08-01 | 2019-09-25 | N |
| Provide or obtain dental services for each resident. | Health | 2019-08-01 | 2019-09-25 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-08-01 | 2019-09-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-01 | 2019-09-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-01 | 2019-09-25 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-07-29 | 2019-09-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-07-29 | 2019-09-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-29 | 2019-09-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-07-29 | 2019-09-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-29 | 2019-09-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-29 | 2019-09-16 | N |
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