Deficiency Records for Meadow Grove Transitional Care

A list of the most recent deficiencies for Meadow Grove Transitional Care. 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?
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	Health	2024-01-24	2024-02-12	Y
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	2024-01-24	2024-02-12	Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Health	2024-01-24	2024-02-12	Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing.	Health	2024-01-03	2024-02-12	Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	Health	2022-12-28	2023-01-13	N
Provide care and assistance to perform activities of daily living for any resident who is unable.	Health	2022-12-28	2023-01-13	N
Provide appropriate pressure ulcer care and prevent new ulcers from developing.	Health	2022-12-28	2023-01-13	N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Health	2022-12-28	2023-01-13	N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Fire Safety	2022-12-22	2023-01-13	N
Ensure proper usage of power strips and extension cords.	Fire Safety	2022-12-22	2023-01-13	N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	Health	2020-02-13	2020-03-11	N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	Health	2020-02-13	2020-03-11	N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	Health	2020-02-13	2020-03-11	N
Ensure each resident receives an accurate assessment.	Health	2020-02-13	2020-03-11	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	2020-02-13	2020-03-11	N
Provide appropriate treatment and care according to orders, resident?s preferences and goals.	Health	2020-02-13	2020-03-11	N
Provide routine and 24-hour emergency dental care for each resident.	Health	2020-02-13	2020-03-11	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	2020-02-11	2020-03-11	N
Install an approved automatic sprinkler system.	Fire Safety	2020-02-11	2020-03-11	N
Inspect, test, and maintain automatic sprinkler systems.	Fire Safety	2020-02-11	2020-03-11	N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Fire Safety	2020-02-11	2020-03-11	N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Fire Safety	2020-02-11	2020-03-11	N
Have simulated fire drills held at unexpected times.	Fire Safety	2020-02-11	2020-03-11	N
To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Fire Safety	2020-02-11	2020-03-11	N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Fire Safety	2020-02-11	2020-03-11	N
Have generator or other power source capable of supplying service within 10 seconds.	Fire Safety	2020-02-11	2020-03-11	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	2018-12-13	2019-01-07	N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	Health	2018-12-13	2019-01-07	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	2018-12-13	2019-01-07	N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Health	2018-12-13	2019-01-07	N
Have simulated fire drills held at unexpected times.	Fire Safety	2018-12-12	2019-01-07	N
Have generator or other power source capable of supplying service within 10 seconds.	Fire Safety	2018-12-12	2019-01-07	N

Deficiency Records for Meadow Grove Transitional Care

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