Deficiency Records for Meadow Peak Rehabilitation

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Updated as of August 01, 2024

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Deficiency Records for Meadow Peak Rehabilitation

A list of the most recent deficiencies for Meadow Peak Rehabilitation. 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 Meadow Peak Rehabilitation. 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?
Conduct testing and exercise requirements. Fire Safety 2024-05-22 2024-07-22 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-05-22 2024-07-19 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-05-22 2024-07-19 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-05-22 2024-06-24 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-05-23 2024-06-10 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-05-23 2024-06-10 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 2024-05-23 2024-06-10 N
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2024-05-23 2024-06-10 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-05-22 2024-05-31 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-05-22 2024-05-31 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-05-22 2024-05-28 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-05-22 2024-05-23 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2024-05-22 2024-05-23 N
Have proper medical gas storage and administration areas. Fire Safety 2024-05-22 2024-05-22 N
Conduct testing and exercise requirements. Fire Safety 2022-10-26 2022-12-16 N
Have an enclosure around a vertical opening shaft. Fire Safety 2022-10-26 2022-12-16 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 2022-10-26 2022-12-16 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-10-26 2022-12-16 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-10-26 2022-12-16 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-10-27 2022-12-12 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-10-27 2022-12-12 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-10-27 2022-12-12 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-10-27 2022-12-12 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-10-27 2022-12-12 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-10-27 2022-12-12 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 2022-10-27 2022-12-12 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-10-27 2022-12-12 N

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