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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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