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Deficiency Records for Meadowood Nursing Center
A list of the most recent deficiencies for Meadowood Nursing Center. 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 Meadowood Nursing Center. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-30 | 2024-08-21 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-07 | 2024-06-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-07 | 2024-06-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-07 | 2024-06-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-07 | 2024-06-20 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-05-07 | 2024-06-20 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-05-07 | 2024-06-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-14 | 2024-03-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-14 | 2024-03-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-02 | 2024-03-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-19 | 2023-10-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-27 | 2023-08-24 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-27 | 2023-08-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-27 | 2023-08-24 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-07-27 | 2023-08-24 | 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 | 2023-07-27 | 2023-08-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-27 | 2023-08-24 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-07-27 | 2023-08-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-27 | 2023-08-24 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-27 | 2023-08-24 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-12-14 | 2023-03-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-14 | 2023-01-20 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-12-14 | 2023-01-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-14 | 2023-01-20 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-12-14 | 2023-01-20 | 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 | 2022-12-14 | 2023-01-20 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-12-14 | 2023-01-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-14 | 2023-01-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-14 | 2023-01-19 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-12-14 | 2023-01-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-14 | 2023-01-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-14 | 2023-01-19 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-14 | 2023-01-17 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-12-14 | 2023-01-17 | N |
| Post nurse staffing information every day. | Health | 2022-12-14 | 2023-01-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-14 | 2023-01-16 | N |
| Use approved construction type or materials. | Fire Safety | 2022-12-21 | 2023-01-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-21 | 2023-01-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-12-21 | 2023-01-10 | 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 | 2022-12-21 | 2023-01-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-21 | 2023-01-10 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-12-21 | 2023-01-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-21 | 2023-01-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-21 | 2023-01-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-21 | 2023-01-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-12-21 | 2023-01-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-21 | 2023-01-10 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-12-21 | 2023-01-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-21 | 2023-01-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-21 | 2023-01-10 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-12-21 | 2023-01-10 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2022-12-14 | 2023-01-02 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-12-14 | 2022-12-22 | 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 | 2022-12-14 | 2022-12-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-03 | 2020-01-10 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-10-03 | 2020-01-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-10-03 | 2020-01-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-10-03 | 2020-01-10 | N |
| Respond appropriately to all alleged violations. | Health | 2019-10-03 | 2020-01-10 | 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 | 2019-10-03 | 2020-01-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-03 | 2020-01-10 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-10-03 | 2020-01-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-03 | 2020-01-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-03 | 2020-01-10 | N |
| Use approved construction type or materials. | Fire Safety | 2019-11-12 | 2019-12-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-12 | 2019-12-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-11-12 | 2019-12-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-12 | 2019-12-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-11-12 | 2019-12-17 | N |
| 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 | 2018-09-05 | 2018-11-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-05 | 2018-11-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-09-05 | 2018-11-02 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-09-05 | 2018-11-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-05 | 2018-11-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-09-05 | 2018-11-02 | 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 | 2018-09-05 | 2018-11-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-09-05 | 2018-11-02 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2018-09-05 | 2018-11-02 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-09-05 | 2018-11-02 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-09-05 | 2018-11-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-05 | 2018-11-02 | N |
| Dispose of garbage and refuse properly. | Health | 2018-09-05 | 2018-11-02 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-09-05 | 2018-11-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-05 | 2018-11-02 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2018-09-05 | 2018-11-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-10-08 | 2018-10-25 | N |
| Use approved construction type or materials. | Fire Safety | 2018-10-08 | 2018-10-25 | 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 | 2018-10-08 | 2018-10-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-08 | 2018-10-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-08 | 2018-10-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-10-08 | 2018-10-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-08 | 2018-10-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-10-08 | 2018-10-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-08 | 2018-10-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-10-08 | 2018-10-25 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-10-08 | 2018-10-25 | N |
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