MEADOWBROOK CARE CENTER

This section preserves official CMS inspection text matched to this facility from the current provider page source.

Inspection Report:
2025-05-15
This report is the official CMS Statement of Deficiencies (Form 2567) filed after the most recent health inspection.
Each
23
is a federal standard the facility failed to meet.
Read the full inspection report
Survey: 2025-05-15 | Tag F0565 | Resident Rights Deficiencies | Severity: E
Honor the resident's right to organize and participate in resident/family groups in the facility.
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Survey: 2025-05-15 | Tag F0580 | Resident Rights Deficiencies | Severity: D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Survey: 2025-05-15 | Tag F0641 | Resident Assessment and Care Planning Deficiencies | Severity: D
Ensure each resident receives an accurate assessment.
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Survey: 2025-05-15 | Tag F0645 | Resident Assessment and Care Planning Deficiencies | Severity: D
PASARR screening for Mental disorders or Intellectual Disabilities
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Survey: 2025-05-15 | Tag F0646 | Resident Assessment and Care Planning Deficiencies | Severity: D
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
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Survey: 2025-05-15 | Tag F0656 | Resident Assessment and Care Planning Deficiencies | Severity: D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Survey: 2025-05-15 | Tag F0657 | Resident Assessment and Care Planning Deficiencies | Severity: D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Survey: 2025-05-15 | Tag F0684 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Survey: 2025-05-15 | Tag F0693 | Quality of Life and Care Deficiencies | Severity: D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
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Survey: 2025-05-15 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Survey: 2025-05-15 | Tag F0883 | Infection Control Deficiencies | Severity: D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Survey: 2025-05-15 | Tag F0887 | Infection Control Deficiencies | Severity: D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
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Survey: 2025-05-15 | Tag F0908 | Environmental Deficiencies | Severity: F
Keep all essential equipment working safely.
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Survey: 2025-05-15 | Tag F0583 | Resident Rights Deficiencies | Severity: D
Keep residents' personal and medical records private and confidential.
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Survey: 2025-05-15 | Tag F0584 | Resident Rights Deficiencies | Severity: E
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.
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Survey: 2025-05-15 | Tag F0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
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Survey: 2025-05-15 | Tag F0628 | Resident Rights Deficiencies | Severity: E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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Survey: 2025-05-15 | Tag F0686 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Survey: 2025-05-15 | Tag F0760 | Pharmacy Service Deficiencies | Severity: D
Ensure that residents are free from significant medication errors.
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Survey: 2025-05-15 | Tag F0761 | Pharmacy Service Deficiencies | Severity: D
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.
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Survey: 2025-05-15 | Tag F0803 | Nutrition and Dietary Deficiencies | Severity: E
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.
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Survey: 2025-05-15 | Tag F0808 | Nutrition and Dietary Deficiencies | Severity: D
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
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Survey: 2025-05-15 | Tag F0880 | Infection Control Deficiencies | Severity: D
Provide and implement an infection prevention and control program.
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Survey: 2024-11-26 | Tag F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Survey: 2024-11-26 | Tag F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Survey: 2024-07-25 | Tag F0558 | Resident Rights Deficiencies | Severity: D
Reasonably accommodate the needs and preferences of each resident.
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Survey: 2024-07-25 | Tag F0684 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Survey: 2024-07-25 | Tag F0697 | Quality of Life and Care Deficiencies | Severity: D
Provide safe, appropriate pain management for a resident who requires such services.
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Survey: 2024-07-25 | Tag F0759 | Pharmacy Service Deficiencies | Severity: D
Ensure medication error rates are not 5 percent or greater.
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Survey: 2024-07-25 | Tag F0880 | Infection Control Deficiencies | Severity: F
Provide and implement an infection prevention and control program.
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Survey: 2024-05-07 | Tag F0686 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Survey: 2024-05-07 | Tag F0691 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
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Survey: 2024-05-07 | Tag F0712 | Nursing and Physician Services Deficiencies | Severity: D
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
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Survey: 2023-11-16 | Tag F0550 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Survey: 2023-11-16 | Tag F0578 | Resident Rights Deficiencies | Severity: D
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.
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Survey: 2023-11-16 | Tag F0584 | Resident Rights Deficiencies | Severity: E
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.
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Survey: 2023-11-16 | Tag F0657 | Resident Assessment and Care Planning Deficiencies | Severity: D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Survey: 2023-11-16 | Tag F0677 | Quality of Life and Care Deficiencies | Severity: D
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Survey: 2023-11-16 | Tag F0690 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Survey: 2023-11-16 | Tag F0770 | Administration Deficiencies | Severity: D
Provide timely, quality laboratory services/tests to meet the needs of residents.
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Survey: 2023-11-16 | Tag F0801 | Nutrition and Dietary Deficiencies | Severity: F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
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Survey: 2023-11-16 | Tag F0803 | Nutrition and Dietary Deficiencies | Severity: E
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.
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Survey: 2023-11-16 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Survey: 2023-11-16 | Tag F0881 | Infection Control Deficiencies | Severity: E
Implement a program that monitors antibiotic use.
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Survey: 2023-11-16 | Tag F0919 | Environmental Deficiencies | Severity: E
Make sure that a working call system is available in each resident's bathroom and bathing area.
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Survey: 2023-11-16 | Tag F0694 | Quality of Life and Care Deficiencies | Severity: E
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
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Survey: 2023-11-16 | Tag F0755 | Pharmacy Service Deficiencies | Severity: E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Survey: 2023-11-16 | Tag F0837 | Administration Deficiencies | Severity: E
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
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Survey: 2023-07-19 | Tag F0580 | Resident Rights Deficiencies | Severity: D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Survey: 2023-07-19 | Tag F0686 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Survey: 2020-01-30 | Tag F0656 | Resident Assessment and Care Planning Deficiencies | Severity: D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Source: U.S. Centers for Medicare & Medicaid Services. Data reflects the most recent available inspection.