Inspection Results » Meadowbrook Care and Rehabilitation Center

Health Inspection on January 16, 2019 ^[1]

1. Pattern: Actual harm that is not immediate jeopardy

   • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2019-02-14)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2019-02-14)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-02-14)
   • 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. (Corrected 2019-02-14)

2. Isolated: Actual harm that is not immediate jeopardy

   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-02-14)
   • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2019-02-14)

3. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Provide and implement an infection prevention and control program. (Corrected 2019-02-14)
   • Implement a program that monitors antibiotic use. (Corrected 2019-02-14)

4. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-02-14)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2019-02-14)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-02-14)

5. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Provide medically-related social services to help each resident achieve the highest possible quality of life. (Corrected 2019-02-14)
   • Plan the resident's discharge to meet the resident's goals and needs. (Corrected 2019-02-14)