Facility profile · CCN 495338
Deer Meadows Rehabilitation And Nursing
53 federal citations on record .
Record summary
Federal record · Q1 202653
Total citations
36
Last 3 years
0
Actual harm+
0
Federal penalties
$0
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
53 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Mar 14, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Mar 14, 2025 | F773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Complaint |
| Mar 14, 2025 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | E | Complaint |
| Mar 14, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Mar 14, 2025 | F758 | 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. | D | Complaint |
| Mar 14, 2025 | F711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | Complaint |
| Mar 14, 2025 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint |
| Mar 14, 2025 | F687 | Provide appropriate foot care. | D | Complaint |
| Mar 14, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Mar 14, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Mar 14, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Mar 14, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint |
| Mar 14, 2025 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint |
| Aug 6, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| Aug 6, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Aug 6, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Aug 6, 2024 | F814 | Dispose of garbage and refuse properly. | F | Standard |
| Aug 6, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Aug 6, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Aug 6, 2024 | F803 | 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. | E | Standard |
| Aug 6, 2024 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Standard |
| Aug 6, 2024 | F800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | Standard |
| Aug 6, 2024 | F761 | 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. | E | Standard |
| Aug 6, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Aug 6, 2024 | F758 | 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. | D | Standard |
| Aug 6, 2024 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard |
| Aug 6, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Aug 6, 2024 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| Aug 6, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard |
| Aug 6, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Aug 6, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Aug 6, 2024 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Aug 6, 2024 | F625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | Standard |
| Aug 6, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| Aug 6, 2024 | F622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Standard |
| Aug 6, 2024 | F578 | 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. | D | Standard |
| Oct 28, 2021 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Oct 28, 2021 | F801 | 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. | F | Standard |
| Oct 28, 2021 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Oct 28, 2021 | F693 | 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. | D | Standard |
| Oct 28, 2021 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Oct 28, 2021 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| May 2, 2019 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| May 2, 2019 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard |
| May 2, 2019 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| May 2, 2019 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| May 2, 2019 | F758 | 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. | D | Standard |
| May 2, 2019 | F625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard |
| May 2, 2019 | F622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Standard |
| May 2, 2019 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| May 2, 2019 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Standard |
| May 2, 2019 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| May 2, 2019 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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