Facility profile · CCN 465158
Meadow Brook Rehabilitation And Nursing
59 federal citations on record , including 2 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $31,331.
Record summary
Federal record · Q1 202659
Total citations
55
Last 3 years
8
Actual harm+
2
Federal penalties
$31,331
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
59 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Nov 20, 2025 | F887 | 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. | E | Complaint |
| Nov 20, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Nov 20, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Nov 20, 2025 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard |
| Nov 20, 2025 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Nov 20, 2025 | F775 | Keep complete, dated laboratory records in the resident's record. | E | Standard |
| Nov 20, 2025 | F773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Standard |
| Nov 20, 2025 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard |
| Nov 20, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Nov 20, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard |
| Nov 20, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Nov 20, 2025 | F584 | 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. | E | Standard |
| Oct 24, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Feb 22, 2024 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Complaint |
| Feb 22, 2024 | F923 | Have enough outside ventilation via a window or mechanical ventilation, or both. | E | Complaint |
| Feb 22, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint |
| Feb 22, 2024 | F908 | Keep all essential equipment working safely. | D | Complaint |
| Feb 22, 2024 | F881 | Implement a program that monitors antibiotic use. | E | Complaint |
| Feb 22, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Feb 22, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | H | Complaint |
| Feb 22, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint |
| Feb 22, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint |
| Feb 22, 2024 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint |
| Feb 22, 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 | Complaint |
| Feb 22, 2024 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Feb 22, 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. | E | Complaint |
| Feb 22, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint |
| Feb 22, 2024 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint |
| Feb 22, 2024 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G | Complaint |
| Feb 22, 2024 | F728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | E | Complaint |
| Feb 22, 2024 | F726 | 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. | J | Complaint |
| Feb 22, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint |
| Feb 22, 2024 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint |
| Feb 22, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Feb 22, 2024 | F694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Complaint |
| Feb 22, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint |
| Feb 22, 2024 | 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. | G | Complaint |
| Feb 22, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Feb 22, 2024 | F687 | Provide appropriate foot care. | D | Complaint |
| Feb 22, 2024 | F679 | Provide activities to meet all resident's needs. | D | Complaint |
| Feb 22, 2024 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E | Complaint |
| Feb 22, 2024 | F660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Complaint |
| Feb 22, 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. | D | Complaint |
| Feb 22, 2024 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Complaint |
| Feb 22, 2024 | F624 | Prepare residents for a safe transfer or discharge from the nursing home. | G | Complaint |
| Feb 22, 2024 | F610 | Respond appropriately to all alleged violations. | E | Complaint |
| Feb 22, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint |
| Feb 22, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint |
| Feb 22, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint |
| Feb 22, 2024 | F584 | 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. | E | Complaint |
| Feb 22, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Feb 22, 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. | G | Complaint |
| Feb 22, 2024 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Complaint |
| Feb 22, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Feb 22, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| May 25, 2022 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| May 25, 2022 | F610 | Respond appropriately to all alleged violations. | E | Standard |
| May 25, 2022 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard |
| May 25, 2022 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $31,331 and 1 payment-denial actions spanning 6 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Feb 22, 2024 | Fine | $31,331 | — |
| Feb 22, 2024 | Payment Denial | — | Apr 13, 2024 · 6 days |
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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