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Facility profile · CCN 056166

Meadow Creek Post-acute

97 federal citations on record , and 3 federal enforcement actions totaling $28,235.

Record summary

Federal record · Q1 2026
97
Total citations
83
Last 3 years
2
Actual harm+
3
Federal penalties
$28,235
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

97 on record
SurveyF-TagViolationSeveritySource
Dec 22, 2025F760Ensure that residents are free from significant medication errors.EComplaint
Dec 22, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
Oct 28, 2025F880Provide and implement an infection prevention and control program.DComplaint
Oct 28, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Oct 28, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Oct 28, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Sep 17, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Sep 17, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Aug 8, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
May 20, 2025F693Ensure 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.EComplaint
May 20, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint
May 20, 2025F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.EComplaint
Apr 25, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint
Apr 25, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Apr 25, 2025F675Honor each resident's preferences, choices, values and beliefs.DComplaint
Apr 25, 2025F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard
Apr 25, 2025F881Implement a program that monitors antibiotic use.DStandard
Apr 25, 2025F880Provide and implement an infection prevention and control program.DStandard
Apr 25, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard
Apr 25, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Apr 25, 2025F759Ensure medication error rates are not 5 percent or greater.EStandard
Apr 25, 2025F758Implement 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.DStandard
Apr 25, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Apr 25, 2025F730Observe each nurse aide's job performance and give regular training.DStandard
Apr 25, 2025F729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.DStandard
Apr 25, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Apr 25, 2025F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Apr 25, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Apr 25, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesEStandard
Apr 25, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Apr 25, 2025F641Ensure each resident receives an accurate assessment.EStandard
Apr 25, 2025F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Apr 25, 2025F572Give residents a notice of rights, rules, services and charges.DStandard
Apr 25, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Feb 19, 2025F880Provide and implement an infection prevention and control program.DComplaint
Feb 19, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Feb 19, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jan 29, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Jan 29, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint
Nov 26, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Nov 26, 2024F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.EComplaint
Nov 26, 2024F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.EComplaint
Oct 11, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint
Aug 28, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Aug 7, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jul 26, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jul 13, 2024F761Ensure 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.DComplaint
Jul 13, 2024F692Provide enough food/fluids to maintain a resident's health.DComplaint
Jul 13, 2024F610Respond appropriately to all alleged violations.DComplaint
Jul 13, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 31, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
May 16, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Apr 26, 2024F908Keep all essential equipment working safely.FComplaint
Apr 26, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EComplaint
Apr 26, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Apr 26, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Apr 26, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.EStandard
Apr 26, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Apr 26, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Apr 26, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Apr 26, 2024F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Apr 26, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Apr 26, 2024F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Apr 26, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Apr 26, 2024F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Apr 26, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Apr 12, 2024F761Ensure 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.EComplaint
Apr 12, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Feb 20, 2024F880Provide and implement an infection prevention and control program.EComplaint
Feb 20, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Feb 20, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Dec 27, 2023F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DComplaint
Dec 27, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Sep 29, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Sep 21, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Sep 14, 2023F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
Aug 31, 2023F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.EComplaint
Jul 26, 2023F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.EComplaint
Jul 3, 2023F880Provide and implement an infection prevention and control program.FComplaint
Jun 28, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jun 28, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Apr 27, 2023F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.DComplaint
Apr 27, 2023F563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.DComplaint
Mar 23, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Mar 23, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Mar 23, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Apr 19, 2021F908Keep all essential equipment working safely.DStandard
Apr 19, 2021F880Provide and implement an infection prevention and control program.EStandard
Apr 19, 2021F761Ensure 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.EStandard
Apr 19, 2021F759Ensure medication error rates are not 5 percent or greater.EStandard
Apr 19, 2021F758Implement 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.EStandard
Apr 19, 2021F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Apr 19, 2021F692Provide enough food/fluids to maintain a resident's health.DStandard
Apr 19, 2021F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Apr 19, 2021F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Apr 19, 2021F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.EStandard
Apr 19, 2021F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $28,235 .

DateTypeFinePayment denial
Sep 17, 2025Fine$14,015
Jul 13, 2024Fine$8,976
May 23, 2023Fine$5,244
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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