Independent · Federal inspection records, searchable
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Facility profile · CCN 175130

Meadowbrook Rehabilitation Hospital

48 federal citations on record , including 2 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $64,629.

2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
48
Total citations
38
Last 3 years
3
Actual harm+
2
Federal penalties
$64,629
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

48 on record
SurveyF-TagViolationSeveritySource
Sep 16, 2025F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.CStandard
Sep 16, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Sep 16, 2025F761Ensure 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.FStandard
Sep 16, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard
Sep 16, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Sep 16, 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.EStandard
Sep 16, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JStandard
Sep 16, 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
Sep 16, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Sep 16, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Sep 16, 2025F637Assess the resident when there is a significant change in conditionDStandard
Sep 16, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard
Sep 16, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard
Sep 16, 2025F583Keep residents' personal and medical records private and confidential.EStandard
Nov 12, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Nov 12, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Jan 25, 2024F908Keep all essential equipment working safely.EComplaint
Jan 25, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EComplaint
Jan 25, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
Jan 25, 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
Jan 25, 2024F758Implement 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.DComplaint
Jan 25, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
Jan 25, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint
Jan 25, 2024F732Post nurse staffing information every day.CComplaint
Jan 25, 2024F730Observe each nurse aide's job performance and give regular training.FComplaint
Jan 25, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EComplaint
Jan 25, 2024F693Ensure 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.DComplaint
Jan 25, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jan 25, 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.DComplaint
Jan 25, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Jan 25, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Jan 25, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jan 25, 2024F625Notify 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.DComplaint
Jan 25, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Jan 25, 2024F610Respond appropriately to all alleged violations.DComplaint
Jan 25, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jan 25, 2024F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Jan 25, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint
Mar 1, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Mar 16, 2022F880Provide and implement an infection prevention and control program.DStandard
Mar 16, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Mar 16, 2022F758Implement 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
Mar 16, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Mar 16, 2022F688Provide 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
Mar 16, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Mar 16, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Mar 16, 2022F641Ensure each resident receives an accurate assessment.DStandard
Mar 16, 2022F558Reasonably accommodate the needs and preferences of each resident.DStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $64,629 .

DateTypeFinePayment denial
Apr 7, 2025Fine$54,152
Nov 12, 2024Fine$10,477
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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