Facility profile · CCN 045341
Meadowview Healthcare And Rehab
67 federal citations on record , including 7 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $18,446.
Record summary
Federal record · Q1 202667
Total citations
54
Last 3 years
7
Actual harm+
4
Federal penalties
$18,446
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
67 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jun 12, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Oct 16, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | L | Complaint |
| Oct 16, 2024 | F949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F | Standard |
| Oct 16, 2024 | F946 | Provide training in compliance and ethics. | F | Standard |
| Oct 16, 2024 | F944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | Standard |
| Oct 16, 2024 | F941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | F | Standard |
| Oct 16, 2024 | F940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | F | Standard |
| Oct 16, 2024 | F926 | Have policies on smoking. | F | Standard |
| Oct 16, 2024 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Standard |
| Oct 16, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | K | Standard |
| Oct 16, 2024 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Oct 16, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | L | Standard |
| Oct 16, 2024 | F851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard |
| Oct 16, 2024 | F838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Standard |
| Oct 16, 2024 | F837 | 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. | L | Standard |
| Oct 16, 2024 | F836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | D | Standard |
| Oct 16, 2024 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | L | Standard |
| Oct 16, 2024 | F814 | Dispose of garbage and refuse properly. | F | Standard |
| Oct 16, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Oct 16, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Oct 16, 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 |
| Oct 16, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Oct 16, 2024 | F732 | Post nurse staffing information every day. | C | Standard |
| Oct 16, 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. | F | Standard |
| Oct 16, 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. | F | Standard |
| Oct 16, 2024 | F700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | Standard |
| Oct 16, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Oct 16, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Oct 16, 2024 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Oct 16, 2024 | F610 | Respond appropriately to all alleged violations. | E | Standard |
| Oct 16, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard |
| Oct 16, 2024 | F605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard |
| Oct 16, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Standard |
| Oct 16, 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 | Standard |
| Oct 16, 2024 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| Oct 16, 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 | Standard |
| Oct 16, 2024 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard |
| Oct 16, 2024 | F569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard |
| Oct 16, 2024 | F568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Standard |
| Oct 16, 2024 | F567 | Honor the resident's right to manage his or her financial affairs. | E | Standard |
| Oct 16, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
| Dec 13, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Oct 13, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Oct 13, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Oct 13, 2023 | 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. | D | Standard |
| Oct 13, 2023 | 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 |
| Oct 13, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Oct 13, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Oct 13, 2023 | 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 13, 2023 | 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 13, 2023 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Oct 13, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Jun 20, 2023 | F742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | E | Complaint |
| Jun 20, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| Jul 8, 2022 | F885 | Report COVID19 data to residents and families. | E | Standard |
| Jul 8, 2022 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Jul 8, 2022 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Standard |
| Jul 8, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jul 8, 2022 | 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. | D | Standard |
| Jul 8, 2022 | 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 | Standard |
| Jul 8, 2022 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jul 8, 2022 | 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. | E | Standard |
| Jul 8, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Jul 8, 2022 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard |
| Jul 8, 2022 | F661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard |
| Jul 8, 2022 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Jul 8, 2022 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
Federal enforcement history
Federal regulators have imposed 4 enforcement actions against this facility, including 2 civil money penalties totaling $18,446 and 2 payment-denial actions spanning 2 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Oct 16, 2024 | Fine | $11,000 | — |
| Oct 16, 2024 | Payment Denial | — | Nov 14, 2024 · 1 days |
| Dec 13, 2023 | Fine | $7,446 | — |
| Dec 13, 2023 | Payment Denial | — | Jan 11, 2024 · 1 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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