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Facility profile · CCN 365535

Three Meadows Post Acute

59 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $0.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
59
Total citations
26
Last 3 years
2
Actual harm+
1
Federal penalties
$0
Total fines
2
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

59 on record
SurveyF-TagViolationSeveritySource
Dec 23, 2025F880Provide and implement an infection prevention and control program.DComplaint
Dec 23, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Dec 23, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Dec 23, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JComplaint
Dec 23, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 23, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
May 15, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
May 15, 2025F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DStandard
May 15, 2025F760Ensure that residents are free from significant medication errors.DStandard
May 15, 2025F759Ensure medication error rates are not 5 percent or greater.DStandard
May 15, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
May 15, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
May 15, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
May 15, 2025F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DStandard
May 15, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard
May 15, 2025F584Honor 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.DStandard
May 15, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Sep 4, 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
Jun 27, 2024F760Ensure that residents are free from significant medication errors.DComplaint
Apr 2, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DComplaint
Apr 2, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Apr 2, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Feb 8, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Feb 8, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Dec 5, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jun 8, 2023F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
Dec 5, 2022F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard
Dec 5, 2022F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Dec 5, 2022F881Implement a program that monitors antibiotic use.DStandard
Dec 5, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Dec 5, 2022F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DStandard
Dec 5, 2022F803Ensure 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.FStandard
Dec 5, 2022F761Ensure 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.DStandard
Dec 5, 2022F760Ensure that residents are free from significant medication errors.DStandard
Dec 5, 2022F759Ensure medication error rates are not 5 percent or greater.DStandard
Dec 5, 2022F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Dec 5, 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
Dec 5, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Dec 5, 2022F625Notify 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.DStandard
Dec 5, 2022F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Dec 5, 2022F578Honor 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.DStandard
Dec 5, 2022F567Honor the resident's right to manage his or her financial affairs.DStandard
Dec 5, 2022F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Dec 5, 2022F558Reasonably accommodate the needs and preferences of each resident.DStandard
Jan 9, 2020F880Provide and implement an infection prevention and control program.DStandard
Jan 9, 2020F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jan 9, 2020F761Ensure 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
Jan 9, 2020F760Ensure that residents are free from significant medication errors.DStandard
Jan 9, 2020F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jan 9, 2020F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Jan 9, 2020F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DStandard
Jan 9, 2020F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Jan 9, 2020F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Jan 9, 2020F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jan 9, 2020F625Notify 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.EStandard
Jan 9, 2020F610Respond appropriately to all alleged violations.DStandard
Jan 9, 2020F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Jan 9, 2020F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
Jan 9, 2020F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 0 civil money penalties totaling $0 and 1 payment-denial actions spanning 8 days.

DateTypeFinePayment denial
May 15, 2025Payment DenialJun 12, 2025 · 8 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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