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🔎 Meadowview Healthcare And Rehab

Inspection Results


Inspection Overview

Meadowview Healthcare And Rehab has been cited for a total of 87 deficiencies since we began saving each survey.

In Arkansas, the average facility has **38.45 deficiencies** in our database. This profile shows the longer-term view.

Tip: Surveys happen throughout the year. Always check the official Medicare Care Compare site for the most recent data.



Understanding Deficiency Severity (A-L Scale)

The farther along in the alphabet (A through L) the Scope value is, the more severe the deficiency. **A through F means no actual harm has happened.**

Severity (Harm)Scope (Widespread?)Code Range
No Actual HarmIsolated to PatternA - C
No Actual HarmWidespreadD - F
**Actual Harm**IsolatedG
**Actual Harm**PatternH
**Actual Harm**WidespreadI
**Immediate Jeopardy**IsolatedJ
**Immediate Jeopardy**PatternK
**Immediate Jeopardy**WidespreadL


Detailed Deficiency List (Most Recent First)

Scope/Severity: L

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: F

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: F

Provide training in compliance and ethics.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: F

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: F

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: F

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: F

Have policies on smoking.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Environmental Deficiencies
From Complaint: N

Scope/Severity: F

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Environmental Deficiencies
From Complaint: N

Scope/Severity: K

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Environmental Deficiencies
From Complaint: N

Scope/Severity: F

Provide and implement an infection prevention and control program.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: L

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: F

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: F

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.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: L

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.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: D

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.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: L

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: F

Dispose of garbage and refuse properly.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: E

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.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: D

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: C

Post nurse staffing information every day.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: F

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.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: F

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: E

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.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

Ensure services provided by the nursing facility meet professional standards of quality.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

Ensure each resident receives an accurate assessment.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

Respond appropriately to all alleged violations.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: N

Scope/Severity: E

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: N

Scope/Severity: D

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: N

Scope/Severity: K

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: N

Scope/Severity: E

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.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Keep residents' personal and medical records private and confidential.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: C

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: E

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: E

Honor the resident's right to manage his or her financial affairs.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: E

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey Date: 2024-10-16
Correction Date: 2024-11-15
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: J

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey Date: 2023-12-13
Correction Date: 2024-01-12
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey Date: 2023-10-13
Correction Date: 2023-11-12
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Reasonably accommodate the needs and preferences of each resident.

Survey Date: 2023-10-13
Correction Date: 2023-11-12
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

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.

Survey Date: 2023-10-13
Correction Date: 2023-11-12
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: E

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.

Survey Date: 2023-10-13
Correction Date: 2023-11-12
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey Date: 2023-10-13
Correction Date: 2023-11-12
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide safe and appropriate respiratory care for a resident when needed.

Survey Date: 2023-10-13
Correction Date: 2023-11-12
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

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.

Survey Date: 2023-10-13
Correction Date: 2023-11-12
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

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.

Survey Date: 2023-10-13
Correction Date: 2023-11-12
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey Date: 2023-10-13
Correction Date: 2023-11-12
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: E

Provide and implement an infection prevention and control program.

Survey Date: 2023-10-13
Correction Date: 2023-11-12
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: E

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey Date: 2023-06-20
Correction Date: 2023-07-20
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: E

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.

Survey Date: 2023-06-20
Correction Date: 2023-07-20
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: D

Ensure each resident receives an accurate assessment.

Survey Date: 2022-07-08
Correction Date: 2022-08-07
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey Date: 2022-07-08
Correction Date: 2022-08-07
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Survey Date: 2022-07-08
Correction Date: 2022-08-07
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey Date: 2022-07-08
Correction Date: 2022-08-07
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey Date: 2022-07-08
Correction Date: 2022-08-07
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey Date: 2022-07-08
Correction Date: 2022-10-07
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide safe and appropriate respiratory care for a resident when needed.

Survey Date: 2022-07-08
Correction Date: 2022-08-07
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

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.

Survey Date: 2022-07-08
Correction Date: 2022-08-07
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

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.

Survey Date: 2022-07-08
Correction Date: 2022-08-07
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey Date: 2022-07-08
Correction Date: 2022-10-07
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: E

Have a plan that describes the process for conducting QAPI and QAA activities.

Survey Date: 2022-07-08
Correction Date: 2022-08-07
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: E

Provide and implement an infection prevention and control program.

Survey Date: 2022-07-08
Correction Date: 2022-10-07
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: E

Report COVID19 data to residents and families.

Survey Date: 2022-07-08
Correction Date: 2022-08-07
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: B

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey Date: 2021-04-23
Correction Date: 2021-04-23
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: E

Provide safe and appropriate respiratory care for a resident when needed.

Survey Date: 2021-04-23
Correction Date: 2021-05-23
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

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.

Survey Date: 2021-04-23
Correction Date: 2021-05-23
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

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.

Survey Date: 2021-04-23
Correction Date: 2021-05-23
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: F

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Survey Date: 2021-04-23
Correction Date: 2021-05-23
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey Date: 2021-04-23
Correction Date: 2021-05-23
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: E

Provide and implement an infection prevention and control program.

Survey Date: 2020-06-26
Correction Date: 2020-08-25
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: E

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.

Survey Date: 2019-10-25
Correction Date: 2019-11-24
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: E

Keep residents' personal and medical records private and confidential.

Survey Date: 2019-10-25
Correction Date: 2019-11-24
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: E

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Survey Date: 2019-10-25
Correction Date: 2019-11-24
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: N

Scope/Severity: D

Ensure each resident receives an accurate assessment.

Survey Date: 2019-10-25
Correction Date: 2019-11-24
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey Date: 2019-10-25
Correction Date: 2019-11-24
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey Date: 2019-10-25
Correction Date: 2019-11-24
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

Provide enough food/fluids to maintain a resident's health.

Survey Date: 2019-10-25
Correction Date: 2019-11-24
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide safe and appropriate respiratory care for a resident when needed.

Survey Date: 2019-10-25
Correction Date: 2019-11-24
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey Date: 2019-10-25
Correction Date: 2019-11-24
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: E

Ensure medication error rates are not 5 percent or greater.

Survey Date: 2019-10-25
Correction Date: 2019-11-24
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: E

Ensure that residents are free from significant medication errors.

Survey Date: 2019-10-25
Correction Date: 2019-11-24
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: E

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.

Survey Date: 2019-10-25
Correction Date: 2019-11-24
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey Date: 2019-10-25
Correction Date: 2019-11-24
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: E

Implement a program that monitors antibiotic use.

Survey Date: 2019-10-25
Correction Date: 2019-11-24
Category: Infection Control Deficiencies
From Complaint: N


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All deficiency data is sourced directly from the **Centers for Medicare & Medicaid Services (CMS)**.
Data Aggregation and Review provided by **The Nursing Home Site.**