All citations for Meadow Lakes

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Meadow Lakes

Last standard health inspection on record

March 18, 2025

Showing 1 to 25 of 35 citations

No harm, with potential for more than minimal harm
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Widespread (many residents). CMS level F.
Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of March 18, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 18, 2025).
No harm, with potential for more than minimal harm
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.
Widespread (many residents). CMS level F.
Health citation F-0838, Administration Deficiencies. Inspection of March 18, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 18, 2025).
No harm, with potential for more than minimal harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Widespread (many residents). CMS level F.
Health citation F-0865, Administration Deficiencies. Inspection of March 18, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Widespread (many residents). CMS level F.
Fire safety citation K-0293, Egress Deficiencies. Inspection of March 18, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2025).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Widespread (many residents). CMS level F.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of March 18, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 18, 2025).
No harm, with potential for more than minimal harm
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Widespread (many residents). CMS level F.
Fire safety citation K-0343, Smoke Deficiencies. Inspection of March 18, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 20, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 18, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 4, 2025).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Widespread (many residents). CMS level F.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of March 18, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 21, 2025).
No harm, with potential for more than minimal harm
Meet requirements for the installation and maintenance of electrical systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 18, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 20, 2025).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 18, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 25, 2025).
No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
Widespread (many residents). CMS level F.
Fire safety citation K-0341, Smoke Deficiencies. Inspection of January 11, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (February 14, 2023).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of January 11, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (February 14, 2023).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
Widespread (many residents). CMS level F.
Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of January 11, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (February 3, 2023).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 11, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (February 10, 2023).
No harm, with potential for more than minimal harm
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Widespread (many residents). CMS level F.
Fire safety citation K-0926, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 11, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (February 3, 2023).
No harm, with potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Pattern (more than a few residents). CMS level E.
Health citation F-0550, Resident Rights Deficiencies. Inspection of March 18, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 1, 2025).
No harm, with potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pattern (more than a few residents). CMS level E.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 18, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 18, 2025).
No harm, with potential for more than minimal harm
Provide safe, appropriate pain management for a resident who requires such services.
Pattern (more than a few residents). CMS level E.
Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of March 18, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 18, 2025).
No harm, with potential for more than minimal harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pattern (more than a few residents). CMS level E.
Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of March 18, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 18, 2025).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Pattern (more than a few residents). CMS level E.
Health citation F-0880, Infection Control Deficiencies. Inspection of March 18, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 18, 2025).
No harm, with potential for more than minimal harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pattern (more than a few residents). CMS level E.
Health citation F-0756, Pharmacy Service Deficiencies. Inspection of January 11, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (February 3, 2023).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pattern (more than a few residents). CMS level E.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of January 11, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 31, 2023).
No harm, with potential for more than minimal harm
Perform COVID19 testing on residents and staff.
Pattern (more than a few residents). CMS level E.
Health citation F-0886, Infection Control Deficiencies. Inspection of January 11, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (February 3, 2023).
No harm, with potential for more than minimal harm
Have enough backup water supply for essential areas of the nursing home.
Pattern (more than a few residents). CMS level E.
Health citation F-0922, Environmental Deficiencies. Inspection of January 11, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 31, 2023).
No harm, with potential for more than minimal harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0222, Egress Deficiencies. Inspection of January 11, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (February 3, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.