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 14 of 14 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. No harm, with potential for more than minimal harm

    Assess the resident when there is a significant change in condition

    Isolated (one or a few residents). CMS level D.

    Health citation F-0637, Resident Assessment and Care Planning Deficiencies. Inspection of January 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2023).

  12. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of January 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 6, 2023).

  13. 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of January 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2023).

  14. No harm, with potential for more than minimal harm

    Observe each nurse aide's job performance and give regular training.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0730, Nursing and Physician Services 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.