All citations for Meadow Peak Rehabilitation

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 Peak Rehabilitation

Last standard health inspection on record

May 11, 2026

Showing 26 to 43 of 43 citations

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

    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.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2024).

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

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

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

    Health citation F-0773, Administration Deficiencies. Inspection of May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2024).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 19, 2024).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2024).

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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

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

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

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

    Have generator or other power source capable of supplying service within 10 seconds.

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 28, 2024).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2024).

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

    Allow residents to self-administer drugs if determined clinically appropriate.

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

    Health citation F-0554, Resident Rights Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2022).

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

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

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2022).

  11. 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 October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2022).

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

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

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2022).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2022).

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

    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.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2022).

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

    Conduct testing and exercise requirements.

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

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 16, 2022).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 16, 2022).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 16, 2022).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of October 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 16, 2022).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.