All citations for Meadowbrook Behavioral Health Center

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 Meadowbrook Behavioral Health Center

Last standard health inspection on record

April 3, 2026

Showing 1 to 20 of 20 citations

No harm, with potential for more than minimal harm
Conduct testing and exercise requirements.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 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 January 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 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 January 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 20, 2025).
No harm, with potential for more than minimal harm
Conduct testing and exercise requirements.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of January 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (February 10, 2024).
No harm, with potential for more than minimal harm
Meet other general requirements that are deficient.
Widespread (many residents). CMS level F.
Fire safety citation K-0300, Egress Deficiencies. Inspection of January 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (February 10, 2024).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of January 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (February 10, 2024).
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 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (February 10, 2024).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.
A waiver was granted (February 20, 2025).
No harm, with potential for more than minimal harm
Have an enclosure around a vertical opening shaft.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0311, Smoke Deficiencies. Inspection of January 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (February 10, 2024).
No harm, with potential for more than minimal harm
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0223, Egress Deficiencies. Inspection of April 3, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 22, 2026).
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 April 3, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 22, 2026).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of April 3, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 22, 2026).
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 January 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 20, 2025).
No harm, with potential for more than minimal harm
Install an approved automatic sprinkler system.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0351, Smoke Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 20, 2025).
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 January 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 20, 2025).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0211, Egress Deficiencies. Inspection of January 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (February 10, 2024).
No harm, with potential for minimal harm
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Widespread (many residents). CMS level C.
Fire safety citation K-0354, Smoke Deficiencies. Inspection of April 3, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 22, 2026).
No harm, with potential for minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level C.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of April 3, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 22, 2026).
No harm, with potential for minimal harm
Establish policies and procedures including evacuation.
Widespread (many residents). CMS level C.
Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 20, 2025).
No harm, with potential for minimal harm
Establish policies and procedures for medical documentation.
Widespread (many residents). CMS level C.
Emergency preparedness citation E-0023, Emergency Preparedness Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 20, 2025).

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.