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 51 to 64 of 64 citations

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

    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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of January 12, 2024. Found during a standard inspection.

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

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

    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.

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

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of January 12, 2024. Found during a standard inspection.

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

  3. 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).

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

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

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of October 4, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of October 4, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 16, 2023).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. No harm, with potential for minimal harm

    Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

    Pattern (more than a few residents). CMS level B.

    Health citation F-0911, Environmental Deficiencies. Inspection of April 3, 2026. Found during a standard inspection.

    No follow-up visit needed.

  11. No harm, with potential for minimal harm

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Pattern (more than a few residents). CMS level B.

    Health citation F-0912, Environmental Deficiencies. Inspection of April 3, 2026. Found during a standard inspection.

    No follow-up visit needed.

  12. No harm, with potential for minimal harm

    Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

    Pattern (more than a few residents). CMS level B.

    Health citation F-0911, Environmental Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2025).

  13. No harm, with potential for minimal harm

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Pattern (more than a few residents). CMS level B.

    Health citation F-0912, Environmental Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2025).

  14. No harm, with potential for minimal harm

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Pattern (more than a few residents). CMS level B.

    Health citation F-0912, Environmental Deficiencies. Inspection of January 12, 2024. Found during a standard inspection.

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

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.