All citations for Three Meadows Post Acute

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 Three Meadows Post Acute

Last standard health inspection on record

May 15, 2025

Showing 1 to 25 of 85 citations

Immediate jeopardy to resident health or safety
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Isolated (one or a few residents). CMS level J.
Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of December 23, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (December 24, 2025).
Harm to a resident
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Isolated (one or a few residents). CMS level G.
Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of May 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 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 May 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 20, 2025).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of May 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 20, 2025).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Widespread (many residents). CMS level F.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 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 May 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 20, 2025).
No harm, with potential for more than minimal harm
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Widespread (many residents). CMS level F.
Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of December 5, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 13, 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.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of December 5, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 13, 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.
Widespread (many residents). CMS level F.
Fire safety citation K-0222, Egress Deficiencies. Inspection of December 5, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 13, 2023).
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 December 5, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 13, 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 December 5, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 13, 2023).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Widespread (many residents). CMS level F.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of December 5, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 13, 2023).
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 January 9, 2020. Found during a standard inspection.
The home gave a date the problem would be corrected (February 28, 2020).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Widespread (many residents). CMS level F.
Fire safety citation K-0511, Services Deficiencies. Inspection of January 9, 2020. Found during a standard inspection.
The home gave a date the problem would be corrected (February 28, 2020).
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 9, 2020. Found during a standard inspection.
The home gave a date the problem would be corrected (February 28, 2020).
No harm, with potential for more than minimal harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pattern (more than a few residents). CMS level E.
Health citation F-0761, Pharmacy Service Deficiencies. Inspection of March 12, 2026. Found during a complaint inspection.
The home gave a date the problem would be corrected (March 13, 2026).
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 May 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 20, 2025).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of May 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 20, 2025).
No harm, with potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pattern (more than a few residents). CMS level E.
Health citation F-0755, Pharmacy Service Deficiencies. Inspection of December 5, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 13, 2023).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0211, Egress Deficiencies. Inspection of December 5, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 13, 2023).
No harm, with potential for more than minimal harm
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0362, Smoke Deficiencies. Inspection of December 5, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 13, 2023).
No harm, with potential for more than minimal harm
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of December 5, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 13, 2023).
No harm, with potential for more than minimal harm
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Pattern (more than a few residents). CMS level E.
Health citation F-0625, Resident Rights Deficiencies. Inspection of January 9, 2020. Found during a standard inspection.
The home gave a date the problem would be corrected (February 28, 2020).
No harm, with potential for more than minimal harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pattern (more than a few residents). CMS level E.
Health citation F-0761, Pharmacy Service Deficiencies. Inspection of January 9, 2020. Found during a standard inspection.
The home gave a date the problem would be corrected (February 28, 2020).
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 9, 2020. Found during a standard inspection.
The home gave a date the problem would be corrected (February 28, 2020).

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.