Meadowbrook Rehabilitation Hospital
Inspection Findings
F-Tag F0583
Federal health inspectors cited MEADOWBROOK REHABILITATION HOSPITAL in GARDNER, KS for a deficiency under regulatory tag F-F0583 during a standard health inspection conducted on 2025-09-16.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Keep residents' personal and medical records private and confidential.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of MEADOWBROOK REHABILITATION HOSPITAL.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-13.
F-Tag F0605
Federal health inspectors cited MEADOWBROOK REHABILITATION HOSPITAL in GARDNER, KS for a deficiency under regulatory tag F-F0605 during a standard health inspection conducted on 2025-09-16.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of MEADOWBROOK REHABILITATION HOSPITAL.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-13.
F-Tag F0628
Federal health inspectors cited MEADOWBROOK REHABILITATION HOSPITAL in GARDNER, KS for a deficiency under regulatory tag F-F0628 during a standard health inspection conducted on 2025-09-16.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of MEADOWBROOK REHABILITATION HOSPITAL.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-13.
F-Tag F0637
Federal health inspectors cited MEADOWBROOK REHABILITATION HOSPITAL in GARDNER, KS for a deficiency under regulatory tag F-F0637 during a standard health inspection conducted on 2025-09-16.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Assess the resident when there is a significant change in condition
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of MEADOWBROOK REHABILITATION HOSPITAL.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-13.
F-Tag F0684
Federal health inspectors cited MEADOWBROOK REHABILITATION HOSPITAL in GARDNER, KS for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-09-16.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, residentβs preferences and goals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of MEADOWBROOK REHABILITATION HOSPITAL.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-13.
F-Tag F0686
Federal health inspectors cited MEADOWBROOK REHABILITATION HOSPITAL in GARDNER, KS for a deficiency under regulatory tag F-F0686 during a standard health inspection conducted on 2025-09-16.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of MEADOWBROOK REHABILITATION HOSPITAL.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-13.
F-Tag F0688
Federal health inspectors cited MEADOWBROOK REHABILITATION HOSPITAL in GARDNER, KS for a deficiency under regulatory tag F-F0688 during a standard health inspection conducted on 2025-09-16.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of MEADOWBROOK REHABILITATION HOSPITAL.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-13.
F-Tag F0689
Federal health inspectors cited MEADOWBROOK REHABILITATION HOSPITAL in GARDNER, KS for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-09-16.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Scope/Severity Level J: isolated, immediate jeopardy to resident health or safety.
This represents an immediate jeopardy situation, the most serious level of deficiency.
This was one of 14 deficiencies cited during this inspection of MEADOWBROOK REHABILITATION HOSPITAL.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-13.
F-Tag F0726
Federal health inspectors cited MEADOWBROOK REHABILITATION HOSPITAL in GARDNER, KS for a deficiency under regulatory tag F-F0726 during a standard health inspection conducted on 2025-09-16.
Category: Nursing and Physician Services Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of MEADOWBROOK REHABILITATION HOSPITAL.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-13.
F-Tag F0756
Federal health inspectors cited MEADOWBROOK REHABILITATION HOSPITAL in GARDNER, KS for a deficiency under regulatory tag F-F0756 during a standard health inspection conducted on 2025-09-16.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of MEADOWBROOK REHABILITATION HOSPITAL.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-13.
F-Tag F0757
Federal health inspectors cited MEADOWBROOK REHABILITATION HOSPITAL in GARDNER, KS for a deficiency under regulatory tag F-F0757 during a standard health inspection conducted on 2025-09-16.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure each residentβs drug regimen must be free from unnecessary drugs.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of MEADOWBROOK REHABILITATION HOSPITAL.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-13.
F-Tag F0761
Federal health inspectors cited MEADOWBROOK REHABILITATION HOSPITAL in GARDNER, KS for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-09-16.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of MEADOWBROOK REHABILITATION HOSPITAL.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-13.
F-Tag F0804
Federal health inspectors cited MEADOWBROOK REHABILITATION HOSPITAL in GARDNER, KS for a deficiency under regulatory tag F-F0804 during a standard health inspection conducted on 2025-09-16.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of MEADOWBROOK REHABILITATION HOSPITAL.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-13.
F-Tag F0851
Federal health inspectors cited MEADOWBROOK REHABILITATION HOSPITAL in GARDNER, KS for a deficiency under regulatory tag F-F0851 during a standard health inspection conducted on 2025-09-16.
Category: Administration Deficiencies
The facility was found deficient in the following area: Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Scope/Severity Level C: pattern, no actual harm with potential for minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of MEADOWBROOK REHABILITATION HOSPITAL.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-13.
MEADOWBROOK REHABILITATION HOSPITAL in GARDNER, KS inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.