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Health Inspection

Meadowbrook Rehabilitation Hospital

Inspection Date: September 16, 2025
Total Violations 14
Facility ID 175130
Location GARDNER, KS
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Inspection Findings

F-Tag F0583

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0605

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0628

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0637

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0684

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

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, resident’s 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.

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F-Tag F0686

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0688

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Immediate Jeopardy

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.

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F-Tag F0726

Nursing and Physician Services Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0756

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0757

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

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 resident’s 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.

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F-Tag F0761

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0804

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0851

Administration Deficiencies
Harm Level: Potential for Minimal Harm

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.

πŸ“‹ Inspection Summary

MEADOWBROOK REHABILITATION HOSPITAL in GARDNER, KS inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in GARDNER, KS, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from MEADOWBROOK REHABILITATION HOSPITAL or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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