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Inspection visit

Inspection

ENCORE AT WEST MEADOWCMS #0850218 citations on this visit
8 citations recorded

Citations

8 citations recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0574GeneralS&S Epotential for harm

    F574 - The resident has the right to receive notices orally (meaning spoken) and in

    The resident has the right to receive notices in a format and a language he or she understands.

  • 0880GeneralS&S Epotential for harm

    F880 - Infection Control

    Provide and implement an infection prevention and control program.

  • 0558GeneralS&S Dpotential for harm

    F558 - The right to reside and receive services in the facility with reasonable

    Reasonably accommodate the needs and preferences of each resident.

  • 0577GeneralS&S Epotential for harm

    F577 - The resident has the right to-

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

  • 0585GeneralS&S Epotential for harm

    F585 - Grievances

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

  • 0641GeneralS&S Dpotential for harm

    F641 - Accuracy of Assessments

    Ensure each resident receives an accurate assessment.

  • 0688GeneralS&S Dpotential for harm

    F688 - Mobility

    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.

  • 0868GeneralS&S Fpotential for harm

    F868 - Quality assessment and assurance

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

FAQ · About this visit

Common questions about this visit

What happened during the March 31, 2021 survey of ENCORE AT WEST MEADOW?

This was a inspection survey of ENCORE AT WEST MEADOW on March 31, 2021. The surveyor cited 8 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at ENCORE AT WEST MEADOW on March 31, 2021?

Yes, 8 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "The resident has the right to receive notices in a format and a language he or she understands."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

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Next steps

Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.