MEADOW LAKES Nursing Home


MEADOW LAKES (CCN: 315022) is a Non profit - Corporation facility located in EAST WINDSOR, NJ (08520). The facility has an overall rating of 4/5, health inspection rating of 3/5, and a staffing rating of 4/5. It offers 60 certified beds and maintains an average of 44.8 residents per day. The nursing staff includes Nurse Aides, LPNs, and RNs working 3.85672 total hours per resident per day. It has been certified since January 1, 1967 and the last listed health inspection was on January 11, 2023, The facility is located in Mercer county and provides senior and nursing home care.

MEADOW LAKES Summary


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Provider Name: MEADOW LAKES

Address: 300 MEADOW LAKES, EAST WINDSOR, NJ 08520

Phone: (609) 448-5380

County: Mercer (260)

Ownership Type: Non profit - Corporation

Certified Beds: 60

Average Residents Per Day: 44.8 ()

Provider Type: Medicare and Medicaid, Resides in Hospital: No

Legal Business Name: SPRINGPOINT AT MEADOW LAKES, INC.

First Approved Date: January 1, 1967

Affiliated Entity: SPRINGPOINT SENIOR LIVING (485)

Retirement Community: Y, Special Focus Status:

Ownership Change in Last 12 Months: N

Resident Family Council: Resident

Sprinkler System Status: Yes

Overall Rating: 4 ()

Health Inspection Rating: 3 ()

QM Rating: 5 ()

Long Stay QM Rating: 4 ()

Short Stay QM Rating: 5 ()

Staffing Rating: 4 ()

Staffing Report Note:

PT Staffing Note:

Nurse Aide Staff Hours Per Day, per resident: 1.79778, LPN Staff Hours Per Day: 1.2553, RN Staff Hours Per Day: 0.8035, Licensed Staff Hours Per Day: 2.0589

Total Nurse Staff Hours Per Day, per resident: 3.85672

Weekend Nurse Staff Hours: 3.37193, Weekend RN Staff Hours: 0.6192

PT Staff Hours Per Day, per resident: 0.1562

Nurse Staff Turnover: 44.7, Nurse Turnover Note:

RN Turnover: 63.6, RN Turnover Note:

Admin Left Number: 1, Admin Turnover Note:

Case Mix Nurse Aide Hours Per Day, per resident: 2.0170, Case Mix LPN Hours Per Day: 0.6884, Case Mix RN Hours Per Day: 0.3011

Adjusted Nurse Aide Hours Per Day, per resident: 1.81582, Adjusted LPN Hours Per Day: 1.3456, Adjusted RN Hours Per Day: 1.0053

Total Adjusted Nurse Hours Per Day, per resident: 4.04322

Adjusted Weekend Nurse Hours Per Day, per resident: 3.53499

Health Survey Dates and Scores: Cycle 1: 2023-01-11 (Score: 48), Cycle 2: 2020-11-19 (Score: 0), Cycle 3: 2019-04-26 (Score: 16)

Total Weighted Health Score: 26.667

Reported Incidents: 0, Substantiated Complaints: 0

Infection Control Citations: 0

Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 650.00, Payment Denials Number: 0, Total Penalties Number: 1

Location and GPS: 300 MEADOW LAKES,EAST WINDSOR,NJ,08520 (40.2581, -74.517)

Process Date: 2024-03-01


Health Inspection Citations Details

Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2023-01-11

Type: Health, Deficiency: Assess the resident when there is a significant change in condition

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-02-03

Citation on 2023-01-11

Type: Health, Deficiency: Ensure services provided by the nursing facility meet professional standards of quality.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-02-06

Citation on 2023-01-11

Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-02-03

Citation on 2023-01-11

Type: Health, Deficiency: Observe each nurse aide's job performance and give regular training.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-02-03

Citation on 2023-01-11

Type: Health, Deficiency: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-02-03

Citation on 2023-01-11

Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-01-31

Citation on 2023-01-11

Type: Health, Deficiency: Perform COVID19 testing on residents and staff.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-02-03

Citation on 2023-01-11

Type: Health, Deficiency: Have enough backup water supply for essential areas of the nursing home.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-01-31

Citation on 2019-04-26

Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-05-17


Fire Safety Citations Details

Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2023-01-11

Type: Fire Safety, Tag: 0222, Version: New

Description: 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.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-02-03

Citation on 2023-01-11

Type: Fire Safety, Tag: 0341, Version: New

Description: Install a fire alarm system that can be heard throughout the facility.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-02-14

Citation on 2023-01-11

Type: Fire Safety, Tag: 0345, Version: New

Description: Have approved installation, maintenance and testing program for fire alarm systems.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-02-14

Citation on 2023-01-11

Type: Fire Safety, Tag: 0711, Version: New

Description: Provide a written emergency evacuation plan.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-02-03

Citation on 2023-01-11

Type: Fire Safety, Tag: 0918, Version: New

Description: Have generator or other power source capable of supplying service within 10 seconds.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-02-10

Citation on 2023-01-11

Type: Fire Safety, Tag: 0926, Version: New

Description: Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-02-03

Citation on 2020-11-19

Type: Fire Safety, Tag: 0324, Version: New

Description: Provide properly protected cooking facilities.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has plan of correction on 2020-11-25

Citation on 2019-04-26

Type: Fire Safety, Tag: 0324, Version: New

Description: Provide properly protected cooking facilities.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-05-17