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01
The Essentials
Summary
Across 3 inspections from November 2020 to March 2025, state surveyors documented 19 findings at Meadow Lakes; 19 have a recorded correction; CMS lists no enforcement action in the window.
Inspections
3
2020–2025, standard
Findings
19
Deficiencies cited by state inspectors
Corrected
19
Of 19 findings, with a recorded correction date
Penalties
0
No fines or payment denials in the window
Findings by Year
Findings
Of which, actual harm (level G or above)
* Partial year, through October 1, 2026.
Findings by year
Year
Inspections
Findings
Of which, actual harm (level G or above)
2020
1
0
0
2021
0
0
0
2022
0
0
0
2023
1
8
0
2024
0
0
0
2025
1
11
0
2026
0
0
0
What the Record Shows
19 of 19 findings have a recorded correction date.
CMS lists no fines or payment denials in this window.
No complaint investigation appears in this window. CMS publishes what a complaint investigation cited, not what the complaint alleged.
The latest standard inspection, March 18, 2025, recorded 11 findings (most serious: Level F).
Every inspection in the record window, newest first. A finding is a deficiency an inspector cited. CMS publishes what a complaint investigation cited, not what the complaint alleged.
2025
Standard health inspection
11 findings
F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Level FNo actual harm, potential for moreCorrected Apr 18, 2025
F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.Level FNo actual harm, potential for moreCorrected Apr 18, 2025
F865Have a plan that describes the process for conducting QAPI and QAA activities.Level FNo actual harm, potential for moreCorrected May 1, 2025
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Level ENo actual harm, potential for moreCorrected May 1, 2025
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Level ENo actual harm, potential for moreCorrected Apr 18, 2025
F697Provide safe, appropriate pain management for a resident who requires such services.Level ENo actual harm, potential for moreCorrected Apr 18, 2025
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Level ENo actual harm, potential for moreCorrected Apr 18, 2025
F880Provide and implement an infection prevention and control program.Level ENo actual harm, potential for moreCorrected Apr 18, 2025
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Level DNo actual harm, potential for moreCorrected Apr 18, 2025
F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Level DNo actual harm, potential for moreCorrected May 1, 2025
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Level DNo actual harm, potential for moreCorrected Apr 18, 2025
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2023
Standard health inspection
8 findings
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Level ENo actual harm, potential for moreCorrected Feb 3, 2023
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Level ENo actual harm, potential for moreCorrected Jan 31, 2023
F886Perform COVID19 testing on residents and staff.Level ENo actual harm, potential for moreCorrected Feb 3, 2023
F922Have enough backup water supply for essential areas of the nursing home.Level ENo actual harm, potential for moreCorrected Jan 31, 2023
F637Assess the resident when there is a significant change in conditionLevel DNo actual harm, potential for moreCorrected Feb 3, 2023
F658Ensure services provided by the nursing facility meet professional standards of quality.Level DNo actual harm, potential for moreCorrected Feb 6, 2023
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Level DNo actual harm, potential for moreCorrected Feb 3, 2023
F730Observe each nurse aide's job performance and give regular training.Level DNo actual harm, potential for moreCorrected Feb 3, 2023
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2020
Standard health inspection
No findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Severity levels follow the CMS scope and severity grid. A–C: potential for minimal harm. D–F: no actual harm, potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy.
03
Context
Patterns Worth Examining
A repeated citation can merit attention, but context and corrective action must be reviewed before drawing a conclusion.
1
Accident Hazards and Supervision, Cited in Two Inspections
Inspectors cited F689 in January 2023 and March 2025. This citation covers whether residents are protected from accident hazards and supervised closely enough to prevent accidents, including falls. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
202325F689 across all 3 inspections, oldest to newest
04
For Your Next Visit
Questions to Ask on Your Visit
Bring these to the tour. Each one comes from something in the record; the reason is under the question.
01
What changed in fall prevention and supervision after the last citation, and how do you check that it is still working?
Accident Hazards and Supervision: cited in two inspections, most seriously at level E.
02
How many nurses and aides are on each shift, including nights and weekends, for the unit we are considering?
No staffing citation appears in this window. Staffing levels are published separately by CMS and are worth asking about directly.
03
Has the home been fined or had payments denied before this record begins?
CMS lists no fines or payment denials in this window. The record starts November 19, 2020; anything earlier is not in it.
05
The Evidence
Sources and Coverage
Inspection results and penalties are published by the Centers for Medicare & Medicaid Services from surveys conducted by the New Jersey state survey agency.
Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
New Jersey state survey agency
Inspection Nov 19, 2020 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
New Jersey state survey agency
Inspection Jan 11, 2023 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
New Jersey state survey agency
Inspection Mar 18, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
CMS publishes about three inspection cycles; inspections before November 2020 are not in this release.
CMS refreshes these files monthly, after statements of deficiencies are processed, so an inspection from the last two months may not appear yet.
What This Report Cannot Tell You
Complaints not investigated onsite
Allegations screened out by the state before an onsite visit are not published.
Complaint allegations
CMS publishes the deficiencies a complaint survey cited, not the allegation itself.
Facility-reported incidents
Self-reported incidents appear only if they led to an inspection.
Follow-up visits
CMS's files list standard, complaint and infection control surveys, not revisits; a correction date is the one CMS records.
Fire safety inspections
Published by CMS separately and not included in this record yet.
Staffing levels and ownership history
Published by CMS separately and not included in this record.
Historical coverage varies by agency and location. Missing records do not mean that no complaint or violation occurred.
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