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MEADOW LAKES

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MEADOW LAKES is a non profit - corporation facility in EAST WINDSOR, NJ with 60 certified beds and a 2-star overall CMS rating. The facility has 19 deficiency records on file.

300 MEADOW LAKES, EAST WINDSOR, NJ 08520

Phone: 6094484100

Overall Rating

2/5

Health Inspection

2/5

Staffing

4/5

Quality Measures

3/5

Long-Stay Quality

2/5

Facility Information

Provider Number
315022
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
60
Residents
52
In Hospital
No
County
Mercer
Last Inspection
Mar 18, 2025

Staffing Data

RN Hours
1.13 (nat'l avg: 0.68)
LPN Hours
0.89
CNA Hours
2.67
Total Nursing Hours
4.68 (nat'l avg: 3.89)
PT Hours
0.15
Nursing Turnover
41.2%
RN Turnover
57.1%

What the CMS Record Reveals About MEADOW LAKES

MEADOW LAKES operates 60 certified beds in EAST WINDSOR, NJ with approximately 52 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (4★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 19 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 4.68 total nursing hours per resident day (national average 3.89), with RN coverage at 1.13 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, MEADOW LAKES falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 41.2%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (19 most recent)

E — Pattern - Minimal harm Mar 18, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 18, 2025

F — Widespread - Minimal harm Mar 18, 2025 Tag: 0865

Have a plan that describes the process for conducting QAPI and QAA activities.

Category: Administration Deficiencies

Corrected: May 1, 2025

F — Widespread - Minimal harm Mar 18, 2025 Tag: 0838

Conduct 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.

Category: Administration Deficiencies

Corrected: Apr 18, 2025

D — Isolated - Minimal harm Mar 18, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Apr 18, 2025

E — Pattern - Minimal harm Mar 18, 2025 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 18, 2025

E — Pattern - Minimal harm Mar 18, 2025 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 18, 2025

E — Pattern - Minimal harm Mar 18, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 18, 2025

D — Isolated - Minimal harm Mar 18, 2025 Tag: 0678

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Category: Quality of Life and Care Deficiencies

Corrected: May 1, 2025

D — Isolated - Minimal harm Mar 18, 2025 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 18, 2025

F — Widespread - Minimal harm Mar 18, 2025 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 18, 2025

E — Pattern - Minimal harm Mar 18, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: May 1, 2025

E — Pattern - Minimal harm Jan 11, 2023 Tag: 0922

Have enough backup water supply for essential areas of the nursing home.

Category: Environmental Deficiencies

Corrected: Jan 31, 2023

E — Pattern - Minimal harm Jan 11, 2023 Tag: 0886

Perform COVID19 testing on residents and staff.

Category: Infection Control Deficiencies

Corrected: Feb 3, 2023

E — Pattern - Minimal harm Jan 11, 2023 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 31, 2023

E — Pattern - Minimal harm Jan 11, 2023 Tag: 0756

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

Category: Pharmacy Service Deficiencies

Corrected: Feb 3, 2023

D — Isolated - Minimal harm Jan 11, 2023 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 3, 2023

D — Isolated - Minimal harm Jan 11, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 3, 2023

D — Isolated - Minimal harm Jan 11, 2023 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 6, 2023

D — Isolated - Minimal harm Jan 11, 2023 Tag: 0637

Assess the resident when there is a significant change in condition

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 3, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 21.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.5% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 2.6% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 3.5% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 3.6% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.3% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 89.5% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 36.9% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 25.0% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 16.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.6% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 76.1% No
Percentage of long-stay residents with pressure ulcers Long Stay 4.7% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 7.1% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 22.4% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for MEADOW LAKES?
MEADOW LAKES has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (4★), and quality measures (3★).
What are the staffing levels at MEADOW LAKES?
MEADOW LAKES reports 4.68 total nursing hours per resident day (national average: 3.89). RN hours are 1.13 per resident day (national average: 0.68). Nursing staff turnover is 41.2%.
How many beds does MEADOW LAKES have?
MEADOW LAKES has 60 certified beds with approximately 52 residents. The facility is located at 300 MEADOW LAKES, EAST WINDSOR, NJ 08520.
Does MEADOW LAKES have any deficiencies on record?
Yes, MEADOW LAKES has 19 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has MEADOW LAKES received any fines or penalties?
No, MEADOW LAKES has no fines or penalties on record.
Who owns MEADOW LAKES?
MEADOW LAKES is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was MEADOW LAKES last inspected?
The most recent health inspection for MEADOW LAKES was on Mar 18, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for MEADOW LAKES?
MEADOW LAKES is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial