Aristacare at Meadow Springs

In the surveyor’s words

From the most serious findings on record at Aristacare at Meadow Springs, in the surveyor’s own words.

• Immediate jeopardy, patternF600Feb 12, 2026

  Based on review of facility policy, facility documentation, clinical records, observations, and staff interviews, it was determined the Facility failed to ensure residents were free from abuse and neglect by exhibiting a pattern of neglect of medically fragile residents. Residents R2, R25, R45, R47, and R100 who are totally dependent on staff for all of their needs were not provided incontinence care, ileostomy care, and lack of investigation of bruising with an unknown origin for the five of 29 residents reviewed. This failure to provide necessary goods and services to residents put residents at risk of serious health complications and resulted in an Immediate Jeopardy situation. […]

• Immediate jeopardy, patternF880Feb 12, 2026

  Based on review of facility policies, review of CDC requirements, observations, and staff interviews, it was determined the facility failed to establish and maintain an effective Infection Prevention and Control Program including the utilization of appropriate personal protective equipment (PPE) during high-contact resident care and failed to adequately educate staff on evidence-based infection control practices for residents on four of four nursing units (NPRU Nursing Unit, NLC Nursing Unit, PLC1 Nursing Unit, and PLC2 Nursing Unit). This failure placed residents at high risk to health and was identified as an Immediate Jeopardy situation. […]

• Immediate jeopardy, patternF689Apr 19, 2024

  Based on observation, review of facility policies, facility documentation and interviews with staff, it was determined that the facility failed to ensure that water temperatures in resident bathroom hand sinks and showers were maintained at a safe temperature for two of two nursing units observed (Unit One and Unit Two). This failure placed residents on Unit One and Unit Two at risk for serious injury from a burn and resulted in an Immediate Jeopardy situation. Findings Include: Review of the Water Temperatures, Safety of Policy undated states that tap water . shall be kept within a temperature range to prevent scalding residents. Policy Interpretation and Implementation 1. […]

• Actual harm, isolatedF600Mar 15, 2023

  Based on review of facility policies, clinical record review, review of facility documentation and interviews with staff, it was determined that the facility failed to ensure that one resident remained free from neglect, which resulted in actual harm to Resident R1 who sustained a right leg distal oblique femoral fracture, a left leg proximal transverse tibial fracture, pain and delay in treatment of five residents reviewed. (Resident R1) Findings include: Review of facility policy, Abuse dated October 27, 2017, defines neglect as the failure of the facility, its employees or service providers to provide goods and services to a resident that are necessary to avoid physical harm, pain, mental anguish or emotional distress. […]

• Actual harm, isolatedF609Mar 15, 2023

  Based on review of facility policy, clinical record review, review of facility documentation and interviews with staff, it was determined that the facility failed to ensure that all allegations of abuse and neglect, including injuries of unknown origin, were reported to the Administrator of the facility which resulted in actual harm to Resident R1 a delay in treatment, pain and was diagnosed with a right leg distal oblique femoral fracture, a left leg proximal transverse tibial fracture for one of five residents reviewed. (Resident R1) Findings include: Review of facility policy, Abuse dated October 27, 2017, revealed that employees must always report any abuse or suspicion of abuse immediately to the Administrator, Director of Nursing or designee. […]