Carecore at the Meadows

In the surveyor’s words

From the most serious findings on record at Carecore at the Meadows, in the surveyor’s own words.

• Actual harm, isolatedF684Aug 15, 2022

  Based on record review, staff interview, and review of the facility policy, the facility failed to monitor resident bowel functioning. This resulted in actual harm for Resident #45 when the resident went multiple days with no bowel movements and was subsequently treated at the hospital for severe fecal impaction. The facility also failed to ensure compression stockings were in place as ordered. This affected one resident (#45) out of three reviewed for bowel monitoring and one (#60) of five facility-identified residents with orders for compression stockings. The facility census was 63. Findings include: 1. […]

• Actual harm, isolatedF686Apr 13, 2022

  Based on record review, staff interview, review of facility policy, and review of guidance from the National Pressure Injury Advisory Panel (NPIAP), the facility failed to initiate prompt and timely treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . This resulted in actual harm when Resident #71 was admitted with two stage II pressure ulcers (Stage II pressure ulcers are shallow with a reddish base. Adipose (fat) and deeper tissues are not visible, granulation tissue, slough and eschar are not present. Intact or partially ruptured blisters that are a result of pressure can also be considered stage II pressure ulcers) and the facility failed to initiate treatments, resulting in the wound significantly increasing in size. […]

• Actual harm, isolatedF689Dec 7, 2021

  Based on medical record review, review of hospital records, staff interview, and review of facility policy, the facility failed to ensure residents received adequate supervision and/or assistance when being provided with hot beverages. This resulted in Actual Harm when staff gave Resident #70 very hot water to mix with instant coffee powder and the hot coffee spilled on the resident resulting in a burn to the left hip which required an emergency room visit for evaluation/treatment. This affected one (#70) out of three residents reviewed for accidents. The facility census was 63. Findings include: Review of the medical record for Resident #70 revealed an admitted [DATE]. Resident #70 discharged home on 11/19/21. The resident had diagnoses which included [CONDITION(S)]. […]

• No harm, potential for more than minimal, widespreadF576Aug 31, 2026

  Based on observation, staff interview, and policy review the facility failed to ensure that residents were able to receive telephone communications from outside the facility. This had the potential to affect all of the residents residing in the facility. The facility census was 85 residents.Findings include: Observation on 08/24/26 at 8:37 A.M. revealed the facility number (513) [PHONE NUMBER] was dialed. The voicemail greeting indicated to push 1 for nurses' station but it did not work. Observation on 08/24/26 at 1:30 P.M. revealed the facility number (513) [PHONE NUMBER] was dialed. The voicemail greeting indicated to push 1 for the nurses' station but it did not work. Interview on 08/24/26 at 1:45 P.M. […]

• No harm, potential for more than minimal, widespreadF812Aug 31, 2026

  Based on observation, staff interview, review of the dish machine sanitization log, and policy review, the facility failed to ensure food was stored, prepared, and served in a safe and sanitary manner to prevent the potential for a foodborne illness. This had the potential to affect all residents residing in the facility. The facility census was 85 residents. Findings include: 1.Observation on 08/24/26 at 9:23 A.M. revealed there was standing water on the floor near the dish machine. Interview on 08/24/26 at 9:23 A.M. with Dietary Manager (DM) #413 verified the standing water on the floor near the dish machine. DM #413 stated the garbage disposal next to the dish machine leaked water and it had been this way since he had been hired about a month prior to the survey. 2. […]