Civita Care Meadowbrook

In the surveyor’s words

From the most serious findings on record at Civita Care Meadowbrook, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Jan 23, 2024

  Based on observation of the kitchen and nourishment room and interview for 1 of 2 nourishment rooms, the failed to failed provide a safe and sanitary ice maker and ensure safe nourishment room cabinet without in disrepair. The findings include: Observation on 1/16/24 at 11:16 AM of second floor, Unit II nourishment room, identified the door was open and accessible to residents. The ice maker dispensing machine was streaked with a large amount of whitish colored scale-like build-up and rusted black/gray grates on the ice maker machine's catch tray. […]

• No harm, potential for more than minimal, isolatedF689Mar 10, 2026

  Based on review of the clinical record, facility documentation, facility policy, and interviews for one (1) of three (3) residents (Resident #1) reviewed for activities of daily living (ADL) care, the facility failed to ensure a safe environment and protect a non-ambulatory, cognitively impaired resident who was totally dependent on staff for transfers from injury. This failure resulted in Resident #1 sustaining a femur fracture and displaced tibia and fibula fractures requiring surgical intervention. The findings include:Resident #1 was admitted to the facility with diagnoses that included dementia and osteoarthritis. Resident #1 had a power of attorney for health decisions. […]

• No harm, potential for more than minimal, isolatedF745Mar 10, 2026

  Based on review of the clinical record, facility documentation, and interviews for one (1) of two (2) residents (Resident #1) reviewed for medically-related social services, the facility failed to ensure medically-related social services were provided and documented.The findings include: Resident #1 was admitted to the facility with diagnoses that included dementia and schizoaffective disorder. Resident #1 had a power of attorney (POA) for health decisions. The Social Work (SW) Annual assessment dated [DATE] identified Resident #1 was alert to self primarily with observed cognition deficits related to place and times as well as confusion. […]

• No harm, potential for more than minimal, isolatedF578Dec 2, 2025

  Based on review of the clinical record, review of facility policy and interviews for one of twenty-three sampled residents (Resident #4) reviewed for advance directives, the facility failed to ensure the physician's order matched the wishes of the resident/responsible party. The findings include: Resident #4's diagnoses included atrial flutter, Type 1 diabetes mellitus with hyperglycemia, and mild intellectual disability. The quarterly MDS assessment dated [DATE] identified Resident #4 had intact cognition, required moderate assistance with personal hygiene, was independent with bed mobility and utilized a walker for mobility. […]

• No harm, potential for more than minimal, isolatedF684Dec 2, 2025

  Based on clinical record reviews, review of facility documentation, and review of facility policy for one of three sampled residents (Resident #40) reviewed for medication reconciliation, the facility failed to ensure the medications from the hospital discharge instructions were accurately transcribed to the facility electronic physician's orders to prevent medication error and for one sampled resident (Resident #88) reviewed for bowel function, the facility failed to ensure the bowel regimen was followed as per physician order and facility policy. The findings include:1. […]