Country Meadows

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Dec 16, 2022

  Based on observation, interview, and record review, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. These practices had the potential to affect all residents. The facility's census was 63. Record review of the facility's Receiving and Storage of Food policy, dated April 2006, showed: -The dietary manager is responsible for receiving and storing food and nonfood items; - A table of safe temperatures for refrigerators and freezers (frozen food should be kept at -10 to 0 degrees Fahrenheit); -The policy did not address freezer cleaning/maintenance. […]

• No harm, potential for more than minimal, isolatedF658Nov 12, 2025

  Based on interview and record review, the facility failed to follow physician's orders when residents missed doses of medication due to being unavailable for six residents (Resident #1, #2, #3, #4, #5, and #6) out of six sampled residents. The facility's census was 68.The facility did not provide a policy regarding following physician orders or regarding residents missing doses of medications.1. Review of Resident #1's medical record showed:- An admission date of 05/06/21;- Diagnoses of constipation, type 2 diabetes mellitus, vitamin deficiency, nausea, pneumonia, low back pain, pain in right and left hip, and muscle spasm of back;- An order for Linzess (constipation medication), 145 micrograms (mcg), one capsule orally 30 minutes prior to meal for constipation, dated 08/29/25;- An order… […]

• No harm, potential for more than minimal, isolatedF641Jul 25, 2025

  Based on interview and record review, the facility failed to document an accurate Minimum Data Set (MDS-a federally mandated assessment completed by the facility staff) for two residents (Resident #3 and #44) out of 16 sampled residents and one resident (Resident #65) outside the sample. The facility's census was 65.The facility did not provide a policy regarding MDS accuracy.Review of the Resident Assessment Instrument (RAI) Manual, dated October 2024, showed:- J1400: Code 1, yes: if the medical record includes physician documentation: 1) that the resident is terminally ill; or 2) the resident is receiving hospice services;- O0110K1, Hospice care: Code residents identified as being in a hospice program for terminally ill persons where an array of services is provided for the palliation… […]

• No harm, potential for more than minimal, isolatedF698Jul 25, 2025

  Based on interview and record review, the facility failed to provide documentation of ongoing assessments, monitoring, and communication between the facility and the dialysis (the process for removal of waste and excess fluid from the blood due to kidney failure) center, failed to ensure physician orders were in place, and failed to assess and monitor the dialysis site for one resident (Resident #18) out of one sampled resident receiving dialysis. This failure had the potential to result in unmet needs or complications related to dialysis care. The facility census was 65. […]

• No harm, potential for more than minimal, isolatedF641May 23, 2024

  Based on interview and record review, the facility failed to document an accurate Minimum Data Set (MDS - a federally mandated assessment completed by facility staff) for two residents (Resident #40 and #51) out of 15 sampled residents. The facility census was 60. Review of the facility's policy, Resident Assessment Instrument (RAI) General Guidelines, undated, showed: - Completion of the RAI process: Accurate and timely completion of MDS and Care Area Assessments (CAA) areas as assigned; - Accurate completion requires resident interviews, staff interviews, resident assessment, review of the clinical record including physician notes, and observation of the resident in the nursing home environment. […]