Deer Meadows Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Mar 8, 2023

  Based on the review of facility documentation, clinical records, Safety Data Sheet, facility policies, observations, and interview with staff, it was determined that the facility failed to secure the housekeeping cart and hazardous chemical products and failed to ensure that these products were not accessible to residents in one of eight nursing units. ([NAME] 1 nursing unit). These failures resulted in Resident R1 able to access and drank hazardous chemical product and experienced episodes of emesis. This failure resulted in an Immediate Jeopardy situation for Resident R1 and other residents at risk for serious harm in the [NAME] 1 nursing unit. Findings include: Review of the facility document title Housekeeping Cart Safety undated revealed: 1. […]

• Actual harm, isolatedF689Oct 23, 2025

  Based on review of clinical record, facility documentation, facility policy, and staff interviews, it was determined the facility failed to ensure that all interventions to prevent fall incidents were in place after Resident R48 was transfer into bed, resulting in actual harm to Resident R48 who fell out of bed and sustained a fractured jaw for one of three residents reviewed for falls. (Resident R48) Findings include: Review of facility policy Fall Prevention and Management, revised 2023, revealed an Avoidable Accident is interpreted as an accident occurred because the facility failed to: - Identify environmental hazards and/or assess individual resident risk of an accident, including the need for supervision and/or assistive devices; and/or - Evaluate and analyze the hazards and risks… […]

• No harm, potential for more than minimal, patternF814Aug 21, 2026

  Based on observations and an interview with staff, it was determined that the facility did not ensure that garbage and refuse was properly disposed. Finding Include: Observations were made of the facility's loading dock on, August 18, 2026, at 11:30 a.m. with the Food Service Director. Upon first entering the loading dock/dumpster area on the first tier was a wooden chair, two PVC bins (normally used for dirty laundry), and six wooden pellets. Stepping down to the area of the trash bins was a pile of trash with cups, lids, liquids on the ground. Per the Food Service Director, the trash company had recently taken the dumpster and will be returning the dumpster within an hour. Left in its place was loose trash consisting of cups, lids etc. […]

• No harm, potential for more than minimal, patternF686Nov 22, 2024

  Based on observation, review of clinical records and facility policies and interviews with staff, it was determined that the facility failed to provide necessary treatment and services, consistent with professional standards of practice and physician orders, to promote healing of pressure ulcers and prevent development of pressure ulcers for four of six residents reviewed for pressure ulcer. (Resident 53, Resident R90, Resident R277 and Resident R14) Findings Include: Review of facility policy Wound Management Guidelines revised April 1, 2022, revealed residents will receive the appropriate treatment for their skin issues as identified in the type of skin/wound presentation and the indicated treatment and interventions for the identified issues. […]

• No harm, potential for more than minimal, patternF908Jul 25, 2024

  Based on observations of the food and nutrition department, review of facility policy and interviews with staff, it was determined that the facility failed to maintain essential food service equipment in safe operating condition. Findings Include: Review of facility procedure titled, Resources dated unknown indicates conduct safety and operation inspections 1. Visually inspect all appliances for damage 2. Inspect electric cords and connections 3. Check Filter hoods above stove 4. Check C02 tank storage containers 5. Test functionality of appliances and proper operation of al controls 6. Lubricate per manufacture's specs as needed. 7. Inspect all tethered gas fed appliances. Document findings in log book 1. Remove damaged items from kitchen use 2. Note any discrepancies 3. […]