Essex Meadows Health Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF580Jan 10, 2025

  Based on review of the clinical record, facility documentation, facility policy and interviews for 1 resident (Resident #8) reviewed for urinary tract infections (UTI ' s) and 2 of 3 residents (Resident #8 and Resident #36) reviewed for weight changes, the facility failed to notify a provider of a medication omission for treatment of a UTI and failed to notify a provider of a significant weight gain for a resident with congestive heart failure (CHF) and failed to notify a provider of significant weight changes per facility policy. The findings include: 1. […]

• No harm, potential for more than minimal, patternF609Jan 10, 2025

  Based on clinical record review, facility documentation, facility policy, and interviews for the only sampled resident (Resident #36), reviewed for abuse, the facility failed to report an allegation of abuse to the State Agency (SA) within 2 hours of the alleged violation. The findings include: Resident #36 was admitted to the facility in October of 2024 with diagnoses that included hypertension, chronic kidney disease and diabetes. The admission Minimum Data Set (MDS) assessment dated [DATE] identified Resident #36 was cognitively intact (Brief Interview for Mental Status (BIMS) score of 15) and required maximum assistance for toileting, bed mobility and transfers, moderate assistance for personal hygiene and was dependent for bathing. […]

• No harm, potential for more than minimal, patternF609Nov 14, 2022

  Based on clinical record reviews, facility documentation, facility policy, and interviews for 2 of 3 residents reviewed for abuse for (Resident #17), the facility failed to ensure reporting of verbal abuse timely and for (Resident # 29), the facility failed to report an injury of unknown origin to an overseeing state agency. The findings included: 1. Resident #17 was admitted with diagnoses that included morbid obesity, dementia with behavioral disturbances and major depressive disorder. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified the resident was severely cognitively impaired, required extensive two persons physical assistance with bed mobility, total dependence two persons for transfers and extensive one person assistance with personal hygiene. […]

• No harm, potential for more than minimal, patternF689Nov 14, 2022

  Based on observation, facility policy and interviews for one of two units reviewed for environment, the facility failed to maintain water temperatures within acceptable perimeters. The findings include: 1. Resident #25 ' s diagnoses included dementia with behavioral disturbance, delirium, and depression. Measurement of water temperatures in the Resident #25 ' s room on 11/10/22 at 10:30 AM identified a temperature of 125.3. 2. Resident #437 ' s Diagnosis included lymphoma and anxiety. Measurement of water temperature in Resident #437 ' s Room on 11/10/22 at 10:30 AM identified a temperature of 125.2 Interview and observation with the Plant Operation staff on 11/10/22 at 10:45 identified that he had calibrated his thermometer this morning prior to taking water temperatures. […]

• No harm, potential for more than minimal, isolatedF600Jul 2, 2026

  Based on review of the clinical record, facility documentation, facility policy, and interviews for 1 of 3 residents (Resident #5) reviewed for abuse, the facility failed to ensure the resident was free from physical abuse by a staff member. The findings include: Resident #5 was admitted to the facility in March 2025 with diagnoses that included aphasia, difficulty in walking, hemiplegia and hemiparesis following a stroke affecting the left non-dominant side, and dementia. The annual MDS dated [DATE] identified Resident #5 had severely impaired cognition, had normally used the following mobility devices in the last 7 days: walker and wheelchair, and required supervision or touching assistance with lying to sitting on the side of the bed, sitting to standing, and chair/bed-to-chair… […]