Green Meadows Health & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Green Meadows Health & Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Oct 25, 2024

  Based on observation, interview, and policy review, the facility failed to provide food storage in a safe and consistent manner. Specifically, food items were observed open and unlabeled/ undated as to when the package/bottle/bags/boxes was opened. This had the potential to affect 78 of 79 residents who consumed food from the kitchen. The findings include: Review of undated policy provided by the facility titled, Guidelines for Storage subtitle Date Your Products with Use by Dates revealed use-by date for flour and syrup was one year, and two years for vinegar. […]

• No harm, potential for more than minimal, widespreadF919Oct 25, 2024

  Based on observations, interviews and document review, the facility failed to ensure the call light systems annunciator was operating at two of two nurses' stations (Transition and Orchard). This deficient practice could result in residents being unable to obtain assistance with their activities of daily living. The findings include: During an observation on 10/22/2024 at 4:59 PM at the Transition nurse's station, the call light system did not alarm at the nurses' station. Interview at that time with Licensed Practical Nurse (LPN) 1 and the Assistant Director of Nursing (ADON) revealed the annunciation system had been damaged during a storm, which had occurred in the spring. […]

• No harm, potential for more than minimal, widespreadF921Oct 25, 2024

  Based on observations and interviews, the facility failed to ensure two of two (Transition and Orchard) living room couches used by residents were maintained in a safe manner. The unrepaired couches could be a fall risk and possible risk for physical injury. This deficient practice has the potential to affect all 79 residents and their visitors in the facility. The findings include: During an observation on 10/23/2024 at 12:30 PM the Transition wing living room had a half-circle couch that had recliners at each end. The recliner on the right side was in the reclined position. A dining chair was positioned behind the back of the recliner and was holding the back in a more upright position. When the chair was removed, the recliner back would not stay upright. […]

• No harm, potential for more than minimal, patternF761Oct 25, 2024

  Based on observations, interviews, and facility policy review, the facility failed to properly store medications. Specifically, there were several loose tablets in three of six medication carts (Peach unit, Cherry unit and Maple unit). This failure increased the risk for drug diversion from three of six medication carts. The findings include: Review of the undated facility policy titled, Review of Unused Drugs revealed, All unused, contaminated, or expired prescription drugs shall be disposed of in accordance with state laws and regulations (refer to any state-specific requirements). Policy Explanation and Compliance Guidelines: 1. […]

• No harm, potential for more than minimal, isolatedF582Oct 25, 2024

  Based on interview, record review, and review of the facility instructions for completion of the Center for Medicare and Medicaid Services (CMS) Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) CMS-10055, revealed that the facility did not provide the SNFABN document to one of one resident (Resident (R)52) who remained in the facility after receiving skilled Medicare part A services. This failure could lead a resident or responsible party to not make an informed decision about remaining in the facility after Medicare A services ended. […]