Green Meadows Nursing & Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF760Aug 4, 2026

  Based upon review of facility policy and procedure, review of facility documentation and clinical record review, it was determined that the facility failed to ensure residents were free from significant medication errors, resulting in actual harm to one resident (Resident R1), who required treatment with Narcan and hospitalization. This was identified as past non-compliance for Resident R1.Findings include: Review of undated facility policy and procedure titled Medication Administration revealed identify resident by photo in the MAR (medication administration record). […]

• No harm, potential for more than minimal, widespreadF921Mar 3, 2022

  Based on observation and interviews, it was determined that the facility failed to maintain an environment that was safe and sanitary for residents on three of three nursing units (First Floor, Second Floor, Third Floor.) Findings include: Observation during the initial tour of the first floor of the facility on March 3, 2022, at approximately 9:00 a.m. revealed the floor in Resident 3's room was sticky and covered with crumbs. Resident 3's bed linens were visibly soiled with a reddish-brown substance. An electrical outlet on the wall did not have a cover. Observation of Resident 3's bathroom revealed a brown substance on the walls and floors. […]

• No harm, potential for more than minimal, patternF692Dec 11, 2025

  Based on observations and staff interviews it was determined that the facility failed to provide hydration for fifteen of thirty-two rooms on the 1st floor dementia care unit.Observations made of resident rooms on December 8, 2025, December 9, 2025, and December 10, 2025, revealed rooms 100 through 115 had no cups of fresh water for resident's hydration or the cups were dated between November 14, 2025, and December 1, 2025. Rooms 116 through 132 were observed to have currently dated cups with fresh water.Observations made on December 8, 2025, December 9, 2025, and December 10, 2025, of rooms [ROOM NUMBERS] revealed cups of water dated November 14, 2025. […]

• No harm, potential for more than minimal, patternF910Dec 11, 2025

  Based on observations and staff interviews it was determined that the facility failed to provide privacy curtains for three of thirty-two resident rooms and failed to provide clean privacy curtains for eighteen of thirty-two resident rooms located on the 1st floor dementia care unit.Observations made on December 8, 2025, December 9, 2025, and December 10, 2025, of resident rooms on the 1st floor dementia care unit revealed 3 rooms with missing privacy curtains. Observations made on December 8, 2025, December 9, 2025, and December 10, 2025, of resident rooms on the 1st floor dementia care unit revealed 18 rooms with privacy curtains that were soiled or had brown stains on them.Interview conducted with Nursing Home Administrator (NHA) and Director of Nursing (DON) on December 11, 2025, at… […]

• No harm, potential for more than minimal, patternF812Oct 9, 2024

  Based on policy review, observation, and staff interview, it was determined that the facility failed to properly store food in the dry storage located next to the main kitchen. Findings include: Review of the facility's policy entitled, Labeling and storage, dated 2017, revealed that All food should be dated upon receipt before stored, food labels must include the food item name, and the use-by date . Observations during the tour of the main kitchen on October 6, 2024, at 9:12 a.m., revealed the following: Observation of the dry storage 2 area, noting eight opened bags of uncooked pasta without a label and use-by date and were nor properly sealed. […]