Meadow Grove Transitional Care

In the surveyor’s words

From the most serious findings on record at Meadow Grove Transitional Care, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Aug 20, 2026

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure appropriate infection prevention practices were followed during enteral feeding care for Resident #8 and failed to keep an accurate infection control log and mapping of the facility in-house acquired infections. This affected one resident (Resident #8) of nine residents observed for infection control and had the potential to affect all 94 residents residing in the facility.Findings include:1. Review of the medical record for Resident #8 revealed an admission date of 06/04/26. The Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #8 received nutrition through a feeding tube. […]

• No harm, potential for more than minimal, widespreadF812Mar 24, 2025

  Based on observations and staff interviews, the facility failed to store and serve food in a safe and sanitary manner. This had the potential to affect all 95 residents in the facility who were identified as receiving meals from the kitchen. Findings include: 1. Observations in the kitchen on 03/17/25 from 8:22 A.M. to 8:28 A.M. revealed a box containing 12 containers of a nutritional supplement was holding the door to the dry storage room ajar and resting on the floor, a large meat roast was resting on the floor of the walk in refrigerator, tulip serving bowls were not inverted on the storage rack, a bottle of opened barbecue sauce in the walk in refrigerator was undated, two opened bags containing frozen food items were unlabeled and undated in the walk in freezer, a black fuzzy… […]

• No harm, potential for more than minimal, widespreadF880Jan 25, 2021

  Based on record review, observation, staff interviews, review of the N95 packaging guidelines, and review of the Centers for Disease Control and Prevention (CDC) guidance, the facility failed to ensure staff utilized N95 respirators mask according to manufacturer guidelines and CDC's recommendation for reuse to prevent the spread of COVID-19. This had the potential to affect all 81 residents residing in the facility. Findings include: Review of the facility's infection control records revealed sixteen residents and three staff members have tested positive for COVID-19 in January 2021. Observation and interview on 01/21/21 at 1:20 P.M. revealed State tested Nursing Aide (STNA) #160 wearing a visibly worn N95 mask with dark smudges on the outside. […]

• No harm, potential for more than minimal, patternF692Mar 24, 2025

  Based on observations, medical record review, resident interview, staff interview, and facility policy review, the facility failed to properly monitor resident fluid restrictions. This affected two (Residents #58 and #47) of two residents reviewed for hydration. Also, the facility failed to adequately monitor and address resident nutritional status. This affected three (Residents #29, #19, and #47) of four residents reviewed for nutrition. The census was 95. Findings Include: 1. Resident #58 was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF880Mar 24, 2025

  Based on observations, interviews, record reviews, and facility policy review, the facility failed to complete hand hygiene during medication administration for one resident (Resident #50) of five residents observed for medication administration. The facility failed to disinfect a glucometer used to monitor finger stick blood sugars for one observed resident (Resident #27) and had the potential to affect six (Resident #1, Resident #18, Resident #41, Resident #57, Resident #145, and Resident #147) residents on the identified hallway who utilized the same glucometer. […]