Meadow Lake Health Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF609Jul 19, 2023

  Based on interview and record review, the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, are reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve serious bodily injury, to the administrator of the facility and to other officials (including to the State Survey Agency) in accordance with State law through established procedures for 2 of 16 Residents (Residents #7 and #10) reviewed for abuse and neglect. 1. […]

• No harm, potential for more than minimal, patternF610Jul 19, 2023

  Based on interview and record review the facility failed to ensure that all alleged violations involving abuse and neglect are thoroughly investigated and report the results of all investigations to the State Survey Agency, within 5 working days of the incident for 2 of 16 Residents (Residents #7 and #10) reviewed for investigating abuse and neglect. 1. The facility failed to investigate or report the results to the State Survey Agency when Resident #10 was found on the floor with a laceration to the top of her head and was sent to the hospital where she received 2 staples. Resident #10 could not state how she fell . 2. The facility failed to investigate or report the results to the State Survey Agency when Resident #7 had pain to her right leg and was found to have a fracture. […]

• No harm, potential for more than minimal, patternF868Jun 15, 2022

  Based on interview and record review, the facility failed to ensure the facility's Quality Assessment and Assurance Committee met quarterly, for 1 of 1 facility, reviewed for QAA/QAPI. The facility failed to ensure the QAA/QAPI met for the 2nd quarter (April, May, June) and the 3rd quarter (July, August, September) during 2021, to address identified issues. This failure could place residents at risk for quality deficiencies being unidentified and no appropriate plans of actions developed or implemented. Findings included: Review of the facility's QAA/QAPI meeting signature logs for the months of April 2021 through September 2021 revealed, no documentation to indicate the facility held QAA/QAPI meetings during the 2nd and 3rd quarter period. […]

• No harm, potential for more than minimal, patternF655May 12, 2021

  Based on interview and record review, the facility failed to develop a baseline care plan within 48 hours of admission and provide the resident and or the resident representative with a summary of the baseline care plan for 9 of 12 residents reviewed for the base line care plans. (Resident #s 11, 14, 18, 19, 71, 120, 170, 171, and 172) The facility did not complete a baseline care plan within 48 hours of admission for Resident #s 11, 14, 18, 19, 71, 120, 170, 171, and 172. The facility did not provide a written summary of the baseline care plan to Resident #s 11, 14, 18, 19, 71, 120, 170, 171, and 172 or their responsible party. […]

• No harm, potential for more than minimal, patternF684May 12, 2021

  Based on interview and record review, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice, based on the comprehensive assessment for 3 of 4 residents reviewed for care. (Resident #s 2, 7, 14, and 171) The facility failed to ensure antibiotic therapy was initiated in a timely manner for Resident #s 171, 14, 7, and 2. This failure could place residents at risk for worsening infections resulting in decline in health, hospitalization , or death. Findings included: 1. Physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . […]