Meadow View Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Meadow View Health and Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF686Feb 10, 2023

  Based on record review, interview, and observation, the facility failed to ensure a resident's Weekly Skin Assessments were completed and accurate to identify and prevent the development or worsening of a pressure ulcer resulting in an unstageable pressure ulcer worsening to a Stage IV pressure ulcer for 1 of 5 residents reviewed for pressure ulcers. (Resident 62) Findings include: During an observation on 2/6/23 around 9:00 a.m., Resident 62 was sitting in his room in a wheelchair. The clinical record for Resident 62 was reviewed on 2/9/23 at 9:25 a.m. […]

• No harm, potential for more than minimal, patternF880Dec 18, 2025

  Based on observation, record review, and interview, the facility failed to follow appropriate infection control guidelines related to perineal care, bathing, and isolation for 6 of 8 residents reviewed for infection prevention. (Residents E, F, G, B, C, and D)Findings include:1.During an observation on the North Left Hall, on 12/18/25 at 9:09 a.m., Certified Nurse Aide (CNA) 5 was leaving a resident's room with a trash bag of soiled briefs and wipes. She brought the trash bag to soiled utility room and disposed of it in the bin. She performed hand hygiene after disposing of the bag. During an observation, on 12/18/25 at 9:57 a.m., of Resident E receiving incontinence care by CNA 3 and she walked into the resident's room without performing hand hygiene. […]

• No harm, potential for more than minimal, patternF745Mar 5, 2024

  Based on record review and interview, the facility failed to ensure appropriate social services follow-up, monitoring, and documentation for 5 of 20 residents reviewed for Social Services. (Residents 40, 56, 31, 53, and 65) Findings include: During an interview on 2/29/24 at 1:06 p.m., Resident 56 indicated he felt useless. He was unhappy being in a long-term care facility. He felt locked up. He wanted to get back to his family in another State. He was unable to move his legs since he'd had a stroke. He would like to do therapy so he could build up his strength to get stronger and go home. He had not been out of bed in months. He had relayed these concerns to the SSD (Social Services Director) and the DON (Director of Nursing). […]

• No harm, potential for more than minimal, patternF761Feb 10, 2023

  Based on observation, record review, and interview, the facility failed to ensure appropriate labeling and storage of medications for 4 of 5 medication carts and 1 of 2 medication rooms observed. (Annex Right Medication Cart, Annex Left Medication Cart, North Hall Left Medication Cart, North Hall Medication Room, and North Hall Right Medication Cart) Findings include: 1. During an interview and observation of the Annex Right medication cart with Unit Manager 5 on 2/8/23 at 10:59 a.m., the following concerns were observed: - An unlabeled insulin glargine 100 unit/mL (milliliter) pen had an open date written on it in black permanent marker, which was dated 1/6/23. There was no pharmacy labeling or packaging for the medication. […]

• No harm, potential for more than minimal, patternF695Mar 1, 2022

  Based on observation, record review, and interview, the facility failed to ensure oxygen was provided in a sanitary manner to 7 of 14 residents reviewed. (Residents 18, 50, 60, 55, 24, 6, and 19) Findings include: 1. During an observation, on 2/23/22 at 10:10 a.m., the filter on the side of Resident 18's oxygen (O2) concentrator was coated in a thick layer of white fuzzy buildup and hair. During an observation, on 2/24/22 at 10:39 a.m., the filter on the side of the resident's O2 concentrator was coated in a thick layer of white fuzzy buildup and hair. During an observation, on 2/25/22 at 8:12 a.m., the filter on the side of the resident's O2 concentrator was coated in a thick layer of white fuzzy buildup and hair. […]