Meadow View Health & Rehabilitation

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Sep 20, 2022

  Based on observation, interview, and record review, the facility failed to ensure the environment remained free from accident hazards by not assessing for safe smoking practices for one sampled resident (Resident #340) out of 19 sampled residents. The facility census was 95 residents. Record review of facility's undated policy titled Smoking Policy and Acknowledgement showed: -All residents must be supervised by a facility staff member or personal family member at the designated location. -Smoke breaks were outside in a designated area. -Facility staff member would only supervise smoke breaks at the designated times. […]

• Actual harm, isolatedF602Mar 14, 2023

  Based on observation, interview and record review, the facility failed to protect Resident #500 from misappropriation of property and exploitation when Hospitality Aide (HA) A took advantage of the resident for personal gain, through use of emotional manipulation while employed at the facility. Hospitality Aide (HA) A befriended the resident in order to gain the resident's trust, took money from the resident for personal gain, and made plans to take the resident's truck while employed at the facility. After HA A left employment and received the truck, she ended the relationship with the resident, causing him/her to feel emotional harm including feelings of being hurt, angry, and violated. This deficient practice effected one out of seven sampled residents. […]

• Actual harm, isolatedF600Sep 20, 2022

  Based on interview and record review, the facility failed to ensure one sampled resident (Resident #81) was free from abusive acts when one sampled resident (Resident #25) who had a known history of aggression, anger issues, yelling, hitting and kicking other residents struck the resident in his/her face causing reddened areas to his/her left cheek, nose and the left side of his/her upper lip with a small amount of blood noted out of 19 sampled residents. The facility census was 95 residents. […]

• Actual harm, isolatedF684Sep 20, 2022

  Based on observation, interview and record review, the facility failed to identify, assess, monitor and treat non-pressure wounds to the right great toe, the right little toe, the right ankle, the right Achilles tendon (fibrous tissue that connects the calf muscles to the heel bone)) and multiple scabbed areas over the resident's bilateral shins resulting in the non-pressure wounds worsening over the 42 day delay before treatment started for one sampled resident (Resident #14); to ensure the charge nurse reviewed and followed up with lab results for a resident suspected of having [CONDITION(S)] (C. […]

• Actual harm, isolatedF742Sep 20, 2022

  Based on observation, interview and record review, the facility failed to adequately assess, monitor, document and provide treatment that includes ongoing appropriate interventions related to the resident's behaviors; to ensure monthly psychiatric visits were in the medical record and reviewed by the staff; to ensure supportive services were in place and to have an individualized care plan based on the resident's behaviors of two sampled residents (Resident #14 and #25) out of 19 sampled residents. The facility census was 95 residents. […]