Meadow View Health Services

In the surveyor’s words

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

• Actual harm, isolatedF689Jul 2, 2024

  Based on observation, staff interview, and record review, the facility did not ensure interventions were followed to prevent a fall for 1 resident (R1) of 4 sampled residents. On 6/1/24, Certified Nursing Assistant (CNA)-C did not transfer R1 according to R1's plan of care which resulted in a fall with a left hip fracture. Findings include: On 7/2/24, Surveyor reviewed R1's medical record. R1 was admitted to the facility on [DATE] and had diagnoses including displaced fracture of base of neck of left femur, subsequent encounter for closed fracture with routine healing, pressure ulcer of right heel, unstageable, fracture of unspecified part of neck of right femur, and pneumonia. […]

• No harm, potential for more than minimal, widespreadF812Dec 18, 2025

  Based on observation, staff interview, and record review, the facility did not ensure food was stored and prepared in a sanitary manner. This practice had the potential to affect all 31 residents residing in the facility.The facility did not thaw frozen food via a safe thawing method.The facility did not consistently follow safe food cooling protocol.The facility did not consistently dispose of food items in a manner that ensured food safety.Findings include:During an initial kitchen tour that began at 8:17 AM on 12/16/25, Dietary Manager (DM)-D indicated the facility follows the Food and Drug Administration (FDA) Food Code.Thawing:The 2022 FDA Food Code documents at 3-501.13 Thawing: Except as specified in (D) of this section, time/temperature control for safety food shall be thawed: (A)… […]

• No harm, potential for more than minimal, widespreadF812Aug 28, 2024

  Based on observation, staff interview, and record review, the facility did not ensure food was stored and prepared in a sanitary manner. This practice had the potential to affect 32 of 33 residents residing in the facility. One resident received nutrition exclusively via tube feeding. The facility did not consistently label, date, and dispose of food items in a manner that ensured food safety. The facility did not consistently follow safe food cooling protocol. Findings include: On 8/27/24 at 11:50 AM, Surveyor interviewed District Manager (DM)-C who stated the facility followed the Food and Drug Administration (FDA) Food Code. […]

• No harm, potential for more than minimal, widespreadF812Jun 30, 2021

  Based on observations, record review and staff interviews, the facility did not ensure food was stored in accordance with food safety standards. This had the potential to affect all residents residing in the facility. The dining room refrigerator containing resident food was not being monitored for temperatures. Resident food stored in the dining room refrigerator was not labeled with open dates. Refrigeration temperature logs for seven units within the kitchen were not consistently monitored for temperatures. Findings: Wisconsin Food Code states: Potentially Hazardous Food (Time/Temperature Control for Safety Food), Hot and Cold Holding. (A) Except during preparation, cooking, or cooling . […]

• No harm, potential for more than minimal, patternF687Dec 18, 2025

  Based on observation, staff interview, and record review, the facility did not ensure the provision of foot and nail care for 8 residents (R) (R21, R5, R9, R10, R6, R27, R29, and R30) of 8 sampled residents with diabetes.The facility did not provide daily diabetic foot checks for R21, R5, R9, R10, R6, R27, R29, and R30 in accordance with professional standards of practice, the residents' care plans, and the facility's policy. Findings include:The facility's Skin Integrity-Foot Care policy, dated 12/15/23, indicates: It is the policy of the facility to ensure residents receive proper treatment and care within professional standards of practice and state scope of practice, as applicable, to maintain mobility and good foot health. […]