Meadow View Nursing and Rehabilitation

In the surveyor’s words

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

• Actual harm, isolatedF689Aug 9, 2024

  Based on observation, record review, interview, and policy review, the facility failed to ensure a residents safety during a mechanical lift transfer resulting in the resident falling during a mechanical lift transfer and sustaining a spinal fracture and to prevent a cognitively impaired resident with wandering/exit seeking behaviors from gaining access to the parking lot without supervision for two of seven residents (Resident (R) 309 and R95) reviewed for accidents in the sample of 21. Findings include: 1. Review of R309's Face Sheet, located in the Profile tab of the electronic medical record (EMR), revealed admission to the facility on [DATE] and readmitted on [DATE] with diagnoses including fracture of T7-T8 thoracic vertebra. […]

• No harm, potential for more than minimal, isolatedF550Nov 19, 2025

  Based on observation, facility's CNA job description, record review, and resident and staff interview, the facility failed to ensure dignity of residents when staff enter their rooms without knocking and waiting for acknowledgement to enter. This was true for 1 of 2 residents (Resident #64) reviewed for respect and dignity. This deficient practice placed residents at risk of embarrassment and diminished sense of self-worth. Findings include:The facility's Certified Nursing Assistant Job Description dated 12/17/21, documented staff are to knock before entering the resident's room. Resident #64 was initially admitted to the facility on [DATE], and was readmitted on [DATE], with multiple diagnoses including stroke and muscle weakness. […]

• No harm, potential for more than minimal, isolatedF578Nov 19, 2025

  Based on record review and staff interview it was determined the facility failed to ensure a resident and their representative received assistance to exercise their right to formulate an Advance Directive. This was true for 3 of 23 Residents (#12, #72 and #88) whose records were reviewed for Advance Directives. This deficient practice created the potential for harm or adverse outcomes if the resident's wishes were not followed or documented regarding their advance care planning. […]

• No harm, potential for more than minimal, isolatedF582Nov 19, 2025

  Based on record review and staff interview, it was determined the facility failed to provide the Advance Beneficiary Notice (ABN - CMS-10055 form) for 2 of 3 residents (#19 and #70) reviewed for beneficiary protection notification. This deficient practice had the potential to cause financial harm or distress for residents when they were not informed of their potential liability for payment when their Medicare Part A benefits ended. Findings include: 1. Resident #19 was initially admitted to the facility on [DATE], and was readmitted on [DATE], with multiple diagnoses including amputation aftercare and malnutrition.A Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage form documented beginning on 5/20/25, Resident #19 would have to pay out of pocket for his care. […]

• No harm, potential for more than minimal, isolatedF609Nov 19, 2025

  Based on policy review, record review, review of the Bureau of Facility Standards Long Term Care Reporting System (BFS) portal and staff interview, it was determined the facility failed to report allegations of potential abuse to the State Survey Agency within 2 hours. This affected 1 of 2 residents (Resident #3) whose records were reviewed for abuse reporting and investigation. This deficient practice created the potential for harm if allegations were not acted upon in a timely manner and the abuse continued. Findings include:The facility Reporting Alleged Violations of Abuse, Neglect, Exploitation, or Mistreatment policy revised April 2025, documented under Procedure: In response to allegations of abuse, neglect, exploitation, or mistreatment, the Facility will:a. […]