Meadow View Rehabilitation & Healthcare Center

In the surveyor’s words

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

• Actual harm, isolatedF689Dec 14, 2023

  Based on a review of clinical records and select investigation reports and staff interview, it was determined that the facility failed to implement effective fall prevention interventions including timely and necessary staff supervision of resident with a history of falls and known unsafe behaviors that increased the resident's risk for falls, to prevent a fall with serious injuries, facial and foot fractures, to one resident out of 13 sampled (Resident 46). Findings include: A review of the clinical record revealed that Resident 46 was admitted to the facility on [DATE], with diagnoses of dementia, protein anxiety and a history of repeated falls. […]

• Actual harm, isolatedF686Feb 15, 2022

  Based on a review of clinical records and select facility policy, observations and staff interviews, it was determined that the facility failed to timely assess and consistently provide recommended and/or prescribed treatment and services, consistent with professional standards of practice, to prevent new pressure sore development, promote healing and prevent worsening of existing pressure sores, which resulted in the development of facility acquired pressure sores and related pain for one resident (Resident 10) and lack of evidence of consistent monitoring of one resident's pressure sores for healing progress (Resident 1) out of four residents reviewed with pressure ulcers Findings include: According to the United States Department of Health and Human Services, Agency for Healthcare… […]

• No harm, potential for more than minimal, widespreadF812Jan 10, 2023

  Based on observations during a tour of the dietary department and staff interview, it was determined that the facility failed to maintain acceptable practices for the storage and service of food to prevent the potential for microbial growth in food, which increased the risk of food-borne illness. Findings include: Food safety and inspection standards for safe food handling indicate that everything that comes in contact with food must be kept clean and food that is mishandled can lead to foodborne illness. Safe steps in food handling, cooking, and storage are essential in preventing foodborne illness. […]

• No harm, potential for more than minimal, widespreadF919Jan 10, 2023

  Based on observation and staff interview, it was determined that the facility failed to ensure a functional and or fully functional call bell communication system on four of four units (North, South, East and West). Findings include: Observation on January 8, 2023, at 10:30 AM revealed the call light above North 5 entranceway was activated upon arrival to the unit. However, there was no audible sound nor was the master control panel (box at nurses station with each location identified that is to light up respectively to the room activated) light activated. […]

• No harm, potential for more than minimal, widespreadF880Nov 2, 2022

  Based on a review of clinical records, select facility policy, current CDC (Centers for Disease Control and Prevention) and PAHAN (Pennsylvania Health Alert Network) infection control guidance, observations and staff interview, it was determined the facility failed to consistently implement infection control precautions necessary to deter the spread of the COVID-19 virus in the facility as evidenced by seven residents out of seven residents requiring transmission based precautions. Findings include: A review of the Pennsylvania Department of Health 2022 - PAHAN - 663 - 10-04-UPD dated October 4, 2022, subject: UPDATE: Interim Infection Prevention and Control. Recommendations for Healthcare Settings during the COVID-19 Pandemic. […]