Meadow Wind Health Care Center

In the surveyor’s words

From the most serious findings on record at Meadow Wind Health Care Center, in the surveyor’s own words.

• Actual harm, isolatedF684Jul 1, 2026

  Based on record review, staff and resident interview, and review of facility policy, the facility failed to ensure Resident #44 received treatment and care in accordance with professional standards of practice for treatment of urinary tract infection.Actual harm occurred to Resident #44 on 06/07/26, when the facility failed to notify the nurse practitioner (NP) of abnormal urine analysis and culture results, which were positive for Klebsiella pneumoniae ESBL (extended spectrum beta-lactamase) bacteria greater than 100,000 colony-forming units per milliliter, causing a delay in treatment for a urinary tract infection (UTI). The results were not reported to the NP until 06/16/26 at approximately 9:51 P.M. At approximately 11:00 P.M. […]

• No harm, potential for more than minimal, widespreadF880Oct 10, 2024

  Based on observations, policy review, medical record review and interview, the facility failed to implement isolation protocols and failed to maintain infection control during tracheostomy care and blood glucose monitoring. This had the potential to affect all 75 residents in the facility. Findings include: 1. Review of Resident #178's medical record revealed diagnoses including history of malignant neoplasm of the breast and intestine and dyspnea. On 09/28/24, Resident #178 tested positive for COVID-19 and was placed in droplet isolation. The isolation was to be discontinued 10/09/24. On 10/07/24 at 12:47 P.M., Certified Occupational Therapy Assistant (COTA) #820 was observed opening Resident #178's door to exit into the corridor. […]

• No harm, potential for more than minimal, widespreadF921Jun 29, 2022

  Based on observation and interview the facility failed to maintain the outside courtyard area (designated smoking area) in a clean and sanitary condition. This had the potential to affect all residents. The facility census was 70. Findings include: On 06/27/22 at 12:51 P.M., observation of the courtyard/designated smoking area revealed more than 20 cigarette butts on the ground, in the combustible trash can, and combustible trash in the cigarette butts only metal can. Interview with the Maintenance Director #664 verified this finding at the time of observation.

• No harm, potential for more than minimal, patternF655Jul 1, 2026

  Based on medical record, policy review and facility staff interviews, the facility failed to provide, timely, baseline care plans to Residents #2, #73, #75, and #90. The affected four of four residents reviewed for baseline care plan completion. The facility census was 77. Findings include: 1.Review of the medical record for Resident #73 revealed admission to facility on 12/12/25 for diagnoses including paraplegia, neuromuscular dysfunction of bladder, chronic kidney disease, depression, heart failure, high blood pressure, and anemia, atrial fibrillation (an irregular heart rate). Review of the quarterly Minimum Data Set (MDS) 3.0 assessment completed on 06/11/26 for Resident #73 revealed a brief interview for mental status (BIMS) score of 15/15 indicating she was cognitively intact. […]

• No harm, potential for more than minimal, patternF657Jul 1, 2026

  Based on medical record review, facility policy review, and resident and staff interviews, the facility failed to revise care plans for new diagnoses or changes in condition for Residents #15, #68, #73, and #90. This affected four (Residents #15, #68, #73, and #90) of four records reviewed for care plan revisions. The facility census was 77. Findings include: 1.Review of the medical record for Resident #15 revealed admission to facility on 05/27/22 for diagnoses including cerebral palsy, lung disease, diabetes, bipolar disorder (mood disorder), irritability and anger, heart failure, high blood pressure, anxiety, and GERD (gastric reflux).Review of the quarterly Minimum Data Set (MDS)3.0 assessment completed on 06/04/26 for Resident #15 revealed a brief interview for mental status (BIMS)… […]