Meadowbrook Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF755May 20, 2026

  Based on observations, interviews and record review during survey, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drug and biologicals) that meet the needs of each resident. This was identified for 12 (Resident #31, Resident #33, Resident #43, Resident #48, Resident #53, Resident #97, Resident #175, Resident #229, Resident #259, Resident #271, Resident #276, Resident #283) of 40 residents on Unit 3A during the Medication Storage task. Specifically, during the medication storage task observation on 05/20/2026 12 of 40 resdient's on unit 3A did not receive their medications on time, one hour before or after medication order time, as per the physician's orders. […]

• No harm, potential for more than minimal, patternF880May 20, 2026

  Based on observation, record review, and interviews during the survey, the facility failed to ensure it provided an infection control program designed to help prevent the development and transmission of communicable diseases for two (Resident #140 and #125) of five residents observed during medication administration and for one (1) (Resident #193) of ten (10) residents reviewed for infection control task. Specifically, during the medication administration observation on 05/14/2026, 1) Licensed Practical Nurse #3 wore gloves to fill an irrigation kit bottle with tap water from the bathroom sink and then went to the bedside of Resident #140 to flush the gastrostomy tube without changing gloves or sanitizing hands; 2) Licensed Practical Nurse #4 used bare hands to break a potassium chloride… […]

• No harm, potential for more than minimal, patternF690Nov 14, 2022

  Based on observations, record review, and interviews during the Recertification Survey and Abbreviated survey (Complaint # NY 435 and NY 476) initiated on 11/7/22 and completed on 11/14/2022 the facility did not ensure that residents who have an indwelling catheter, receives the appropriate care and services to prevent urinary tract infections to the extent possible. This was identified for one (Resident # 295) of two residents reviewed for Urinary Catheter. Specifically, Resident #295 was admitted to the facility with a chronic long-term use of a Foley catheter and treatments to flush the catheter. The Foley catheter (F/C) care was not documented as completed every shift as ordered by the Physician. […]

• No harm, potential for more than minimal, isolatedF761May 20, 2026

  Based on observations, record review and staff interviews, the facility failed to ensure that all drugs and biologicals were stored and labeled in accordance with currently accepted professional principles. This was identified for two (2) (Resident #5 and Resident #13) of four (4) residents reviewed for accidents. Specifically, 1) Resident #5 was observed with an unlabeled bottle of Tums (antacid medication to relieve heartburn and acid indigestion) on their overbed table. Resident #5 did not have a physician's order for the use of Tums or a self-administration assessment. There was no Nursing staff within the vicinity of Resident #5's room. 2) Resident #13 was observed with a labeled clotrimazole cream (an antifungal cream) one (1) percent on their overbed table. […]

• No harm, potential for more than minimal, isolatedF776May 20, 2026

  Based on record review and interviews during survey, the facility failed to ensure that for each resident, radiological diagnostic tests were obtained in a timely fashion. This was identified for one (1) (Resident #293) of three (3) residents reviewed for hospitalization. Specifically, on 03/09/2026 Resident #293 had a physician order for a chest x-ray due to fever. There was no documented evidence that the chest x-ray was ever completed. On 03/11/2026 the resident was transferred to the hospital and was admitted with a diagnosis of pneumonia.(Complaint #2967962) The findings include:The facility's policy titled Radiologic Testing Services, dated 03/31/2021 last revised on 03/11/2026, documented the facility will provide the appropriate radiology testing required to maintain the overall… […]