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.

• Immediate jeopardy, patternF600Aug 19, 2022

  Based on observations, interviews, and record reviews the facility failed to ensure a resident in the facility was free from physical and verbal abuse for 2 (Resident #2 and #1) of 13 residents reviewed for abuse. The facility failed to protect Resident #2 from abuse when: 1. Resident #2 made allegations of abuse to LVN K on 05/29/22 and LVN K did not report it to the ADM and the facility did not investigate or implement measures to protect the resident from further abuse; and 2. […]

• Immediate jeopardy, patternF607Aug 19, 2022

  Based on observation, interview, and record review, the facility failed to implement their written policies and procedures that prohibit and prevent abuse and neglect of residents for 2 (Resident #2 and #1) of 13 residents reviewed for abuse and neglect. The facility failed to implement a policy and process for immediately investigating and reporting allegations of abuse and neglect to HHSC when: 1. Resident #2 made allegations of abuse to LVN K on 05/29/22 and LVN K did not report it to the ADM and the facility did not investigate or implement measures to protect the resident from further abuse; and 2. witnessed abuse on 08/04/22 of Resident #2 by Resident #1 was not investigated nor reported by the facility to the State Survey Agency or law enforcement. […]

• Immediate jeopardy, patternF610Aug 19, 2022

  Based on observation, interview, and record review, the facility failed to, in response to allegations of abuse, have evidence that all alleged violations are thoroughly investigated, prevent further potential abuse while the investigation was in progress, and report the results of all investigations to the administrator or his or her designated representative and to other officials in accordance with State law, including to the State Survey Agency, within 5 working days of the incident for 2 (Resident #2 and #1) of 13 residents reviewed for abuse and neglect. The facility failed to investigate allegations of abuse when: 1. […]

• Immediate jeopardy, isolatedF689Jan 31, 2026

  Based on observation, interview, and record review, the facility failed to provide adequate supervision and assistance to prevent accident hazards for one of ten residents (Resident #1) reviewed for accidents.The facility failed to ensure CNA A used a transfer aid when she transferred Resident #1 from her bed to wheelchair, which resulted in her falling and obtaining a fracture to her left hip.On 01/30/2026 at 2:00 pm, an Immediate Jeopardy (IJ) was identified. While the IJ was removed on 01/31/2026, the facility remained out of compliance at a scope of isolated and a severity level of potential for more than minimal harm due to the facility continuing to monitor the implementation and effectiveness of their Plan of Removal.This failure could place residents at risk for serious injury,… […]

• Immediate jeopardy, isolatedF678Feb 11, 2022

  Based on interviews, document review, and review of policy and procedures, the facility failed to provide cardiopulmonary resuscitation (CPR) to a full-code resident when a resident experienced cardiopulmonary arrest for one (Resident #541) of four residents. In addition, the facility failed to ensure staff maintained current CPR certification. This deficient practice had the potential to affect other residents, who are a full code, by not receiving CPR if the resident experiences cardiopulmonary arrest. There were 14 residents that were a full code at the time of the survey. The census was 41. It was determined the facility's non-compliance with one or more requirements of participation caused, or was likely to cause, serious injury, harm, impairment, or death to residents. […]