Meadowbrook Respiratory and Nursing Center

In the surveyor’s words

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

• Immediate jeopardy, widespreadF880Jul 18, 2023

  38079 Complaint NJ #165644 Part A Based on observation, interview, record review, and review of documentation, it was determined that the facility, who has been in an active outbreak of the multi- drug resistant organism (MDRO) of Carbapenem-Resistant Acinetobacter baumannii (CRAB - bacteria resistant to nearly all antibiotics and difficult to control and irradicate from the environment) and Candida auris (CA - a dangerous fungus that can be difficult to identify and treat) since ,d+[DATE], failed to: 1) follow the Centers for Disease Control (CDC) guidance related to infection control practices for the Personal Protective Equipment (PPE) to be worn to reduce or prevent the spread of infection, and 2.) follow facility posted signage for PPE to be worn. […]

• No harm, potential for more than minimal, widespreadF835Jul 18, 2023

  Based on observation, interview, review of medical records and review of facility provided documents, it was determined that the facility Licensed Nursing Home Administrator (LNHA) failed to ensure the Infection Control Program was effectively implemented to prevent the spread of infection during an outbreak of Multidrug-Resistance Organisms (MDRO) of Carbapenem-resistant Acinetobacter baumannii (CRAB - bacteria resistant to nearly all antibiotics and difficult to remove from the environment) and Candida auris (CA - a dangerous fungus that can be difficult to identify and treat). […]

• No harm, potential for more than minimal, widespreadF812Mar 19, 2021

  Based on observation, interview, and document review, it was determined that the facility failed to a.) perform hand hygiene and properly wear a hair restraint during a meal service, b.) store food items in a manner to ensure they are not used beyond safe use by dates, and c.) maintain kitchen equipment in a manner to prevent microbial growth, cross contamination and avoid the potential for food borne illness. This deficient practice was evidenced by the following: On 03/11/21 at 9:55 AM, two surveyors completed an initial tour of the kitchen in the presence of the Director of Dietary (DD) and observed the following: 1. A box of partially frozen chicken was located on a shelf inside the walk-in refrigeration unit. […]

• No harm, potential for more than minimal, patternF684May 20, 2025

  Complaint #NJ184589, NJ184632 Based on interview, record review, and review of other pertinent facility documentation, it was determined that the facility failed to a.) follow the Wound Care Practitioner's (WCP) treatment recommendations for a newly identified wound and document accurate measurements after a wound was identified and b.) obtain a treatment order for a skin tear identified on the left wrist from 11/29/24 until 12/6/24. This deficient practice was identified for 1 of 4 residents reviewed for accidents (Resident #141), and was evidenced by the following: A review of the admission Record face sheet (admission summary) reflected that Resident #141 was admitted to the facility with the diagnoses which included but was not limited to; peripheral vascular disease (PVD; is a slow… […]

• No harm, potential for more than minimal, patternF756May 20, 2025

  Based on observation, interview and review of pertinent facility documents, it was determined that the facility failed to act upon Consultant Pharmacy recommendations to provide adequate monitoring for the use of as needed psychoactive medications. This deficient practice was identified for 1 of 5 residents reviewed for unnecessary medications (Resident #55), and was evidenced by the following: On 5/12/25 at 11:15 AM, the surveyor observed Resident #55 self-propelling in a wheelchair on the first floor of the building. […]