Meadowcrest Rehabilitation & Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Jan 14, 2026

  Based on a review of facility provided policies and documentation, clinical records, and resident, family, and staff interviews, it was determined that the facility failed to protect residents from resident-to-resident sexual abuse. This failure resulted in a resident with a known history of sexually inappropriate behavior involving non-consenting residents, which created an Immediate Jeopardy situation for one of 44 residents (Resident R2). Findings include:Review of facility policy Identifying Types of Abuse reviewed 1/14/25, Abuse is defined as the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish. […]

• No harm, potential for more than minimal, widespreadF801Mar 6, 2026

  Based on review of employee qualification and staff interview it was determined that the facility failed to employ a qualified Food Service Director to manage the daily operations of the Dietary Department for 12 out of 12 months (April 2025 through March 2026).Findings include:During an interview on 3/4/26, at 9:40 a.m., the Dietary Supervisor stated she was not certified and that the Dietitian only works two days a week.During an interview on 3/4/26, at 10:00 a.m., the Nursing Home Administrator stated that the Registered Dietitian (RD) was not employed full time she comes two times a week.The RD was not on-site full time to oversee the operation of the kitchen in the absence of a full time qualified dietary manager.During an interview on 3/4/26, at 10:12 a.m., the Nursing Home… […]

• No harm, potential for more than minimal, widespreadF812Mar 6, 2026

  Based on a review of facility policy, observations and staff interview it was determined that the facility failed to properly store food products in the Main Kitchen, which created the potential for foodborne illness in one of one deep freezer. Findings Include:Review of the facility policy Food Receiving and Storage dated 1/8/26, indicated that all food items will be received and stored in a manner that complies with safe food handling practices.During an observation of the main kitchen on 3/4/26, at 9:40 a.m., revealed food being stored directly under the fans of the deep freezer with ice buildup and approximately three inches from the ceiling of the deep freezer.During an interview on 3/4/26, at 9:43 a.m., the Dietary Supervisor Employee E10 confirmed that the facility failed to… […]

• No harm, potential for more than minimal, widespreadF880Mar 6, 2026

  Based on a review facility policy, clinical records, observations, and resident and staff interviews, it was determined that the facility failed to ensure an environment free from the spread of infection for five of twelve residents (Residents R1, R4, R6, R12, and R33) and failed to implement an infection control program that included a system of surveillance to identify possible communicable diseases or infections for 12 of 12 months (April 2025 through March 2026). Findings include: Review of the clinical record indicated Resident R4 was admitted on [DATE]. […]

• No harm, potential for more than minimal, widespreadF881Mar 6, 2026

  Based on review of the facility's infection control policies and procedures and staff interview, it was determined that the facility failed to implement an antibiotic stewardship program for 12 of 12 months (April 2025 -March 2026). Findings include:Review of facility policy Antibiotic Stewardship Program last reviewed 1/8/26, with a previous review date of 1/14/25, indicated the Antibiotic Stewardship will focus on monitoring the use of antibiotics, improving antibiotic use by avoiding unnecessary or inappropriate antibiotics. […]