Meadowlake Estates

In the surveyor’s words

From the most serious findings on record at Meadowlake Estates, in the surveyor’s own words.

• Immediate jeopardy, patternF689Sep 15, 2023

  On 09/14/23 at 10:50 a.m., the Oklahoma State Department of Health (OSDH) confirmed the existence an immediate jeopardy situation existed due to the facilities failure to have a system in place to ensure residents were not missing from the facility. On 09/08/23 the facility was notified by someone in the community that Resident #8 was outside behind the facility on the ground. During an interview with LPN #1, they stated Resident #8 had been outside 30 minutes or less. They stated Resident #8 was found with wet muddy shoes and pants. They stated the resident was able to exit through the back door that went to the smoking area due to the door being broke, and the code and alarm do not work. […]

• Immediate jeopardy, isolatedF803Jan 6, 2025

  On 01/03/25, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to follow Resident #10's minced and moist level 5 diet which resulted in the resident choking. A physician's order, dated 11/29/24, documented Resident #10 was to have a minced and moist level 5 diet. An incident report, dated 12/19/24, documented Resident #10 was eating lunch in their room when a medication aide saw that the resident was choking and alerted the nurse who performed the Heimlich maneuver. It documented the brownie was expelled. It documented the nurse practitioner was notified and a x-ray was ordered. It documented family was notified. It documented the facility investigated and determined Resident #10 was given a brownie that was not on their diet. […]

• Immediate jeopardy, isolatedF580Apr 28, 2023

  On 04/26/23, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to notify physician of unavailable medications in the facility. APRN stated she was never made aware that the medication was not available or not administered. Resident #1 had a cardiac arrest that resulted in death. The facility's physician notification process was not effective, staff was not following through with the process of notifying physician timely and there was no facility monitoring of staff notification to physician. On 04/26/23 at 4:57 p.m., The Oklahoma State Department of Health was notified and verified the existence of the IJ situation. On 04/26/23 at 5:15 p.m., The Administrator and the DON were notified of the IJ situation. […]

• Immediate jeopardy, isolatedF684Apr 28, 2023

  On [DATE], an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to administer a cardiac medication Apixaban 5mg twice daily as ordered for Resident #1. Resident #1 had missed 15 out of 54 opportunities to receive the physician ordered cardiac medication. Resident #1 had a cardiac arrest which resulted in death. The facility had no guidelines in place to ensure physician ordered medication was administered, that monitoring was in place to avoid missed doses, and that the facility had intervened timely. Resident #1 had an original admitted [DATE] to the facility with diagnoses which included Schizophrenia, hypertension, anxiety and diabetes mellitus type two. […]

• Immediate jeopardy, isolatedF755Apr 28, 2023

  On 04/26/23, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to maintain adequate supply of Eliquis (apixaban) to meet the needs of residents. Resident #1 had a cardiac arrest resulting in death. The DON stated that all Apixaban required prior authorization for medication to be filled. The APRN stated they were not made aware that Resident #1 had prior authorization request for the medication to be refilled. The facility had no system in place to monitor the adequate supply of medication available on hand and to address the request for prior authorization to be fully completed to ensure delivery and availability. On 04/26/23 at 4:57 p.m., The Oklahoma State Department of Health was notified and verified the existence of the IJ situation. […]