Meadowlark Hills

In the surveyor’s words

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

• Actual harm, isolatedF689Feb 3, 2025

  The facility had a census of 119 residents, with three residents sampled. Based on record review and interview, the facility failed to ensure Resident (R) 1 was secured with the safety belt in a mechanical spa lift chair, during a transfer out of a spa tub. This deficient practice resulted in R1 falling from the spa lift chair and R1 sustained a fractured (broken bone) right femur (thigh bone). Findings included: - R1's Electronic Medical Record (EMR) documented diagnoses of age-related osteoporosis (abnormal loss of bone density and deterioration of bone tissue with an increased fracture risk), dementia (a progressive mental disorder characterized by failing memory and confusion) with other behavioral issues and agitation (feeling of aggravation or restlessness brought on by a… […]

• No harm, potential for more than minimal, widespreadF812Apr 9, 2025

  The facility had a census of 117 residents. Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food by professional standards for food service safety in one of one facility kitchen. This placed the residents who received their meals from the facility's kitchen at risk for foodborne illness. Findings included: - On 04/07/25 at 08:35 AM, an initial tour of the Long-Term Care (LTC) main kitchen revealed the following: 1. The shelving unit for clean pans had 4 shelves and the bottom shelf had rust with sheet pans stored on it. All four shelves had chipped blue paint. The clean steam table pans had dried, stuck on pieces of the plastic wrap used when the food was first cooked, and placed on the steam table for a meal. 2. […]

• No harm, potential for more than minimal, patternF883Apr 9, 2025

  The facility had a census of 117 residents. The sample included 25 residents, with five reviewed for immunizations to include pneumococcal (a disease that refers to a range of illnesses that affect various parts of the body and are caused by infection) vaccinations. Based on record review and interview, the facility failed to follow the latest guidelines from the Centers for Disease Control and Prevention (CDC) when they failed to offer and administer or obtain an informed declination, or a physician-documented contraindication for Resident (R) 36, R63, R70, R80, and R85, pneumococcal PCV20 vaccination. […]

• No harm, potential for more than minimal, patternF602Aug 6, 2024

  The facility identified a census of 121 residents. The sample included three residents. Based on observation, record review, and interviews, the facility failed to ensure Resident (R) 1 remained free from misappropriation when Licensed Nurse (LN) G, on 02/11/24 at 06:57 PM, emptied R1's promethazine (medication used to prevent and treat nausea and vomiting) with codeine (narcotic pain medication) liquid into a water bottle and put it in her purse then left the facility with it. […]

• No harm, potential for more than minimal, patternF812Jul 19, 2023

  The facility had a census of 120 residents. Based on observation, interview, and record review the facility failed to serve food in a sanitary manner for residents in one of seven households. This deficient practice placed the 22 residents of the household at risk for food borne illness. Findings included: - On 07/17/23 at 11:37 AM, observation revealed Certified Nurse Aide (CNA)/Homemaker Staff P preparing and serving meals to the residents. Continued observation during the lunch meal revealed the homemaker did the following without washing her hands: Removed soiled dishware from a table and rinsed off the resident's used plate. Removed a bag of chicken breast strips from the freezer and used her bare hand to place two in the air fryer. Handled clean silverware to put in a drawer. […]