Meadowood a Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Meadowood a Health and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 15, 2022

  Based on observation, interview, and record review, the facility failed to store foods according to professional standards for food safety for a total of 63 residents when: 1. The resident refrigerator contained unlabeled drinks and resident food past the best by date; 2. A non-food grade can liner was used to store flour; 3. There was an opened pack of tortillas that was not labeled with the open and use by date; 4. A bag of frozen biscuit dough was left open to air; and 5. A bottle of food coloring was not removed from kitchen by use by date. These failures had the potential to increase the risk of foodborne illnesses among residents who received food from the kitchen. Findings: 1. […]

• No harm, potential for more than minimal, patternF812Jun 26, 2026

  Based on observations, interviews, and record review the facility failed to provide food preparation and storage, as well as maintain kitchen equipment in accordance with professional standards for food safety for the 67 residents who ate facility prepared meals when: 1. One (1) box of carrots in the kitchen freezer was found without an open date;2. One (1) tote of thickener powder was found expired;3. Four (4) non-stick pans were discovered with significant scratches and areas where the non-stick coating was missing and;4. A blender stirring rod was found with deep gouges and broken with a piece of plastic missing. These failures had the potential to put residents at risk for foodborne illnesses and hazards. Findings: 1. […]

• No harm, potential for more than minimal, patternF880Jun 26, 2026

  Based on observation, interview, and record review, the facility failed to follow infection control practices for a census of 67 when:1. Staff did not wear an isolation gown (protective clothing to prevent transfer of infectious materials) and gloves before entering a designated isolation room (for exposed or suspected residents with infection) of Resident 93;2. Staff did not perform hand hygiene after blood pressure check and proceeded to prepare medications for Resident 42;3. Staff picked up a tablet of aspirin with her bare hands during medication preparation for Resident 65;4. Two pill cutters were found with white pill residues during medication cart inspection.These deficient practices created a potential for cross -contamination and transmission of infections. Findings: 1. […]

• No harm, potential for more than minimal, patternF812Feb 28, 2025

  Based on observation, interview, and record review, the facility failed to prepare and serve food in accordance with professional standards of food service safety for eight residents who received soup for lunch on 2/27/25 when there was no temperature recorded for the soup prior to being served to those eight residents. This failure put the eight residents who received soup from the kitchen on 2/27/25 at risk for food borne illness when it was unknown if the soup being served was in the safe temperature zone (above 140 Fahrenheit to prevent the growth of harmful bacteria). Findings: During a tray line observation on 2/27/25, at 11:45 AM, tomato soup was not available to fulfill a resident request. […]

• No harm, potential for more than minimal, patternF880Feb 28, 2025

  Based on observation, interview, and record review, the facility failed to practice appropriate infection prevention and control measures for a census of 67, when: 1. Signage for Enhanced Barrier Precautions (EBP- a set of infection control measures that use gown and gloves to reduce the spread of multi-drug resistant organisms [MDRO- bacteria that are resistant to many antibiotics] and for people with medical devices that remain in the body for an extended period, providing continuous support or treatment) was not posted on, or near the doorway of Resident 335's room to alert staff to use personal protective equipment (PPE- protective clothing, gown, gloves, or other garments used to prevent the spread of germs) prior to entering the room; and, 2. […]