Meadows of Delphos the

In the surveyor’s words

From the most serious findings on record at Meadows of Delphos the, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF730Aug 20, 2026

  Based on employee file reviews and staff interview, the facility failed to complete annual performance reviews for Certified Nursing Assistants (CNA). This affected three (#10, #13, and #69) CNAs out of four CNAs reviewed for annual performance evaluations. This had the potential to affect all the residents. The facility census was 52.Findings include: 1.Review of the employee file for CNA #10 revealed a hire date of 11/14/23. Further review of the file revealed no documentation to support an annual performance evaluation had been completed. 2. Review of the employee file for CNA #13 revealed a hire date of 12/12/24. Further review of the file revealed no documentation to support an annual performance evaluation had been completed. 3. […]

• No harm, potential for more than minimal, widespreadF880Aug 20, 2026

  Based on record review, interview, and policy review, the facility failed to follow its Legionella water management plan; the facility failed to ensure Enhanced Barrier Precautions (EBP) were in place for Resident #9; and the facility failed to store nebulizer tubing properly for Resident #29. This affected two (#9 and #29) residents and had the potential to affect all residents in the facility. The facility census was 52. Findings include: 1.Review of the undated facility water management plan revealed the facility will check and record daily water temperatures. Review of the facility temperature logs revealed the facility did not have evidence that water temperatures were checked daily. Interview on 08/20/2026 at 1:00 P.M. […]

• No harm, potential for more than minimal, patternF711Aug 20, 2026

  Based on interview and record review, the facility failed to ensure provider visit notes were signed and closed at the time of the visit. This affected four residents (#7, #10, # 28, and #29) of four residents reviewed for provider visit notes. The facility census was 52.Findings include: 1. Record review for Resident #7 revealed this resident was admitted to the facility on with the following diagnoses: sepsis with septic shock, end stage renal disease, and type two diabetes mellitus. Review of Minimum Data Set (MDS) quarterly assessment dated [DATE] revealed this resident had intact cognition evidenced by a Brief Interview for Mental Status (BIMS) score of 15. This resident was assessed to be supervision with toileting hygiene and showering. […]

• No harm, potential for more than minimal, patternF712Aug 20, 2026

  Based on record review and staff interview, the facility failed to ensure the Medical Director (MD) visited the residents once every 60 days. This affected four (#9, #10, #20, and #24) of four reviewed for physician visits. The census was 52. Findings include: 1. Record review for Resident #9 revealed this resident was admitted to the facility on [DATE] with the following diagnoses: anterior dislocation of right humerus; sequela, paraplegia, aphasia, homonymous bilateral field defect, disorders of bone density and structure. Review of Minimum Data Set (MDS) quarterly assessment dated [DATE] revealed this resident had impaired cognition evidenced by a Brief Interview for Mental Status (BIMS) score of 0. […]

• No harm, potential for more than minimal, patternF689Aug 25, 2022

  Based on medical record review, observation, resident and staff interview, and review of facility policy, the facility failed to ensure resident smoking supplies were stored in a locked area. This affected one (Resident #7) out of one resident reviewed for smoking and had the potential to affect three additional residents (#4, #9, and #28) who were identified by the facility as being cognitively impaired and independently mobile. The facility census was 47. Findings include: Review of the medical record revealed Resident #29 was admitted on [DATE]. Diagnoses included but were not limited to hypertensive [CONDITION(S)] with heart failure, acute respiratory failure with [CONDITION(S)], and type two diabetes mellitus without complications. […]