Meadows of Kalida

In the surveyor’s words

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

• Actual harm, isolatedF684Aug 24, 2022

  Based on medical record review, staff interview, review of the hospital record, and policy review, the facility failed to timely and adequately treat a change in condition. This resulted in Actual Harm when Resident #01's abnormal laboratory values along with vomiting and diarrhea were not adequately treated and subsequently was hospitalized for [CONDITION(S)]. This affected one resident (#01) of three residents reviewed for a change in condition. The facility census was 57. Findings included: Review of Resident #01's medical record revealed an admitted [DATE]. diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the admission Minimum Data Set 3.0 (MDS) assessment dated [DATE] revealed Resident #01 had intact cognition. […]

• No harm, potential for more than minimal, patternF761May 21, 2025

  2. Observation on 05/21/25 at 12:49 P.M. of the 200-hall main medication room refrigerator, with the Director of Nursing (DON), revealed a plastic container which held eight vials of insulin. There were two vials of Novolog N 100 units per 10 milliliters (U/ml) with expiration dates of 12/31/24 and 01/31/25, a vial of Novolog R 100 U/10 ml with an expiration date of 03/31/25, two vials of Novolog 70/30 with an expiration date of 01/31/25 and one vial of Novolin R 100 U/10 ml with an expiration date of 03/31/25. Interview on 05/21/25 at 1:05 P.M. with the DON revealed the vials of insulin in the mail medication room refrigerator were used by all three halls of the facility for emergency situations, such as residents out of insulin or with new admissions. […]

• No harm, potential for more than minimal, isolatedF644May 21, 2025

  Based on medical record review, review of the Pre-admission Screening and Resident Review (PASRR - screening to determine if specialized services are needed) and staff interview, the facility failed ensure PASRR screenings were accurately completed. This affected one (#19) of three residents reviewed for PASRR screenings. The facility census was 58. Findings include: Review of the medical record for Resident #19 revealed an admission date of 03/13/25. Diagnoses included unspecified psychosis not due to a substance or known physiological condition, unspecified dementia, unspecified hearing loss, and muscle weakness. Review of the Minimum Data Set (MDS) assessment, dated 03/31/25, revealed Resident #19 had a Brief Interview Mental Status (BIMS) score of 15, indicating intact cognition. […]

• No harm, potential for more than minimal, isolatedF580Nov 9, 2022

  Based on medical record review, staff interview and review of facility policy, the facility failed to notify the physician of weight gain per physician order. This affected one (#11) of one residents reviewed for notification of change. The facility census was 55. Findings include: Review of Resident #11's medical record revealed an admitted [DATE] and a readmitted [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #11 was severely cognitively impaired and required extensive assistance with activities of daily living (ADLs) and had no weight loss or weight gain. Review of a plan of care, revised 10/26/22, revealed Resident #11 experienced a significant weight gain. […]

• No harm, potential for more than minimal, isolatedF692Nov 9, 2022

  Based on medical record review, staff interview and review of facility policy, the facility failed to ensure weights were obtained in a consistent manner to ensure accuracy. This affected one (#11) of three residents reviewed for nutrition. The facility census was 55. Findings include: Review of Resident #11's medical record revealed an admitted [DATE] and a readmitted [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the quarterly Minimum Data Set (MDS) assessment, dated 08/13/22 revealed Resident #11 was severely cognitively impaired, required extensive assistance with activities of daily living (ADLs) and had no weight loss or weight gain. Review of a plan of care, revised 10/26/22, revealed Resident #11 experienced a significant weight gain. […]