Meadows of Ottawa the

In the surveyor’s words

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

• Actual harm, isolatedF684Jan 30, 2025

  Based on observation, medical record review, staff interview, interview with wound care nurse practitioner, and facility policy review, the facility failed to ensure wound monitoring and physician prescribed wound treatments were administered as ordered. Actual Harm occurred when Resident #71 fell from his wheelchair and sustained a laceration to the head which compromised a preexisting head wound. Resident #71 was evaluated at the hospital and returned to the facility with a hemostatic bandage dressing in place. The dressing remained in place for seven days without being changed or evaluated. […]

• No harm, potential for more than minimal, widespreadF812Oct 31, 2023

  Based on observation, staff interview, and review of the facility policy, the facility failed to ensure food was stored appropriately. This had the potential to affect all residents residing in the facility. The facility identified all residents received food from the kitchen. Additionally, the facility failed to ensure staff used appropriate hand hygiene when handling ready-to-eat foods. This affected three (Residents #9 #128, #6) of three residents observed for meal preparation. The facility census was 80. Findings include: 1. Observations on 10/23/23 beginning at 8:27 A.M. in the freezer revealed a box of chicken nuggets open to air, a plastic tub labeled taco meat with the lid off, and a torn open bag of breaded fish filets. […]

• No harm, potential for more than minimal, widespreadF812Jul 30, 2021

  Based on record review, observation, staff interview, and review of the cleaning schedule, the facility failed to ensure the walk-in refrigerator was clean, failed to use safe food handling techniques when touching ready to eat meat with bare hands, and facility failed to distribute meals in a sanitary manner. This affected 11 (#10, #12, #17, #19, #20 #21, #22, #27, #28, #40, and #43) residents who received pureed or mechanically soft food, affected two residents (#11 an #54) and had the possibility to affect 18 residents who received lunch meals in their rooms, and affected all 64 residents who receive food from the kitchen. The facility identified two resident (Resident #31 and #49) who did not receive food from the kitchen. The facility census was 66. Findings include: 1. […]

• No harm, potential for more than minimal, patternF804Oct 31, 2023

  Based on observation, resident interview, and staff interview, the facility failed to ensure meat was palatable. This affected four residents (#6, #30, #38 and #68) and had the potential to affect all residents on a regular diet. The facility identified 23 residents were not on a regular diet (#4, #7, #11, #12, #14, #15, #16, #19, #22, #24, #26, #31, #34, #40, #48, #53, #61, #64, #71, #72, #128, #228, and #229). The facility census was 80. Findings include: Observations on 10/23/23 beginning at 12:03 P.M. in the main dining room during the noon meal revealed the main meal provided was chopped steak with mushroom gravy, red skin mashed potatoes, and vegetable medley. Observation on 10/23/23 at 12:05 P.M. in the restorative dining room revealed Resident #6 was eating her lunch unassisted. […]

• No harm, potential for more than minimal, isolatedF677Jan 30, 2025

  Based on medical record review, observation, family interview, and staff interview, the facility failed to ensure residents who were dependent on staff for activities of daily living (ADL) care received adequate assistance with personal hygiene. This affected one (#59) of four residents reviewed for ADL care. The facility census was 80. Findings include: Review of the medical record revealed Resident #59 was admitted on [DATE]. Diagnoses included paraplegia, injury to sacral spinal cord, other front temporal neurocognitive disorder, dementia, and anxiety disorder. Review of the Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #59 was rarely understood and dependent on staff for assistance with personal hygiene. […]