Meadows on Fairview

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF880Apr 16, 2025

  Based on observation, interview and record review the facility failed to ensure tracking and surveillance was initiated and transmission-based precautions (TBP) implemented for 1 of 1 residents (R70) who was tested for clostridioides difficile, a highly contagious infection (C. Diff). The facility also failed to ensure proper hand hygiene was performed for 1 of 1 residents (R70) who was assisted with personal cares. Findings include: R70's admission Minimum Data Set (MDS) dated [DATE], indicated R70 was cognitively intact and had diagnoses of a femur fracture and heart failure. Furthermore, R70 required assistance of staff for toileting and was frequently incontinent of bowel and bladder. R70's provider order dated 4/14/25 at 7:00 a.m., instructed staff to send a stool sample for C. […]

• No harm, potential for more than minimal, isolatedF684Apr 16, 2025

  Based on interview and record review, the facility failed to ensure a non-pressure wound was comprehensively assessed for 1 of 2 (R12) residents reviewed for non-pressure skin concerns. Findings include: R12's admission Minimum Data Set (MDS) dated [DATE], indicated R12 had cognitive impairment and diagnoses of diabetes. Furthermore, R12 had a diabetic foot ulcer. R12's provider and nursing orders dated 3/10/25, directed staff to change R70's wound vac (device that provides negative pressure to wound to promote healing) on Mondays and Thursdays. R12's care plan dated 3/18/25, indicated R12 was at risk for pressure injuries due to presence of wound vac, neuropathy and diabetes with diabetic foot ulcer. […]

• No harm, potential for more than minimal, isolatedF623Jul 24, 2024

  Based on document review and interview the facility failed to ensure a written notification of transfer was sent to the office of the Ombudsman for long term care for 2 of 2 residents (R1, R13) with the potential to affect all residents transferred to the hospital. Findings include: R1's face sheet dated 7/24/24 listed the following diagnoses: chronic respiratory failure with hypoxia (long term breathing issues with low blood oxygen), chronic obstructive pulmonary disease (long term narrowing of the breathing passages), diabetes, obesity, congestive heart failure (the heart was unable to pump efficiently), dysphagia (difficulty swallowing), atrial fibrillation (top two chamber of the heart beat erratically), coronary artery disease (narrowing of the veins/arteries in the heart),… […]

• No harm, potential for more than minimal, isolatedF660Sep 14, 2021

  Based on interview and document review the facility failed to ensure a safe discharge transfer to a home care agency for 1 of 3 residents reviewed for discharge. The facility did not communicate with the home health agency leaving the resident with a safety risk. The following day after the resident had been transferred home, a family member needed to assist resident with her catheter cares. The family called the home care agency that was on the discharge orders, and they were informed the home care agency had declined the resident. The resident was left without services. The resident was readmitted that same day back to the transitional care unit. […]