Meadows Park Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Meadows Park Health and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812May 22, 2025

  Based on observation, interview, record review, and review of the facility's policy titled Storage Areas, the facility failed to ensure shakes were dated for two of two nourishment rooms (First and Second Floor). The deficient practice had the potential for the spread of food borne illness to affect 69 out of 72 residents that received an oral diet. Findings include: Review of the facility's policy titled, Storage Areas, dated [DATE] under Guideline revealed, Items should be covered, sealed, labeled, and dated appropriately. During an inspection on [DATE] at 10:39 am with the Dietary Manager (DM) in the nourishment room on the first floor, the refrigerator contained five four-ounce cartons of [Name of shakes]. […]

• No harm, potential for more than minimal, isolatedF880May 22, 2025

  Based on observations, interviews, record reviews, and review of the facility's policies titled Standard Precaution/Use of PPE [personal protective equipment], and Transmission-Based Precautions (Contact, Enhanced Barrier Precautions [EBP], Droplet, Airborne), the facility failed to maintain infection control measures for one of 24 sampled residents (R) (R4). Specifically, the facility failed to ensure that enhanced barrier precautions were maintained during enteral feeding/medication administration for R4. […]

• No harm, potential for more than minimal, isolatedF690Apr 10, 2022

  Based on observation, record review, review of facility policy titled Foley Catheter Care, and staff interviews, the facility failed to ensure catheter care was provided in a manner to prevent urinary tract infections for one resident (R) (R#52) of six residents with indwelling urinary catheters. Findings include: Review of the facility policy titled Foley Catheter Care dated 2020 revealed: Intent - to promote hygiene, comfort and decrease risk of infection for patients with an indwelling catheter and is performed daily and PRN (as needed). Please see Lippincott Nursing Practice Manuel for additional information on how to complete the procedure. […]

• No harm, potential for more than minimal, isolatedF758Apr 10, 2022

  Based on observation, record review, review of facility policy titled [CONDITION(S)] Medications, and staff interview, the facility failed to document the intended duration of therapy for one resident (R) (#116) that had an order for PRN antianxiety medications beyond 14 days of six residents reviewed for unnecessary medications. Findings include: Review of facility policy titled [CONDITION(S)] Medications dated 2019 revealed Guideline: PRN (as needed) Orders for [CONDITION(S)] drugs are limited to 14 days. If the attending physician or prescribing practitioner believes that it is appropriate for the PRN order to be extended beyond 14 days, he or she should document their rationale in the patient's medical record and indicate the duration for the PRN order. […]