Meadows Ridge Care Center

In the surveyor’s words

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

• Actual harm, isolatedF760Jul 1, 2026

  Based on interview and record review, the facility failed to ensure prescribed medication was administered in accordance with the physician's orders for one of four sampled residents (Resident 1) when Resident 1 had an order to received Phenytoin (medication for seizures - a sudden movement of electrical activity in the brain causing shaking of the limbs and stiffening of the body) and was not administered from June 7, 2026, to June 17, 2026 (a total of 19 doses). This failure resulted in Resident 1 being transferred to an acute care hospital after experiencing seizure activity. […]

• No harm, potential for more than minimal, widespreadF812Apr 7, 2022

  Based on observation, interview, and record review, the facility failed to maintain professional standards for food service safety when: 1. The top of the mixer and the coffee maker were dusty, which had the potential to contaminate the food and coffee with dust. 2. The floors under the center island and behind the ice machine had food crumbs and trash, which had the potential to attract microorganism carrying pests. 3. Two plastic four-quart containers were stacked and stored wet, which had the potential for bacteria (can cause disease) growth. 4. Two metal pans, which stored clean utensils, had liners with food crumbs under the liners, which had the potential to attract microorganism carrying pests and contaminate the clean utensils 5. […]

• No harm, potential for more than minimal, widespreadF814Apr 7, 2022

  Based on observation, interview, and record review, the facility did not properly dispose (get rid of by throwing away) of trash when the outside dumpster area had gloves, trash, and rotten (decomposing or break down) food on the ground. This failure had the potential to attract vermin (pest or animals that spread diseases) in the facility that cares for 81 medically compromised residents. Findings: During a concurrent observation and interview, on April 4, 2022, at 9:29 AM, with the Dietary Supervisor (DS), the outdoor garbage storage area had gloves, trash, and rotten food on the ground. […]

• No harm, potential for more than minimal, widespreadF880Apr 7, 2022

  Based on observations, interviews, and records review, the facility failed to ensure infection control practices were established and maintained to provide a safe, sanitary, and comfortable environment to help prevent the possible development and transmission of a Coronavirus, COVID-19 (a highly contagious respiratory infection) when: 1. Resident 389 was observed not following proper personal protective equipment (PPE) guidelines when Resident was in yellow zone (Residents under isolation observation for suspected COVID-19). 2. The COVID-19 screening forms (forms that are used to screen individuals for COVID-19 symptoms prior to entry into the facility) were not completed on the visitor's COVID-19 screening forms before entering the facility. 3. […]

• No harm, potential for more than minimal, patternF755Jan 29, 2026

  Based on observation, interview, and record review, the facility failed to maintain accurate records of destroyed medications when nine (9) medications that were disposed were found with missing witness signature from the second licensed nurse for one of one sampled Medication Disposition Record/Pass Log (document used to record the destruction of a medication for tracking purposes). This failure had the potential to have prescription medication available for staff use.Findings: During a concurrent interview and record review on January 28, at 12:09 PM, with the DON and Registered Nurse (RN) Supervisor the Medication Disposition Record/Pass Log for month of January was reviewed. […]