Meadowview Health & Rehab Center

In the surveyor’s words

From the most serious findings on record at Meadowview Health & Rehab Center, in the surveyor’s own words.

• Actual harm, isolatedF689Dec 7, 2022

  Based on record reviews, interviews, and observations the facility failed to properly secure resident #5's wheelchair in the facility's transport van for 1(#5) of 3 (#1, #2, and #5) residents reviewed for accidents. The deficient practice resulted in actual harm of Resident #5 on 09/12/2022 when the resident was being transported from an appointment back to the facility via wheelchair on a facility van. Resident #5's wheelchair was not properly secured to the van with four point strap restraints resulting in the wheelchair flipping backwards on to the floor. […]

• No harm, potential for more than minimal, widespreadF812Jul 9, 2026

  Based on observations, record review, and interviews, the facility failed to ensure dietary services were provided in a safe sanitary environment to prevent contamination and food borne illness for all 96 residents served a meal tray from the kitchen as reported by S2 DON.Findings: The initial tour of the kitchen beginning 07/06/2026 at 8:20 a.m. revealed:the deep fryer and the floor around the deep fryer were covered with a thick layer of grease and food debris, and the oil in the fryer had a layer of food debris floating on the surface,the temperature logs for the walk-in freezer and the walk-in refrigerator had not been completed from 06/23/2026 through 07/06/2026,the dishwasher temperature log was not completed from 06/23/2026 through 06/24/2026 and from 06/29/2026 through 07/06/2026,… […]

• No harm, potential for more than minimal, patternF641Jul 9, 2026

  Based on record reviews and interviews, the facility failed to ensure MDS assessments were accurate for 2 (#13, #64) of 24 residents reviewed for assessments. Findings:Resident #13 Review of Resident #13's medical record revealed an admit date of 07/12/2024 and diagnoses including end stage renal disease and dependence on renal dialysis. Review of Resident #13's physician orders revealed and order dated 04/15/2026 for dialysis 2 days a week on Monday and Friday. Review of Resident #13's Dialysis Communication Forms revealed multiple resident refusals for dialysis with 06/22/2026 being the last date Resident #13 went to dialysis. Review of Resident #13's Quarterly MDS assessment dated [DATE] revealed Section O - Special Treatments, Procedures, and Programs - Dialysis was marked as No. […]

• No harm, potential for more than minimal, patternF656Jul 9, 2026

  Based on record review, observation and interviews the facility failed to develop and implement a comprehensive, resident centered plan of care for 1 (#51) of 3 residents investigated for smoking. Findings:Review of the Facility Smoking Policy-Supervised and Unsupervised (revised 11/2024) revealed in part: It is the responsibility of the facility to provide a safe and hazard free environment for those residents having been assessed as being safe for facility smoking privileges. The facility is responsible for informing residents, staff, visitors and other affected parties of facility smoking policies through verbal means, distribution and posting. This policy is intended to minimize the risks to residents who smoke, including possible adverse effects on treatment. […]

• No harm, potential for more than minimal, patternF688Jul 9, 2026

  Based on observations, record review and interview, the facility failed to ensure 1 (#7) out of 2 (#7, #44) residents with a limited ROM and/or mobility received services and/or treatment including equipment for limited mobility. The facility failed to apply hand splints for Resident #7.Findings:Review of Resident #7's medical record revealed an admit date of 06/01/2023 with the following diagnoses, including in part: cognitive communication deficit, dysarthria following other cerebrovascular disease, hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting left dominant side.Review of Resident #7's physician's orders revealed an order dated 05/09/2026 for patient to receive RNP 7 days/week for right resting hand splint and left roll resting hand splint with skin… […]