Meadowview Nursing Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Apr 15, 2021

  Based on observation, interview and facility policy review, the facility failed to ensure food was stored, prepared, distributed, and served in accordance with professional standards for food service safety. The sanitation concerns had the potential to affect all 56 residents who received meals from the kitchen. Findings include: Review of the facility's policy, Food and Nutrition Services Sanitation, dated 10/17, documented The food service area shall be maintained in a clean and sanitary manner. All kitchens, kitchen areas, and dining areas shall be kept clean, free from litter and rubbish and protected from rodents, roaches, flies and other insects. […]

• No harm, potential for more than minimal, isolatedF600Jun 21, 2023

  Based on interviews, record review, facility policy titled Administrative Abuse, and facility document review, the facility failed to ensure Resident #155 was not verbally abused by Certified Nurse Assistant (CNA) #1 on 01/13/2023. This deficient practice affected one (Resident #155) of one sampled resident reviewed for abuse. The facility implemented corrective actions to correct the identified deficient practice on 01/20/2023; thus, past noncompliance was cited. Findings included: A review of the facility's policy titled, Administrative Abuse, revised October 2017, revealed, . Residents have the right to be free from abuse, neglect . exploitation . […]

• No harm, potential for more than minimal, isolatedF607Jun 21, 2023

  Based on interviews, record review, facility policy titled Administrative Abuse, and review of the facility's investigation file, the facility failed to implement two (protection and investigation) of seven components of their abuse policy when Resident #155 was verbally abused by Certified Nurse Assistant (CNA) #1 on 01/13/2023. Specifically, the facility failed to interview CNA #20 and Licensed Practical Nurse (LPN) #3, who had knowledge of the incident. Further, the facility failed to ensure CNA #2, who witnessed the verbal abuse did not leave Resident #155 alone, unattended with the alleged perpetrator, CNA #1, while she reported the allegation of abuse to the nurse. […]

• No harm, potential for more than minimal, isolatedF842Jun 21, 2023

  Based on interviews, record review, and facility document review, the facility failed to transcribe physician's orders into the medical record for one (Resident #105) of 27 sampled residents Findings included: A review of the facility's standing orders signed by the Medical Director, Administrator, and Director of Nursing (DON) on 12/07/2022, indicated . The following orders have been approved by our staff physicians and nursing supervisors. The physician's signatures appear at the conclusion of these orders. The treatments or medications may be administered by the LPN [licensed practical nurse] or RN [registered nurse] and may be used an indefinite number of times unless stated otherwise. […]

• No harm, potential for more than minimal, isolatedF761Apr 15, 2021

  Based on observation, interview, record review, and review of facility policy, the facility failed to ensure that expired medications were removed from the supply on one (1) of two (2) medication carts. Findings include: Review of the facility's policy titled Nursing Medications/Administrating, dated 5/13 with revision date of 7/14, revealed that before administering medication, staff should verify the expiration date. During observation of the front hall medication cart with Licensed Practical Nurse (LPN) #1 on 4/14/21 at 10:20 a.m., revealed one (1) bottle of Aspirin (ASA) 81 milligrams (mg), was opened on 7/15/2020 and expired on 1/21. Continued observation revealed a Cranberry Supplement 450 mg opened on 3/20/21; however, had a best buy date of 6/2020. […]