Meadowview Rehabilitation and Nursing Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Jan 5, 2024

  Based on review of facility policy, review of facility documentation, review of clinical records, review of video footage and interviews with staff, it was determined that the facility failed to ensure that one of four residents reviewed was free from verbal, physical and psychological abuse from a nursing staff. (Resident R1) This failure resulted in an immediate jeopardy situation for Resident R1 who was rough handled, yelled at with the use of profane language, struck in the chest sustaining injuries to the fourth finger on the right hand and chest area and demonstrated signs of fear when approached by nursing staff. […]

• Actual harm, isolatedF692Oct 22, 2025

  Based on clinical record reviews, interviews with staff, reviews of facility policies and procedures, and hospital records, it was determined the facility failed to assess, monitor, and implement intervention to ensure that nutritional and hydration needs were met for one of 11 residents reviewed. (Resident R1). This failure resulted in actual harm to Resident CL1 who did not consume sufficient fluid and caloric intake resulting in abnormal blood values, requiring transfer, and admission to the hospital for the treatment of dehydration/electrolyte imbalance. […]

• Actual harm, isolatedF600Oct 27, 2022

  Based on record review and staff interview, it was determined that the facility failed to prevent resident to resident physical abuse between Resident R191, Resident R22 and Resident R86 which resulted in actual harm to Resident R22 who sustained a scratch under the left eye, chin and right arm, Resident R191 sustaining a scratch to left side of nose, gums, and bottom lip and Resident R86 sustaining a bruised forehead and a bruised right eye and lip for three of 38 residents reviewed. (Resident R191, Resident R22 and Resident R86) Findings include: Review of Resident R191's clinical record revealed that the resident was admitted to the facility on [DATE], with the diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Actual harm, isolatedF744Oct 27, 2022

  Based on record review and staff interview, it was determined that the facility failed to ensure that Resident R191, Resident R22 and Resident R86 who were diagnosed with dementia were provided timely interventions to ensure their safety after displaying aggressive behavior which resulted in actual harm to Resident R191 and Resident R22 sustaining multiple scratches on their faces and Resident R86 sustaining a bruise forehead and a bruise right eye and lip for three of 38 residents reviewed. (Resident R191, Resident R22 and Resident R86) Findings include: Review of Resident R191's clinical record revealed that the resident was admitted to the facility on [DATE], with the diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF812Aug 31, 2023

  Based on observations of the operation and services of the Food and Nutrition Department, review of temperature logs, interviews with staff and residents and review of facility policy, it was determined that the facility failed to provide foods that were palatable, attractive, and at safe and appetizing temperatures on the main dining room(Second Floor). The failed to ensure that dishes were cleaned under sanitary conditions in accordance with professional standards for food service safety. Findings include: Review of the undated facility policy titled, Important Temperatures for Food Safety revealed, the process of cooking is to raise the temperature of food to kill bacteria and other types of harmful pathogens/microorganisms/bacteria to a level where food is safe to eat. […]