Meadville Medical CTR Tcu

In the surveyor’s words

From the most serious findings on record at Meadville Medical CTR Tcu, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF655Nov 21, 2025

  Based on review of clinical records and staff interview, it was determined that the facility failed to provide a written summary of the baseline care plan and order summary to the resident and/or representative for eight of eight residents reviewed (Residents R9, R24, R25, R26, R28, R31, R35 and R37). Findings include: No facility policy was provided that included a written summary of the baseline care plan shall be provided to the resident and representative in a language that the resident/resident representative can understand, including a summary of the resident's medications and dietary instructions, any services and treatments to be administered. […]

• No harm, potential for more than minimal, patternF812Dec 14, 2023

  Based on review of manufacturer's guidelines, facility records, observations, and staff interviews, it was determined the facility failed to maintain safe storage of ice for residents for one of one ice machines located in the kitchen. Findings include: Review of the manufacturer's guidelines for the Kold-Draft GT & GB Models (ice machine) revealed that Individual drains must never be directly connected to a common manifold, drain, or standpipe. If individual drains are to be discharged into a common manifold, drain, or standpipe, a minimum one and half-inch air gap must be provided at each connection. […]

• No harm, potential for more than minimal, isolatedF761Nov 21, 2025

  Based on observation, review of drug manufacturer instructions, and staff interview, it was determined that the facility failed to appropriately date and store medications in one of two nursing medication rooms (Med Room One). Findings include: Observation on 11/18/2025, at 1:20 p.m. in Med Room One, revealed three opened vials of Purified Protein Derivative (PPD-a skin testing agent for tuberculosis) without an open date marked on the vials. A review of the drug manufacturer leaflet indicated a vial of Tubersol which has been entered and in use for 30 days should be discarded. At the time of the observation, the Director of Nursing (DON) confirmed the PPD vials were opened, undated and not dated to indicate when the medication should be discarded. […]

• No harm, potential for more than minimal, isolatedF610Nov 15, 2024

  Based on review of facility policies and clinical records, and staff interview, it was determined that the facility failed to fully investigate an incident with injury in a timely manner for one of 10 residents reviewed (Residents R78). Findings include: Review of a facility policy entitled Abuse Policy of the Transitional Care Unit dated 11/08/2024, revealed that, all investigations shall be comprehensive and responsive and shall occur promptly after notification of an alleged abuse . Review of facility policy entitled Accidents and Incident Reports dated 11/08/24, revealed a written report shall be made of any accident or incident in which a resident is involved in the facility . […]

• No harm, potential for more than minimal, isolatedF727Dec 14, 2023

  Based on review of position description and job duties and facility documentation, and staff interviews, it was determined that the facility failed to ensure that a registered nurse was employed as the Director of Nursing on a full-time basis since October 26, 2023. Findings include: Review of the position description section for the Director of Nursing - (DON) revealed that the role of the DON includes to coordinate total nursing care for residents using nursing standards and the nursing process in accordance with current Federal, State, and Local standards, guidelines, and regulations that govern the Long Tern Care Facility to assure that the highest degree of quality care can be provided to our residents at all times. […]