Meeker Manor Rehablitation Center, LLC

In the surveyor’s words

From the most serious findings on record at Meeker Manor Rehablitation Center, LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Mar 6, 2024

  Based on observation, interview, and document review the facility failed to identify heat register as safety hazard for 1 of 1 resident's (R1) bed that was too close to the heat who had a history of sleeping with his legs off the bed. This deficient practice resulted in an immediate jeopardy (IJ) for R1. The IJ began on 3/1/24, when the facility failed to ensure R1's bed was a safe distance from the heat source, R1 was found with is left foot on top of the heater which resulted in multiple second degree burns to the foot and required admission to hospital burn unit for treatment. The administrator and director of nursing (DON) were notified of the IJ on 3/6/24 at 4:51 p.m. […]

• Actual harm, isolatedF686Sep 28, 2022

  Based on observation, interview, and record review the facility failed to ensure pressure ulcer management and care were provided to prevent deterioration or development of pressure ulcers for 2 of 3 residents (R2, R4) reviewed for pressure ulcers. This resulted in actual harm for R2 when physician ordered treatments were not followed causing deterioration of the ulcer and delayed healing of a Stage 4 pressure ulcer. Findings include: R2's face sheet was dated 9/27/22 identified R2 was admitted to facility May 2022 with a stage 4 pressure ulcer to her left upper buttock, coccyx area. […]

• No harm, potential for more than minimal, widespreadF921Mar 25, 2021

  Based on observation, interview and document review, the facility failed to ensure potentially defective and/or worn toilet equipment was assessed for safety after resident-involved events caused by failure of the resident room toilet(s). The lack of ongoing, routine monitoring and assessment of these toilets had potential to affect 39 of 54 residents residing in the nursing home. Findings include: R45's quarterly Minimum Data Set (MDS), dated [DATE], identified R45 had intact cognition and required extensive assistance with toileting. Further, the MDS outlined R45 had sustained two or more falls since the previous assessment and/or admission. When interviewed on 03/22/21, at 4:49 p.m. […]

• No harm, potential for more than minimal, patternF812Mar 6, 2025

  Based on observation, interview and document review, the facility failed to consistently track and monitor dishwasher temperatures for both the wash and rinse cycles, and take timely action to correct the temperatures for 1 of 1 dishwasher observed. The facility also failed to consistently date fresh and frozen items at the time they are opened, or placed into a container, and failed to remove items which were beyond the acceptable date of use from the refrigerator. The facility failed to consistently verify temperatures were within the desired range in the refrigerators and freezers to assure food integrity. In addition, food temperature monitoring lacked consistency of completion following food preparation and prior to serving. […]

• No harm, potential for more than minimal, patternF689Mar 25, 2021

  Based on observation, interview, and record review the facility failed to ensure concerns related to potential burn hazards surrounding higher hot water temperatures in resident accessible locations were communicated and addressed by maintenance for 15 of 15 residents (R4, R8, R10, R19, R23, R29, R34, R37, R47, R48, R50, R52, R505, R555, R556) who communicated the hot water in their bathroom faucets were too hot. In addition, the facility failed to ensure assessed and care planned interventions were implemented immediately after a fall in order to minimize recurrent falls and/or injury for 1 of 1 residents (R55) reviewed for falls. Further the facility failed to ensure adequate supervision to prevent accidents for 1 of 1 residents (R40) reviewed for accidents. […]