Meridian Meadows Transitional Care

In the surveyor’s words

From the most serious findings on record at Meridian Meadows Transitional Care, in the surveyor’s own words.

• Immediate jeopardy, patternF600Jun 14, 2023

  Based on policy review, record review, review of facility grievance reports, review of the State Agency's Long-Term Care Reporting Portal, and resident and staff interview, it was determined the facility failed to ensure residents were free from physical, verbal, and mental abuse. This was true for 7 of 13 residents (#3, #5, #6 #10, #11, #12, and #13) reviewed for abuse. This placed Resident #3 in immediate jeopardy of serious harm, impairment, or death when the facility did not protect Resident #3 from abuse by LPN #1. Residents #5, #6, #10, #11, #12, and #13 experienced mental harm when Resident #7 verbally abused them. Findings include: 1. […]

• Actual harm, isolatedF600Sep 4, 2025

  Based on record review, staff interviews, and review of the Long-Term Care Reporting Portal, it was determined that the facility failed to ensure residents were free from neglect. This was true for 3 of 6 residents ( #3, #10, and #20) whose records were reviewed for abuse and neglect. This failure resulted in harm when Resident #3 was injured during a transfer and created the potential for embarrassment and psychosocial harm when Resident #10 and Resident #20 were not provided timely incontinence care. […]

• Actual harm, isolatedF600Apr 15, 2022

  Based on policy review, record review, Incidents and Accidents (I&A) report review, review of grievances, and staff and resident interviews, it was determined the facility failed to ensure residents were free from abuse by other residents and staff. This was true for 4 of 5 residents (Residents #3, #4, #5, and #6) reviewed for abuse. This failure resulted in mental harm to Resident #4 when he was repeatedly taunted by Resident #3 to point of physical aggression toward Resident #3. Resident #3 was physically abused when Resident #4 hit him on the jaw with a cane. Resident #5 and Resident #6 were at risk of harm when verbally abused by RN #1. […]

• Actual harm, isolatedF600Jun 30, 2021

  Based on record review, policy review, review of the State Survey Agency's Long-Term Care Reporting Portal, and resident and staff interview, it was determined the facility failed to ensure residents were free from abuse for 1 of 12 residents (Resident #1) reviewed for abuse. Resident #1 experienced psychosocial harm and sexual abuse when she was asked by CNA #5 to touch his exposed penis. This failure to prevent abuse placed Resident #1 at risk for continued abuse and had the potential for other residents to be subjected to abuse and neglect. Findings include: The facility's Abuse policy, revised 1/14/21, documented the facility implemented policies and procedures that prevented all types of abuse and exploitation. […]

• Actual harm, isolatedF686Jun 30, 2021

  Based on nursing professional standards of practice review, policy review, record review, and staff interview, it was determined the facility failed to ensure professional standards of practice were followed to prevent the development of and worsening of a pressure ulcer. This was true for 1 of 2 residents (Resident #1) reviewed for quality of care related to pressure ulcers. This deficient practice resulted in harm to Resident #1 when she developed an avoidable pressure ulcer. Findings include: The National Pressure Injury Advisory Panel website, accessed on 9/15/21, defined a Stage 2 pressure ulcer as follows: Partial-thickness skin loss with exposed dermis. The wound bed is viable, pink or red, moist, and may also present as an intact or ruptured serum-filled blister. […]