Meridian Rehabilitation and Health Care Center

In the surveyor’s words

From the most serious findings on record at Meridian Rehabilitation and Health Care Center, in the surveyor’s own words.

• Immediate jeopardy, patternF689Sep 28, 2022

  The facility reported a census of 94 residents. The sample included six with three residents reviewed for neglect. Based on observation, interview, and record review the facility failed to ensure the safety of Resident (R1), who admitted to the facility with a self-care deficit, signed himself out of the facility on 09/11/22 at 01:30 PM, and failed to document an anticipated return time. R1 did not return to the facility on [DATE] and the facility staff did not begin to search for R1 until around 09:45 PM, eight hours and 15 minutes later. Administrative Nurse D did not notify law enforcement until 09/12/22 at 11:34 AM (22 hours and four minutes after R1 signed out), to file a missing person report. […]

• Immediate jeopardy, patternF689Aug 19, 2021

  The facility census totaled 86 residents with 12 residents included in the sample, and four reviewed for falls. Based on observation, interview, and record review the facility failed to ensure an environment free of accident hazards when facility staff utilized a full mechanical lift, with known signs of instability to transfer residents. On 06/07/21, Resident (R) 12 fell out of the top of a shower sling (incorrect sling type) from the full mechanical lift used to transfer her from her bed to her wheelchair and required an emergency room transfer for evaluation of a large bump to the back of her head from hitting it on the lift. […]

• Immediate jeopardy, isolatedF600Aug 5, 2024

  The facility reported a census of 96 residents. Based on observation, interview, and record review, the facility failed to prevent the neglect of cognitively impaired Resident (R)53, who had mental health disorder diagnoses, anger related to living in the facility, and a history of exit seeking, and the facility staff did not respond to his suicidal ideation statements after his elopement (when a cognitively impaired resident leaves the facility without the knowledge or supervision of staff). On [DATE], R53 eloped from the facility. When staff returned R53 to the facility, they placed a Wander Guard (a bracelet that sets off an alarm when residents wearing one attempt to exit the building without an escort) on R53, and he reported he would never eat again. […]

• Immediate jeopardy, isolatedF689Aug 5, 2024

  The facility reported a census of 96 residents and the facility identified five residents at risk for elopement. Based on observation, interview, and record review the facility failed to provide adequate supervision to cognitively impaired, independently mobile Resident (R)53, identified as a high risk for elopement. On 06/29/24 at approximately 07:15 AM, staff were unable to locate R53 in the facility. On 06/29/24 at approximately 08:30 AM, staff located R53 approximately two miles away from the facility. R53 walked down busy residential areas with a 35 mile per hour speed limit and would have crossed 20 cross walks and crossed over two river bridges. This deficient practice placed R53 in immediate jeopardy. […]

• Immediate jeopardy, isolatedF742Aug 5, 2024

  The facility reported a census of 96 residents. The sample included 20 residents. Based on observation, interview, and record review, the facility failed to ensure the appropriate treatment and services to attain the highest practicable mental and psychosocial well-being of cognitively impaired Resident (R)53, who had a mental health disorder diagnoses, portrayed anger related to living in the facility, a history of exit seeking, and the facility staff did not respond to his suicidal ideation statements after his elopement (when a cognitively impaired resident leaves the facility without the knowledge or supervision of staff). On [DATE], R53 eloped from the facility. […]