Momence Meadows Nursing & Rehab

In the surveyor’s words

From the most serious findings on record at Momence Meadows Nursing & Rehab, in the surveyor’s own words.

• Actual harm, isolatedF600Aug 17, 2026

  Based on interview and record review the facility failed to protect a residents' right to be free from resident to resident physical abuse. This failure resulted in R4 sustaining a fracture of the right third metacarpal and R5 sustaining swelling to his face (facial trauma).This applies to 2 of 4 residents (R4, R5) reviewed for abuse in the sample of 6. Findings include:1.The face sheet showed R4 was admitted to the facility on [DATE], with diagnoses of type II diabetes, dementia, hypertension, muscle wasting atrophy, non-displaced fracture of base of third metacarpal bone, disorder of ligament, right wrist, history of falling, low back pain and hyperlipidemia.The MDS (Minimum Data Sets) dated July 20, 2026, showed R4 was cognitively intact. […]

• Actual harm, isolatedF600Jan 9, 2026

  Based on observation, interview, and record review, the facility failed to ensure a resident remained free from abuse. The facility also failed to keep a resident free from physical abuse, resulting in one resident striking another in the head with his cane and that resident requiring sutures.This applies to 1 out of 6 residents (R29) reviewed for neglect and abuse.The findings include: On 12/31/25 at 12:26 pm, R29 was observed with a bruise to his upper right cheek below the eye, and three sutures on the right eye lid. R29's 12/26/25 6:45 am progress notes showed that R29 was observed with bleeding from below his right eye. The progress note showed that it was reported that another resident hit R29. […]

• Actual harm, isolatedF692Jan 9, 2026

  Based on observation, interview, and record review, the facility failed to ensure a resident with a gastrostomy tube feeding received care and services to maintain his weight. This failure resulted in a resident experiencing significant weight loss of 13.49% in less than 39 days. This applies to 1 of 2 residents (R12) reviewed for gastrostomy tube use.The findings include:R12 is a [AGE] year-old male admitted to the facility on [DATE]th, 2022, with diagnoses including brain damage from a lightning strike, functional quadriplegia, dysphagia, cognitive communication deficit, and gastrostomy status for tube feeding. R12's December Physician Orders show he takes no food orally and receives nutrition from a gastrostomy tube feeding only. […]

• Actual harm, isolatedF600Dec 20, 2023

  Based on observation, interview, and record review, the facility failed to protect a resident's right to be free from neglect when a resident did not receive his psoriasis medication to prevent a psoriasis flare-up, and when the resident did not have weekly skin assessments to monitor his flare-up. These failures resulted in R1 experiencing a psoriasis flare-up, and then subsequently his skin lesions were not monitored. This applies to 1 of 7 residents reviewed for neglect in the the sample of 7. The findings include: 1. R1's Face Sheet showed his diagnoses include generalized pustular psoriasis, psoriatic arthritis mutilans, and unspecified psoriasis. On December 14, 2023 at 11:50 AM, R1 stated he had psoriasis and starting having skin issues when he was around [AGE] years old. […]

• Actual harm, isolatedF760Dec 20, 2023

  Based on observation, interview, and record review, the facility failed to ensure a resident's Cosentyx was available for administration. This failure resulted in a resident experiencing a psoriasis flare-up. This applies to 1 of 4 residents (R1) reviewed for medications in a sample of 7. The findings include: R1's Face Sheet showed his diagnoses include psoriatic arthritis mutilans, generalized pustular psoriasis, and other psoriasis. On December 14, 2023 at 11:50 AM, R1 stated he had psoriasis and starting having skin issues when he was around [AGE] years old. R1 said he has been waiting on the pharmacy to receive his Cosentyx injections, stating he has not gotten it. R1 stated it works great when he received the starter doses. […]