Park Meadows Post Acute

In the surveyor’s words

From the most serious findings on record at Park Meadows Post Acute, in the surveyor’s own words.

• Immediate jeopardy, isolatedF805Aug 26, 2026

  Based on facility policy review, Speech-Langauge Pathologist Therapist (SPT) job description review, admission Director job description review, Dietary Supervisor job description review, Clinical Dietician position description review, International Dysphagia Diet Standardization Initiative (IDDSI) manual review, Nutrition Care Manual (NCM)- Diet Manual, medical record review, Dietary Management Company menu review, hospital record review, and interview, the facility failed to provide care and services necessary to maintain the highest practicable physical, mental, and psychosocial well-being of residents when staff failed to prepare food in a form designed to meet individual needs for 1 of 6 (Resident #1) sampled residents reviewed for receiving a mechanically altered therapeutic diet. […]

• No harm, potential for more than minimal, widespreadF812May 4, 2022

  Based on policy review, observation, and interview, the facility failed to ensure food was stored, prepared and served under sanitary conditions as evidenced by opened and undated food items, staff wearing mask below their nose, and staff handling plates with their bare hands. The facility had a census of 95, with 92 of those residents receiving a meal tray from the kitchen. The findings include: The facility's policy titled, Dietary: Food Service, dated 7/12/2021, revealed .Opened food items . should be stored in a closed container to prevent contamination . Observation in the Kitchen on 5/2/2022 beginning at 10:29 AM, revealed the following: a. a plastic container with cornmeal unlabeled and undated b. a plastic container with flour unlabeled and undated c. […]

• No harm, potential for more than minimal, widespreadF880Oct 29, 2021

  Based on the Centers for Disease Control and Prevention (CDC) guidelines, agency daily time punches, and employee and vendor screening logs, the facility failed to properly prevent and/or contain COVID-19 when 53 of 82 agency staff members (Licensed Practical Nurse (LPN) #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16, #17, #18, #19, #20, #21, #22, #23, #24, #25, and #26, Certified Nurse Assistant (CNA) #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16, #17, #18, #19, #20, #21, #22, #23, #24, #25, #26 and #27) did not complete the screening log for COVID-19 prior to working on 7 of 7 days (9/26/2021 - 10/2/2021) reviewed. […]

• No harm, potential for more than minimal, patternF661May 4, 2022

  Based on policy review, medical record review, and interview, the facility failed to ensure the completion of a Discharge Summary with a recapitulation of the resident's stay, the disposition status of the resident at the time of discharge, a post discharge plan of care, and a physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The findings include: Review of the facility's policy titled, Transfer and Discharge, revised on 11/2021, revealed .Orientation for transfer or discharge must be provided and documented to ensure safe and orderly transfer or discharge from the facility .Other necessary information, including a copy of the resident's discharge summary .to ensure a safe and effective transition of care .Obtain physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] .A member of… […]

• No harm, potential for more than minimal, patternF689May 4, 2022

  Based on policy review, medical record review, and interview, the facility failed to ensure investigations, neurological (neuro) checks, and assessments were completed for 3 of 3 sampled residents (Resident #11, #28, and #248) reviewed for falls. The findings include: Review of the facility's policy titled, Fall Risk - Fall Prevention, revised on 2/20/2020, revealed .To provide a coordinated system to identify Residents at risk for falls .The fall risk assessment will be completed by a licensed nurse .After a fall . Review of the medical record, revealed Resident #11 was admitted on [DATE] with diagnoses of [CONDITION(S)], [CONDITION(S)], Heart Disease, and [CONDITION(S)]. […]