The Meadows

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jun 26, 2026

  Based on facility policy review, observation, and interview, the facility failed to label food according to facility policy and failed to ensure food preparation and storage equipment were kept in a sanitary condition. The facility also failed to maintain dietary equipment in proper working order related to sanitation levels in the three-compartment sink and ice build-up in the walk-in freezer. The deficient practices had the potential to affect each resident who received nourishment from the kitchen. Findings included: A facility policy titled Refrigerator And Freezer Storage, reviewed/revised 06/2025, revealed Refrigerated and frozen foods will be stored properly for optimal product safety. The policy revealed 9. a) Each center will have a system for date marking. […]

• No harm, potential for more than minimal, widespreadF812Sep 21, 2022

  Based on facility policy review, observations, and interview, the facility failed to maintain sanitary dietary equipment related to unclean dry food storage bins; failed to label dry food storage bins; and failed to label and date leftover food kept in the walk-in refrigerator. The findings include: Review of the facility's policy titled, Safety & Sanitation Best Practice Guidelines, dated 11/2017, revealed, .Foods will be stored in their original packages, if possible. Products that are not easily identified should be clearly labeled with the common name of the food when removed from original packages .All ready-to-eat food prepped in-house and leftover, cooked food items must be labeled with the following information: name of food item and the date by which it should be eaten or… […]

• No harm, potential for more than minimal, widespreadF880Sep 21, 2022

  Based on facility policy review, medical record review, observations, and interviews, the facility failed to ensure proper Personal Protective Equipment (PPE) was used when entering 1 of 5 Transmission Based Precautions (TBP) rooms, and failed to properly clean 1 of 4 TBP rooms on the Covid Unit. The facility also failed to ensure an indwelling urinary catheter collection bag was kept off of the floor for 1 of 8 sampled residents (Resident #240) reviewed who required an indwelling urinary catheter. Review of the facility's undated policy titled, Catheter Care, Urinary, revealed, .purpose of this procedure is to prevent catheter-associated urinary tract infections .Infection Control .Be sure the catheter tubing and drainage bag are kept off the floor . […]

• No harm, potential for more than minimal, patternF812Oct 7, 2021

  Based on facility policy, cleaning schedule, observation and interview the facility failed to keep 4 of 4 ice machines clean and sanitized. The findings included: Review of the facility Work History Report revealed, .Ice Machines/Ice Bins: Check filters (if present), clean coils, sanitize interior, delime as necessary .Marked done on-time by [Named Maintenance Director] on 8/3/2021, again on 4/8/2021, and again on 1/31/2021. Review of facility Kitchen Checklist revealed the kitchen staff is responsible for cleaning the exterior of the ice machine. During an observation on 10/6/2021 at 09:04 AM on A Wing Left in Clean Utility Room, revealed an ice machine was noted to have multicolored debris on the plastic parts located in water trough. […]

• No harm, potential for more than minimal, isolatedF908Jun 26, 2026

  Based on facility policy review, observation, and interview, the facility failed to maintain 1 of 1 six-burner stove in safe operating condition. Findings included: A facility policy titled, Preventive Maintenance last reviewed 06/2025, revealed Preventative maintenance will extend the life of FNS equipment and should be scheduled and preformed [sic] on a routine basis. The policy revealed, 1. Equipment shall be maintained in good repair and condition. The policy also indicated, 2. The FNS Manager/Dietician will schedule routine preventive maintenance with the Maintenance Department. […]