The Meadows on University

In the surveyor’s words

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

• Immediate jeopardy, isolatedF880Aug 30, 2022

  Based on record review, review of professional reference, review of manufacturer's guidelines, and staff interview, the facility failed to ensure appropriate infection control standards during insulin administration for 1 of 1 sampled resident (Resident #2) reviewed for insulin use. Failure to ensure residents do not share insulin pens may result in the spread of bloodborne pathogens. During the on-site revisit survey, the team determined a potential Immediate Jeopardy (IJ) situation existed on 11/16/22 at 4:16 p.m. The IJ situation resulted from record review of Resident #2, who used insulin pens and was noted to have used another resident's insulin pen. […]

• Actual harm, isolatedF692Apr 9, 2025

  Based on observation, record review, review of facility policy, and staff interview, the facility failed to maintain acceptable parameters of nutritional status for 1 of 1 sampled resident (Resident #47) with weight loss. Failure to monitor/document intakes accurately and provide encouragement and assistance with meals and supplements resulted in a significant weight loss. Findings include: Review of the facility policy titled Weight Assessment and Intervention occurred on 04/09/25. This policy, dated September 2008, stated, . The multidisciplinary team will strive to prevent, monitor, and intervene for undesirable weight loss for our residents. 3. The Dietitian will review the weight record weekly to follow individual weight trends over time. […]

• Actual harm, isolatedF697Aug 30, 2022

  Based on resident interview, record review, review of facility policy, and staff interview, the facility failed to provide effective pain management for 1 of 1 sampled resident (Resident #1) with unavailable pain medications. Failure to ensure the availability of pain medication resulted in Resident #1 experiencing increased, unresolved pain. Findings include: Review of the facility policy titled Administering Pain Medications occurred on 11/17/22. This policy, dated 2018, stated, . Pain management is defined as the process of alleviating the resident's pain to a level that is acceptable to the resident and is based on his or her clinical condition and established treatment goals. […]

• Actual harm, isolatedF600Apr 21, 2022

  Based on review of facility policy, review of the facility's investigation report, and staff and resident interviews, the facility failed to provide an environment free of verbal abuse for 1 of 1 resident (Resident #11) with an allegation of mistreatment by staff. Failure to ensure residents are free from verbal abuse, which includes disparaging and derogatory terms, and the disregard for resident personal possessions and privacy resulted in psychosocial harm. Findings include: Review of the facility policy titled Abuse Prevention Program occurred on 04/21/22. This undated policy stated, Our residents have the right to be free from abuse, neglect, misappropriation of resident property and exploitation. […]

• Actual harm, isolatedF692Apr 21, 2022

  THIS IS A REPEAT DEFICIENCY FROM THE SURVEY COMPLETED ON 02/25/21 Based on review of facility policy, record review, and staff interview, the facility failed to ensure acceptable parameters of nutritional status for 1 of 1 sampled resident (Resident #34) with severe weight loss. Failure to adequately monitor and evaluate weights, implement recommended dietician recommendations, assess the effectiveness of current interventions, re-evaluate the need for updated or additional interventions, and physician notification of weight loss resulted in continued, severe weight loss. Findings include: Review of the facility policy titled Nutrition (Impaired)/Unplanned Weight Loss - Clinical Protocol occurred on 04/21/22. This policy, dated Qtr [quarter] 3, 2021, stated, . […]