The Meridian

In the surveyor’s words

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

• Actual harm, isolatedF684Oct 7, 2022

  Based on observation, interview, and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 of 14 residents (CR#1) reviewed for quality of care. Three licensed Nurses, RN A, LVN A, and LVN B failed to reassess interventions for CR #1 after an unwitnessed fall with suspected head injury and significant change in condition. This deficient practice could place residents requiring reassessment after unwitnessed falls at risk for adverse effects including traumatic injury and or death. […]

• Actual harm, isolatedF690Jul 7, 2022

  Based on interview and record review, the facility failed to ensure that a resident who was incontinent of bowel received appropriate treatment and services to prevent fecal impaction for 1of 33 residents (CR # 62) reviewed for incontinent bowel care in that: The facility failed to ensure CR #62 did not develop bowel complications while at the facility that resulted in hospitalization and a fecal impaction. This failure could place residents at risk for developing bowel complications including impaction and hospitalization . Findings included: Record review of CR #62's admission record dated 7/6/22 revealed she was a [AGE] year old female who admitted on [DATE] and readmitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF584Aug 11, 2026

  Based on observation, interview and record review, the facility failed to provide a safe, clean, comfortable, and homelike environment and housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior for 2 of 2 halls (Residents #1, #2,#3) rooms reviewed for environment. -The facility temperature of the facility floors 200 and 300 were recorded to be outside and above of the range of 71-81 degrees. These deficient practices could place residents at risk of living in an unclean and unsanitary environment which could lead to a decreased quality of life. […]

• No harm, potential for more than minimal, patternF657Sep 14, 2023

  Based on observation, interview and record review, the facility failed to ensure the comprehensive care plans were reviewed and revised by the Interdisciplinary team after each assessment for 2 of 13 residents reviewed for care plan accuracy (Residents # 15, #27). --Resident # 15's clinical chart did not contain a care plan for ADL assistance and had care plans for a healed stage 3 sacral ulcer and a healed sore on her great toe. --Resident #27's was care planned for wander guard for risk of elopement, which had been removed by facility Findings include: Record review of Resident #15's face sheet revealed a [AGE] year-old female with admitted [DATE] and diagnoses including Alzheimer's disease (progressive disease that destroys memory and mental functions), malignant neoplasm (cancer) of… […]

• No harm, potential for more than minimal, patternF761Sep 14, 2023

  Based on observation, interviews, and record review the facility failed to ensure in accordance with State and Federal laws, all drugs and biologicals were stored securely in locked compartments for two (Nurse Medication Cart Second Floor and Medication Aide Medication Cart Third Floor) of six medication carts observed for storage of medications. The facility failed to ensure the Nurse medication cart second floor and Medication Aide medication cart third cart were secured when unattended. These failures could place residents at risk for loss of prescribed medications, resident's safety, and drug diversion. Findings included: Observation and interview on the second floor on 09/12/2023 at 2:28 PM revealed the Nurse medication cart was parked unlocked in the hall near room [ROOM NUMBER]. […]