Vivo Healthcare Meadows

In the surveyor’s words

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

• Immediate jeopardy, patternF689Jun 23, 2023

  Based on observation, record review, staff and resident interviews, the facility failed to implement processes to ensure accurate assessment and supervision of residents who smoke tobacco products to protect each resident's individual's safety and the safety of other residents. The facility failed to comprehensively assess and implement adequate interventions to minimize falls for 1(Resident #71) of 1 resident reviewed for falls. On 6/4/23 staff observed Resident #65 smoking in his room with the oxygen concentrator on. […]

• Immediate jeopardy, isolatedF835Jun 23, 2023

  Based on observation, record review and staff interview the facility Administration failed to utilize its resources effectively to ensure safe smoking practices, including assessment and supervision of residents who smoke tobacco products to protect residents from serious injury, impairment, or death. On 6/4/23 staff observed Resident #65 smoking in his room with the oxygen concentrator on. The facility failed to reassess Resident #65's ability to adhere to safe smoking precautions and allowed the resident to keep, and store smoking materials. Resident #65 and other residents who required supervision to smoke were observed smoking unsupervised. The smoking area was observed with an overfilled pole cigarette receptacle and the surrounding area littered with cigarette butts. […]

• Immediate jeopardy, isolatedF600Jan 25, 2023

  Based on record review and staff interviews, the facility failed to protect residents' rights to be free from neglect. The facility failed to provide the necessary services to a resident that are necessary to avoid physical harm, pain, mental anguish or emotional distress, in that they failed revise the care plan and closely supervise 1 (Resident #1) of 2 sampled cognitively impaired residents with dysphagia (Difficulty swallowing) on a pureed diet with multiple incidents of grabbing and eating solid food from other residents' plates. On [DATE] Resident #1 choked on solid food he grabbed from another resident's plate. […]

• Immediate jeopardy, isolatedF689Jan 25, 2023

  Based on record review, review of facility's policies and procedures and staff interviews, the facility failed to implement processes to ensure adequate supervision of 1 (Resident #1) of 3 sampled cognitively impaired residents on modified textured diet with poor impulse control and known behavior of grabbing food and consuming them to prevent choking from ingestion of solid food. On [DATE] Resident #1 choked on solid food he grabbed from another resident's plate. Resident #1 became unresponsive; staff performed the Heimlich maneuver (First-aid procedure for dislodging an obstruction from a person's windpipe) and Cardiopulmonary resuscitation (CPR). […]

• Immediate jeopardy, isolatedF835Jan 25, 2023

  Based on record review, and staff interview, the facility administration failed to use its resources effectively to ensure staff were adequately trained to supervise 1 (Resident #1) of 3 cognitively impaired residents with dysphagia with poor impulse control of grabbing and consuming food not on their prescribed diet. On [DATE] Resident #1 choked on solid food he grabbed from another resident's plate. Resident #1 became unresponsive; staff performed the Heimlich maneuver (First-aid procedure for dislodging an obstruction from a person's windpipe) and Cardiopulmonary resuscitation (CPR). Resident #1 was transferred to a local hospital where he expired on [DATE]. […]