West Meade Place

In the surveyor’s words

From the most serious findings on record at West Meade Place, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF710Mar 23, 2021

  F710 Based on medical record review, observations and interviews, the facility failed to obtain physician's orders for specialty air mattresses with settings for 32 (Residents # 1,#2, #3, #8, #9, #10, #11, #12, #13, #14, #15, #16, #17, #18, #19, #20, #21, #22, #23, #24, #25, #26, #27, #28, #29, #30, #31, #32, #33, #34, #35, #36) of 32 residents reviewed. The findings include: Review of the medical record showed Resident #1 was admitted to the facility on [DATE] with readmission on 6/29/2020 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF812Mar 13, 2026

  Based on facility policy review, observation, and interview, the facility failed to label opened food items in the stand-alone refrigerator, which were available for use in preparing meals for 74 of 98 residents reviewed who ate meals from the facility kitchen. The deficient practice had the potential for residents to receive meals prepared with outdated/expired food items and had the potential to spread foodborne illnesses. The findings included: A facility policy titled, Safety & Sanitation Best Practice Guidelines, reviewed 06/2025, specified, Labeling 1) All TCS [Temperature Controlled for Safety], 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 discarded. […]

• No harm, potential for more than minimal, patternF880Sep 6, 2022

  Based on the facility's Infection Control Manual Volume 1 review, facility policy (Centers for Disease Control and Prevention (CDC) guidelines), observation, and interview, the facility failed to follow acceptable and appropriate infection control practices when cleaning a Transmission Based Precautions (TBP) isolation room. the facility failed to post TBP signage on 1 isolation room and filed to don the required Personal Protective Equipment (PPE) when entering a TBP room. The findings include: Review of the facility's Infection Control Manual Volume 1 updated 2/2022, revealed .Routine and Terminal Cleaning .room, cubicle, and bedside equipment of patients in Transmission Based Precautions are cleaned using the same procedure used for patients on Standard Precautions, unless the infecting… […]

• No harm, potential for more than minimal, patternF584Nov 8, 2021

  Based on facility policy review, medical record review, observations and interviews, the facility failed to provide a sanitary environment for 6 (Rooms #3036, 3037, 3038, 3040, 3042, and 3rd Floor South Wing Central Bath) of 8 rooms reviewed. The findings include: Review of the undated facility's document titled, Patient Rights, revealed, .we support the patient/resident's right to live in an environment which is individualized for them .We strive to cultivate and sustain an excellent quality of life for each individual with person-centered care and services, by honoring and supporting each patient/resident's preferences, choices, values and beliefs . […]

• No harm, potential for more than minimal, isolatedF585Mar 13, 2026

  Based on facility document review, record review, and interview, the facility failed to implement procedures for missing items and grievances for 1 of 1 (Resident #13) resident reviewed for personal property. The findings included: An undated facility document titled, Personal Funds and Valuables: Continued., indicated, If, at any time during your stay you are missing your personal items, please report your loss immediately. We will assist you in attempting to locate the item. Should investigation of the circumstances lead to suspicion of deliberate misappropriation, the center administrator will initiate appropriate law enforcement involvement as well as notification of state survey agencies. If at any time, you have cause to believe or have knowledge of misappropriation of items. […]