Meadowview Assisted Living Center

The facility failed to ensure personal care assistance for a resident who required assistance with toenail care. A review of body evaluations revealed that staff were not consistently addressing nail cleanliness, smoothness, and length as required by the resident's care needs.

The facility failed to maintain plumbing equipment in a safe and operating condition, as evidenced by a leaking toilet in the shared bathroom for rooms 210 and 212. This leak resulted in standing black water on the bathroom floor and had been an ongoing issue for months to years according to resident and staff interviews.

The facility failed to maintain plumbing equipment in a safe and operating condition, specifically regarding a leaking toilet in the shared bathroom for rooms 210 and 212. Observations and interviews revealed standing black water on the floor and a gap at the base of the toilet that had persisted for months to years. Maintenance attempts were unsuccessful in preventing the leak caused by the toilet shifting at its base.

The facility failed to ensure proper health care referral and follow-up for a resident. Specifically, the facility did not schedule a necessary cardiology appointment related to low blood pressure and failed to coordinate with a home health provider for the treatment of a toe wound.

The facility failed to ensure proper health care referral and follow-up for a resident. Specifically, the facility did not schedule a necessary cardiology appointment and failed to coordinate follow-up with a home health provider for wound treatment. Additionally, the facility failed to monitor and act upon blood pressure readings that were outside of established parameters.

The facility failed to maintain hot water temperatures in resident showers between 100 and 116 degrees Fahrenheit. Specifically, three out of six inspected fixtures in the 300 hall were found to have temperatures ranging from 80 to 98 degrees Fahrenheit. Residents and staff reported that the water had been too cold for several weeks to a month.

The facility failed to maintain hot water temperatures between 100 and 116 degrees Fahrenheit in several resident bathrooms. Specifically, three out of six inspected fixtures on the 300 hall recorded temperatures as low as 80 to 98 degrees Fahrenheit. Residents and staff reported that the water had been inadequately warm for several weeks, preventing some residents from showering.

The facility failed to ensure that a required North Carolina Health Care Personnel Registry (HCPR) check was completed for Staff A at the time of hire. The check was not performed until 2.5 months after the employee's hire date of 08/17/21.

The facility failed to provide necessary personal care to one of five sampled residents regarding foot issues and edema. Specifically, the resident had thick, cracked, and flaking skin on the ankles and feet, as well as buildup under the toenails, which was not addressed according to the care plan.

The facility failed to ensure that one of three sampled staff members had no substantiated findings listed on the North Carolina Health Care Personnel Registry (HCPR). A review of the staff member's personnel record showed no documentation that an HCPR check was completed upon hire. Additionally, search results provided by the Business Office Manager were found to be from incorrect government databases rather than the official NC HCPR website.