The Meadows, a Personal Care Community

A medication error involving a staff member signing off on a med pass without administering medication was not reported to the Department.

The resident-home contract for resident #2 was not signed by the resident.

Resident #2's record lacked a signed statement acknowledging receipt of resident rights and complaint procedures.

A staff member began working before their criminal background clearance had been initiated.

A dietary staff person did not have a criminal background check completed until after their hire date.

An unsealed package of rice crispies was found scattered at the bottom of a large box.

A large pile of lint was found on the floor behind the dryer in the 200-wing laundry room.

Fire drill records were missing the year of conduct, time of day (AM/PM), and details regarding problems encountered.

During fire drills on 1/5/24 and 2/2/24, a resident refused to evacuate to the designated meeting place.

Several unlocked and unattended medications were found in a resident's bedroom during inspection.

The License inspection summary (LIS) report was not posted in the binder containing previous LIS reports.

The dining room exit was blocked by a table and chairs positioned in front of the exit door.

Cigarette butts were observed in the gravel surrounding the outdoor smoking area cabana near the shrubs.

Annual fire safety inspections were conducted more than 12 months apart.

Fire drills during sleeping hours were conducted with additional staff present rather than using alternate exit routes/staffing levels.

Annual medical evaluation documentation for two residents was completed more than 12 months apart.

Medication storage and security procedures were not followed, involving missing tramadol tablets replaced with paper and a discrepancy in the lorazepam narcotic count.

A fire drill conducted on 11/26/2079 (sic) took 6 minutes and 37 seconds, exceeding the maximum safe evacuation time of 6 minutes.

The Documentation of Medical Evaluation (DME) form for resident #1 was missing weight, pulse, temperature, and blood pressure.

The home's smoking policy did not indicate that an outdoor smoking area in the gazebo was provided.

The home failed to seek timely medical evaluation for a resident experiencing increased falls, pain, and changes in mobility.

The resident's support plan (RASP) was not updated to reflect changes in medical needs, including falls and mobility issues.