Inspection Reports for
Country Meadows

Complaint #2659480 regarding medication administration failures due to medication unavailability. The complaint was substantiated by interviews and record reviews showing multiple missed doses for six residents.

The facility failed to administer prescribed medications to six residents due to unavailability, resulting in multiple missed doses across various medications. Interviews with residents and staff confirmed medication shortages and issues with timely medication ordering and availability.

The facility failed to document accurate Minimum Data Set (MDS) assessments for hospice status for three residents and failed to provide safe, appropriate dialysis care including proper documentation, monitoring, and physician orders for one resident receiving dialysis. These deficiencies posed minimal harm or potential for actual harm to residents.

Complaint investigation identified failure to follow physician's orders for four sampled residents and one outside the sample. The facility's census was 60. The complaint number is MO00236261.

The facility failed to administer prescribed medications to several residents due to unavailability, resulting in multiple missed doses. The facility also lacked a policy regarding following physician orders. Interviews with staff revealed procedures for obtaining medications, but missed doses persisted.

The complaint investigation revealed substantiated issues including inaccurate MDS documentation, failure to follow physician orders with multiple missed medication doses, and improper infection control practices during resident care.

The facility failed to document accurate MDS assessments for two residents, failed to follow physician's orders for five residents, and failed to maintain proper infection control practices during perineal care for two residents. Multiple missed medication doses due to unavailability were documented, and improper hand hygiene and glove use were observed.

The facility was found deficient in accurately completing Minimum Data Set (MDS) assessments, following physician orders for residents, and maintaining proper infection control practices. Multiple residents had missed medication doses due to unavailability, and staff failed to follow proper hand hygiene and perineal care procedures.

The facility failed to ensure doors to hazardous areas had self-closing devices and did not maintain the sprinkler system free of corrosion and debris. These deficiencies had the potential to affect all occupants of the building.

The facility was found deficient in accuracy of resident assessments, food procurement and storage practices, and quality assessment and assurance committee operations. Specific issues included incomplete Minimum Data Set (MDS) documentation, failure to maintain sanitary food storage conditions, and inadequate infection preventionist participation in QAA meetings.

The facility failed to maintain continuous egress illumination, specifically the front sidewalk exit pathway had no exit illumination. This deficiency potentially affected all residents and staff.

The facility failed to document complete and accurate Minimum Data Set (MDS) assessments for two residents, failed to store and distribute food under sanitary conditions due to freezer door issues, and failed to include the infection preventionist in quarterly Quality Assessment and Assurance (QAA) meetings. All deficiencies were cited with minimal harm or potential for actual harm.

The investigation was triggered by complaints of missing resident belongings and concerns about theft. Multiple residents and family members reported missing cash, jewelry, and other personal items. The facility's grievance and resident council minutes documented these concerns. The complaint was substantiated by interviews and record reviews.

The facility failed to ensure a comfortable homelike environment and protect residents' property from loss or theft, as evidenced by multiple residents reporting missing items. Additionally, the facility failed to maintain accuracy of assessments, update comprehensive care plans, and ensure food palatability and attractiveness. Infection control deficiencies were also noted.

The facility failed to maintain adequate exit illumination and sprinkler system clearances, and had issues with electrical equipment power cords and extension cords. These deficiencies potentially affected all residents and staff.

The facility was found deficient in multiple areas including care plan timing and revision, meeting professional standards for services provided, free of accident hazards, nurse staffing information posting, medication error rates, medication labeling and storage, infection prevention and control, and communicable disease protocols for employees. Deficiencies were documented with specific resident cases and policy reviews.

The facility failed to maintain sprinkler heads and properly store oxygen tanks, resulting in deficiencies related to sprinkler system maintenance and oxygen storage safety.

The facility was found deficient in multiple areas including accuracy of assessments, development and implementation of comprehensive care plans, adherence to physician's orders, infection prevention and control, and proper handling of linens and catheter tubing.

The facility failed to maintain exit egress doors free from impediments and failed to maintain complete fire sprinkler coverage throughout the building. Several sprinkler heads were found with dust, debris, or physical damage. The facility census was 58 at the time of inspection.