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 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.