Inspection Reports for
Meadows of Leipsic the
901 EAST MAIN STREET, LEIPSIC, OH, 45856
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
13% better than Ohio average
Ohio average: 4.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
151% occupied
Based on a January 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Census: 53
Deficiencies: 2
Date: Jan 16, 2025
Visit Reason
The inspection was conducted to assess compliance with care plan accuracy and infection control measures related to resident care, including review of care plans and urinary catheter care.
Findings
The facility failed to ensure care plans were accurate and current for residents with trauma history and indwelling urinary catheters. Additionally, infection control measures were not properly followed for a nephrostomy drainage bag.
Deficiencies (2)
F 0656: The facility failed to develop and implement complete care plans that meet all resident needs with measurable timetables and actions. Care plans for trauma and indwelling urinary catheter care were not updated timely for Residents #10 and #20.
F 0691: The facility failed to ensure proper infection control measures for a nephrostomy drainage bag, which was observed touching the floor, risking contamination for Resident #144.
Report Facts
Residents affected: 2
Residents affected: 1
Facility census: 53
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Interviewed regarding Resident #10's trauma care plan | |
| Director of Nursing (DON) | Interviewed regarding care plan updates for Residents #10 and #20 | |
| Social Worker (SW) #380 | Interviewed about Resident #10's trauma report and care plan | |
| Medical Director (MD) #408 | Interviewed about Resident #20's catheter care | |
| Registered Nurse (RN) #350 | Interviewed about Resident #20's catheter duration | |
| Certified Registered Care Associate (CRCA) #329 | Interviewed about nephrostomy drainage bag placement for Resident #144 |
Inspection Report
Routine
Census: 47
Deficiencies: 7
Date: Aug 25, 2022
Visit Reason
Routine inspection to assess compliance with care planning, personal hygiene, medication administration, safety, respiratory care, pharmaceutical services, and medical record documentation standards.
Findings
The facility was found deficient in developing complete care plans addressing resident diagnoses, ensuring personal hygiene care, monitoring blood sugar levels as ordered, securing resident smoking supplies, maintaining respiratory equipment cleanliness, preventing unattended medications at bedside, and accurately documenting wound measurements. All deficiencies were assessed as minimal harm or potential for actual harm.
Deficiencies (7)
F 0656: The facility failed to develop and implement complete care plans addressing residents' medical diagnoses for three residents. Diagnoses such as CHF, ASHD, hypertension, headache syndrome, osteoarthritis, diabetes mellitus, heart failure, and seizures were not addressed in care plans.
F 0677: The facility failed to ensure staff trimmed the fingernails of a resident unable to perform activities of daily living, despite the resident's preference for shorter nails.
F 0684: The facility failed to ensure blood sugar levels were checked as ordered for two residents receiving insulin, resulting in missed blood sugar checks prior to dinner.
F 0689: The facility failed to store resident smoking supplies in a locked area, allowing cognitively impaired and independently mobile residents potential access to cigarettes and lighters.
F 0695: The facility failed to maintain and store a rigid suction catheter in a clean and sanitary manner; the catheter tip was crusted with a dark brown substance and exposed to air.
F 0755: The facility failed to ensure medications were not left unattended at bedside for a resident, with a medication pill left on the bedside table without proper supervision.
F 0842: The facility failed to accurately document wound measurements on a wound assessment for a resident, omitting depth measurement and providing inaccurate documentation.
Report Facts
Residents reviewed for care plans: 11
Facility census: 47
Residents affected: 3
Residents affected: 1
Residents affected: 2
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse #139 | Verified diagnoses were not addressed in care plans for Residents #18 and #23 | |
| RN MDS Support #185 | Verified diagnoses were not addressed in care plans for Resident #18 and missed blood sugar checks for Resident #7 | |
| Director of Health Services | Interviewed regarding Resident #22's fingernail length and wound measurement documentation | |
| Registered Nurse Clinical Campus Support #184 | Verified suction catheter condition and wound documentation | |
| Registered Nurse #131 | Verified missed blood sugar checks for Resident #29 | |
| State Tested Nursing Assistant (STNA) #182 | Observed handing cigarettes and lighter to Resident #29 | |
| Licensed Practical Nurse (LPN) #103 | Verified leaving medication pill unattended at Resident #34's bedside |
Inspection Report
Census: 44
Deficiencies: 3
Date: Aug 29, 2019
Visit Reason
The inspection was conducted to assess compliance with medication administration, food safety and sanitation, and infection prevention and control standards at the nursing home.
Findings
The facility failed to ensure proper insulin administration according to manufacturer guidelines, maintain kitchen cleanliness and proper food storage, and implement appropriate hand hygiene during dressing changes. These deficiencies had the potential to affect multiple residents.
Deficiencies (3)
F 0760: The facility failed to ensure a resident's insulin was administered according to manufacturer guidelines, resulting in a significant medication error involving one resident. The insulin pen was not primed prior to administration as required.
F 0812: The facility failed to maintain kitchen cleanliness, properly store foods, and ensure sanitation of utensils and sinks, potentially affecting all residents. Observations included soiled dust pans, dirty food storage lids, greasy shelves, and ineffective sanitizing solution in the sink.
F 0880: The facility failed to implement appropriate hand hygiene during a dressing change for one resident. The nurse did not change gloves or wash hands after cleansing the wound and before applying a new dressing.
Report Facts
Residents receiving insulin: 3
Residents observed for insulin administration: 2
Residents affected by insulin administration deficiency: 1
Residents affected by kitchen sanitation deficiency: 44
Residents affected by infection control deficiency: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN) #200 | Named in insulin administration and infection control deficiencies | |
| Regional Nurse #210 | Interviewed regarding insulin administration policy | |
| Director of Dining Services (DDS) #230 | Interviewed regarding kitchen sanitation and food storage deficiencies |
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