Inspection Reports for The Meadows Assisted Living

The inspection was an unannounced follow-up complaint investigation visit regarding an allegation of questionable death at the facility.

The investigation found no evidence of neglect, mismanagement, or questionable circumstances related to the resident's death. The allegation was determined to be unfounded based on record reviews and care consistent with physician orders and comfort-focused instructions.

The complaint alleged a questionable death. The investigation concluded the allegation was unfounded, meaning it was false, could not have happened, or was without reasonable basis.

The visit was an unannounced case management visit to follow up on the death of a resident that occurred on 2025-06-21 and to conduct a physical walk-through related to a complaint.

The investigation into the resident's death found the cause of death unknown at this time, with the resident receiving hospice care. A deficiency was cited due to a cleaning chemical spray bottle being stored in an unlocked cabinet accessible to residents, posing a potential health and safety risk.

The visit included a walk-through related to complaint #27-AS-20250625155709 concerning unsafe storage of cleaning chemicals.

The visit was an unannounced complaint investigation conducted in response to an allegation that staff were not ordering resident medications in a timely manner.

The investigation found that staff prioritize medication ordering and follow a proactive process, including contacting doctors and pharmacies well in advance. Occasional delays were attributed to pharmacies, not staff. The complaint was determined to be unsubstantiated with no deficiencies cited.

The complaint alleging that staff are not ordering resident medications in a timely manner was investigated and found to be unsubstantiated.

Unannounced follow-up complaint investigation visit regarding the allegation that staff did not administer medication as prescribed.

The investigation found that Resident R1 did not receive antibiotic medications exactly as prescribed, with missed doses in March and an incomplete 5-day course of Nitrofurantoin in July. The allegation was substantiated based on document reviews and medication records.

The complaint allegation that staff did not administer medication as prescribed was substantiated based on evidence including medication administration records and controlled drug records.

An unannounced complaint investigation visit was conducted to investigate allegations that staff were not properly assessing residents in care.

The investigation found no preponderance of evidence to support the allegation that staff were not properly assessing residents. Staff roles and qualifications were reviewed, and the multi-level assessment process was verified as appropriate. The allegation was determined to be unsubstantiated.

The complaint alleged improper assessment of residents by staff. The investigation included interviews and record reviews. The allegation was found to be unsubstantiated due to lack of evidence.

The inspection was an unannounced complaint investigation visit conducted in response to an allegation that the facility does not report incidents to the Department in a timely manner.

The investigation found that over the past six months, 13 incident reports were submitted later than the required seven-day reporting timeframe, substantiating the allegation that the facility failed to report incidents timely to the Department.

The complaint was substantiated based on evidence that 13 incident reports were submitted late over a six-month period, violating timely reporting requirements.

The inspection visit was an unannounced Case Management - Annual Continuation to continue with the annual inspection initiated on 12/10/2024 and to ensure the facility's compliance with Title 22 Regulations.

The Licensing Program Analyst reviewed resident and staff files, disaster drills, and facility plans, and found no deficiencies at this time. An advisory was provided to update the dementia plan of operation if necessary.

An unannounced complaint investigation visit was conducted following a complaint alleging that facility staff caused injury to a resident in care.

The investigation substantiated the allegation that staff member S1 pushed resident R1, causing R1 to fall and sustain injuries. Surveillance footage contradicted the initial documentation, showing no aggression from R1 and confirming that the injury resulted from S1's physical intervention. S1 was terminated and additional staff training was conducted.

The complaint was substantiated. The allegation that facility staff caused injury to a resident in care was confirmed based on video evidence and interviews. The staff member involved was terminated and additional training was provided.

The inspection was an unannounced required annual visit to verify compliance with Title 22 regulations for the facility.

The facility was found to be generally compliant with regulations, with secure medication storage, clean and sanitary resident units and kitchen, and safe outdoor areas. The facility is approved for 10 hospice residents and 24 bedridden residents. Water and room temperatures were recorded within acceptable ranges. Due to time constraints, a continuation visit is required.

The visit was an unannounced case management inspection conducted to investigate an incident that occurred on 2024-10-31 involving a resident fall during a scuffle over a walker.

The investigation found that Resident 1 attempted to take a walker from another resident, leading to a scuffle with staff member S1, resulting in Resident 1 falling and being hospitalized with multiple diagnoses. The facility's internal investigation deemed the fall suspicious, notified law enforcement and the Long-Term Care Ombudsman, and terminated staff S1.

The visit was complaint-related due to an incident on 2024-10-31 involving a resident fall. The fall was deemed suspicious, and local law enforcement and the Long-Term Care Ombudsman were notified. The staff member involved was terminated following the investigation.

The visit was an unannounced case management inspection conducted in response to an incident report received on 2024-06-26 regarding alleged abuse of a resident.

The investigation found that the resident's reported abuse was not substantiated; medical and administrative reviews confirmed the resident's medication use was appropriate per hospice guidelines. No deficiencies were observed or cited during the inspection.

The complaint involved a resident reporting abuse by a friend who was allegedly drugging and attempting to kill them. Investigations by police, Adult Protective Services, and the Ombudsman were conducted. Hospital drug tests confirmed medications consistent with hospice orders. The resident passed away during hospice care.

The visit was an unannounced post-licensing inspection conducted to ensure compliance with Title 22 regulations and to verify the facility's readiness to operate under its new license.

The facility was generally compliant with regulations regarding environment, safety, and medication storage. However, a deficiency was found related to dementia care: 3 of 4 residents diagnosed with dementia did not have updated physician reports and reappraisals, posing an immediate health and safety risk.

The inspection was conducted as a pre-licensing evaluation for Change of Ownership (CHOW) at Meadows Senior Living to ensure compliance with Title 22 regulations.

The facility was toured and inspected including resident apartments, common areas, kitchen, and safety features. The facility was found to be in substantial compliance with no hazards observed, adequate safety measures in place, and proper storage of toxins and medications. Cosmetic renovations were ongoing but did not obstruct emergency exits.