Meadow View Nursing: Advance Directive Failure - ID
That resident, identified in federal inspection records as Resident 88, was admitted to Meadow View Nursing and Rehabilitation on Nampa's North Midland Boulevard with two serious diagnoses: cerebral infarction, a condition in which brain tissue dies from interrupted blood supply, and dementia. At admission, she or her representative checked a box on the facility's own intake paperwork requesting information on how to formulate an advance directive, the legal document that tells medical providers what to do if a patient can no longer speak for herself.
Months passed. Nobody provided it.
When a federal inspector reviewed Resident 88's medical record during a November 2025 complaint inspection, what they found was a POST, a Physician Orders for Scope of Treatment form that records existing medical orders. What they did not find was any documentation that the facility had ever responded to the advance directive request the resident had made at the front door.
The distinction matters. A POST records what doctors have already decided. An advance directive is the resident's own voice, her instructions, her choices about resuscitation, hospitalization, artificial nutrition, and what kind of death she is willing to accept. Resident 88 asked for help understanding how to create one. The facility's records contained no evidence anyone ever sat down with her, or with whoever represents her, to have that conversation.
On September 23, Social Services staff member identified in the inspection as Staff 1 confirmed to the inspector that the facility had only the POST document and had no documentation showing the advance directive information had ever been provided or followed up on since the resident's admission. The staff member offered no explanation for the gap.
The following afternoon, a second social services employee, identified as Staff 2, told the inspector that the facility had also failed to address advance directives during quarterly meetings with the resident. Those meetings are a routine mechanism facilities use to review care plans and check in on unresolved resident needs. For Resident 88, the request she made at admission had apparently never made it onto the agenda.
Two social services staff members. Zero documentation. Multiple quarterly meetings come and gone.
Meadow View is a 120-bed skilled nursing and rehabilitation facility that accepts Medicare and Medicaid residents. The inspection that uncovered this deficiency was triggered by a complaint, meaning someone, a resident, a family member, or another party, had contacted regulators with a concern serious enough to send an inspector through the door. The inspection was completed November 19, 2025. The deficiency was cited under federal tag F0578, which covers residents' rights related to self-determination and advance care planning.
The level of harm was classified as minimal harm or potential for actual harm, the lower end of the federal scale. That classification reflects the regulatory framework's assessment of immediate physical injury, not the subtler damage done when a person with dementia loses the window to make her wishes known.
Dementia is a progressive disease. The capacity to participate in decisions about one's own medical care does not stay constant. It narrows. A resident who could meaningfully engage with questions about resuscitation or end-of-life care at admission may not be able to do so six months later, or a year later, or at the moment those decisions suddenly become urgent. The facility's failure to follow up was not a paperwork problem with a clean fix. It was a closing door.
The inspection report does not say whether Resident 88 still has the cognitive capacity to participate in advance care planning. It does not say whether her representative has since been contacted. It does not say what Resident 88's wishes actually are, because nobody at the facility appears to have asked.
What the report does say is that two different employees in the social services department, when asked directly by a federal inspector, could produce no documentation that the facility had ever honored a request the resident made on the day she arrived.
Advance directive failures at nursing homes are not unusual in federal inspection data, but they tend to draw less attention than medication errors or falls or abuse investigations. They are quieter violations. The harm they cause is harder to photograph. It shows up later, in emergency rooms, in family arguments at bedsides, in decisions made by strangers about whether a person with no remaining voice would have wanted the ventilator, the feeding tube, the chest compressions.
Resident 88 tried to prevent that. She asked for help. She signed the intake form.
The facility's plan of correction was not included in the portion of the inspection report provided for this article. Meadow View did not respond to a request for comment.
What remains on the record is a resident with a damaged brain who understood, at some point, that she needed to get her wishes down in writing before she lost the ability to express them. She asked the people responsible for her care to help her do that. They did not. Quarterly meetings came and went. The gap in her file grew wider, and the window for filling it may have grown smaller, one missed meeting at a time.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Meadow View Nursing and Rehabilitation from 2025-11-19 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 30, 2026 · Our methodology
Meadow View Nursing and Rehabilitation in Nampa, ID was cited for violations during a health inspection on November 19, 2025.
What they did not find was any documentation that the facility had ever responded to the advance directive request the resident had made at the front door.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.