Three Meadows Post Acute: Bowel Care Failures - OH
Federal inspectors cited Three Meadows Post Acute, a skilled nursing facility at 10540 Fremont Pike Road in Perrysburg, Ohio, following a complaint inspection completed December 23, 2025. The deficiency, tagged under F0690, involved the facility's failure to properly manage bowel care for a small number of residents.
The facility had a bowel care policy. It was specific. A normal bowel pattern, the policy said, ranged from once daily to once every three days. Certified nursing assistants were supposed to document bowel movements every shift, recording both the number and size. Nurses were supposed to follow up on residents placed on the bowel care list, order or administer medications when needed, and document the results, including size and consistency.
The policy listed exactly what interventions nurses could use: a suppository, milk of magnesia, or lactulose, either per standing physician orders or by obtaining a new order. Prune juice was an option too, available daily. Staff were also supposed to encourage activity and fluid intake, within whatever limits a resident's condition allowed.
That is a detailed protocol. It exists because constipation in nursing home residents is not a minor inconvenience. Older adults, many of them on multiple medications, with limited mobility and reduced fluid intake, are at real risk of impaction, pain, and complications that can escalate quickly. The whole point of a bowel care list, of shift-by-shift documentation, of a nurse following up, is to catch problems before they become serious.
Inspectors found the system was not working as written. The deficiency was rated at a level of minimal harm or potential for actual harm, and inspectors noted that few residents were affected. But the gap between what the policy required and what staff were actually doing was clear enough to generate a formal citation.
The inspection was conducted in response to a complaint, not as part of a routine survey cycle. That means someone, likely a resident, a family member, or a staff member, raised a concern that prompted regulators to come in and look specifically at how the facility was handling this issue.
Three Meadows Post Acute has not publicly commented on the findings. The facility's plan of correction, if one has been submitted, was not included in the portion of the inspection report provided. CMS directs anyone seeking that information to contact the facility or the Ohio state survey agency directly.
The citation stands in the record regardless. A facility's bowel care policy is only as useful as the staff who carry it out, the nurses who follow up, the aides who document each shift, the system that flags a resident who has gone too long without a bowel movement and makes sure someone acts on it. When that chain breaks, residents on the bowel care list wait. They may not say anything. They may not be able to.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Three Meadows Post Acute from 2025-12-23 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 19, 2026 · Our methodology
THREE MEADOWS POST ACUTE in PERRYSBURG, OH was cited for violations during a health inspection on December 23, 2025.
The deficiency, tagged under F0690, involved the facility's failure to properly manage bowel care for a small number of residents.
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.