Meadow View Health And Rehabilitation
MEADOW VIEW HEALTH AND REHABILITATION in SALEM, IN — inspection on March 26, 2026.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
actions that can be measured.
use of blood thinners in a timely manner for 1 of 32 resident care plans reviewed. (Resident
diagnoses included, but were not limited to, unspecified atrial fibrillation ( A common heart arrythmia characterized by rapid, disorganized electrical signals in the upper chambers leading to an irregular and often fast heartbeat); long term (current) use of anticoagulants (blood thinners); and a personal history of transient ischemic attack (TIA - a mini stroke) with a cerebral infarction without residual deficits.The admission Minimum Data Set (MDS) assessment, dated 2/18/26, indicated the resident was able to make cognitive daily decisions; had no mood or behavior issues; and received an anticoagulant on a daily basis.A physician's order, dated 2/13/26, indicated the resident was to receive for Eliquis (blood thinner) 5 milligrams (mg) tablet twice daily (BID) due to her history of TIAs.
Review of the current care plan list lacked documentation of a care plan which addressed the use of Eliquis and the need for monitoring, laboratory tests, and side effects until 3/23/26 at 3:12 p.m.In an interview with the Director of Nursing (DON), on 3/24/26 at 8:10 a.m., she indicated that there was no overall care plan policy.
There were separate care plans for specific medications.
Anticoagulants had their own care plan.
The Interdisciplinary Team (IDT) would write, add and update the care plans as a group. In a second interview with the DON, on 3/24/26 at 9:00 a.m., she indicated that after she checked with the Corporate Nurse, there was no care plan policy. 410 IAC (Indiana Administrative Code) 16.2-3.1-35(a)410 IAC 16.2-3.1-35(b)(1) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
155325 03/26/2026
Meadow View Health and Rehabilitation 900 Anson St Salem, IN 47167
radiation therapy as the facility had made arrangements for transportation to the radiation center.
She also indicated the church had now made arrangements for someone to go with her to each session.
She was just waiting on the staff to tell her about the transportation and when the radiation sessions were to begin.
She further indicated the facility informed her that they would not be able to transport her, but arrangements were made with a company that she would have to pay privately for.
During an interview with the Director of Nursing (DON), on 3/26/26 at 8:55 a.m., she indicated the arrangements for transportation had not been set up yet because the resident kept going back and forth deciding if she wanted to do the radiation or not.
She indicated the resident did not need to see her cancer physician first because she had already seen him in January after a follow up with the dermatology center.
The DON indicated she had spoken with the radiation center on 1/26/26 and they indicated that although the resident did need radiation treatments, it was not urgent.
She further indicated the resident also told her she wanted to wait until her 4/7/26 appointment with the dermatology center to check if there were a different option for treatment.
They were trying to set up transportation, but the one company they had called indicated they could not commit to every day.
They now were looking at other options.
When asked about the facility's transportation policy indicating the facility would provide transportation if all other options had been exhausted, she indicated the policy indicated the facility would only provide transportation locally.The resident's record lacked documentation of these conversations the DON had with the resident and the dermatology and cancer centers.When questioned what the resident was supposed to do since her physician and the treatment center were not local, but were about an hour away and if that meant the resident could not go to her treatment sessions due to transportation issues, the DON indicated they would just have to find other options for transportation.
She could not say what the other options were, only that they were exploring other options.On 3/23/26 at 8:27 a.m., the ED presented the facility's current policy on Facility Bus/Van Transportation Guidelines.
Review of this policy included, but was not limited to, Policy: Transportation will be provided by the facility bus/van for residents participating in activities outside of the facility.
Procedure: 1.
Transportation will be provided by the facility bus/van for residents going to and from physician appointments (local) when no other option is available. a.
Families should be involved in transportation to and from physician appointments when able. b.
Families should be involved in transportation to and from .other medical related appointments when able. c.
Outside transport should be the chosen option prior to utilizing facility bus/van for physicians and/or other medical related appointments .410 IAC (Indiana Administrative Code) 16.2-3.1-37(a)410 IAC 16.2-3.1-37(b)
155325 03/26/2026
Meadow View Health and Rehabilitation 900 Anson St Salem, IN 47167