The Meadows
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
sutures. She confirmed the facility failed to prevent an accidental injury to a resident by not properly using a lift for a resident's transfer.Record review of Interdisciplinary Progress Notes dated 10/9/25 at 10:09 AM, revealed. This nurse was approached by CNA needing assistance in patient room due to head bleeding.
When this nurse entered room resident noted sitting in Geri chair with Hoyer lift still attached to sling. A large laceration was noted to resident's right forehead. This nurse applied pressure to stop the bleeding and called for (proper name removed), DNP (Doctor of Nursing Practice) to come assess, treat. It appears resident head was struck on Hoyer lift during transfer. This note was signed by RN #1Record review of Nurse Practitioner's Interdisciplinary Progress Notes dated 10/9/25 at 10:37 AM revealed, .(proper name for Resident #1 removed) complains of pain to head and I have asked nursing staff to administer Tylenol.
Orders given to transfer to (name of local hospital removed) ER for evaluation and management of the laceration. She will need Computed Tomography (CT) to determine any further injury .Record review of Interdisciplinary Progress Notes dated 10/9/25 at 10:50 AM, revealed, .Resident transferred to (proper name of hospital removed) via EMS (Emergency Medical Service) Ambulance Service.Record review of Interdisciplinary Progress Notes dated 10/9/25 at 3:40 PM, revealed, Resident returned from (proper name of hospital removed) via ambulance. On assessment, resident noted to have dressing to forehead. Dressing removed and noted to have 11 stitches to laceration and dressing replaced .Record review of Physician Orders revealed an order dated 8/6/25 for Tylenol 325 milligrams tablet two tablets every four hours as needed for pain.Record review of Electronic Medication Record revealed Tylenol was administered on 10/9/25 at 10:38 AM with reason of grimacing d/t (due to) laceration on right forehead. Review revealed the resident received the Tylenol on 10/9/25 at 4:02 PM with reason of grimacing with discomfort to right forehead r/t laceration.Record review of Physician Orders revealed an order dated 8/6/25 for Hydrocodone Bitartrate Acetaminophen 325-5 milligram tablet one tablet every four hours as needed for pain.Record
review of Electronic Medication Record revealed Hydrocodone was administered on 10/10/25 at 8:39 PM due to head pain. Review revealed Hydrocodone was administered on 10/11/25 with reason of head pain.Record review of Physician Orders revealed an order dated 10/9/25 to send to hospital per ambulance for evaluation of laceration/contusion to right forehead.Record review of Inservice Sign in Sheet titled In-service on New Slings for Total Lifts dated 4/4/25 revealed CNA #1's signature.Record review of In-Service Sign in Sheet for Lift check offs CNAs revealed CNA #1's signature dated 5/15/25.Record review of Inservice Sign in Sheet titled Lift Education Training for CNAs dated 8/6/25 revealed CNA #1's signature for attending. Record review of .Electric Patient Lift User Manual revealed, Safety Precautions . Perform patient transfers with at least two caregivers present for added safety .Record review of Record of Admission revealed the facility admitted Resident #1 on 8/6/25 with diagnosis listed as Alzheimer's Disease.Record review of Minimum Data Set (MDS) with Assessment Reference Date (ARD) of 8/12/25 revealed a Brief Interview for Mental Status (BIMS) score of 99 which indicated the resident had severe cognitive impairment.
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THE MEADOWS in FULTON, MS inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in FULTON, MS, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from THE MEADOWS or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.