Nursing Home News — Page 622

It was 12:25 in the afternoon on September 22, 2025, when an inspector walking through Meadow View Nursing and Rehabilitation spotted the carafe.

CNA 3 immediately left the resident she was walking with CNA 6 and went to remove Resident B from the situation, steering him toward an activity.

The form was a POLST, a Physician Orders for Life-Sustaining Treatment.

Inspectors determined the facility fell short of those commitments for at least a few residents.

The November 20 inspection, triggered by a complaint, found that the bed remote had failed and gone unreported.

On the morning of October 30, 2025, three aides were working a unit that included eight residents who required a mechanical lift just to get out of bed.

The resident, identified in inspection records only as Resident R3, raised the issue directly when an inspector sat down with him or her on September 30.

Nobody at the facility knew any of this until the daughter returned that evening and handed a bottle of medication to the nurse at the station.

Resident R9 had asked for a blanket.

The resident who first raised the alarm had intact cognition and knew exactly what he was seeing.

The resident at the center of the citation, identified in inspection records only as R2, was a patient whose tracheostomy tube required active management.

The complaint inspection, completed November 22, identified the violation as carrying potential for actual harm, affecting a small number of residents.