Meadowview Rehabilitation And Nursing Center
MEADOWVIEW REHABILITATION AND NURSING CENTER in WHITE MARSH, PA — inspection on August 28, 2025.
Found 1 citation. 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
Review of Resident R2's electronic clinical record revealed a physician order, dated [DATE], indicated; Do Not Resuscitate (DNR).
Review of the Nursing Progress note for Resident R2, by a Licensed Nurse, Employee E5, dated [DATE], indicated as follows: Around 0300, during rounds, [Resident R2's] roommate notified this nurse that resident did not look well.
Upon entering room, [Resident R2] was noted with slow shallow breathing. SpO2: 84 (SpO2 is oxygen saturation, it is a measurement of the percentage of hemoglobin in the blood that is saturated with oxygen, for a healthy individual, the normal SpO2 should be between 96% to 99%). [Resident R32] was given with Oxygen via mask.
Nursing supervisor was called to assess resident.
Before nursing supervisor could enter unit, [Resident R2] was noted with foam coming from mouth and unresponsive.
Code Blue/911 was immediately called (Code Blue refers to a hospital medical emergency requiring immediate resuscitation for a patient in cardiac or respiratory arrest). CPR initiated by nursing staff until/during paramedics' arrival (CPR, or cardiopulmonary resuscitation, is a life-saving emergency procedure performed when a person's heart has stopped beating or their breathing has ceased). [Resident R2] was given 4-5 rounds of epi but was unsuccessful (epi is a medical abbreviation for epinephrine, also known as adrenaline. In a cardiac arrest, epinephrine is administered to increase blood pressure and heart rate, which helps improve blood flow to the heart and brain). TOD (Time of Death) was called by Physician.
Call was placed to emergency contact.
The nurse spoke with resident's sister to inform family of resident's untimely passing and for further arrangements for pick-up.On [DATE], at 1:22 p.m., interview with the Director of Nursing confirmed that the facility failed to implement the Physician Order pertaining to Resident R2's code status/ DNR status.28 Pa Code 201.18(a)(b)(1)(3) Management28 Pa Code 211.12(d)(5) Nursing services
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 REPRESENTATIVE'S SIGNATURE
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