Meadville Convalescent Home

Inspectors wroteBased on interviews and facility policy review the facility failed to inform residents/resident representatives that their chosen attending physician was unable to meet requirements as the facility sought to seek alternate physician for provision of care and treatment without attempt to work with the residents' chosen attending physicians or mediate differences for nine (9) of eleven (11) sampled residents; Resident #2, Residents #3, Resident #4, Resident #5, Resident #7, Resident #8, Resident #9, Resident #10 and Resident #11. Findings Included:Policy review of the facility policy titled, Standard of Care with Revision Date 9/15/22 revealed, It is the policy of this facility to provide a standard of treatment and care most beneficial to residents. Regardless of payment methods, all residents shall have access to. [...]

Inspectors wroteBased on record review, facility policy review and interviews, the facility failed to ensure the resident's right to be informed of, and participate in, treatment decisions, including the right to be fully informed in advance of the care to be furnished, the type of practitioner providing treatment, and the risks and benefits of proposed care for one (1) of ten (10) sampled residents (Resident #3). Findings Included:A policy review of the facility's policy titled Standard of Care, with a revision date of 9/15/25, revealed the policy stated, It is the policy of this facility to provide a standard of treatment and care most beneficial to residents. Regardless of payment methods, all residents shall have access to. Care that meets their needs, Their attending physician, Clinical and administrative staff. In providing care to all residents our staff will be. [...]

Inspectors wroteBased on observation, interviews, facility policy review and record review the facility failed to respect a resident's dignity, as evidenced by leaving a feeding pump exposed in a public area for one (1) of two (2) residents receiving Percutaneous Endoscopic Gastrostomy feedings. Resident #34. Findings Include:Record review of the facility policy Our Residents' Rights, reviewed 05/18/2021, revealed, .Right to a Dignified Existence: Be treated with consideration, respect, and dignity, recognizing each resident's individuality. On 08/19/2025 at 12:54 PM, during an observation Resident #35 was observed in the hallway by the hair salon door, with a peg tube formula flowing at 50 milliliters/hour (ml/hr). There was not a privacy covering over the feeding pump. [...]

Inspectors wroteBased on observation, interviews and record review and facility policy review, the facility failed to follow the care plan while providing Percutaneous Endoscopic Gastrostomy (peg) tube care for one (1) of four (4) observations. Resident #34.

Inspectors wroteBased on observations, interviews, record review, and facility statement review the facility failed to provide follow physician orders when providing peg site care for one (1) of two (2) residents who require peg site care. Resident #34. Findings Include:Record review of a typed statement on facility letterhead, undated, and signed by the Director of Nursing (DON) revealed We do not have a policy on peg care. During an observation on 08/20/2025 at 2:43 PM, revealed LPN #2 cleaned the peg site using a Q-tip with normal saline. She cleaned site back and forward three times in a circular motion without rotating Q-tip, then applied a dressing. She did not dry site prior to applying dressing. In an interview on 08/20/2025 at 4:10 PM, LPN #2 confirmed she did not rotate the Q-tips while cleaning the peg site and did not dry the peg site before applying the cover dressing. [...]

Inspectors wroteBased on observations, interviews, and facility policy, the facility failed to ensure that respiratory care was provided in accordance with professional standards of practice for one (1) of (13) residents sampled. Resident #7. Specifically, an Oxygen in Use sign was not posted on Resident #7s door who was receiving oxygen therapy.

Inspectors wroteBased on observation, interviews, and facility policy review the facility failed to ensure expired nutritional supplements were removed from a storage area for one (1) of (1) observation.

Inspectors wroteBased on record review, staff, and Resident Representative (RR) interviews and facility policy review, the facility failed to notify the resident's RR of change a in the resident's condition for one (1) of four (4) sampled residents. (Resident #1)

Inspectors wroteBased on record review, interviews and facility policy review, the facility failed to ensure Advance Directives were completed according to the resident preference for two (2) of (2) residents reviewed for Advance Directives. This deficient practice had the potential to affect all residents who do not have an Advance Directive. Resident #7 and Resident #41. Findings Include: Review of the facility's policy titled, Residents' Rights Regarding Treatment and Advance Directives Policy, revised 8/23/22, revealed, Policy: It is the policy of this facility to support and facilitate a resident's right .to formulate an advance directive. Policy Explanation and Compliance Guidelines: 1. On admission, the facility will determine if the resident has executed an advance directive and, if not, determine whether the resident would like to formulate an advance directive. 2. [...]

Inspectors wroteBased on observation, interviews, record review, and facility policy review, the facility failed to monitor and record freezer and refrigerator temperatures daily and discard expired foods for one (1) of four (4) kitchen observations. This has the potential to affect 48 of the 52 residents that reside in the facility.

Inspectors wroteBased on staff interview, record review, and facility policy review, the facility failed to accurately submit direct care staffing information based on payroll data to the Centers for Medicare and Medicaid (CMS) as required for the first quarter of Fiscal Year (FY) 2024 (October - December 2023) for one (1) of four (4) quarters reviewed.

Inspectors wroteBased on observations and staff interviews the facility failed to ensure tiles in the resident shower area were free from black grime and broken tiles were repaired and floors in three (3) common areas were free from cracked tiles and gaps in the floor for one (1) of four (4) days of survey.

Inspectors wroteBased on observations, staff interviews, record review and facility policy review the facility failed to ensure a resident was free from a physical restraint offer as evidenced by failure to identify a seatbelt as a restraint for one (1) of 15 sampled residents.

Inspectors wroteBased on observation, interviews, record review, and facility policy review, the facility failed to develop and implement a comprehensive person-centered care plan to reflect the use of restraints for one (1) of 15 sampled residents.

Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to ensure physician orders were implemented and followed as ordered for one (1) of 15 sampled residents.

Inspectors wroteBased on observation, interviews, record reviews, and facility policy review, the facility failed to ensure that a resident's CPAP (Continuous positive airway pressure) mask was properly stored, when not in use, for one (1) of (1) residents reviewed that required respiratory care. Resident #11.

Inspectors wroteBased on interviews, record reviews, and facility policy review, the facility failed to accurately code the Minimum Data Set (MDS) for one (1) of 16 MDS assessments reviewed for accuracy. Resident #28 Findings Include: A record review of the facility's Comprehensive Assessment and Re-Assessment policy with revision date 11/28/2017 revealed, . The facility shall comply with Resident Assessment Instrument (R.A.I.) guidelines for comprehensive assessments and re-assessments .The sources of information for the M.D.S. include: Review of the resident's record . Review of Resident #28's Face Sheet revealed the resident was admitted to the facility on [DATE], with diagnoses that include Altered Mental Status, Pain, Edema, and Depression. A record review of Resident #28's Quarterly MDS with an Assessment Reference Date (ARD) of 07/14/2022 revealed, . [...]

Inspectors wroteBased on observation, staff interviews, and facility policy review, the facility failed to store food in accordance with professional standards for food service safety related to food items not dated with a use-by date, and food items not discarded after the expiration date, for one (1) of three (3) kitchen observations. Findings Include: [...]