I'm very pleased with my mother's stay - the CNAs and nursing staff are professional and caring, therapy (Tiffany and team) drove real rehab progress, and administration is responsive. The facility is very clean, housekeeping excellent, meals are well-prepared with gluten-free options, and activities create a warm, welcoming atmosphere. Friendly staff across departments (Marsha and Holly especially helpful) made visits pleasant - I'm grateful to have this rehab-focused place in Fargo.
Loved one of resident
Jul 2026
Schedule a Tour
Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Medication management
Mental wellness program
Healthcare staffing
12-16 hour nursing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Restaurant-style dining
Special dietary restrictions
Room
Air-conditioning
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Private bathrooms
Telephone
Wifi
Transportation
Community operated transportation
Transportation arrangement
Transportation arrangement (non-medical)
Common areas
Beauty salon
Computer center
Dining room
Fitness room
Gaming room
Garden
Outdoor space
Small library
Wellness center
Community services
Concierge services
Fitness programs
Move-in coordination
Activities
Community-sponsored activities
Planned day trips
Resident-run activities
Scheduled daily activities
Reviews
3.61·(70)
Overall rating
5
4
3
2
1
Care
2.8
Staff
3.3
Meals
3.4
Amenities
1.8
Value
1.0
Pros
Strong physical and occupational therapy services
Compassionate and hardworking nursing and aide staff
Improved food quality and varied meal options
Active activities program including faith-based services
Welcoming front-office and administrative support
Housekeeping and generally clean common areas
Supportive rehab-focused environment for short-term stays
Allowance for room personalization
Effective hospice and end-of-life coordination
Cons
Inconsistent staffing levels and responsiveness
Gaps in medication and oxygen-administration processes
Communication and family-notification inconsistencies
Inconsistent meal-service timing and quality
Older infrastructure with small shared rooms and need for updates
Sanitation and odor concerns in some common areas
Language and communication skill variability among clinical staff
Inconsistent activity programming and resident engagement
Inconsistent billing and pricing practices
Security and behavior-management process gaps
Operational instability during management transitions
Summary of reviews
The available reviews present a mixed picture of The Meadows on University, with a clear pattern of polarized experiences. Many families and residents describe strong rehabilitative services, kind and hardworking direct-care staff, and improvements under new leadership. At the same time, other accounts raise substantial operational concerns that prospective residents and families should evaluate during a tour and intake conversation.
Care quality shows notable strengths and vulnerabilities. Rehabilitation and therapy services (physical and occupational therapy) are frequently praised and appear to be a core competency; several reviewers characterized the environment as rehab-focused and effective for short-term recovery. Nursing staff and nurse aides are often described as compassionate and attentive, and hospice coordination receives positive mention. However, there are recurring accounts of delayed assistance, inconsistent responsiveness to personal-care needs, and problems with medication and oxygen administration processes. These reports point to gaps in clinical workflows and staffing consistency rather than isolated praise or complaint—areas to probe further, particularly around staffing ratios, clinical protocols, and emergency response procedures.
Staffing and communication are uneven. Many reviewers compliment specific caregivers and departments for kindness and responsiveness, and some families report an open-door management approach and improved transparency. Conversely, other reviewers describe poor communication with families, lack of timely notifications, variability in staff communication skills (including language barriers), and concerns about the tone of staff interactions. Management turnover and transitional leadership were mentioned; some observers reported constructive changes (improved food, resident input initiatives) while others described ongoing instability and administrative friction, including inconsistent billing and pricing practices.
Dining and activities present a similar pattern of improvement paired with inconsistency. Several reviews note improved food quality and better-tasting meals after recent changes, and activity offerings include faith-based services, social events, fitness training, and special events. Yet other accounts describe late meal service, variable meal quality, and periods with little resident engagement. Activity programming appears to be meaningful when staffed and supported, but engagement may be inconsistent depending on scheduling and staffing.
The physical plant is characterized as older and in need of updates. Rooms—especially semi-private two-bed rooms—are generally described as small. Housekeeping and cleanliness receive praise in many comments, though some reviewers raised odor concerns in certain hallways and noted a need for facility refresh. Security and behavior-management processes are another area of concern: there are mentions of incidents involving aggressive behavior and perceived gaps in security practices, suggesting prospective families should ask about behavioral protocols and safety measures.
Notable patterns for decision-making: experiences are polarized, with both consistently positive remarks about therapy and many individual staff members and serious concerns about operational reliability (staffing consistency, clinical protocols, family communication, billing). Some reviews reference regulatory citations and hospital transfers; these should prompt verification of the facility’s current compliance status. For families considering The Meadows on University, recommended next steps include an on-site visit, meetings with nursing leadership to review staffing ratios and clinical protocols (including medication and oxygen administration), asking for recent inspection/citation history, sampling meals at mealtime, observing activities, and speaking with current residents or family members about communication and billing practices. The facility may be a good fit for those prioritizing strong therapy services and compassionate individual caregivers, but families should confirm that the facility’s operational controls meet their expectations for safety, responsiveness, and transparency.
Reviews written on Mirador
We have no reviews to show about The Meadows on University.
Help other families by writing a review about your experience with this community.
Medicare Ratings
2·/ 5
Overall
Health Inspection
Staffing
Quality Measures
Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov
Location
The Meadows on University is located at 1315 S University Dr, Fargo, ND, 58103.
About The Meadows on University
The Meadows on University sits in Fargo and serves Cass County and Region V, and you'll find it offers both short-term rehab and long-term care, taking in people on Medicaid, Medicare, or private insurance, and you'll notice it's a state-certified skilled nursing facility with beds for up to 131 residents-though, on average, about 53 people live there day by day. Folks here can get physical, occupational, and speech therapy, especially if they need extra help after surgery, and they can expect a team of licensed nurses and therapists on hand 24 hours a day for care, pain management, medications, and just plain hygiene-so there's always someone to help, day or night, with skilled nursing services. Residents get a mix of rehabilitation, short-term, long-term, outpatient, and respite care, plus the staff includes a named administrator, Josh Kelly, a Director of Nursing called Eliza Messerschmidt, and a Social Worker named Genn Bervig, so you know who's in charge and who to go to for help or questions. People staying here get care plans that fit their individual needs, whether it's help managing memory problems or trouble with daily activities, and while they do accept people with Alzheimer's or dementia, they don't have a special unit just for that. You'll also see the place has regular social activities to keep folks engaged and connected, which helps the community feel welcoming and warm, and people can learn strategies for coping with changes, all while connecting with others facing similar situations. Meals, bathing, managing medicine, and therapy are all handled by licensed professionals, and the therapy team works with local hospitals and clinics, so people can transition from one level of care to another if needed. Now, you should know this place keeps up with Medicare and Medicaid guidelines, is managed by Eduro Healthcare LLC, and has a nurse staffing level of about 3.75 hours per resident each day, but it's had its fair share of inspection issues, like 47 documented deficiencies, including for food temperature and quality, infection control, and some concerns over continence care and catheter use, with four infection-related issues noted recently, and a nurse turnover rate of 53.6% noted, so there's been some staff changes. Still, people seem to get the basics-rehab, regular health checks, and a safe environment-without any big promises, and services focus on keeping folks as comfortable as possible for as long as they stay.
People often ask...
The Meadows on University offers assisted living, memory care, and skilled nursing.
There are 39 photos of The Meadows on University on Mirador.
The full address for this community is 1315 S University Dr, Fargo, ND 58103.
No, The Meadows on University does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In North Dakota, Health & Human Services' Health Facilities unit licenses care facilities and publishes the health and life-safety deficiencies found during inspections.
Investigated the complaint and found no deficiencies.
30 Dec 2025Inspection
30 Dec 2025Inspection
Found that a baseline care plan was not developed for a new admission, failing to reflect essential ADL needs. Audits identified additional incomplete 48-hour care plans for other residents.
42 CFR 483.21Baseline Care Plan
04 Dec 2025Inspection
04 Dec 2025Inspection
Investigated infection control noted deficiencies with hand hygiene and isolation precautions for a resident with C. difficile during an unannounced survey.
42 CFR 483.80Infection Control
13 Nov 2025Inspection
13 Nov 2025Inspection
Investigated a complaint and found no deficiencies.
28 Apr 2025Life Safety
28 Apr 2025Life Safety
Identified that three sprinkler system gauges dated 03/06/2020 had not been replaced or calibrated within the last five years, potentially compromising system reliability.
NFPA 25; NFPA 25 4.1.4.1, 5.3.2.1, 5.3.2.2; NFPA 25 9.7.6, 4.6.12Gauges maintenance and testing of automatic sprinkler system
09 Apr 2025Inspection
09 Apr 2025Inspection
Investigated found deficiencies across multiple areas including resident rights, dignity during care, call systems, assessments, ADL care, skin integrity, nutrition, food safety, and infection control.
Found no deficiencies. The complaint investigation concluded compliance with regulatory requirements.
20 Feb 2024Life Safety
20 Feb 2024Life Safety
Found electrical safety deficiencies, including lack of GFCI protection on several outlets in a workshop area and insufficient clearance around electrical cabinets.
NFPA 70, 210.8Ground-fault protection not provided where required
NFPA 70, 110.26; NFPA 70, 119.26(B)Working space around electrical cabinets not maintained
08 Feb 2024Inspection
08 Feb 2024Inspection
Identified multiple deficiencies in medication management, including unclear insulin administration timing, PRN psychotropic use without end dates, medication administration errors, and improper medication labeling.
CFR(s): 483.21(b)(3)(i) §483.21(b)(3)Comprehensive Care Plans
CFR 483.45(c)(3)(e)(1)-(5)Psychotropic Drugs
CFR 483.45(f)(1)Medication Errors
CFR 483.45(g)(h)(1)(2) and 483.45(h)Labeling of Drugs and Biologicals / Storage of Drugs and Biologicals
21 Aug 2023Life Safety
21 Aug 2023Life Safety
Identified multiple life-safety and electrical-system deficiencies, including egress locking, fire protection, electrical safety, and generator maintenance. The findings indicate violations of several standards.
7.2.1.5.3Egress Doors
NFPA 72 14.4.2.2Fire Alarm System - Testing and Maintenance
NFPA 25; 9.7.5, 9.7.7, 9.7.8Sprinkler System - Maintenance and Testing
NFPA 70; 210.8; 210.8(B)Utilities - Gas and Electric
19.7.1.4 through 19.7.1.7Fire Drills
NFPA 99; NFPA 110Electrical Systems - Essential Electric System
09 Aug 2023Inspection
09 Aug 2023Inspection
Found deficiencies in maintaining a safe, clean environment for residents on oxygen and in the accuracy of assessments.
42 CFR 483.10(i)Safe Environment
42 CFR 483.20(g)Accuracy of Assessments
17 Nov 2022Inspection
17 Nov 2022Inspection
Found deficiencies in pain management due to unavailable pain medications and in infection prevention and control due to insulin pens being shared between residents.
CFR 483.25(k)Pain Management
CFR 483.80(a)(1)(2)(4)(e)(f)Infection Prevention & Control
11 Oct 2022Inspection
11 Oct 2022Inspection
Identified several deficiencies, including failure to maintain resident dignity during toileting, improper medication administration, inadequate continence care, and unsafe medication storage.
CFR 483.10Resident Rights
CFR 483.21(b)(3)(i)Comprehensive Care Plans
CFR 483.25(e)(1)-(3)Incontinence
CFR 483.45(g)-(h)Labeling/Storage of Drugs and Biologicals
03 Aug 2022Inspection
03 Aug 2022Inspection
Investigated a complaint and found multiple deficiencies across resident care areas, including call light response, grievances handling, investigations, care planning, bathing, toileting, nutrition, oxygen use, staff competency, and transfer agreements.
Type ACFR 483.10(e)(3)Reasonable accommodations/Preferences
Type ACFR 483.10(f)(5)-(7)Resident/Family Groups and Response
Type ACFR 483.12(c)(1)(4)Reporting of Alleged Violations
Type ACFR 483.12(c)(2)-(4)Investigate/Prevent/Correct Alleged Violation
Type ACFR 483.21(b)(2)Care Plan Timing and Revision
Type ACFR 483.24(a)(2)ADL Care Provided for Dependent Residents
Type ACFR 483.25(b)Skin Integrity - Pressure Ulcers
Type ACFR 483.25(e)Incontinence, Toileting, and Urinal Care
Type ACFR 483.25(g)Nutrition/Hydration Status Maintenance
Type ACFR 483.25(i)Respiratory Care and Suctioning
Type ACFR 483.35(a)(3)-(4)(c)Competent Nursing Staff
Type ACFR 483.35(g)(1)-(4)Posted Nurse Staffing Information
Type ACFR 483.70(j)(1)-(2)Transfer Agreement
Type ACFR 483.95(c)(1)-(3)Abuse, Neglect, Exploitation Training
07 Jun 2022Inspection
07 Jun 2022Inspection
Found no deficiencies during the revisit.
27 Apr 2022Life Safety
27 Apr 2022Life Safety
Found deficiencies related to NFPA 96 cooking facilities requirements and fire alarm system testing/maintenance. Manual pull station height was above 48 inches and fire alarm devices were not tested annually.
NFPA 70; NFPA 72; NFPA 101; 9.6.1.3; 9.6.1.5; 19.3.4.1Fire Alarm System - Testing and Maintenance
21 Apr 2022Inspection
21 Apr 2022Inspection
Investigated a complaint and identified multiple deficiencies across resident rights, environment, care, medication, nutrition, safety, and infection control, indicating noncompliance with federal requirements.
CFR §483.80(i)COVID-19 Vaccination of Facility Staff
12 Oct 2021Inspection
12 Oct 2021Inspection
Found no deficiencies; compliance with COVID-19 preparedness and infection control was confirmed.
13 Sept 2021Inspection
13 Sept 2021Inspection
Found inadequate turning and repositioning for a dependent resident, with missing documentation and care planning.
CFR 483.24(a)(2)ADL care provided for dependent residents
25 Feb 2021Inspection
25 Feb 2021Inspection
An investigation found multiple deficiencies involving resident rights, care quality, safety, nutrition, dialysis, medication administration, infection control, and staff oversight. Numerous instances showed failures to follow orders, protect dignity, ensure proper monitoring, and maintain proper procedures.
CFR 483.10Resident Rights
CFR 483.10(c)(6)(8)(g)(12)(i)-(v)Right to Refuse/Discontinue Treatment; Advance Directives
CFR 483.25Quality of Care
CFR 483.25(d)Free of Accident Hazards/Supervision/Devices
CFR 483.25(g)Nutrition/Hydration Status
CFR 483.25(i)Respiratory/Tracheostomy Care and Suctioning
CFR 483.25(l)Dialysis
CFR 483.35RN Coverage
CFR 483.45Pharmacy Services
CFR 483.45(f)Medication Error Rates
CFR 483.45(g)(h)Labeling and Storage of Drugs
CFR 483.80Infection Prevention & Control
15 Dec 2020Inspection
15 Dec 2020Inspection
Found no deficiencies. The survey determined compliance with infection control requirements and noted one COVID-19 positive resident at the time.
24 Nov 2020Inspection
24 Nov 2020Inspection
Found no deficiencies related to infection control; compliance with required practices was verified.
02 Nov 2020Life Safety
02 Nov 2020Life Safety
Identified deficiencies in fire alarm system testing/maintenance and in the emergency generator's load testing and annual maintenance.
NFPA 70; NFPA 72; NFPA 101Fire Alarm System - Testing and Maintenance
NFPA 99; NFPA 110; NFPA 111; NFPA 70Electrical Systems - Essential Electric System
29 Apr 2020Inspection
29 Apr 2020Inspection
Found no deficiencies; infection control practices for COVID-19 were compliant.
16 Mar 2020Inspection
16 Mar 2020Inspection
Confirmed compliance with COVID-19 infection control requirements and CDC/CMS recommendations.
18 Jun 2019Inspection
18 Jun 2019Inspection
The regulator found multiple deficiencies after an on-site revisit, including failure to promptly notify about changes in resident condition, inadequate abuse investigations, incomplete care plans, lapses in insulin administration standards, and delayed UTI assessment and treatment.
42 CFR §483.10(g)(14)-(15)Notify of Changes
42 CFR §483.12(b)Abuse Investigation and Reporting
42 CFR §483.21(b)(2)-(iii)Care Plan Timing and Revision
42 CFR §483.21(b)(3)(i)Services Provided Meet Professional Standards
42 CFR §483.25(e)Incontinence and UTIs
16 May 2019Inspection
16 May 2019Inspection
The survey found multiple deficiencies across resident care, including inadequate communication of rights, delayed/incorrect medical notifications, improper MDS coding, insufficient care planning, inconsistent wound and dialysis care, staffing issues, dietary problems, infection control lapses, and inadequate dental and ADL support.
CFR 483.10(g)(4) (i)-(vi); CFR 483.10(g)(15)Required Notices and Contact Information
CFR 483.10(g)(14); CFR 483.10(g)(15)Notify of Changes; (Change in conditions/room/rights)
NFPA 10, 7.2.1.1; 7.2.1.2Portable Fire Extinguishers
NFPA 70; NFPA 210.8; 210.8(B)(1); 210.8(B)(2); 210.8(B)(5)Utilities - Gas and Electric
NFPA 99 6.4.4.1.1.4; NFPA 110 8.4.1–8.4.2.3; NFPA 111 6.4.4; NFPA 70 700.10Electrical Systems - Essential Electric System
06 Dec 2018Inspection
06 Dec 2018Inspection
Found multiple deficiencies in resident care including delayed call-light responses, incomplete care plans, inadequate bathing assistance, poor skin care, nutritional management problems, unmanaged pain, and illegible insulin labeling.
CFR 483.10(f)(5)-(7)Resident rights - Groups and family groups
CFR 483.21(b)(2)(i)-(iii)Comprehensive Care Plans
CFR 483.24(a)(2)ADL Care Provided for Dependent Residents
CFR 483.25Quality of care
CFR 483.25(g)(1)-(3)Nutrition/Hydration Status Maintenance
CFR 483.25(k)Pain Management
CFR 483.45(g)(h)(1)(2)Label/Store Drugs and Biologicals
28 Jun 2018Inspection
28 Jun 2018Inspection
Identified multiple deficiencies across resident rights, clinical planning, medication administration, nutrition, dialysis care, infection control, and related areas.
CFR 483.10(g)(6)-(9)Right to Forms of Communication w/ Privacy
CFR 483.20(e)(1)-(2)Coordination of PASARR and Assessments
CFR 483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
CFR 483.21(b)(3)Services Provided Meet Professional Standards
CFR 483.25(b)Skin Integrity - Pressure Ulcers
CFR 483.25(g)(1)-(3)Nutrition/Hydration Status Maintenance
CFR 483.25(l)Dialysis
CFR 483.45(d)Drug Regimen is Free from Unnecessary Drugs
CFR 483.60(d)Nutritive Value/Appear, Palatable/Proper Temperature
CFR 483.60(f)Frequency of Meals/Snacks at Bedtime
CFR 483.80(a)-(f)Infection Prevention & Control
25 Apr 2018Life Safety
25 Apr 2018Life Safety
Identified multiple life safety deficiencies, including obstructed exit discharge, hazardous-area enclosure failures, non-latching corridor doors, improper smoke detector placement, and unsecured oxygen cylinders.
NFPA 101 18.2.7, 19.2.7Exit Discharge
NFPA 101 4.6.12.2; 8.7.1; 19.3.5.9; 19.3.2.1Hazardous Areas - Enclosure
NFPA 99 11.6.2.3Gas Equipment - Cylinder and Container Storage
10 May 2017Inspection
10 May 2017Inspection
Found multiple deficiencies in privacy, personal care, feeding, wound care, infection control, and food sanitation, indicating several resident safety and dignity concerns.
483.10(h)(1)(3)(i); 483.70(i)(2)Personal privacy/confidentiality of records
483.24; 483.25(k)(l)Provide care/services for highest well being
483.24(a)(2)ADL care provided for dependent residents
483.25(b)(1)Treatment/Services to prevent/heal pressure sores
483.25(g)(4)(5)NG feeding and restored eating skills
483.25(b)(2)(f)(g)(5)(h)(i)(j)Treatment/Care for special needs
483.80(a)(1)(2)(4)(e)(f)Infection control and linens
01 Mar 2017Life Safety
01 Mar 2017Life Safety
Identified multiple life-safety deficiencies across emergency lighting, cooking-area systems, fire alarms, smoke detection, sprinklers, fire drills, and emergency power testing.
NFPA 13; NFPA 25Sprinkler System - Maintenance and Testing
NFPA 101, Fire Drills; 19.7.1.2; 18.7.1.4-18.7.1.7Fire Drills
NFPA 110Electrical Systems - Essential Electric System
30 Jun 2016Inspection
30 Jun 2016Inspection
Investigated findings identified multiple deficiencies in resident care, medication management, infection control, and sanitation with potential risk to residents.
483.20(k)(3)(i)SERVICES PROVIDED MEET PROFESSIONAL STANDARDS
483.25PROVIDE CARE/SERVICES FOR HIGHEST WELL BEING
483.25(l)DRUG REGIMEN IS FREE FROM UNECESSARY DRUGS
483.25(m)(1)FREE OF MEDICATION ERROR RATES OF 5% OR MORE
Found exit access not readily available because two doors open outward into the exit corridor and protrude more than seven inches when opened.
NFPA 101 Life Safety Code, 7.2.1.4.4Exit access not readily available; outward-opening doors projecting into exit corridor
20 Apr 2016Inspection
20 Apr 2016Inspection
Investigated a complaint about call light response times. Found failures to listen to and act on grievances from residents and families.
483.15(c)(6)Listen/Act on Group Grievance/Recommendation
24 Feb 2016Inspection
24 Feb 2016Inspection
Identified multiple deficiencies: missing documentation of CAAs in MDS, inaccurate MDS coding, inadequate constipation and pressure ulcer care, lapses in infection control, and missing governing policies related to MDS processes.
Investigated allegations of deficiencies and found ongoing failures in housekeeping and interior maintenance, with related issues in resident care practices.
—Housekeeping and maintenance deficiencies
14 May 2015Inspection
14 May 2015Inspection
Investigated skin alteration documentation and found deficiencies in recording and evaluating skin changes and bruises, including missing measurements and descriptions.
—Continued From page 3 - management of actual and potential skin alterations; skin alteration documentation
26 Feb 2015Inspection
26 Feb 2015Inspection
Investigated a complaint alleging inadequate care for constipation; two residents did not receive proper bowel management.
—Care planning and provision of care to manage constipation
17 Feb 2015Life Safety
17 Feb 2015Life Safety
Identified deficiencies regarding smoke detector maintenance and testing, and sprinkler and generator system maintenance and testing.
Type ANFPA 101; NFPA 72; NFPA 25Smoke detector maintenance and testing deficiencies
Type ANFPA 25; NFPA 99; NFPA 72Sprinkler and smoke detector testing/compliance
Type ANFPA 99; NFPA 25Generator maintenance/testing
17 Sept 2014Inspection
17 Sept 2014Inspection
Investigated a neglect incident and deficiencies related to resident safety and documentation; multiple care-planning and reporting issues were found.
—Continued From page 3
—Continued From page 4
—Continued From page 9
22 May 2014Inspection
22 May 2014Inspection
Found deficiencies related to residents' rights information and several care practices, including hydration and supervision, with failures to inform residents about services and costs and to provide proper physician contact information.
42 CFR 483.10Resident rights and information about services and Medicaid eligibility
—Resident information and physician contact
—Supervision and hydration of residents
26 Mar 2014Life Safety
26 Mar 2014Life Safety
Investigated preventive maintenance documentation for the emergency generator transfer switch and found missing records for three of four quarters in 2013.
NFPA 110Preventive maintenance documentation for emergency generator transfer switch
12 Feb 2014Inspection
12 Feb 2014Inspection
An investigation identified deficiencies in medication management and resident information sharing, including failures to prevent medication errors and to notify families about changes in resident conditions.
—Significant medication errors not prevented; inadequate medication management
09 Jul 2013Inspection
09 Jul 2013Inspection
Identified deficiencies regarding CPAP machine orders and monitoring. The facility failed to verify physician orders for CPAP machines and did not adequately document or monitor their use.
—CPAP machine orders not verified; monitoring and documentation
—Physician order for Resident #3's CPAP machine not obtained; pressure setting not documented
08 May 2013Inspection
08 May 2013Inspection
Investigated deficiencies found related to resident privacy and the handling of medications and transfers. Found failures to protect privacy, determine residents' ability to self-administer medications, and notify residents or families about transfers or discharges.
—Personal privacy/Confidentiality of Records
—Self-administration of medications
—Notice of transfer/discharge
17 Apr 2013Life Safety
17 Apr 2013Life Safety
Found that the fire-extinguishing system for commercial cooking operations was not inspected and serviced at least every six months, with record gaps between February 2012 and March 2013.
NFPA 96, Standard for Ventilation Control and Fire Protection of Commercial Cooking OperationsInspection/servicing of fire-extinguishing systems in commercial cooking operations
07 Jun 2012Inspection
07 Jun 2012Inspection
Investigated multiple deficiencies related to resident dignity and respect, accommodation of individual needs, and provision of care for residents' well-being.
483.15(a)(1)DIGNITY AND RESPECT OF INDIVIDUALITY
483.15(e)(1)REASONABLE ACCOMMODATION OF NEEDS/PREFERENCES
483.25PROVIDE CARE/SERVICES FOR HIGHEST WELL BEING
06 Mar 2012Life Safety
06 Mar 2012Life Safety
Concluded compliance with NFPA 101 Life Safety Code.
09 Feb 2012Inspection
09 Feb 2012Inspection
Investigated deficiencies in care planning and documentation related to dehydration and constipation risk; the care plans and accompanying notes did not adequately address the resident's needs.
—Continued From page 2 chronic constipation
25 Jan 2012Inspection
25 Jan 2012Inspection
Investigated and found deficiencies in residents' grooming and personal care due to inadequate staff assistance; residents were observed with unkempt hair and poor grooming.
—Grooming and personal hygiene
21 Jul 2011Inspection
21 Jul 2011Inspection
The provider had multiple deficiencies involving resident activities, care planning, and documentation, indicating gaps in resident care and supervision. Several entries show failures to timely report investigations and to maintain adequate activity and daily living support for residents.
483.10(b)ADL care provided for dependent residents
483.10(b)ADL care provided for dependent residents
13 Apr 2011Life Safety
13 Apr 2011Life Safety
Found no deficiencies. The survey determined the facility was in compliance with NFPA 101 Life Safety Code.
17 Jun 2010Inspection
17 Jun 2010Inspection
Investigated a complaint and found deficiencies in residents' dignity and independence, privacy during care, and infection control practices.
483.15(a) DIGNITY AND RESPECT OF INDIVIDUALITYIndependence in daily decisions
483.25(d) NO CATHETER, PREVENT UTI, RESTORE BLADDERProvision of privacy during care
483.65 INFECTION CONTROL, PREVENT SPREAD, LINENSInfection control program
16 Mar 2010Life Safety
16 Mar 2010Life Safety
Identified multiple life-safety deficiencies related to smoke barriers, sprinkler system maintenance, and exit access/egress.
NFPA 101 Life Safety Code StandardSmoke barriers and sprinkler system standards
NFPA 101 Life Safety Code StandardExit doors/egress obstruction
NFPA 13; NFPA 25Sprinkler installation and maintenance
NFPA 101 Life Safety Code StandardExit access and egress
Disclaimer
Mirador Living is not affiliated with the owner or operator(s) of The Meadows on University. The information above has not been verified or approved by the owner or operator. For exact information, please contact The Meadows on University directly. There is no cost for this service. We are compensated by the community you select.
Are you an owner or operator of this community?
Claim this listing to receive messages from prospective customers and manage your community page.